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About Us
ACO Coalition
Continuing Education
Cervical Cancer Screening Overuse and Underuse: Patient and Physician Factors
Cervical cancer screening underuse and overuse occur commonly in clinical practice and identifiable patient and physician factors can be targeted for quality improvement.
Published Online
: June 20, 2013
Cristina M. Almeida, MD, MPH; Michael A. Rodriguez, MD, MPH ; Samuel Skootsky, MD; Janet Pregler, MD; Neil Steers, PhD; and Neil S. Wenger, MD, MPH
Despite recommendations for triennial cervical cancer screening for low-risk women 30 years and older, annual screening remains common. We studied how often women receiving care from an academically affiliated medical group were screened, and patient and provider factors associated with overuse and underuse. We also explored the impact of changing measurement intervals on computed screening frequency.
The study included women 30 years and older continuously enrolled over a 3-year period and excluded women with history of abnormal screening and conditions of high risk for cervical cancer.
Administrative and laboratory data were merged to link Papanicolaou (pap) test results with patient and ordering provider characteristics. We used logistic regression to analyze multivariate models for overuse and underuse, and modified measurement intervals to test sensitivity to early and late pap smears.
The 8018 women had a mean age of 48years and 95% had an ambulatory physician visit during the observation period. Thirty-four percent of women received guideline-based screening, 45% had overuse, and 21% had underuse. Factorsindependently associated with overuse included younger age, more medical visits, contraceptive management visits, and gynecology provider specialty. Underuse was associated with older age, fewer medical visits, and increased comorbidity.Overuse was 47% if unsatisfactory paps were not considered and was reduced to 35% if the observation interval was reduced from 36 to 30 months.
Overuse and underuse of cervical cancer screening are common and clinician and patient factors are identifiable to target quality improvement interventions. Modifying the measurement interval may improve the measure.
Am J Manag Care. 2013;19(6):482-489
Underuse and overuse of cervical cancer screening are prevalent and coexistent in clinical practice.
Analysis of medical group encounter and laboratory data can identify patient and provider targets for quality improvement.
Measured overuse is lower when high-risk conditions and unsatisfactory Papanicolaou smears are accounted for and the time interval is relaxed to account for variability in scheduling
For a decade, US medical professional organizations
and the US Preventive Services Task Force (USPSTF)
have suggested that low-risk women (history of multiple normal Papanicolaou[pap] tests, age over 30 years) receive cervical cancer screening every 3 years as part of routine preventive services. Prior to these guidelines, observational and case control studies supported similar clinical outcomes between 1- and 3-year intervals.
However, surveys showed that most (60-70%) gynecologists and primary care providers continuedto perform annual screening, and many were unaware of the new guidelines.
Recently, the USPSTF solidified its recommendations for the 3-year interval
and they and the American College of Obstetricians and Gynecologists suggest a 5-year interval with negative HPV testing.
A 2010 study using the National Ambulatory Medical Care Survey projected that triennial screening would reduce testing by 6.3 million pap tests per year and reduce costs by $403.8 million.17 An earlier study projected that an additional 69,665 pap smears and 3861 colposcopies would need to be performed in women 30 to 44 years of age to avert 1 case of cervical cancer by screening every year instead of every 3 years. For women 45 to 59 years old, 209,324 pap tests and 11,502 colposcopies would need to be performed.
Using National Health Interview Survey data, projected compliance with triennial screening would decrease the annual number of pap smears from 75 million to 34 million.20
Since 2009, a pay for performance measure has been applied to managed care plans in California to encourage triennial rather than more frequent screening, but there has been little exploration of cervical cancer screening rates in populations affected by this measure. Furthermore, preventing overuse might encourage underuse, so both should be simultaneously evaluated. To encourage targeted use of screening, understanding physician and patient factors associated with overuse and underuse is needed. We evaluated usage of cervical cancer screening in 1 medical group's patients with the goal of identifying factors amenable to intervention. In addition, we varied the time period of the 3-year measure and accounted for clinically insufficient pap tests to evaluate the proportion of patients that were close to receiving appropriate screening to test the clinical applicability of the measure, which is important in order to promulgate interventions with clinicians.
We evaluated cervical cancer screening provided to female patients in an academic medical center–affiliated group (commercial health maintenance organization[HMO] and Point of Service enrollees). We linked laboratory data for pap smear pathology with patient encounter data and then linked this with patient general claims data and administrative records for physicians in order to link testing patterns to patient and physician characteristics. After categorizing cervical cancer screening patterns, multivariate models were constructed to identify factors independently associated with screening overuse and underuse.
Data Sources and Participants
Eligible female patients were women 30 years and older continuously enrolled with the practice from January 1, 2007, to December 31, 2009. The study population was refined using the following exclusion criteria: (1)
codes for cervical or endometrial cancer or DES exposure, any grade of cervical dysplasia (CIN) or abnormal cervical cytology (ASCUS, ASC-H, LSIL, HSIL, AGC) or HPV infection, and high-risk conditions for cervical cancer (HIV infection, leukemia, neutropenia, history of organ transplantation) and (2) CPT codes for procedures related to abnormal cervical cytology (colposcopy, LEEP, or cryotherapy). These criteria were applied during the study period and the preceding 3 years.
Pathology results were available for every pap smear performed on a patient, which also identified the ordering provider. The text of the cytology result was analyzed to identify and eliminate unsatisfactory pap smears. Characteristics of ordering providers were collected from an online physician database maintained by the health system. The UCLA Institutional Review Board approved the study.
Main Dependent Variable
Each patient in the study population was assigned a cervical cancer screening category, based on the total number of satisfactory pap smears performed during the 36-month observation period. Assignment of category accounted for age and whether a woman had a hysterectomy. Pap smears deemed inadequate for histologic evaluation were excluded from analysis. The 3 cervical cancer screening categories were: (1)
–0 screening episodes for a woman with a uterus (measure not applicable for age greater than 67 years), (2)
Guideline-consistent use
–exactly 1 screening episode over the 3-year observation period for a woman with a uterus (0 or 1 acceptable for women over 67 years) or 0 screening episodes for a woman without a uterus, and (3)
–2 or more screening episodes for a women with a uterus or 1 or more screening episodes for a women without a uterus.
Patient-level variables:
Using billing data, we collected patient age (at study entry), race/ethnicity (Asian/Pacific Islander, Hispanic, non-Hispanic black, non-Hispanic white, and non-Hispanic other), and preferred language (English, Spanish, or other). Age was subdivided into 3 categories (30-50 years, 51-70 years, 71 years and older). In cases where ethnicity information was missing (5.9%), non-Hispanic was assigned, as this was the modal condition (82%). Using billing and encounter data, we also collected total outpatient visits over the observation period (categorized as 1-10 and greater than 10), presence of comorbidities (diabetes, coronary artery disease, hypertension, cerebrovascular disease, and depression), average total Medicare Risk Adjustment Factor (RAF) score (which reflects patient complexity and illness severity), any visits for contraceptive management over the observation period, and for women over 40 years, number of mammograms received during the 3-year interval.
Provider-level variables:
Utilizing the laboratory data link to physician, we derived a variable describing specialty mix of ordering providers for all pap smears performed on each patient (primary care only, gynecology only, primary care and gynecology, neither primary care nor gynecology). We collected information on the gender of provider, years since medical school graduation, and clinical specialty. We also included a variable indicating whether a provider attended a medical group–sponsored CME meeting about cervical cancer screening guidelines.
We described patient characteristics and computed for each patient her cervical cancer screening category. We compared patient characteristics across the 3 screening categories using Pearson's χ
and simple logistic regression, as appropriate. We also examined distribution of screening category by pap smear provider specialty mix. All analyses were performed using
SAS version 9.2 (SAS Institute, Cary, North Carolina).
We separately evaluated predictors of overuse compared with guideline use and underuse compared with guideline use, using hierarchical logistic regression. The underuse model contained only patient characteristics because no pap provider existed. These models included the following patient characteristics (described above): age, race/ethnicity, language (English and non-English), greater than 10 outpatient visits over the study period (versus 10 or less), RAF score, comorbid conditions, and whether the patient had a visit for contraception. The overuse model included each of these variables plus provider gender, specialty, attendance at a cervical cancer screening CME lecture, and greater than 8 years in practice. For the overuse model, we carried out a sub-analysis for women 40 years and older that added mammogram count. This analysis aimed to understand whether adherence to one guideline was associated with adherence to another or whether screening was performed in a regular, non-targeted fashion.
We performed an analysis to understand how sensitive the triennial measure is to pap smears performed at the extremes of or just outside of the measurement period. An additional 6 months of data were collected from January 1, 2010, to June 30, 2010. Alternate observation periods of 30 months (January 2007 to June 2009) and 42 months (January 2007 to June 2010) were used to re-compute the cervical cancer screening category for each patient. In order to evaluate the effect of a pap smear being performed late and just outside the 3-year interval, we compared underuse rates in the 42- and 36-month study intervals. In order to evaluate the effect of a pap smear being performed early and just inside the 3-year interval, we compared overuse rates in the 30- and 36-month study intervals. In order to evaluate the secular trend, we compared overuse and underuse in the original 36-month window (January 1, 2007, to December 31, 2009) with the 36-month window of July 1, 2007, to June 30, 2010. The multivariate analysis was repeated to examine the effect of changing observation period on the multivariate results.
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NEW YORK (Dec. 14)
Israel's Minister of Trade and Industry, Ariel Sharon, called on American businessmen to invest in Israel's industry and science-related projects.
"I call on all of you to come and invest in Israel on strictly business terms," Sharon told more than 1,000 guests at the 33rd annual dinner of the American-Israel Chamber of Commerce at the Hilton Hotel last week.
He said that Israel has been turned in recent years into an "industrial country with strong export tendencies." Sharon noted that more than one-third of Israel's yearly industrial products is for export. Israel's industrial products in 1986 will amount to $6.7 billion, he said.
Sharon said that his government encourages investments in Israel because "we believe in increasing our exports and our industry."
During the dinner, Sharon presented the 1986 Israel Trade Award to leading American businessmen "who have made a significant contribution or played a pivotal role in strengthening of American-Israel economic relations" Sharon noted Maurits Edersheim, deputy chairman of the Board for Drexel Burnham Lambert Inc., received the Chamber's "Man of the Year" award.

subset: commoncrawl


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Grace Edith Melton, age 89 of Pulaski, died Wednesday February 24, 2010 in Pulaski Health and Rehabilitation Center. She was Born October 3, 1920 in Carroll County and was the daughter of the late Minnie Felts Melton and Eldridge William Melton. She was retired from the textile industry in Mt. Airy, NC.
In addition to her parents she was preceded in death by 3 brothers and 6 sisters. She is survived by one brother, Robert W. Melton and his wife Becky of Pulaski. She is also survived by many nieces and nephews as well as a sister-in-law Juanita M. Melton of Dublin.
A memorial service will be held Sunday February 28, 2010 at 3:00 p.m. at Seagle Funeral Home with the Rev. Ted Turner officiating. Interment will be at a later date in the New Hope Primitive Baptist Church Cemetery in Fancy Gap. The family will receive friends Sunday at the funeral home from 2:00 to 3:00 p.m. In lieu of flowers, expressions of sympathy may be made in the form of donations to the Beulah House, Inc. P.O. Box 478 Dublin, VA 24084. Online condolences may be sent to the family by visiting www.seaglefuneralhome.com
Arrangements by Seagle Funeral Home, Pulaski.
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They just came with the job.
As the head coach at Texas Tech from 2000-09, Leach took the Red Raiders to a bowl every single year.
As an assistant coach at Louisville, Michigan State, Fresno State and Alabama, McElwain coached in bowl games nine times in 11 seasons.
"I just thought that was something that happened, all the places I came from," McElwain said.
Some old habits, it turns out, don't die at all. They just hit the snooze button.
After a year's hiatus at their new schools, Leach and McElwain are back in a bowl. McElwain's Colorado State Rams will play Leach's Washington State Cougars on Dec. 21 at University Stadium in the eighth annual Gildan New Mexico Bowl.
Both coaches are finishing their second year on the job, having taken over programs in tough times.
How tough? In his first year at Colorado State, McElwain went 4-8. Leach was 3-9 with the Cougars.
Each year, more than half the members of the NCAA's Football Bowl Subdivision play in a bowl game. It's not the most exclusive of clubs.
Yet, Washington State last played in a bowl in 2003, CSU just once – the 2008 New Mexico Bowl – since 2005.
It is, then, a club of which both schools are delighted once again to be a member.
Leach, after his messy departure at Texas Tech, came to Pullman, Wash., with the intention of re-establishing that old habit as quickly as possible.
He made it clear he values not only the bowl-game experience and exposure, but the extra practices that accompany a bid.
"You want to do it (go to a bowl) every year," he said Wednesday during a brief press conference following a luncheon at Four Hills Country Club. "You try to do it every year so that you can continue to reinforce your skills with the young guys.
"If there's a date to play a football game, we want to be one of the teams playing, no matter what."
McElwain, as Nick Saban's offensive coordinator at Alabama, played a role in two national championships. After he accepted the Colorado State job, he was asked – given his championship rings and his ties to Saban – why he hadn't waited for a shot at a head-coaching job at a school in a BCS conference.
The delighted reaction of his CSU players to news of the bowl bid, he said, is reason and reward enough.
"One of the accomplishments you want early (in a new coaching job)," he said, "is to be able to get in a bowl game and be part of that club.
"You talk about it. There's a certain aura that goes with being a bowl team."
With more than a half-century of college coaching experience between them, Leach and McElwain will walk opposite sidelines for the first time Dec. 21. Each has made his mark as an offensive mastermind.
Their teams' 2013 statistics reflect their divergent philosophies. The Cougars and the Rams both run up-tempo, no-huddle attacks, but with different emphases.
The Cougars, in Leach's signature spread offense, have thrown the ball 75 percent of the time. Connor Halliday, WSU's junior quarterback, has thrown more passes (656) than any other FBS quarterback.
"He'll probably throw it coming off the bus," McElwain said. "… What coach Leach does at Washington State with the pass offense is something that's very unique, and we've got our work cut out for us on that side of the ball."
In McElwain's offense, the Rams strive for balance. Colorado State is the only FBS team this year that has a 3,000-yard passer (junior Garrett Grayson) and a 1,500-yard rusher (sophomore Kapri Bibbs).
"(Balance) is something I believe in. That's how I've grown up," McElwain said. "In a perfect world, you're gonna have 500 yards of offense and you'd like 250 rushing and 250 passing."
Certainly, that's not Leach's perfect world. But, in both coaches' version of college football perfection, it starts with a bowl game.
The next step: winning one.
Washington State is an early three-point favorite.
NOT JUST A COACH: Last year, with Washington State professor Buddy Levy, Leach authored a book on Geronimo, the Apache chieftain who roamed the Southwest – including New Mexico – in the 19th century.
After the New Mexico Bowl, he said, Geronimo might bring him back to the state.
"I need to take a road trip back down here," he said, "and slowly go along all this material (on Geronimo and the Apaches) that we've studied and the specific locations and things."


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Five parables in as many sentences, five snapshots, five visions of the kingdom of Heaven. But how are we to make sense of such a variety of visions, how are we to avoid being overloaded with imagery, conflicting, confusing ideas of the kingdom, which now feels more incomprehensible than ever before.
Don't mix your metaphors, we are always told. Sir Desmond on Yes Minister was famously heard to remark:
"If you spill the beans, you open up a whole can of worms. How can you let sleeping dogs lie, if you let the cat out of the bag? Bring in a new broom, and if you're not careful, you'll find you've thrown the baby out with the bath water. If you change horses in the middle of the stream, next thing you know you're up the creek without a paddle."
Make sense of that, if you can.
Just last week, on the final of The Apprentice, Jim was asked to describe himself simply, without the use of clichés. He said, after due consideration, "I do exactly what it says on the tin".
The truth of the matter is, that when faced with a difficult question, with the task of describing something complex and convoluted, we can often be found resorting to imagery, allegory, to parables. If you want to get really postmodern, it's what I'm doing right now. Jesus is no different, realising that for his teaching to be effective and understood, we need concepts like the Kingdom of Heaven to be explained in terms that we understand, with reference to everyday life – mustard seeds and yeast, rather than a description of the cosmic glory of God.
Usually these parables of Jesus take the following form. Someone asks a question, Jesus tells a story rather than giving a direct answer, then his disciples take him aside and ask him to explain it, as they've missed the point. The meaning is spelt out to us, the literary device of the Gospel writer makes it clear to us what Jesus means. Today's Gospel reading, however, gives us quickfire images – snapshots, a mixture of metaphors. The Kingdom of Heaven is a seed that turns into a tree, yeast that leavens all the flour, treasure hidden in a field, a merchant in search of pearls and a fishing net.
Vivid pictures indeed but somewhat hard to unpick. This is a passage which might well benefit from another read at some point, further thought and perhaps discussion. I'd like to venture a couple of points that might prompt this.
- Firstly, Jesus doesn't say anything as clear cut or as simple as, "The Kingdom of Heaven is a place where you go when you die, full of friendly people and where England beat Australia at cricket every time they play". Rather, he gives us the image of the person who found some treasure in a field – rather than take the treasure and rejoice that he has found it, he buys the whole field. The treasure stays put. Who knows – the field may be full of it. No rapture, no separate treasure trove. Uri Gagarin was looking in the wrong place – the Kingdom of Heaven is here, it is now, it is among us.
- Secondly, we are not passive bystanders. If the Kingdom of God is among us, bursting forth into the timeline of the human story, then we are the yeast, the leaven, at work in the world. We have the potential, living as forgiven people, to enable God's work in the world, to bring about all the age-old descriptions of heaven here on earth.
- Thirdly, we are commissioned to do so. We are scribes – trained for the Kingdom of Heaven, charged with bringing the best out of our society, our world, each other. Now that might be what Mr Cameron describes as partaking in the 'big society' – doing our bit for each other, but it might also be getting out on the streets and demonstrating against injustices in the world. Against the proliferation of nuclear weapons throughout the world, against the ways in which multinational corporations are systematically exploiting the natural resources of the planet. We are commissioned to summon in the Kingdom of Heaven here on earth.
But where is God in this, you ask. If we can do nice stuff to each other and make the world a better place, who needs God? I point us back in the direction of today's Gospel reading. God is the beginning, the alpha – the mustard seed, and God is the end, the omega, the branches extending and providing shelter and safety, shade and comfort for all. All things begin and end with God, and in between, encompassed by his love, we live and move and have our being.
At a time when our thoughts and prayers are rightfully with the victims of and the families affected by the recent attacks in Oslo, it is more important than ever that we turn our attentions to bringing about visible signs of God's Kingdom, present here on earth. One of those is being here, together, partaking together in this heavenly banquet, united together as Christ's body here on earth, but what we do out there is just as important. Jesus calls us – scribes – training for the kingdom of heaven – to train others and to recognise them as fellow treasure, buried together in the field, waiting to be found.
Having just mixed my metaphors, I should draw to a close. But first, Belinda Carlisle.
They say in heaven love comes first, we'll make heaven a place on earth. Ooh heaven is a place on earth.


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Calling All Gumpaste Flower Makers
Decorating By cakemakerkevin Updated 2 May 2009 , 4:24am by pieceacake830
ok i have been doing flowers on my own for a few months now . i am having an issue with the cottonball thing ,, when i do (lets say tulips) after i put them together and ready to dry ,in all the books they say to use cottonball in between petals . So after they dry and i go to finish, i am pullin cotton out forever.Is there anything else to use that wouldnt stick to the petals??? i know some cc'er out there has a fabulous idea waiting to sound off to the entire nation .. please help
I use small pieces of plastic wrap all balled up... HTH


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Music set pole collapses on stage injuring students in an event-Exclusive visuals - Tv9
Wed, Feb 03, 2016, 05:32 PM
A fashion event in Delhi turned sorrowful. In one of the College programme in Delhi, a fashion event has been organised and lot number of students participated in it. Music system consisting of heavy music boxes were placed in one of the Music set pole. As the event was in progress, all of a sudden, the pole collapsed and it injured some students. The injured students were shifted to nearby hospital. Watch the collapse visual of pole.


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Hello all,
I'm currently training for the Chicago marathon with the Hansons Advanced Plan and have really really enjoyed using it - I'm feeling strong and have been consistently hitting my training goals.
I'm planning out my post-Chicago race schedule and have been thinking I would like to do a winter half marathon using something similar to the Hansons method. Their website has a training schedule:
but parts of it are woefully vague. For example, the speed and strength workouts have zero information other than saying "speed" and "strength".
1) Has anyone used this plan or another Hansons half marathon plan, and what are your thoughts about it?
2) Does anyone have a more detailed plan than what is listed on this website?


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Tissue Regenix Ltd
to Create Jobs with £25 Million Fundraising
University of Leeds spin-out Tissue Regenix has revealed it is looking to raise £25m through a placing. The regenerative medical device maker, an IP Group portfolio company, said the move could support the creation of 30 skilled jobs in Yorkshire. Following completion of the placing, IP Group and its managed funds will hold a 17.6 per cent stake in the regenerative medical device maker. IP Group will hold a 13.8 per cent shareholding, while IP Venture Fund, a specialist venture capital fund managed by the group, will hold a further 3.8 per cent.


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ONE of the proteges of Dragons' Den is set to share her expertise with entrepreneurs at a broadband showcase early next month.
Kirsty Henshaw, originally from Preston, will be the keynote speaker at a Superfast Lancashire gathering in Burnley on Wednesday, February 5.
Business go-getters have been invited to a forum at Turf Moor which feature the innovative Longridge ice-cream maker.
She secured £65,000 from TV 'dragons' Duncan Bannatyne and Peter Jones to launch her desserts empire and she will be sharing a whole menu of business tips.
County council leader Coun Jennifer Mein said: "Superfast Lancashire will bring great benefits for the county – not just for individuals but for businesses too.
"A key part of the project is ensuring that business people across the county are fully aware of how access to high-speed broadband can help their businesses."
The 'Superfast' broadband programme aims to bring greater internet connection speed to 97 per cent of businesses and homes in the county.


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My earliest experience with the Internet was skipping class at my community college to hang out in the upstairs computer lab and look up stuff on Gopher.

I finished the class with a D-.
Best Answer
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I remember BBS back in the day but my first experience with graphical browsers was Mosiac. Everything was stuffy articles but then we discovered MP3 and Quake. Thank you Webcrawler!
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I remember my mom's Apple computer!
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My first experience with computers was when it was DOS. I think that was in 1980. No internet. I really don't remember much about it. I took the course, and when I didn't understand it, I quit. Then I got this computer in 2010.
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CableTV.com Recommends that your Best TV Service Option is DIRECTV
According to
independent consumer surveys, DIRECTV is the best TV service provider
among satellite TV or cable companies in Ridgefield Park, NJ. This information can help you determine the best fit for your needs and budget when choosing between cable companies
and other television services available in your area.
Everyone wants to find the best price on TV service, but the best cable company in Ridgefield Park, NJ should give you so much more. Finding the right provider also involves carefully comparing the channels and features that are available with each package. We provide information on the highest rated providers available in Ridgefield Park so you can see which companies offer the channels and features you want. You'll find that most TV packages in Ridgefield Park offer the same major channels, but there's a much bigger variety when it comes to smaller channels. A premier package lets you make the most of your entertainment options, allowing you to catch the next or New York Giants game and all of your favorite shows.
When you're making a commitment to a cable company in Ridgefield Park, NJ, you want to know that you're getting dependability and exceptional customer service. CableTV.com gives you all the details you need to make an informed decision. In fact, CableTV.com keeps customer service and reliability in mind when rating and recommending TV providers. Utilize these recommendations and you'll find a new provider that offers reliable service and great customer support.


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Cottage Grove driver remains in critical condition after crash
A Cottage Grove woman remained in critical condition Wednesday following a two-car crash a day earlier in Newport.
Deborah J. Burrell, 61, of Cottage Grove, was listed in critical condition Wednesday afternoon at Regions Hospital in St. Paul, according to a hospital spokeswoman.
Burrell was one of the drivers in a head-on crash shortly before 11 a.m. Tuesday on Hastings Avenue, south of the 65th Street intersection, near Highway 61. She was northbound when her car collided with a southbound vehicle driven by Hailey J. Ewald, 18, also of Cottage Grove, Newport police said.
Burrell was transported by ambulance to Regions Hospital. Ewald refused medical attention at the scene, according to the police report.
Burrell's car went into a ditch after the collision and had major damage to the front end. Ewald's car also sustained front-end damage.
Police Chief Curt Montgomery said the crash investigation was active and it was being reviewed to determine fault and whether charges will be filed.


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Carlisle, Pa. -- Ahold USA said that Giant Food of Landover, Md., divisional president Anthony Hucker is leaving his position, effective Sept. 13, to pursue another opportunity.
Ahold USA executive VP operations Bhavdeep Singh will oversee the Giant-Landover division on an interim basis until a permanent replacement is named, the company said.
Hucker was appointed president of Giant-Landover on October 2011, having previously worked at Walmart.


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No matter where you plan to have your baby here are suggestions from mothers that will help you to see which things you might want to have available for your birth.
There's a lot more to prepare when you are planning a home birth. It isn't a matter of having your hospital bag packed. You need to have your space prepared.
I've created a list of things that I found helpful during my labor and delivery at home.
1. All supplies recommended by your midwife
This is probably obvious. I ordered all my supplies from Precious Arrows. Look over the list, though. You may want more of some things, for example: those mesh panties that you can toss after you wear them. Some moms love them, others hate them. I loved them and was sad I only had one pair.
2. Supplies for your bathroom
One thing I loved about birthing at home, was that I got to use my own toilet. I bought soft, cushy toilet paper, knowing my bottom might be sore after delivery. I put out unscented soap for everyone to use, not knowing what smells might bother me.
3. A birth ball
I'd recommend this for any laboring mother. You can achieve some very comfortable positions that allow you to rest and move your hips. Penny Simkin has some great labor position suggestions. It's also easy seating for anyone on your birth team. Added bonus: many babies are soothed by being held while a parent bounces on the ball. Second added bonus: older siblings will enjoy playing with it and will stay out of your hair.
4. A birth tub
After my first labor, I couldn't imagine laboring without being able to immerse myself completely in water. My tub at home is not as big as many hospital or birth center tubs. I found this chart particularly helpful and went with the cheapest option. It didn't have the bells and whistles of the tubs specifically designed for birth, but the sides were sturdy and it was large. (Side note: I didn't end up using this in labor, because things went quickly, but I knew it was there should I change my mind.) Be sure to check if you need a motor to inflate the pool.
5. Ice packs of various sizes
Frozen peas work great. I needed these around my head to stave off nausea and after the birth I used them on my perineum to reduce swelling.
6. Washcloths you don't mind getting messy
Warm compresses during the pushing phase are wonderful. I highly recommend at least ten of these so you can continually replace them with warmer ones.
7. Food
I viewed my labor and birth as a social event and as an athletic/endurance feat. I really enjoyed this part of my nesting. I made lasagnas and spinach, egg, and cheese casseroles to be heated up easily during and after labor. I was hungry after giving birth and these things were delicious. Think filling and think protein. I also stocked my fridge full of every kind of beverage I thought I or my team might want: seltzer water, juice, coconut water, sports drink, soda. I set up our sideboard with various types of tea bags and snacks for the labor team. We had granola bars, almonds, dried fruit, peanut butter sandwich crackers etc. This was also great for when people visited in those first few days. I didn't need to play hostess, I could just direct people to our little snack bar. You don't know what you might want to eat in labor, so it's good to have lots of options on hand. Honey is also a great idea for quick energy if you aren't hungry.
8. Mints
I view this as separate from food. I find the smell of mint very soothing. I got large packages of my favorite Life Saver mints. I knew if someone's breath offended me I could make them eat one. I also knew that I might want the quick bit of sugar. I was so thankful for these after I vomited. I popped one in my mouth and it freshened my own breath and calmed my nausea. (This was also something my son could do to support me in labor. I'd ask for a mint and he'd hand one to me. He felt very helpful.)
9. Ambient items
Music. Focal point images. Candles. Aromatherapy. You name it, you can have it at your home birth. It's one of the many perks.
10. Party supplies
One way we incorporated my son in the birth was to have him prepare cupcakes with his grandfather. It was a great activity for him. It filled the house with nice smells. He got to blow out the zero-shaped candle for his new baby sister. And this was another great snack for after my hard work. I loved viewing this special time as a celebration. You can have fun with this one. Get champagne and balloons and wrapped presents for older siblings.
The beauty of a home birth is that you can customize and include anything you want within reason. Enjoy gathering your supplies and building your little nest.
Did I miss anything you found helpful for your own home birth?
About Olivia Hinebaugh
Olivia Hinebaugh is a stay-at-home-mom to a three-year-old boy and baby girl. She is an aspiring novelist and steals time whenever both kids are sleeping to clack away at the keys. She tweets about mothering and writing @OliveJuiceLots
She can also be found on Facebook.
Photographs (with the exception of the one of me laboring) taken by Lauren Preti


text:
Huawei P9
Huawei continue to grow their popularity with another solid performer at excellent value
totterdell's review
The P9 is compact enough and easy to operate with just one hand. Your index finger should fall perfectly on the rear-mounted fingerprint scanner. The sensor is always-on and unlocks the P9 immediately upon touch, no need to wake it up first. It's rated as Level 4 of fingerprint recognition security, which makes it one of the most secure scanners available on a phone.
The P9 actually has two cameras, a standard colour shooter and a dedicated black and white camera. Branded with the pedigree of the legendary Leica brand, both camera's stand out as market leaders. In particular, the black and white shooter can produce stunning images in low light. This is the best smartphone camera around. The P9's wide range of shooting modes gives it enough complexity to take interesting shots, but it's equally capable of taking decent snaps with a minimum of fuss.
The aluminum shell has a semi-rough finish that really hits the sweet spot — it's still soft to the touch, but can be gripped securely. It's surprisingly comfortable to hold considering that it doesn't have a slightly rounded back like many other flagships. It's flat, with chamfered edges on the front and back and a rounded outer frame.
During everyday use, the P9 is terrific. Basic tasks are fluid, and streaming music and HD video is smooth. One thing Huawei can hang its hat on is thermal management — their HiSilicon SoCs are still more efficient and run cooler than Qualcomm's, and it really shows once you start multitasking with the P9. It's wonderful to be able to work a smartphone hard without it heating up in your hand and becoming uncomfortable.
The P9 continues the improvement of its Emotion UI, on top of the latest Android Marshmallow. The launcher is very intuitive and easy to use, but it has lots of tweaks and customizations settings that will please everyone. The company likes to focus on the user experience, and that's why the P9 has one of the fastest and most accurate fingerprint readers, one of the best IPS displays out there, and a very good battery life. Even the loudspeaker and audio quality performance are doing very well.
The best little feature of all time is back after being left off the Mate 8. You can once again swipe down on the backside fingerprint sensor to pull down the notification centre, which is just the best. It sounds like a throwaway feature, but it is probably the most useful minor design tweak we can think of. It's perfect for one-handed use, since you don't need to adjust your grip to pull down the notification centre anymore. You can also double-tap on the fingerprint sensor to clear notifications, which is equally brilliant. We're not exaggerating when we say we would take this feature into consideration when deciding which 2016 smartphone to purchase.
The song remains the same for Huawei with the P9. This is a really great phone, and for the everyday user, it's also one of the speediest, has excellent battery life, and is superb when running multiple apps at once while still running cool. And, again, swiping down on the fingerprint sensor to bring down the notification centre is just the best.


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CARTER HILLS CEMETERY, (Coldwater),
POSEY, David Allen, 22 Jan 1983 - 1 Jan 2011
Funeral services for Mr. David Allen
Posey, age 27, of Fayetteville conducted at Higgins Funeral Home. Burial in
Carter Hills Cemetery. Mr. Posey passed away Saturday afternoon at his
A son of Robert L. and Brenda Louise Posey who survives, he was a native of Lincoln County, employed as a construction worker in Alabama, and of the Baptist faith.
Survivors, in addition to his parents, are his daughters Alaina Marie and Aubrey Nicole Posey, brothers Robert Posey, Jr. and Tyson Dewayne Posey, fiance Tanya Marie Mearse, grandmother Odelle Poteete, aunts and uncles Bobby and Faye Poteete, Joe and Robin Poteete, Linda and Steve Smith and Ronnie and Rachel Spears, and special cousins Britta Spears, Jessica Kinsley, Bobby Poteete, Robbie Joe Poteete, CG Sweeney, BJ Casey, and Sonya Smith.
He was preceded in death by his grandparents Elaine and Frank Posey and Joe Poteete and cousin Wade Allen Casey.
Census Records | Vital Records | Family Trees & Communities | Immigration Records | Military Records Directories & Member Lists | Family & Local Histories | Newspapers & Periodicals | Court, Land & Probate | Finding Aids


text:
Warsaw (Sep. 8)
Polish Jews have so far received 5,000 visas for temporary residence in France and 3,000 visas for Belgium and Italy, it was announced here today. The emigration of the 8,000 Jews is being organized by a Jewish coordinating committee, the announcement said.
Simultaneously with the movement of Jews who are receiving entry visas to various European countries, the emigration of visaless Jews continues chiefly across the Polish-Czech and Polish-German frontiers. A quarantine was established this week in the Czech border town of Kladko when several cases of spotted typhus were discovered among Jews who crossed the frontier.


text:
FOXBOROUGH, Mass. — Tom Brady's pass deflected high into the air off the hand of Baltimore lineman Pernell McPhee before floating gently downfield and into the arms of linebacker Dannell Ellerbe.
And the rematch went to the Ravens.
A year after the New England Patriots took advantage of a dropped touchdown and a missed Baltimore field goal to advance to their fifth Super Bowl in 11 seasons, the Ravens held on for a 28-13 victory on Sunday in the AFC championship game.
After falling behind 28-13, the Patriots marched down the field before Brady's tipped interception in the fourth quarter essentially ended their chances of a comeback. Brady, who had 37 touchdowns and eight interceptions in the first 17 games this season, was also picked off in the end zone with 66 seconds left, allowing the Ravens to run out the clock.
The Patriots, who had the highest-scoring offense in the NFL this season, were held to a season-low point total in their finale and more than 20 below their average.
Brady completed 29 of 54 passes for 320 yards and a touchdown, and Wes Welker had eight catches for 117 yards. Stevan Ridley ran for 70 yards on 18 carries before leaving the game after a fourth quarter carry in which he was hit so hard in the head he fumbled away the ball.
Brady is 5-3 in his eight games against the Ravens, including the playoffs, but his statistics against them are among his worst against any team.
The Ravens are the only team he's thrown more interceptions against (10) than touchdowns (eight). Brady's 49.1 rating in a 33-14 playoff loss to Baltimore on Jan. 10, 2010, was among the lowest in his career.
The Ravens' win sets up a coaching matchup between brothers Jim and John Harbaugh in New Orleans.
Jim Harbaugh will lead San Francisco, John Harbaugh leads Baltimore.
In 2011 the Harbaughs became the first brothers to coach against each other in any NFL game.
The 49ers open as 5-point favorites.


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Issue No. 04 - July/August (2002 vol. 14)
pp: 691-708

Within integrated multiple object databases, missing data occurs due to the missing attribute conflict as well as the existence of null values. A set of algorithms is provided in this paper to process the predicates of global queries with missing data. For providing more informative answers to users, the maybe results due to missing data are presented in addition to the certain results. The local maybe results may become certain results via the concept of <it>object isomerism</it>. One algorithm is designed based on the <it>centralized approach</it> in which data are forwarded to the same site for integration and processing. Furthermore, for reducing response time, the <it>localized approaches</it> evaluate the predicates within distinct component databases in parallel. The object signature is also applied in the design to further reduce the data transfer. These algorithms are compared and discussed according to the simulation results of both the total execution and response times. Alternately, the global schema may contain multivalued attributes with values derived from attribute values in different component databases. Hence, the proposed approaches are also extended to process the global queries involving this kind of multivalued attribute

Object database, schema integration, missing attribute, query processing, isomeric objects, maybe result certification.
Jia-Ling Koh, Arbee L.P. Chen, "Efficient Query Processing in Integrated Multiple Object Databases with Maybe Result Certification", IEEE Transactions on Knowledge & Data Engineering, vol. 14, no. , pp. 691-708, July/August 2002, doi:10.1109/TKDE.2002.1019209


text: Alexis decided to dress herself up and fix her own hair. She has a purse she loves to carry with her at all times, even though there is nothing in it. I guess because it is purple that is all that matters. The photo on the right says she needs a few lessons on how to sit with a skirt on, so funny.


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With 38 years of combined experience and knowledge within the industry, the friendly and skilled staff at JD Lifting are always on hand to deal with all your lifting requirements, whether that be at our dedicated workshops or at your own premises or site. We regularly travel throughout Suffolk, Norfolk, Essex and Cambridgeshire carrying out inspection contracts. Indeed, we can offer a nationwide service and, due to our extremely competitive rates, have supplied equipment across the UK.
Our extensive range of stock enables us to offer a fast, efficient and reliable response to your needs. Our design and fabrication facilities for anything from a small lifting beam to an overhead travelling crane structure, fully compliment our "off the shelf" range of products.
At JD Lifting, we listen to our customers. Our approach, service, quality products and highly competitive prices have all contributed to cutmers returning again and again.
Lifting Equipment inspections to comply the Lifting Operations and Lifting Equipment Regulations 1998 (L.O.L.E.R. 1998) is our main core area, and as a development member of LEEA (Lifting Equipment Engineers Association), you can feel safe in the knowledge that your inspection work is being carried out by the right people. We can also offer a colour code system, full registering and documenting of your equipment onto spread sheets and up-loading of your certificates onto our online certification program (see tab on left 'Members Login') where you can search, view and print off copy certs in either batch or individual copies.
We are now in the process of building a new website.Please check back here soon for our exciting new look!


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Bulgaria Celebrates Nurses' Release from Libya
Bulgaria celebrates the return of five nurses who, along with a Palestinian doctor, were sentenced to death in Libya, convicted of infecting hundreds of Libyan children with HIV. After the nurses and doctor, who is now a Bulgarian citizen, returned to the country, Bulgaria's president pardoned them all.
STEVE INSKEEP, host:
People in Bulgaria are celebrating the release of five Bulgarian nurses and a Palestinian doctor. They'd all been held in Libya where they were sentenced to death for intentionally infecting hundreds of children with HIV. A crime they say they never committed.
NPR's Ivan Watson reports.
IVAN WATSON: Freedom, trumpeted the front page of a Bulgarian newspaper this morning. Another declared there is a God above photos of the six medics as they stepped off a French plane in Sofia yesterday.
After eight and a half years in a Libyan prison and a death sentence handed down by a Libyan court, the homecoming was an emotional one. The nurses cried and embraced relatives and loved ones who waited on the tarmac.
Ms. SNEZHANA DIMITROVA (Imprisoned Bulgarian Nurse): (Speaking foreign language)
WATSON: I'm so happy, Snezhana Dimitrova told Bulgarian state radio. I don't know what to say.
Another nurse named Valentina Siropulo described the traumatic ordeal.
Ms. VALENTINA SIROPULO (Imprisoned Bulgarian Nurse): (Through translator) The only thing that got me through all these years, through the torture, through the uncertainty, through the trial, the only thing was the knowledge that in my conscience and in my soul I was innocent.
WATSON: The medics were arrested in 1999 while working at a hospital in the Libyan city of Benghazi. Libyan authorities accused them of deliberately infecting more than 400 children with HIV. The nurses say they were tortured, sometimes with electric shocks, and forced to confess to the crime.
International AIDS experts were eventually brought in to examine the evidence against the medics. Susannah Sirkin of the organization Physicians for Human Rights says the Libyan case had no scientific evidence.
Ms. SUSANNAH SIRKIN (Deputy Director, Physicians for Human Rights): To the contrary, other international experts have traced the cause of the infection arriving at the hospital a full year before the Bulgarian nurses and Palestinian medic had arrived, and have demonstrated scientifically that this particular strain of the HIV virus was already widely spreading across the hospital before these medics arrived.
WATSON: Last week, Libya commuted the death sentence against the medics to life in prison after it was announced that an international fund set up with European assistance had secured more than $400 million to compensate the families of each of the more than 400 children infected in Benghazi.
The nurses say they were awoken before dawn on Tuesday and taken to a French government plane, where they were met by a senior European diplomat and the French first lady, Cecilia Sarkozy. Moments after they landed in Bulgaria, Bulgaria's president formally pardoned the six medics.
(Soundbite of bell ringing)
WATSON: In the Bulgarian capital today, residents said they were still thrilled by the news.
Mr. TRYZUB BONEV(ph): (Speaking foreign language)
WATSON: This was a great day for Bulgaria, said Tryzub Bonev as he navigated his taxi down Sofia's cobblestone streets. The whole country, he added, is happy.
Sergey Stanishev, the prime minister of Bulgaria, said his small country's recent admission to the European Union had added crucial diplomatic pressure to resolving the dispute.
Prime Minister SERGEY STANISHEV (Bulgaria): (Through translator) The return of these nurses is something like a miracle. It shows very clearly to Bulgarians what it means to be a member of the European Union.
WATSON: But critics like Susannah Sirkin of Physicians Without Borders accused the EU of giving in to what she calls state-sponsored hostage-taking by Libya.
Ms. SIRKIN: We believe that the nurses and doctor have been, first of all, scapegoated for a crime they did not commit and essentially held hostage for what amounts to ransom money.
WATSON: Yesterday European officials announced an agreement to expand trade and diplomatic relations with Libya.
Ivan Watson, NPR News, Sofia.
Copyright © 2007 NPR. All rights reserved. Visit our website terms of use and permissions pages at www.npr.org for further information.
NPR transcripts are created on a rush deadline by Verb8tm, Inc., an NPR contractor, and produced using a proprietary transcription process developed with NPR. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR's programming is the audio record.
U.S. Finds Diplomatic Success With Libya
At a time when the United States is wrestling with an insurgency in Iraq and tensions with Iran, America's relations with Libya stand out as a diplomatic success story.
Libya, a nation once accused of sponsoring international terrorism and maintaining a secret weapons program, has rejoined the international fold. It now enjoys full — if not quite chummy — relations with the United States.
"If diplomats wrote fairy tales, this would probably be one," says BBC diplomatic correspondent Jonathan Marcus.
A History of Troubled Relations
The turnaround, though, came after two decades of tense, often hostile relations between the United States and Libya.
In 1980, the United States severed diplomatic ties, accusing Libyan leader Moammar Gadhafi of supporting terrorism around the world.
Relations cooled even further in 1986. President Ronald Reagan, alleging that Libya was behind the killing of two U.S. soldiers at a Berlin disco, ordered a halt to all economic ties with Libya and froze Libyan assets in the United States. Ten days later, U.S. jets bombed Libya's capital, Tripoli, as well as military bases. More than 40 people were killed, including Gadhafi's daughter.
In December 1988, Pan Am Flight 103 exploded over Lockerbie, Scotland, killing 270 people. The United States and Britain blamed Libya for the attack; three years later, a U.S. court formally arraigned two Libyan intelligence agents in connection with the bombing. Libya, though, refused to hand over the men. The United Nations then imposed sanctions, isolating Libya and crippling its economy.
Mending Ties
In 1999, Gadhafi reversed course. He handed over the two Lockerbie suspects. They were tried in the Netherlands, under Scottish law. One of the men was found guilty of murder and sentenced to life in prison.
That was only the beginning of Libya's efforts to mend relations with the international community. In 2003, Libya accepted legal responsibility for the Pan Am 103 bombing, agreeing to pay compensation to the victims' families.
That same year, Gadhafi announced that Libya was relinquishing its weapons of mass destruction and long-range missiles. At the time, a foreign ministry spokesman in Tripoli said the arms race contradicts Libya's "great concern for a world that enjoys peace and security".
In response, President Bush lifted the U.S. trade embargo and, last year, restored full diplomatic ties. The State Department removed Libya from its list of nations that sponsor terrorism. U.S. tourists are now free to travel to Libya, and U.S. oil firms can once again do business in this energy-rich nation. For the first time in two decades, Libya is no longer an international pariah.
A Model for Rapprochement?
The Bush administration portrayed the Libyan "fairy tale" as an example of how diplomacy, backed up by the threat of force, can succeed. The White House even suggested the same approach might yield results with nations such as Iran, Syria and North Korea. Indeed, North Korea recently shut down its Yongbyon nuclear reactor — though it was not necessarily the U.S. "stick" that achieved that objective, but rather, the "carrot:" 50,000 tons of fuel oil and the release of some frozen North Korean assets.
Some analysts conclude that the Libyan example is unique.
"The politics surrounding rapprochement with Iran and Syria would be far more difficult to manage than were those with Libya," says Jon Alterman, an analyst with the Center for Strategic and International Relations in Washington, D.C.
If anything, some analysts say, the Libyan experience underscores the need for America to hold direct, face-to-face talks with its adversaries, no matter how unseemly. In fact, the United States began holding secret talks with Gadhafi under the Clinton administration, and those talks continued when President Bush came to office.
Still others say the United States was premature in "rewarding" Libya with full diplomatic ties, while Gadhafi's human-rights record remains poor. These critics see America's rapprochement with Libya not as a fairy tale but a nightmare — proof, they say, that the United States is not sincerely interested in promoting democracy in the Middle East.
Correction July 29, 2007
An earlier version of the audio for this story misidentified Physicians for Human Rights as Physicians Without Borders. The error has been corrected in this version.


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A human rights committee in Parliament says that a bill designed to reform the government's retention of data in its DNA database may infringe on individuals' right to privacy, ZDNet reports. In a summary that reviewed the Protection of Freedoms Bill, the committee said it is concerned with three main components regarding biometric data--the bill's proportionality; a mechanism that would retain suspects' biometric information, and that the bill would create a "catch all" data retention system. The committee also commented on sections in the bill that deal with parental consent concerning the collection of children's biometric data as well as CCTV surveillance code.
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Thechap wrote:Hello!
My name is Bryan. I live in Waynesboro Pa. I have been burning my Harman Mark III for a week now and am almost loving it. As for the heat? This thing is great. I am only having one problem now. I lose my fire about every two days and can't figure out why. I am shaking the fire down in the morning and at night. It seems there is still allot of ashes under the hot coals though. Could this be putting the fire out? Not enough air. I have the air adjustor turned out 2 1/2 turns. My son was able to save the fire tonight. It is now 17 degrees and the main part of the house is 80 degrees and the rear part of the house is a comfortable 72 degrees. The house is approximately 2200 square feet.
Also, this place is great as I have received quick responses to my questions.
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text:
Skull biker helmet maskItem #: 16203
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text:
DAYBREAK DAILY: Merriweather Post Pavillion in for major facelift
ABC7 WEATHER: Partly cloudy with highs near 80. http://wj.la/72e8x6
'GOOD MORNING WASHINGTON': Among the reports – Lanham townhouse fire; New speed cameras set for D.C.; much more, beginning at 4:30 a.m. M-F.
SOUND INVESTMENT: Or something like that, per the Baltimore Sun, "Howard County government and developer Howard Hughes Corp. have agreed to a five-year, $19-million renovation plan for Columbia's Merriweather Post Pavilion, County Executive Ken Ulman announced Monday.
"Renovation is expected to be complete in 2019 and will include a raised main roof, new restrooms and concessions, a new stage and new artist dressing rooms. Construction will be carried out during the off-season, beginning at the close of the concert schedule in the fall of this year. The plan also ensures ownership of Merriweather be handed from the developer to a county-created nonprofit, the Downtown Columbia Arts and Culture Commission, after completion of the renovations." http://bsun.md/1nfCZ6l
JIM WEBB FOR PRESIDENT?: He hints that he's thinking about it, per the Richmond Times-Dispatch, "Jim Webb, who left the U.S. Senate after representing Virginia for one term, said in a Washington radio interview Monday that he's thinking of running for president. Webb, 68, a highly decorated Vietnam veteran, former secretary of the Navy and author of 10 books, appeared on "The Diane Rehm Show" on WAMU to discuss his memoir titled "I Heard My Country Calling."
"Guest host Susan Page noted that two callers had said they hope Webb will run for president. Page asked the Democrat whether he would consider doing so. "My wife and I are just thinking about what to do next," Webb said. "And I care a lot about where the country is, and we'll be sorting that out." '' http://bit.ly/1h1PQFh
CAN'T DO IT: So says the judge, per the Washington Post, "The District's bid to win more spending freedom from Congress through a ballot referendum is not legally permissible, a federal judge ruled Monday, dealing a setback to officials who argued that voters had the power to amend the city's charter and change its relationship with overseers on Capitol Hill.
"In a 47-page opinion, U.S. District Judge Emmet G. Sullivan ¬acknowledged "extraordinarily powerful" policy arguments in favor of granting the District government more latitude in spending locally raised funds without a congressional appropriation. But he said that only Congress, not the courts, could make that change." http://wapo.st/1k1rssx
BOB MCDONNELL: Ruling expected today, per the Virginian-Pilot, "At the end of a 90-minute hearing Monday, a federal judge said he would rule today on requests to toss out many of the public corruption charges against former Gov. Bob McDonnell and his wife - or at least separate their cases.
"U.S. District Judge James R. Spencer told federal prosecutors and defense lawyers for the couple that he plans to "resolve these issues swiftly. And when I say swiftly, I mean tomorrow." Spencer said a "flurry of other decisions" would follow, including on the broadened jury selection process sought by the former governor because of public awareness of the case. An estimated five- to six-week trial is scheduled to start in late July." http://bit.ly/1nb65bj
SPY GAMES: And legal issues, per the New York Times, "By indicting members of the People's Liberation Army's most famous cyberwarfare operation — called Unit 61398 but known among hackers as the "Comment Crew" — the Obama administration has turned to the criminal justice system to reinforce its argument that there is a major difference between spying for national security purposes, something the United States does daily, and the commercial, for-profit espionage carried out by China's military.
"The Chinese argue that the distinction is an American artifact, devised for commercial advantage. They believe that looking for business secrets is part of the fabric of national security, especially for a rising economic powerhouse. And while American officials are loath to admit it, Washington's view has relatively few advocates around the world. The French, for example, were notorious for conducting state-backed corporate espionage long before the Chinese mastered the form. And if they choose, Chinese leaders has ample opportunity to retaliate by making life even harder for American companies." http://nyti.ms/RPXtZd
MOONBEAM MUSINGS: Kidding, per the Los Angeles Times, "Gov. Jerry Brown continued to sound the alarm about climate change on Monday, saying people need to find a way to "live with nature" and "not to collide with it. . ."We have to adapt," he said. "The climate is changing. There's no doubt."
"Brown's speech, at a Sacramento event organized by the Giannini Foundation of Agricultural Economics, touched on deforestation in Brazil and the melting of the Antarctic ice sheet. He also discussed the challenge of pushing mass transit in California, where 38 million residents drive almost 1 billion miles per day. "We can't do this overnight," he said.'' http://lat.ms/1lCu8sR
MEANWHILE: On a similar front, per The Hill, "Vice President Biden plans to headline a Democratic fundraiser at climate activist Tom Steyer's home. Two sources close to the event planning, including one DNC official, told The Hill that Steyer would be hosting Biden for a Democratic National Committee fundraiser at his San Francisco home on May 28.
"Steyer, a staunch advocate of climate policies and Keystone XL opponent, has raised his political profile in the past year, vowing to funnel a significant amount of money into 2014 races. Republicans have pitted Steyer as the Democrats' version of the Koch brothers, and have blamed him for Democrats' insistence on what they consider dangerous climate policies." http://bit.ly/1lY0xNz
POLITICO PLAY: "New York Times publisher Arthur Sulzberger on Monday pushed to seize control of the narrative about Jill Abramson's termination in public remarks at a press group dinner and a new interview with Vanity Fair, his first since his abrupt decision to fire the former executive editor.
"The interview, published just hours after Sulzberger praised Abramson at a media awards ceremony in Manhattan, included some of Sulzberger's most direct criticisms of Abramson's tenure as executive editor." http://politi.co/1qRlpLD
NEW DISTRICT CANDIDATE: We give you Elissa Silverman, per City Paper, "The ever-fluctuating field of candidates seeking to win David Catania's at-large D.C. Council seat got a little clearer Monday, with Elissa Silverman declaring for the race and outgoing Councilmember Tommy Wells announcing that he won't run.
"Silverman's entry into the race has been expected since she left her job at the lefty-wonk D.C. Fiscal Policy Institute last month. Still, Silverman, a former Washington City Paper reporter who came in second to Anita Bonds in April 2013's at-large special election, tells LL that she only decided for good that she would run recently." http://bit.ly/1tdWr6W
SILVER LINE: Of an end game, per ABC7-WJLA, "The Silver Line may finally have a finish line in sight. During a conference call with reporters on Monday, Metro General Manager Richard Sarles announced May 27 as the target date for WMATA to take possession of the Silver Line.
"But before that can happen, the Washington Metropolitan Airport Authority and its primary Silver Line contractor must complete a series of "Punch List Items" including major items like: replacing public address speakers at all stations, obtaining certificates of occupancy, fixing a bobbing track circuit at the junction with the Orange Line, and relaying a stretch of track where the rails are a fraction-of-an-inch too close together." http://wj.la/1qQcLwX
MEANWHILE: Seeing red, er, purple, per Gazette.Net, "Those who don't want to see the Purple Line run through Chevy Chase — be they human neighbors or tiny crustaceans — are getting some financial help from the town.
"The town of Chevy Chase council agreed Wednesday to give Friends of the Capital Crescent Trail $15,000 to help it combat the Purple Line light rail segment that is proposed to run along the trail. The council voted 4-0 to approve the organization's request, with council member Patricia Burda recusing herself, according to meeting minutes." http://bit.ly/1p5P534
BEER AND BACON BUMMER: When demand becomes overwhelming, per the Frederick News-Post, "Beer Bacon Music festival ticket holder Irene Hafner spent $125 and almost two hours in line Saturday and didn't even get to smell bacon, she said. Ticket buyers for the two-day Frederick festival were promised an all-you-can-eat bar with 2 tons of bacon, 10 bands, more than 100 varieties of beer and vendors from at least 30 breweries.
"Event promoter Kenneth MacFawn said they delivered on those promises, but some of Saturday's 5,000 attendees were disappointed by long lines and empty buffet trays. According to MacFawn, supply wasn't the problem; the cooks couldn't keep up with the demand for bacon." http://bit.ly/1o1eI7T
SPEED CAMERAS: Smile – or not, per DCist, "Here are the locations of fourteen new speed cameras that will be deployed starting "on or about" Tuesday, according to the Metropolitan Police Department. There's also one camera that will enforce oversized vehicles. The new cameras are primarily in the Northwest and Northeast quadrants of the city. One is located near where Kelly Dillon was struck by a drunk driver, nearly costing her a leg." http://bit.ly/1nbbrmV
FATAL ACCIDENT: Just the facts, per ARLnow, "A construction worker has died after a large excavator tipped over and fell on him at a construction site on George Mason Drive. Rescue crews were called to a construction site on the 400 block of N. George Mason Drive around 3:30 p.m. for a report of a large piece of construction equipment that fell on a person. The victim, believed to be the equipment's operator, was pronounced dead on the scene by medics at 3:40 p.m." http://bit.ly/RQZ5ly
SPORTS, BRIEFLY: Nationals lose 4-3 against Cincinnati in 15 innings.
TRENDING ON ABC7 FACEBOOK: "President Obama stopped by a local Little League game earlier today, surprising players and their parents. He threw the first pitch in the Orioles vs. Tigers game -- and one lucky boy got to keep the ball." http://wj.la/1h2d2mV
NEWSTALK: D.C. Police Chief Cathy Lanier is among today's guests (10 a.m., NewsChannel 8).
--Skip Wood