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Orange Trek MT TRACK 220 2013
Posted by Stolen Bike Listings on May 5th, 2014 at 5:10 pm
Year: 2013
Brand: Trek
Model: MT TRACK 220
Size:24 in
Serial: SWTU356C6118G
Stolen in Gladstone, OR 97027
Stolen From: Home
Neighborhood: Clackamas Blvd.
Owner: Cathy Quattrocchi
OwnerEmail: iamcathyq(AT)yahoo.com
Description: Boys bike, 24 in 7 speed, LED reflectors on both wheels.
Police record with: Gladstone PD
This registrant has documented proof of ownership of this bike


text: Ours all seem to understand some words... Yum yums (treats) Go byebye Go for a walk Park Eat And in Doom's case - Fetch. What words get a reaction out of your dogs? How do they react to them? How can you tell that they know what your talking about? My sister and I were talking about it earlier and I'm just curious about other dogs' reactions.

subset: commoncrawl


text:
"In his book 'Tricks of the Mind' the Illusionist/Magician/Hypnotist Derren Brown recounts a story of when he was accosted by a drunken thug. It's pretty amusing as he manages to avoid a tricky situation by using a rather abstract distraction technique. Brown confuses the thug and puts him off track by asking 'Is your garden wall four foot high?'. Bamboozled the thug ended up sitting down with Brown and telling his life story which, although annoying, was preferable to a beating."
Click here to read entire article.


text:
There are a couple of nice Pampers Wipes deals available on Amazon right now.
Pampers Sensitive Wipes Convenience Pack 18 Count (Pack of 24) for $3.80 – this is an add on with a $25 purchase. This is 432 wipes or the equivalent of 6 (72ct) tubs and is a FABULOUS price.
You will have to look over to the right for MORE BUYING CHOICES to add it to your cart. Again it needs to be an add-on to a $25 purchase so if you do not have $25 in your cart you will not be allowed to add to your cart. You can buy up to 4 at this price.
If that does not work for you grab these Pampers Sensitive Wipes 7x Box 448 Count for as low as $9.48 after the $0.50 coupon and subscribe & save. That is only $1.35 each shipped.
Remember you can cancel subscribe & save anytime after your order ships. Keep in mind that Amazon prices change all the time so these were current at time of posting.
thanks ForTheMommas and CommonSenseWithMoney
This post contains my affiliate link. Please read my DISCLOSURE POLICY here.


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Blogs HNN END OF CHINA'S SURREPTITIOUS RISEApr 16, 2008 12:17 pm
Deng Xiaoping developed the strategy entitled"The Peaceful Rise of China." Developing economically and militarily without attracting notice until it is too late. On the whole his successors dutifully followed that basic strategy with great success. Now somethings happened and the world woke up.
In the aftermath of the Olympics torch fiasco, China has replaced the US as the biggest threat to stability according to a recent FT/Harris poll.
The FT/Harris poll, carried out between March 27 and April 8, found an average of 35 per cent of respondents in five European countries saw China as a bigger threat to global stability than any other state. In the US, 31 per cent of respondents also named China, putting it way above Iran and North Korea, which were both perceived as greater threats last year. . . .
Italians were the most concerned about China with 47 per cent naming the country as the biggest threat, compared with 26 per cent when the question was last asked in June 2007. . .
. . . .China was the biggest threat for 36 per cent in France, up from 22 per cent last year, 35 per cent in Germany, up from 18 per cent, and 27 per cent in the UK, up from 16 per cent. All three last year ranked the US as a bigger threat.
Only inhabitants of Spain still considered the US to be a bigger threat than China, by 41 per cent to 28 per cent. . .
The US was considered to be the biggest threat by 29 per cent of respondents in Europe, down from 32 per cent in June.
What happened?
The West looked at the current Maoist style anti-Tibetan propaganda campaign, at China's failure to act as a responsible global stake holder in Darfur and Burma at the flooding of the world markets with shoddy goods made by poorly paid workers and did not like what it saw. Indeed, China has come to symbolized everything that is wrong with globalization.
Global financial difficulties increased concern over the potential dangers Chinese Sovereign Wealth funds pose to the global financial system. Military strategists can no longer ignore the way China is not only acting as"a free rider" when it comes to dealing with militant Islam but also taking advantage of Western preoccupation with fighting Militant Islam to develop a Chinese blue water navy so as to monopolize East Asian waters and cause the US navy to retreat to Hawaii.
Just as importantly, democratization experts can hardly continue to ignore the real threat that the economically successful Chinese authoritarian model is posing to continued Third world political development. Most disconcerting was China's use of the tragic post election blood shed in Kenya to argue against democratic reforms in developing countries.
For Chinese counter claims aside, it is not China's rise that democracies find distressing. It is the overwhelming evidence presented by China's response to the Olympic torch demonstrations that China's political opening has not only not kept pace with China's economic development but that it has not made any progress at all. Indeed, Chinese promises of liberalization at the time it was awarded the games were no more reliable than promises of tyrannies have always been.
Why would a democratic Chinese superpower be less dangerous than an autocratic one?
Because the"real enemies" of a all governments are those capable of wrestling the power from them. In democracies the"loyal opposition" is the greater threat and wars are often perceived as an unwelcome distraction.
In autocracies, domestic oppositions need to be routinely repressed and the presence of an outside enemy helps justify so doing. Hence, an autocratic super-China we are currently facing does pose a real and present danger. Even more troubling, unless something unexpected happens, the danger is bound to increase with every passing year.
Be all that as it may, the days of stealth Chinese rise are over. Hence, China's rulers will be judged by their ablity to deal with increased international scrutiny.
For more, click here.
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More Comments:
John L Dunshee - 4/17/2008
There is a lot of reluctance to confront China in the U.S. due to the purported adherence to the Socialist or Communist model by the Chinese Government.
But the present Chinese model tends more to the Socialist model than the Communist. There is an elite Party the tries to control the citizenry but it is primarily nationalistic rather than Socialistic. The Overseas Chinese are a powerful "Fifth Column" in most of the Asian countries and many Western ones.
It is a model that does not lend itself to the Western notion of race or class.
For the Chinese, there is only the superiority of the Chinese, with all others in subordinate roles.
Liberal Western politicians cannot address that without being labeled either racist or classist.
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text:
SANTA CRUZ >> Police on Friday released surveillance images of an armed robbery at 7-Eleven on Mission Street to try to identify the gunman.
About 3:25 a.m. Aug. 20 at the 7-Eleven at 2529 Mission St., a man wearing sunglasses and a dark bandanna on his head asked a clerk for a carton of cigarettes, said Santa Cruz Deputy Police Chief Steve Clark.
The clerk, a 40-year-old man, turned his back on the suspect to get the cigarettes and turned back to find a semi-automatic handgun pointed at him, Clark said. The suspect then went behind the counter and grabbed the carton from the clerk, police said.
The man fled toward Swift Street. No one was injured.
This week, media requests for information about the robbery were not returned by Santa Cruz police.
Friday, police said the man appeared white and in his late 20s to mid 30s. He appeared 6 feet tall and 175 pounds with a goatee and mustache. He wore dark pants and a blue-and-white plaid shirt.
The man also might have had a calligraphy style tattoo on his neck, Clark said.
The same 7-Eleven was robbed at gunpoint twice in three days in October 2013, police said at the time.
The suspect in those heists was described as black, 5 feet 6 inches tall and 200 pounds and possibly in his 40s, police said at the time.
Santa Cruz police ask anyone with information to call investigations at 831-420-5820, the anonymous tip line at 831-420-5995 or leave a tip at www.santacruzpolice.com or by the mobile application at http://m.santacruzpolice.com.


text:
On Tuesday, 100 volunteers will hit the streets to solicit support from local businesses for the 2014 iGot (I Give to Ogeechee Tech) campaign.
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text: Hi there, I've always hated my non-existent chest, never felt feminine or comfortable naked. After 15 years of talking about it I finally went ahead last year. I chose to get the second smallest implant available and went to a modest B. While I am happy with the results visually they still feel very firm to the touch. I am really hoping they will become more natural to the touch. I massage them every day but doesn't seem to be helping much.


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TeachInPeace wrote:Question: how come no one in this state seems to have an irrigator? When I lived in west river South Dakota (dry like here, all summer, plus fire) it seemed like every wheat field, bean field, and even some of the rangeland had at least one irrigator - and I think I've seen a grand total of 1 on my drives around Southern Wisconsin. What gives?
The soils must be suitable for irrigation. If you have tight soils, you salt up the soil. I'm not sure where you lived in west river SD, but only some of the land is suitable for irrigation. The Belle Fourche and Hot Springs areas had federally subsidized projects that made irrigation economic. Otherwise, it wouldn't have happened.
The Arena/Spring Green area in Wisconsin has irrigation. Irrigation works with well-drained soils, so you'll have irrigation in sandy areas if it makes economic sense.


text:
Oscar Pimpin'
So last week, Three Six Mafia's "It's Hard Out Here for a Pimp" won the 2005 Oscar for Achievement in Music Written for Motion Pictures (Original Song), and predictably, many are outraged.
Some are furious over the stereotypical images of blacks the song conveys. "It was another example of how they pick the worst aspects of black life and reward that," musician Juaquin Jessup told The Washington Post. "There are more important things in our culture that need focus more than the hardships of a pimp."
Well, yeah, but at least the protagonist of "It's Hard Out Here for a Pimp" has a few more aspirations than Uncle Remus, the happy slave with the bluebird on his shoulder who loved to whistle "Zip-A-Dee-Doo-Dah" in the 1947 Disney flick Song of the South.
Three Six Mafia
Others, presumably white others, are gnashing their teeth about the fact that the song won, just because, you know, it's a rap song about pimps. The day after Oscar night, my inbox was polluted with one of those ubiquitous, anonymous "Moral Outrage" spams, this one titled "The Wisdom of the Academy." The author griped that the Oscar for Original Song has gone to "a long list of great songs that define American music," and then smugly cut and pasted in the lyrics to "It's Hard Out Here for a Pimp" with no further comment, as if the fact that they didn't define American music was self-explanatory.
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First off, these lyrics are tame compared to most Southern rap and almost milquetoast by Three Six's lofty standards. (Sample songs off their new album include "Pussy Got Me Dizzy," "Let's Plan a Robbery" and "Half on a Sack," one of the only rap tunes I've ever heard that condones cocaine use as opposed to dealing. But hey, it's powder, not crack.) But as the title implies, this song is a burned-out pimp's lament, not a contented pimp's boast. And the movie it came from is about a guy who wants to leave pimping behind, not a guy who wants to get in the game or stay in it.
At any rate, the spam's author thoughtfully provided a list of songs that are allegedly so much superior to "It's Hard Out Here for a Pimp" that their very names glitter in comparison. And here's where the wheels truly fly off what was a weak argument to begin with. While I'll be the first to admit that this wasn't Three Six's finest work, is it really more insipid than drecky Oscar-winning schmaltz like "You Light Up My Life," "Take My Breath Away," "Up Where We Belong," "I Just Called to Say I Love You," "Say You, Say Me," "Can You Feel the Love Tonight" and "My Heart Will Go On"?
If that list "defines American music," America is an overweight fiftysomething housewife plastered on box Chablis in her Katy tract home. And why exactly does she get to define America any more than a burned-out pimp in the North Memphis streets? -- John Nova Lomax
All hail Boogie Down Productions! Their 1987 track "The Bridge Is Over" cemented the diss record and rap feuds as legitimate branches of the art form. From 3rd Bass to Kool Moe Dee to 50 Cent, a rapper's best work as often as not comes in the form of a well-thrown bitch-slap. But nothing in the music world is sadder than a li'l artist dissing a big one just to get some attention. Cam'ron, by taking swings at hip-hop mogul Jay-Z, you have put yourself in the same camp as Benzino, Roxanne Shante, Sporty Thieves and those guys who put out the lame West Coast response to "Lazy Sunday." For shame, Cam'ron!
We know we are hereby providing you with exactly what you want: publicity you do not deserve. But the Gods of Music demand that we present you with our own diss track: It is said that your sexual stamina may not be fully adequate to satisfy your partner! You have problems digesting milk properly! You occasionally forget to apply underarm deodorant, thereby producing an unpleasant odor!
Bah, this is not our way. Let us state it plainly: You are a sniveling coattail-grabber, no more than a child rubbing his own feces into his hair so that Daddy will pay attention. Attend to the mote in your eye, and leave Jay-Z alone. Maybe he and Nas will fight again, and each song produced will bring more pleasure than your entire career. It is written. -- The Ayatollah of Rock
The Beatles, God love 'em, everyone's favorite group. That guy you know, smokes a lot of sherm, not good about paying bills on time? He loves them. That random black guy you talked to in a bar? Him too. Your parents? Them too. Your grandparents have even come around. Never in the history of the whole entire Uniworld has there ever been a band that comprised four so musically adept super-geniuses, possessed of so much soul and wit, sensitivity and creativity. Drug phase, bubblegum phase, doesn't matter. Nothing anyone will ever do in his or her musical life will even begin to approach the Beatles' stellar catalog of irreproachable perfection. But that's not all. If McCartney laid a fart in '72, chances are, it's better than you, too. Not to mention U2. No one has a bad word to say about them. That is, of course, save for me.
To be fair, a little background. I have always had a built-in hype chip. This chip makes me impervious to most things that ever reach frenzied and ballyhooed 'it' status at least for a little while. For instance: Still haven't heard Arctic Monkeys, have never watched the British version of The Office, have never read anything by Dave Eggers, and wouldn't dare put on a pair of Diesel or Seven jeans. The chip has its downfalls. I know this. It's bitten me in the ass a couple of times. I never got around to listening to Radiohead until well after Kid A was a smash, for example. I readily admit the chip probably keeps me from beautiful things.
That said, has there ever been a band with more smoke blown up its ass than the Beatles? You understand my dilemma. The chip wouldn't even let me spin a Beatles record in my youth, and now that I'm old and 30, the chip still gives me a painful jolt anytime I think of listening to the copies of Revolver and Abbey Road I finally got around to downloading off someone else's hard drive. When I do decide to ignore the chip, press on and listen anyway, I still come out the other side scratching my head a bit. What, pray tell, is all the hubbub about? 'Mr. Mean Mustard'? 'Rocky Raccoon'? Some of it even seems like an elaborate hoax.
Also, no matter how hard the chip may have tried, I've heard all these songs before. You know where? Commercials. Baseball games. Elevators. Hotel lobbies. Restaurants. Doctors' and dentists' waiting rooms. Banks. In short, the Beatles aren't the Beatles anymore. They've been co-opted.
I know what you're thinking, and yes, I have listened to the albums after smoking the right kind of weed, and no, that didn't work either. Even the sweetest hydro grown in the closet of a Colombian smack smuggler couldn't get me past the fact that I associate 'Tax Man' not with great guitar tone, clever lyrics and a head- bobbin' back beat but with H&R Block commercials (even though it may have never been used in one). 'Yellow Submarine' isn't an aloof ode to cutesy in my book; it's something I've seen a shitty cover band attempt. And attempt. And attempt.
There are some who feel that if you don't like the Beatles then you don't like music. Most reasonable people would agree that this is bullshit. Some chefs feel the same way about truffles, but if I had to guess, I'd say some pretty knowledgeable eaters still think they smell like a spent baby diaper. Who knows? Maybe one day, when I'm older and thirty-er, I'll come around. There's no denying 'Yer Blues' rips the roof off, or that, before the acid set in anyway, there's never been a slicker-lookin' outfit. The chip might soon be out of voltage. When it is, I'll finally be able to 'get' the Beatles. Oh, and to finally watch this SNL 'Chronicles of Narnia' rap everyone keeps telling me about. - Brian McManus
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text:
I have an ecommerce site where a member can add a product for sale. I would like them to have the option of adding product variants such as item sizes, colors, etc. Each variant combination will have it's own item quantity and price.
In addition, I would like this member to have the ability to create their own custom variants (custom product types like materials, finish type, pattern, etc.).
I have a main products table called Products (id,title,quantity,price). My plan is to make a second table called Variants, where I can join it to Products based on the item id.
How should I set up the columns for the Variants table to make the site most efficient? What is the best way to design a database for keeping track of Variants?
ThanksKind regards
okay, here's a suggestion, just to stimulate your thinking process (not necessarily the best solution)
you have a product table, with many columns that describe/define all of a product's attributes
what if each variant was a separate product?
i'm serious... think it through and evaluate the pros and cons
one advantage is simplicity, yes?
any disadvantages?
well, for one thing, how would you know which ones are variants?
Greetings r937,
Thanks for the response. I've been thinking about something sort of like this.
I was planning on producing one product in the products table with a unique product id. That way I can create just one page for all of the variant products.
Then in the Variants table, use the same product for a number of different variants. (Also, I plan on limiting the number of variations to a maximum of 5 types). All of these would be displayed on the 1 product page.
The variants table could look like this for a T-shirt (with Product ID 323 in the Products table):
ID | productID | name1 | value1 | name2 | value2 | name3 | value3 | name4 | value4 | name5 | value5 | quantity | price |1 | 323 | Color | Black | Size | XL | | | | | | | 3 | 10.99 |2 | 323 | Color | Black | Size | XXL | | | | | | | 2 | 11.99 |3 | 323 | Color | Red | Size | XL | | | | | | | 4 | 10.99 |4 | 323 | Color | Red | Size | XXL | | | | | | | 1 | 11.99 |..........
Let's say there could be 50 rows for all different combinations of colors and sizes. This would be sort of like a secondary products table, which I could join on my main products table.
What do you think of this table and technique? I would like to plan on making this technique scalable so that it will still be efficient after millions of products.
One disadvantage could be duplication of data. If there are many product variants and long descriptions, which are the same for all variants, then the amount of data stored in the product table gets multiplied. Probably it will never become so huge as to be unmanageable but for certain scenarios it might matter - for example, a simple search engine that uses SQL to find a phrase in product descriptions - since indexes can't really be used (apart from the awkward FULLTEXT) then size matters for performance. Of course, this can be worked around by caches, etc. but we are after simplicity here...
I'm not saying this is a bad idea. I have made a few online shops and I've always used a separate variant table and linked it to the main product table by the product ID. So each variant would actually have an ID composed of the product ID and variant ID - if there was ever a need for an ID like exporting to external systems, etc. I thought it was the best solution in terms of data normalization and storage optimization, and it also seemed more logical than a single table. I've never used one table for both so I can't really compare how it would work out in practice.
Another solution could be a hybrid approach using one table where each record can be either a product or a variant of a product and have parent ID column that would be set for variants effectively building a hierarchical structure of products, similar to what we usually do with tables for storing nested categories or menus. Then the common fields like description could be set to NULL for the variants to prevent data duplication. I've never done this in practice but I might actually go for it if I were to build a product database again
this is actually where i was headed, since in my experience all these products will have a different SKU
however, i would do it without the "parent" concept -- for example, if you have a shirt in three colours, which one is the parent?
i've seen this done with a brand code -- all products in a brand (even if there's only one) have the same brand code, and each has a different SKU or id
personally, i would be hesitant to use NULL in some descriptions and not others -- you mentioned the idea of a search, well, you would want the search to return all variant descriptions, not just the non-NULL one, since the descriptions will likely ~not~ all be the same, but rather, reflect the difference in variants e.g. description: men's red polo shirt, colour: red, etc.
no no no
this is called EAV (entity-attribute-value) and it's a real dog's breakfast
do a search here on sitepoint or in your favourite web search engine to see why
one final thought...
you mentioned this was going to be used on a web site where users can enter their own products
please, please do not underestimate the likelihood that users will become frustrated or confused by your attempts to explain and/or program the difference between a product that has variants and a product that doesn't
just give them one form to fill out, and when they've added a product, leave the form fields filled in, so that, for example, they can simply change the colour field on the shirt and hit "add product" again
Thanks for the responses.
Instead of the EAV model, which would be best to use when the database grows to millions of products and variants (10+ Gigabytes)?
Also, I got a great plan for managing the front end design for the users and for allowing users to build a variants chart. Also, I will probably just store one Brand name in the products table to cover all variants, and the multiple SKU numbers for each variant in the variants table.
If there are three shirts in different colours then none of them is the parent. There is a separate row for the parent with a generic name like "Indian cotton shirt" and the three rows for the colour variants will have names specific to that colour version. Then for consistency sake you might have the parent and child rows even for products with one variant. If the parent ID to the same table looks a bit messy we could split the variants to another table and then the db structure looks pretty simple - if you want to list products without their variants you use the product table, if you want to list products with all their variants you just get records from the variant table (and then if necessary, getting some related general info from the product table is a matter of a simple JOIN).
Okay, so I see now that you were thinking about a slightly different scenario where each variant would need a different description - in such cases I would do the structure like you suggested. However, in my particular experience this was not the case - the site owners wanted to have a common description (and optionally a common set of specification) for all variants of a product. These are usually long pieces of texts and they wouldn't even want to update them separately for all variants. So each variant would have a short name (either full variant name or just a partial name appended to the product name for display), price, SKU and maybe photos, while the rest of the properties are inherited from the product row. For such scenarios having one flat table for all products and variants would result in wasting a lot of space due to many duplicated descriptions. So I think it all comes down to requirements.
so you've basically doubled the number of rows
i don't like it
Why not? The parent row and child row contain different kind of data so what is wrong in spitting them into separate rows? I prefer to double the number of rows than to make my database 2x, 3x, 4x, 5x, and so on (depending the average number of variants) larger because the contents of the description (MEDIUM)TEXT columns have to be duplicated across variants. In my experience product descriptions take an order of magnitude more space than all other product data combined (excluding images).


text:
Challenges and Approaches to Measuring Hospital Emergency Preparedness (Text Version)
On September 28, 2010, David Chin and Sheryl Davies made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (404 KB).
Slide 1
Sheryl Davies, MA
Stanford University
Center for Primary Care and Outcomes Research
David Chin
University of California, Davis
Center for Healthcare Policy and Research
AHRQ Annual Meeting; September 26-29, 2010; Bethesda, MD
Slide 2
Project team:
- Kathryn M. McDonald, MM1
- Sheryl M. Davies, MA1
- Tamara R. Chapman, MA1
- Christian Sandrock, MD, MPH2
- Patrick Romano, MD, MPH2
- Patricia Bolton, PhD3
- Jeffrey Geppert, JD3
- Eric Schmidt, BA1
- Howard Kress, PhD3
- James Derzon, PhD3
1Stanford University; Center for Health Policy, Freeman Spogli Institute for International Studies; Center for Primary Care and Outcomes Research, School of Medicine
2 University of California at Davis School of Medicine
AHRQ: Mamatha Pancholi, Sally Phillips, Kelly Johnson
ASPR: RADM Ann Knebel, Margaret (Peggy) Sparr, Ibrahim Kamara, Torrance Brown
This project was funded by a contract from the Agency for Healthcare Research and Quality (#290-04-0020)
Slide 3
- Approach to development
- Content Domain Development
- Evaluation of existing measures
- Challenges specific to EP
- Adapting measurement approaches to EP
- Solutions to challenges
- Example measures and validation
Slide 4
Measure Development and Validation Process
Image: A flow chart shows the measure development and validation process. Under the heading of "Sources" are three text boxes:
- Literature
- Actual Use
- Concept
Arrows point from each box to a large oval labeled "Candidate Indicators"; an arrow points from this oval to a text box labeled "Evaluation," and another arrow points from "Evaluation" to a diamond shape labeled "Selection." A series of arrows lead from "Selection" back to "Sources."
Notes: This is a simplified graphic that illustrates the general process of developing and validating measures, both for this set and past sets. The feedback loop shows the iterative nature of the process by which information from literature reviews, users' evaluation and experience is used to select the most promising measures and then refine definitions.
Slide 5
Obstacles to Usual Developmental Framework
- Broad swath of potential indicators
- Available data inconsistent
- Many standards without evidence base to guide selection
- No standardized data collection system
- Challenges specific to measuring EP
Slide 6
Revised Measure Development Framework
Image: A chart displays the following framework process. An arrow points down from each item to the one below it:
- Identify Potential EP Topics
- Identify Ideal Set of EP Topics
- Identify and Specify Measures within Topics
- Develop Implementation Guidelines
- Data Collection (Feasibility and Validity of Measures)
- Re-Specification (if needed)
- Validation of Measure Set
To the right of these steps is a cog captioned, "Ongoing Feedback, Refinement, and Reassessment"; an arrow indicates that the cog is turning.
Slide 7
Our Process: Where Have We Been?
- Literature Review
- Review of Existing Guidelines
- Expert Panel Evaluation of Indicator Topics
- MMWG Feedback:
- Focus on Functionality and Outcomes
- Indicator Development and Justification
Image: A series of arrow shapes pointing from left to right are captioned with the following text:
- 900+ Potential Indicators
- 179 Indicator Topics in Initial Evaluation
- 47 Indicator Topics in Conference Calls
- 42 Indicator Topics in Final Evaluation
- Priority Levels 1-4
Slide 8
Panel Methods
- Review to identify guidelines, checklists, etc.
- Group together like guidelines to identify general topics
- Topics evaluated by expert panel (nominal group technique):
- 43 panelists assigned to 3 duplicative panels
- Rated topics on importance to include in report, participated in call, then re-rated subset of topics
- Each call summarized and shared with other panels
- Only highest rated topics moved to next step
- Final rating also included set-building task
- Ratings used to prioritize topics (priority level 1-4)
Slide 9
Priority One Topics
|Indicator Topic
|Median Rating (1-5)
|Percent Including Topic in Set
|Concept Area
|Hospital's emergency operations plan (EOP) identifies a chain of command.
|Emergency Management Procedures and Planning
|Hospital has a plan for unsupported functioning/self sufficiency, including through the use of alternative sources of potable water and electricity, for 96 hours.
|Continuity of Operations
|Hospital has a plan for alternative means of communication or backup communication systems.
|Hospital has a plan for coordinating all levels of communication, including both intra- and inter-organizational communication, as well as required technology.
Slide 10
Priority One Topics (Continued)
|Indicator Topic
|Median Rating (1-5)
|Percent Including Topic in Set
|Concept Area
|Hospital has a plan specifically for protecting staff and other responders using countermeasures, supplies, and personal protective equipment (PPE).
|Countermeasures, Supplies, and PPE
|Hospital has a plan for safety and security of people, including staff, patients, and supplies, which may involve partnering with local law enforcement agencies.
|Safety and Security
|Hospital has a plan for evacuation, including transport of patients and information to alternate care sites.
|Evacuation and Shelter in Place
Slide 11
Priority Two Topics
|Indicator Topic
|Median Rating (1-5)
|Percent Including Topic in Set
|Concept Area
|Surge capacity is addressed at various levels in the hospital (i.e. not just in the emergency department) and with community partners.
|Surge Capacity
|Hospital's emergency operations plan (EOP) contains specific plans for communications.
|Emergency Management Procedures and Planning
|Hospital has a plan for treatment and management of contaminated persons.
|Hospital has a plan for evacuation in general.
|Evacuation and Shelter in Place
|Hospital has a plan for tracking both patients and the deceased.
|Patient Management and Care
|Staff training is ongoing.
|Staff Training
Slide 12
Priority Two Topics (Continued)
|Indicator Topic
|Median Rating (1-5)
|Percent Including Topic in Set
|Concept Area
|Hospital inventory of equipment and supplies includes items such as vents, PPE, negative pressure isolation, ICU beds, decontamination showers, antidote kits, and pediatric equipment.
|Countermeasures, Supplies, and PPE
|Hospital has a plan for facility access control and staff is able to gain access to the facility when called back to duty.
|Safety and Security
|In ramping up for surge, hospital has the ability to increase physical space and resource capacity through tactics such as rapid discharge, home care, and alternate care sites.
|Surge Capacity
|Drills are executed in collaboration with other organizations.
|Community Integration
Slide 13
Priority Two Topics (Continued)
|Indicator Topic
|Median Rating (1-5)
|Percent Including Topic in Set
|Concept Area
|Hospital has a plan for decontamination that is specific to chemical/biological/radiological/nuclear/high-yield explosive (CBRNE) hazards.
|Hospital's emergency operations plan (EOP) is modified based on exercises or actual emergencies.
|Emergency Management Procedures and Planning
|Criteria for evacuation and shelter in place decision-making are in place.
|Evacuation and Shelter in Place
|Hospital has a plan for modification of normal clinical activities (including specialized care) or standards of care as related to disaster response.
|Patient Management and Care
|Staff training incorporates the incident command system (ICS).
|Staff Training
Slide 14
Results: Concept Areas Covered by Highest Priority Topics
- 6 out of 15 covered in highest priority.
- Priority 1 and 2 covered all except:
- Staff and volunteer management
- Fatality management
- Disease reporting and surveillance
- Did not favor topics derived from guidelines from any single source, or from multiple sources.
Slide 15
Database Analysis
Image: A chart displays the following process. An arrow points from each step to the next:
- Database search
- Database narrowing
- Linkage of dataset measures across databases
- Linkage of dataset measures to priority areas
- Validation and outcome analysis
Slide 16
Search for EP Data Sources
- Literature Review using Web-based aggregators:
- ISI Web of Knowledge, PubMed, Google Scholar
- State and federal sources:
- National and regional EP expert feedback [Image: An arrow points down]
547 initially selected, however 44 unique EP data sources identified
Slide 17
Database Identification and Narrowing
- Inclusion Criteria:
- Must focus on hospital or healthcare system in part or whole
- Must be state, regional data, (or aggregate of data above state level if available)
- Data must be available and accessible (some EP data lost or "secure")
- Must have available data dictionary
- Identified: 44
- Data sources which met criteria: 11
Slide 18
Database Selection: The final 11
- Databases with EP information:
- Price Waterhouse Cooper's Public Health Emergency Preparedness (PHEP)
- The Joint Commission
- Government Accountability Office 2003
- Government Accountability Office 2008
- American Hospital Association Health Forum
- Annual Survey, TrendWatch
- National Hospital Ambulatory Medical Care Survey (NHAMCS) Pandemic & Emergency Response Preparedness Supplement 08
- National Hospital Discharge Survey
- South Bay Disaster Resource Center at Harbor-UCLA Medical CTR
- Veteran's Health Administration Data
- Hospital Preparedness Program, ASPR
- The Pediatric Preparedness of Emergency Departments: A 2003 Survey
Slide 19
Identifying Links
- 11 databases evaluated in detail:
- Characteristics
- Quality
- Size
- Temporal
- Relationship
- Indicators identified with relevance to MMWG:
- National Hospital Discharge Survey
- The Hospital Preparedness Program
- American Hospital Association
- The Joint Commission
Slide 20
Example of Identified Link
- Number of participating hospitals statewide that have access to pharmaceutical caches sufficient to cover hospital personnel (medical and ancillary), hospital based emergency first responders and family members associated with their facilities for a 72-hour period.
- Links TJC EC.4.14.3
- The organization plans for replenishing medical supplies that will be required throughout response and recovery, including access to and distribution of caches (stockpiled by the hospital or its affiliates, local, state, or federal sources) to which the hospital has access.
Slide 21
Example of Identified Link
- HPP SI6 Drills
- Number of drills conducted during the FY 2005 budget period that included hospital personnel, equipment or facilities.
- Links to TJC EM.03.01.03, EP 3
- For each site of the hospital that offers emergency services is a community-designated disaster receiving station, at least one of the hospital's two emergency response exercises includes an escalating event in which the local community is unable to support the hospital.
Slide 22
Example of Identified Link
- Number and level of PPE statewide to protect current and additional health care workers during an event
- Possess sufficient numbers of PPE to protect both the current and additional health care personnel deployed in support of an event.
- Links to TJC EC.4.11.9
- The organization keeps a documented inventory of the assets and resources it has on site that would be needed during an emergency (at a minimum, personal protective equipment, water, fuel, staffing, medical, surgical etc.
Slide 23
Links to Priority Areas 1 and 2
- Only 7 represented in the linkages between databases to the major topic areas in Priority 1 and 2 (n = 16).
- None of the major function areas were represented (surge capacity).
- None of the patient care areas were represented.
- Unable to provide any link between databases and the priority areas determined by group.
Slide 24
Issues with Linkages Between Databases
- Lack of clear definitions
- Lack of similarity
- Extensive assumptions required
- From an EP perspective, indicators from databases do NOT accurately reflect EP function
Slide 25
Additional Database Problems
- Most linkages between only 2 datasets: HPP and TJC
- Data for measures collected and recorded differently:
- HPP: mixed (continuous, categorical, rank)
- TJC: binary (compliant, non-compliant)
- Do not measure EP function or outcome during a clinical or simulated situation
- Thus, data are inconsistent within and between datasets
Slide 26
Data Quality Example
- American Hospital Association Survey 2008
- AHA: Total licensed beds—the total number of beds authorized by the state licensing (certification agency)
- Hospital Preparedness Program Survey 2006
- HPP: Number of beds statewide, above the current daily staffed bed capacity that awardee is capable of surging beyond within 24-hours post event
Note: These variables differ from an EP perspective but collected from same agency (L & C) in state.
Slide 27
Data Correlation
- Number of hospital beds available
- +ρ = 0.8179
- +t* = 9.7456 >> 3.496 (95% Confidence)
- State population
- +ρ = 0.9948
- +t* = 66.96 >> 3.496 (95% Confidence)
ρ: Spearman Rank Correlation Coefficient
Slide 28
Summary For Databases
- Unable to identify existing measures:
- No outcome or function analysis
- Hypothetical, not real patient care events
- Limited in scope of EP
- Few measures in major priority areas
- Unable to perform validation of existing measures:
- Lack of adequate linkages across datasets with similar data
- Inconsistently defined data
- Absence of patient outcome data
Slide 29
Challenges in Measuring Preparedness
|Clinical Measurement
|EP Measurement
|1: Infrequent Events
|Observe patient outcomes on daily basis
|Few small scale responses, very rare large scale responses
|2: Measurement Requires Additional Effort
|Can observe daily patient care
|Requires proxy events to regularly observe
|3: Hospitals Control Simulated Events
|Limited ability to "cherry pick" patients
|Parameters of proxy events often controlled by the measured entity
|4: Link between Performance in Proxy Events and Actual Events not Fully Established
|Limited need to rely on proxy measures. Proxy measures based on evidence.
|Proxy measures not yet linked to outcomes, and limited ability to establish link given frequency of actual events.
Slide 30
Challenges in Measuring Preparedness
|Clinical Measurement
|EP Measurement
|5: Response System Complexity
|Outside entities have limited impact on care; Can isolate care for clinical groups
|Outside entities (e.g. public health system) integral to response; Difficult to isolate response activities
|6: Limited Evidence Base for Best Practices
|Extensive literature based on RCTs and scientific evaluation of interventions
|Limited knowledge about best "preparation" to improve outcomes, limited ability to establish.
|7: Variations in Scale and Types of Disasters
|Daily care somewhat homogeneous, can isolate clinical groups
|Small scale to large scale events; different types require different response
Slide 31
Challenges in Measuring Preparedness
|Clinical Measurement
|EP Measurement
|8: Potential Variation in Need for Preparedness
|Most hospitals will care for commons diseases
|Major differences in scale and type of disasters likely to occur.
|9: Exact Nature of Potential Events Uncertain
|Day to day clinical care predictable
|When, what, where, how big?—all uncertain.
|10: Impact of Resource Dedication to EP
|Improving performance on QIs theoretically improves day to day care.
|Resources dedicated to EP and EP measurement may draw resources away from day to day clinical care.
Slide 32
Conceptual Models Related to Measurement
- Donabedian Model of Clinical Measurement:
- Structure:
- Material, human resources, hospital characteristics
- Lack evidence linking structure with outcome
- Process:
- What you do: includes planning and response
- Doing the right thing well
- Includes functional measures
- Assumed to be associated with outcomes
- Outcomes:
- True outcomes are difficult to measure
- Approaches to estimating outcomes during exercise not established
- Risk adjustment required
- Structure:
Slide 33
Guiding Principals to Address Challenges
- Aim to measure functionality.
- Identify a goal outcome.
- Seek continuous outcomes.
- Constrain the focus to hospital.
- Consider the potential data and distributions.
Slide 34
Potential Approaches to Measurement
- Survey of preparedness activities:
- Example: Elements included in Emergency Operation Plan
- Exercise based measures of functionality:
- Example: Time to establish a functional security checkpoint.
- Exercise + modeling based measures:
- Example: Time to evacuate a hospital, based on small demonstration evacuation and modeling to extrapolate time to evacuate the entire hospital.
Slide 35
Steps Undertaken to Develop Measures
- Identify potential ways to measure topics:
- Review existing metrics and concepts.
- Identify most salient functionality reflected in topic.
- Consider how well metric fits topic area.
- Consider potential performance.
- Draft specifications:
- Consider feasibility of implementation.
- Consider how well the metric reflects actual functionality.
Slide 36
Steps Undertaken to Develop Measures, Cont.
- Define each component:
- Consider alternative interpretations of specification.
- Justify choices based on literature and case studies.
- Define how to move from hospital based data collection to aggregate measures at state-level.
- Iterative process.
Slide 37
Example Indicator
Functional Measures
- Hospital has a plan for alternative means of communication or backup communication systems.
- Hospital has a plan for coordinating all levels of communication, including both intra- and inter-organizational communication, as well as required technology.
Proposed Measure 1: The time to relay a field asset request or critical field information to a non-hospital-based emergency operations center (EOC) during an exercise. (Repeated for secondary and tertiary communication modalities.) [Preliminary recommendation for state level reporting: Mean time for all hospitals.]
Slide 38
Example Indicator
Modeling + Measure Based Indicators
Proposed Measure: The time to evacuate the hospital. [This time is to be based on the time to evacuate a sample of X patients, the time for planning evacuation, and the subsequent extrapolation to the entire hospital.]
Preliminary recommendation for state level reporting: Mean time for all hospitals.
- Modeling helps to reduce measurement burden
- Potential to reduce measurement bias
- Requires extensive development and validation
Slide 39
Example Indicators
Using Multiple Approaches
- Hospital has a plan for safety and security of people, including staff and patients, and supplies, which may involve partnering with local law enforcement agencies.
Proposed Measure 1: The time to establish a functioning security screen checkpoint during an exercise, according to the hospitals EOP.
Proposed Measure 2: Does the hospital have an MOU or MOA with a security agency for security support?
Slide 40
Evaluation Criteria Based on National Quality Forum
|Scientific Acceptability
Slide 41
Proposed Indicators
Known Evidence Base
|Known evidence base
|Concept is important
|Opportunity for improvement
|Actual performance
|Fosters true improvement
|Minimizes burden
|Scientific acceptability
|Precise definition
|Face/Consensual validity
|Panel/MMWG, literature
|Construct validity
|Criterion validity
|Bias and risk adjustment
|Theoretical issues
|Theoretical issues
Slide 42
Validation Recommendations
- Step 1: Establish consensual validity through structured panel review process.
- Step 2: Develop data collection processes.
- Step 3: Develop methods to assess feasibility.
- Step 4: Develop methods for assessing proxy outcomes in an exercise (optional).
- Step 5: Identify a representative sample of hospitals to pilot test measures.
- Step 6: Collect pilot data, including test-retest reliability, inter-rater reliability, and measure performance.
- Step 7: Assess the distribution of performance and relationship between measures.


text:
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text:
|Reviews for Cellmates
| Pixychick84 chapter 1 . 10/6/2013
Wish this was longer its so funny!
| CarefreeSummer chapter 1 . 2/26/2011
That was epic. I LITERALLY laughed.
These little drabbles are epic.
| june-kid chapter 1 . 8/6/2010
This is hilarious! I love this! Keep up the good work!
| addicted2reviews chapter 1 . 6/19/2010
haha drabble on them being stuck in a cell together. i am quickly becoming a avid fan of ur work. Now off to the next story!
| I'm a Blank Sheet chapter 1 . 5/7/2009
Please continue!
update please!
haha... no pressure!
| darksoulwolf chapter 1 . 5/6/2009
I wish there was more t this one. it would be great
| darkchocol8807 chapter 1 . 5/5/2009
u definitely need to write about the next few days! so cute!
| xScarecrow07x chapter 1 . 5/4/2009
Wow. Why couldn't she have just burned the damned book beforehand? Oh. Yeah! 'Cuse he guards the frikin book like a gaurd dog! Well, she could've just pulled it out of his hands! No, that wouldn't work since he would probably have an iron grip on the stuip onange thing. Anyways, kakashi's a perv(just the way we like him!). Great story! hope it continues! XD X)


text:
Kumar Sangakkara addressed one glaring omission on his outstanding CV by making his first Test hundred at the home of cricket.
England were powerless, on day three at Lord's, to stop Sri Lanka's great middle-order batsman matching Test hundreds to his age - 36 - as he and his great ally Mahela Jayawardene helped the tourists to a teatime 309 for four in reply to 575 for nine declared.
The old firm took over at HQ, after England at least shifted opener Kaushal Silva on a cloudy morning but were then shut out for more than two and a half hours on a steadfastly benign surface by two all-time class acts.
The upshot was a stand of 126, in which Sangakkara (121no) broke new ground when he cover-drove Joe Root on the up for his 10th four to reach three figures from 182 balls.
The moment of realisation overcame not just him but also the usually under-stated Jayawardene, who still leads his close friend 2-1 in Lord's hundreds and was delighted with Sangakkara's achievement - expressing himself by charging up the pitch to 'mug' his third-wicket partner mid-celebration with a neck-high bear hug.
England had ruled the first five sessions of this match, but there was a healthy dose of payback as even heavy cloud cover and the need for floodlights made precious little difference to a surface which refused to mis-behave.
Sangakkara and Jaywardene (55) have prospered many times in less favourable circumstances, and rarely threatened to miss out here - although the latter was discomforted for a time when Liam Plunkett went round the wicket and peppered him with short balls.
Sangakkara, who made a one-day international at Lord's just last month, doubtless assessed - in what may be his final match for Sri Lanka here - that he can rarely have had a better opportunity to register one in Tests too.
Accordingly, he was risk free against a hard-working attack.
After James Anderson conceded six runs in the first over of the day, including a cover-driven four for Sangakkara, the tourists registered only another four runs in the next seven overs.
Alastair Cook had catchers in place behind and in front of the wicket but, on this slow pitch, tempered his tactics with a boundary sweeper on either side to Sangakkara.
It was eventually Silva (63) who succumbed to the grind.
Anderson broke the second-wicket stand on 97, doing well to find some life with a short ball which followed Silva and was deflected off the bat face to Matt Prior - who reacted well to the late change of direction.
Sangakkara and Jayawardene then took over, and it was not until one had his hundred and the other a 90-ball 50 that England struck again.
The second new ball helped to do the trick for Stuart Broad, who defeated Jayawardene's forward-defence from the nursery end to win an lbw verdict - even after his victim had tested DRS.
After Anderson then also nipped out Lahiru Thirimanne, chipping tamely to midwicket, there was still just a chance the follow-on might come into the equation.
Sangakkara was unlikely to be thinking in those terms, though.


text:
The Darcys Announce AJA, Steely Dan Cover Album + "Josie" MP3!
Toronto art rock quartet The Darcys is set to release AJA, the second in a trilogy of releases. An interpretation of Steely Dan's 1977 studio masterpiece, the album was produced, arranged and recorded by the band at home during the summer and fall of 2010. AJA will be released as a FREE digital download at thedarcys.ca on January 24, 2012 via Arts & Crafts. It will also be available on limited edition 180-gram colored vinyl from GalleryAC.com.
Fans can download The Darcys' interpretation of Steely Dan's "Josie" from the band's website starting tomorrow or where it premiered on Rolling Stone today.
Moody, dense and textured, AJA is an exploration of physical and emotional space and the real and imaginary divisions within it. The decision to interpret the album in full was made during a period in which the band struggled to complete its self-titled sophomore record. With no label and mixing stalled, The Darcys were unable to track new material, instead embracing the challenge of reshaping the collective favorite and presenting it to the world as a dark, but bold declaration of self-sufficiency. "We did it because we could," the band's Wes Marskell explains. "And because we thought we couldn't. It became as much an art project as an album."
More than a year later, following a multi-album deal with Arts & Crafts and the release of The Darcys on October 25, AJA is unveiled, representing an essential link from 2011's self-titled offering to the band's much-anticipated third studio release. Earning their touring chops by having played with the likes of Deerhoof, Hollerado and Tennis in the past, The Darcys will spend early 2012 supporting both releases across North America on tour with Bombay Bicycle Club. The Darcys self-titled album remains available for free download at THEDARCYS.ca.
Tour Dates w/ Bombay Bicycle Club
2/14: San Diego, CA @ The Casbah
2/15: Los Angeles, CA @ El Rey Theatre
2/16: San Francisco, CA @ Popscene @ Rickshaw Stop
2/17: Portland, OR @ Doug Fir
2/18: Seattle, WA @ Crocodile
2/20: Vancouver, BC @ Commodore
2/21: Kamloops, BC @ Blue Grotto
2/22: Calgary, AB @ Republik
2/23: Edmonton, AB @ Starlite
2/25: Winnipeg, MB @ West End Cultural Centre
2/26: Minneapolis, MN @ 7th Street Entry
2/27: Chicago, IL @ Subterranean
2/29: Columbus, OH @ The Basement
3/01: Toronto, ON @ The Mod Club
3/03: Brooklyn, NY @ Music Hall Of Williamsburg
3/05: New York, NY @ Bowery Ballroom
3/07: Washington, DC @ 930 Club
3/08: Hoboken, NJ @ Maxwell's
3/09: Boston, MA @ Middle East
3/10: Philadelphia, PA @ Union Transfer
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text:
My dermatologist suggested that I try Yaz, because he suspects my acne is hormonal. Is this really helpful, or is there a chance that it will cause an acne flare-up? It happened when I went on Retin-A.
Is There a Chance That Yaz Will Cause Acne Breakouts?
Doctor Answers 3
Hormonal medications may contribute to acne
Any hormonal medication may contribute to acne. I cannot speak for your dermatologist, but I will say that perhaps he is trying to taper your hormonal fluxes that occur with your menstrual cycle to minimize the acne occurrences. The BCP will adjust your bodies hormone levels and may help.
Vitamin A or Retin A is typically used to improve skin and actually prevent acne. It can cause some significant skin reaction during the first few weeks of use. This really depends on how mucha nd how often you are using the product.
Good luck.
Yaz will cause a flare up of acne but only temporarily
Yaz , like all BCPs , do cause fluctuations in your hormone levels for 3-4 months when you first start them and also when you first end them. During this 3-4 month period, acne flares also as your hormones fluctuate but not as much as other BCPs, then acne improves in most patients and stays calm for a long time. Good Luck, David Hansen,MD
Hormones and Acne
You might also like...
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


text: 'Wall Street Journal' debuts cover wrap Published on December 05, 2008. Most Popular New York—For the first time in its history, The Wall Street Journal ran an advertiser's cover wrap on Thursday. The Dell Inc. wrap covered one-third of the front page and all of the back. In this article: BtoB


text:
Torres. Key to the title?
One man cannot win a title, but he can make a huge difference. Last season, Cristiano Ronaldo did. And this year? There are several reasons for believing that a 19-season wait might just end but the most compelling one wears Liverpool's No. 9 shirt. Fernando Torres managed 33 goals last year, but silverware eluded him. But when Torres takes aim, he usually hits the target.
Eight days after his brace decided the Merseyside derby, Torres made it back-to-back Premier League doubles. More importantly, he rescued Liverpool from a seemingly irretrievable position, rousing them from a performance that, for 45 minutes, was at best mediocre. In the process, he provided Manchester City with an unwanted reminder of the chasm between the genuine contenders and their wealthy pursuers.
City may covet Torres. They are unlikely to get him. Dirk Kuyt's warning that Steven Gerrard cannot be prised from Anfield (or maybe, if it is ever built, the new Anfield) may also apply to the top scorer. There are, it appears, some players money cannot buy. Yet with a deserved two-goal advantage at half-time, City seemed to be heralding their arrival among the elite. What followed was a comeback to rank among Liverpool's finest. There were mentions of Istanbul afterwards, and they were justified.
Normally, however, such memorable fight-backs are orchestrated by Gerrard. While the hitherto quiet captain was involved in the first two goals, however, the catalyst was Torres.
''We know how important Torres is for us,'' said Rafa Benitez. ''He's always a threat for defenders, he can score and also his mentality.'' He displayed a characteristic combination of instinct and timing to arrive in City's six-yard box to convert Alvaro Arbeloa's low cross.
Gerrard, who had begun that move, then whipped in the corner that Torres met with an emphatic header for his second goal. An unusually glaring miss deprived the Spaniard of a hat-trick but, in added time, Yossi Benayoun cut the ball back from the byline for Torres. His shot rebounded off Robbie Keane, but into the path of Kuyt, who mustered a Premier League goal for the first time since November.
By that stage, both sides had been reduced to 10 men, but their attitudes were instructive. City were depleted when Pablo Zabaleta's reckless tackle on Xabi Alonso resulted in a red card. It was just, but a sense of injustice remained at the City of Manchester Stadium.
Liverpool, having made all three substitutions, had Martin Skrtel stretchered off. Benitez is often branded cautious, but his decision to deploy just three defenders and press for a winner was promptly justified.
''Physically we are in a good condition,'' said the manager, whose team have become second-half specialists, with only Manchester United's Wes Brown scoring for them in the first 45 minutes. ''Credit for the mentality of some of the key players. The positive thing is the reaction of the players, the character and belief is the key. The determination was fantastic, much better in the second half than in the first half.''
That is an understatement. City shone for 45 minutes, negating the strong spine to the Liverpool side by attacking intelligently on either flank. Both goals came from moves on their right wing. For the opener, Shaun Wright-Phillips' cross found its way, via a combination of Arbeloa and Robinho, to Stephen Ireland to wallop his shot in.
Wright-Phillips' played a pivotal part in the second. Unable to halt him legally, Albert Riera fouled him and Javier Garrido beat Jose Reina with a magnificent free kick.
While a cheaply-acquired Spaniard could score from 25 yards, a costly Brazilian could not from four. After Wright-Phillips travelled 70 yards with the ball, his cross was volleyed over by Robinho. That would have been 3-1 and, in all probability, game over.
What followed was significant. The replacement of the hapless Fabio Aurelio, who had been tormented by Wright-Phillips, with Andrea Dossena was both a merciful release and the key to subduing City's outstanding individual.
''I thought we were excellent in the first half,'' said Mark Hughes. ''We really took the game to a very strong Liverpool side, a big strong adept side. We caused them as many problems as any side this season.''
That includes Manchester United and Everton and is a correct assessment. But given City's first-half superiority, Liverpool's response was equally significant. There are teams who frequently score late goals and, even when they involve ricochets, it is rarely a consequence they do.
Level on points with Chelsea and with Manchester United's habit of scoring in the final stages, Liverpool are very much in the title race.
MAN OF THE MATCH: Fernando Torres
There is a case for Shaun Wright-Phillips, who was superb, but Torres was the man who turned the match Liverpool's way.
MOAN OF THE MATCH: Many of the Manchester City fans informed referee Peter Walton that he wasn't fit to referee after Zabaleta's departure. They should reconsider: the Argentinian's challenge was precisely the sort of dangerous tackle that warrants a straight red card.
MANCHESTER CITY VERDICT: Their quartet of attacking midfielders showed that this is a side of genuine creativity. Wright-Phillips was the pick of the quartet but some of Elano's contributions, whether his passing or his tracking back, were also noteworthy. Yet City may require the balance Martin Petrov, often their best player last season, offers as well as a finishing touch. The underwhelming Jo, thus far, does not look a £19 million striker.
LIVERPOOL VERDICT: It was a remarkable second half but, once again, the dependence upon Gerrard and Torres was outlined. While Kuyt actually managed the decisive goal, they are the two proven match-winners and the two potential additions to that select band, the wild card Ryan Babel and Keane, were only on the bench. Albert Riera and Kuyt were preferred to the former on the flanks to add solidity and balance. They certainly provided the latter, along with cover for the struggling full-backs. Bringing in Dossena for Aurelio would mean there was less need for the left winger to track back, though.
OUT OF THE CUPS: Manchester City may be the richest club in the world, but that did not stop them running out of polystyrene cups. Evidently the billions from the Gulf are not being invested at Asda.
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text:
Biofuel production is certainly one of the culprits in the current global food crisis. But while the diversion of corn from food to biofuel feedstock has been a factor in food prices shooting up, the more primordial problem has been the conversion of economies that are largely food-self-sufficient into chronic food importers. Here the World Bank, International Monetary Fund (IMF), and the World Trade Organization (WTO) figure as much more important villains.
Whether in Latin America, Asia, or Africa, the story has been the same: the destabilization of peasant producers by a one-two punch of IMF-World Bank structural adjustment programs that gutted government investment in the countryside followed by the massive influx of subsidized U.S. and European Union agricultural imports after the WTO's Agreement on Agriculture pried open markets. .
African agriculture is a case study of how doctrinaire economics serving corporate interests can destroy a whole continent's productive base.
From Exporter to Importer
At the time of decolonization in the 1960s,
Agriculture is in deep crisis, and the causes are many, including civil wars and the spread of HIV-AIDS. However, a very important part of the explanation was the phasing out of government controls and support mechanisms under the structural adjustment programs to which most African countries were subjected as the price for getting IMF and World Bank assistance to service their external debt.
Instead of triggering a virtuous spiral of growth and prosperity, structural adjustment saddled
Lifting price controls on fertilizers while simultaneously cutting back on agricultural credit systems simply led to reduced applications, lower yields, and lower investment. One would have expected the non-economist to predict this outcome, which was screened out by the Bank and Fund's free-market paradigm. Moreover, reality refused to conform to the doctrinal expectation that the withdrawal of the state would pave the way for the market and private sector to dynamize agriculture. Instead, the private sector believed that reducing state expenditures created more risk and failed to step into the breach. In country after country, the predictions of neoliberal doctrine yielded precisely the opposite: the departure of the state "crowded out" rather than "crowded in" private investment. In those instances where private traders did come in to replace the state, an Oxfam report noted, "they have sometimes done so on highly unfavorable terms for poor farmers," leaving "farmers more food insecure, and governments reliant on unpredictable aid flows." The usually pro-private sector Economist agreed, admitting that "many of the private firms brought in to replace state researchers turned out to be rent-seeking monopolists."
What support the government was allowed to muster was channeled by the Bank to export agriculture – to generate the foreign exchange earnings that the state needed to service its debt to the Bank and the Fund. But, as in
As in many other regions, structural adjustment in
The Role of Trade
Compounding the negative impact of adjustment were unfair trade practices on the part of the EU and the
These dismal outcomes were not accidental. As then-U.S. Agriculture Secretary John Block put it at the start of the Uruguay Round of trade negotiations in 1986, "the idea that developing countries should feed themselves is an anachronism from a bygone era. They could better ensure their food security by relying on
What Block did not say was that the lower cost of
The social consequences of structural adjustment cum agricultural dumping were predictable. According to Oxfam, the number of Africans living on less than a dollar a day more than doubled to 313 million people between 1981 and 2001 – or 46% of the whole continent. The role of structural adjustment in creating poverty, as well as severely weakening the continent's agricultural base and consolidating import dependency, was hard to deny. As the World Bank's chief economist for
That was, however, a rare moment of candor. What was especially disturbing was that, as
The Case of
This stubbornness led to tragedy in
It was a tragedy preceded by success. In 1998 and 1999, the government initiated a program to give each smallholder family a "starter pack" of free fertilizers and seeds. This followed several years of successful experimentation in which the packs were provided only to the poorest families. The result was a national surplus of corn. What came after, however, is a story that will be enshrined as a classic case study in a future book on the 10 greatest blunders of neoliberal economics.
The World Bank and other aid donors forced the drastic scaling down and eventual scrapping of the program, arguing that the subsidy distorted trade. Without the free packs, food output plummeted. In the meantime, the IMF insisted that the government sell off a large portion of its strategic grain reserves to enable the food reserve agency to settle its commercial debts. The government complied. When the crisis in food production turned into a famine in 2001-2002, there were hardly any reserves left to rush to the countryside. About 1,500 people perished. The IMF, however, was unrepentant; in fact, it suspended its disbursements on an adjustment program with the government on the grounds that "the parastatal sector will continue to pose risks to the successful implementation of the 2002/03 budget. Government interventions in the food and other agricultural markets…crowd out more productive spending."
When an even worse food crisis developed in 2005, the government finally had enough of the Bank and IMF's institutionalized stupidity. A new president reintroduced the fertilizer subsidy program, enabling two million households to buy fertilizer at a third of the retail price and seeds at a discount. The results: bumper harvests for two years in a row, a surplus of one million tons of maize, and the country transformed into a supplier of corn to other countries in
But the World Bank, like its sister agency, still stubbornly clung to the discredited doctrine. As the Bank's country director told the Toronto Globe and Mail, "All those farmers who begged, borrowed, and stole to buy extra fertilizer last year are now looking at that decision and rethinking it. The lower the maize price, the better for food security but worse for market development."
Fleeing Failure
Beyond Africa, even former supporters of adjustment, like the International Food Policy Research Institute (IFPRI) in
Unable to deny the obvious, the Bank has finally acknowledged that the whole structural adjustment enterprise was a mistake, though it smuggled this concession into the middle of the 2008 World Development Report, perhaps in the hope that it would not attract too much attention. Nevertheless, it was a damning admission:
Structural adjustment in the 1980's dismantled the elaborate system of public agencies that provided farmers with access to land, credit, insurance inputs, and cooperative organization. The expectation was that removing the state would free the market for private actors to take over these functions—reducing their costs, improving their quality, and eliminating their regressive bias. Too often, that didn't happen. In some places, the state's withdrawal was tentative at best, limiting private entry. Elsewhere, the private sector emerged only slowly and partially—mainly serving commercial farmers but leaving smallholders exposed to extensive market failures, high transaction costs and risks, and service gaps. Incomplete markets and institutional gaps impose huge costs in forgone growth and welfare losses for smallholders, threatening their competitiveness and, in many cases, their survival.
In sum, biofuel production did not create but only exacerbated the global food crisis. The crisis had been building up for years, as policies promoted by the World Bank, IMF, and WTO systematically discouraged food self-sufficiency and encouraged food importation by destroying the local productive base of smallholder agriculture. Throughout
Walden Bello is a senior analyst at Focus on the Global South, a program of
1. Charles Abugre, "Behind Crowded Shelves: as Assessment of Ghana's Structural Adjustment Experiences, 1983-1991," (San Francisco: food First, 1993), p. 87.
2. "Trade Talks Round Going Nowhere sans Progress in Farm Reform," Business World (Phil), Sept. 8, 2003, p. 15
3. Quoted in "Cakes and Caviar: the Dunkel Draft and
4. Morris Miller, Debt and the Environment: Converging Crisis (New York: UN, 1991), p. 70.
5. Ngaire Woods, The Globalizers: the IMF, the World Bank, and their Borrowers (Thaca:


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We have received an information that Artem Kruchin and Vera Alkevich dance together and they will represent England. See their profile page.
Artem danced for Russia before. With his partner Oksana Vetis he was third at the Russian RTS Youth II Latin and 6th in Under 21 Latin in Blackpool and International Championships. Vera danced for England with Dan Malov. They were semifinalists of the Under 21 Latin at the International Championships in 2012 and were 4th in the national British Closed in the same age group.
Artem and Vera will compete in Under 21 and Amateur and their first competition will be International Championship.
Good luck and see you soon on the dance floor


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There's a lot to love about the Ford Canada Drive to Discover Tour taking place right now all across the country. From hands-on time with some of our 2013 lineup, to activities for all the family to enjoy, we've got you covered. Read on and find out what you can drive and discover!
Focus Electric 360. Grab an iPad and take a 360-degree tour of Ford's first all-electric vehicle. Stroll through all the features this EV has to offer with simple, interactive demonstrations.
Make Your Escape Adventure Video. Choose from one of four exciting action scenarios, get suited up, jump in front of the blue screen and make your video come to life. Our experts will send you a link you can share with family and friends via email, Twitter and Facebook!
Escape Cargo Challenge. Test your mind and your body with our cargo challenge. It's a race against time to get all the blocks to fit into the back of the 2013 Escape's massive cargo space. Can you do it?
The Escape Augmented Reality Kiosk. Get hands-on time with the technology in the Escape: you can fly around the animations showing just how cool stuff like the "kick to open" power liftgate is.
Fusion Drive Challenge. Learn more about the all-new Fusion while having a blast with our racing game! Grab the wheel and test your coordination and knowledge of the 2013 ride.
Active Park Assist Demonstration. Ever seen a self-parking car in person? The 2013 Escape is ready to show you the future of city parking – just climb behind the wheel and experience for yourself just how easy and fun parallel parking can be!
And of course, take your favourite Ford for a test drive! We're giving you the chance to jump into the all-new Focus Electric, Fiesta and Escape. We're so proud of our new lineup that we want you to see, and try them, for yourself!
Check out the Drive to Discover home page now to find out when the Drive to Discover Tour hits your town.
See you there!


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February 21, 2014, 7:00 PM
7 PM (2013) Five live action short films up for Oscar. R/2 hrs. See all of this year's Oscar nominated live action short films: "That Wasn't Me," "Just Before Losing Everything," "Helium," "Do I Have To Take Care Of Everything?" "The Voorman Problem"


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Sierra Club Canada: Great Lakes organizations alarmed with IJC's 'advice'
Great Lakes organizations alarmed with the International Joint Commission's "Adaptive Management" advice instead of dealing with a significant cause of the record-setting low water levels on Lakes Michigan/Huron/Georgian Bay
By: Sierra Club Canada:
TORONTO – As water levels in Lakes Michigan, Huron and Georgian Bay set new monthly record lows, the International Joint Commission (IJC) has recently sent signals that it will ignore the public's concern and request for a viable solution, announcing instead a 'Great Lakes Regional Adaptive Management Plan'.
In January of 2013, American IJC Commissioner Dareth Glance acknowledged that water levels were getting lower but still "within historical ranges". Ms. Glance said that because there is "so much uncertainty", both the Canadian and American governments should simply 'adapt' to the reality of lower water levels.
However water levels in Michigan/Huron/Georgian Bay have declined far more than those of the other Great Lakes and show no signs of either leveling off or rising after 13 years of low levels. Ongoing erosion from earlier dredging of the St. Clair River and removal of the sand content of the water is causing excess outflow from Michigan/Huron/Georgian Bay through the lower lakes and out into the Atlantic Ocean. This in turn results in local wetlands being drained and shorelines exposed to new invasive species, causing the ecosystem to deteriorate rapidly.
The Commissioners did hear a loud and clear message at their summer 2012 public hearings around the Great Lakes – "Restore Our Water Levels." At the conclusion of the IJC hearings Canadian Commissioner Lyall Knott said "we hear you loud and clear – restore our water levels." The over 1,200 public attendees at the Georgian Bay hearings alone will not be happy to learn the IJC is now telling them to get used to lower water levels. The one thing that is not needed now is more "study". "We need solutions now," says Mary Muter, the Chair of the Sierra Club Ontario's Great Lakes Section.
"We expect the recent numbers to get worse, compounding the effects," says Dr. Pat Chow-Fraser, Director of Life Sciences at McMaster University, who monitors the damage to the ecosystem. "Lack of snow and ice means more evaporation in winter, and even lower water levels next spring. The Michigan/Huron/Georgian Bay ecosystem is being affected most profoundly."
A viable solution to the water loss was submitted to the IJC by the Sierra Club, a national environmental organization, in the summer of 2012. It proposed submerged sills, or water 'speed bumps', in the St. Clair River, which would slow down the water flow and allow the Michigan/Huron/Georgian Bay levels to rise gradually over time – and allow wetlands to flood again, fish to be able to get into rivers to spawn again. These sills are based on a design agreed upon by both Canada and the US in 1962, and their shared cost over several years would be an estimated $200-million (CDN) to install. This price tag is a bargain compared to the cost of doing nothing except to keep dredging and blasting to maintain access. Local stakeholders are watching the frightful scene of billions of dollars being lost due to lightly loaded cargo ships, dried up harbours, marinas and wetlands, a steady decline in recreational fishing, and continued algal blooms.
"At these numbers, it would take years of consistent rain to naturally improve the situation." says Roger Gauthier, a retired hydrologist of the US Army Corps of Engineers (USACE) "Continued dredging and blasting on Michigan/Huron/Georgian Bay can only do so much. We cannot continue to spend billions of dollars when there is a viable economically and environmentally responsible solution. Both our countries agreed to compensation and it is high time the terms of that agreement were now met."
"The cost of doing nothing now is in the billions – and increased ecosystem damage" says Mary Muter. "Water levels can be restored responsibly by gradually installing sills at the head of the St. Clair River to meet the terms of the 1956 bi-national agreement as a condition of dredging the St. Clair River for the St. Lawrence Seaway Project. It's time for governments to work together to finish the job, before we have further disasters."
For more information, please visit www.restoreourwater.com where there is background information on this crisis.
Images: Sierra Club Canada
The Canadian Progressive recommends:
- Sierra Club Canada statement on civil disobedience
- Canada's Lake Winnipeg is "Threatened Lake of the Year 2013″
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Latest posts by Guest Blog (see all)
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- Michael Geist: Why Journalism is not Dying in the Digital Age - February 27, 2016


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:barf2:KISSES to YOU KATHY!!!!
Printable View
:barf2:KISSES to YOU KATHY!!!!
Boy do i HEAR YOU on THAT ONE! UGH huh! LOL:laugh:
Hi Kathy!
How are you? How's the treatment going?
Just got back from Rhuem. He said i still have protein in urine, and my vitamin D levels are very low.. 16? I have a appointment with nephro still to see if i need kidney biopsy end of march. I was prescribed 50000 iu calcium every week. Also he said i do have raynauds, and Sjogrens. Hugs to every one luv Kathy
AWWWW, PLEASE do what YOU HAVE to do and NEED to do to get better Sexy Cherokee MAMA!!!!! You will get through this and we are here to HELP YOU do so!!!!! YOU WILL PREVAIL!!!! SENDING YOU HUGS and LOVE!!! :heart::headbang::hug::barf2:


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Peter Job teaches English and humanities at Dandenong High School and has a Master of Education from Monash University.
Posted| Updated
While Australia continues to perform well above the OECD average in education, politicians are selectively mining international data to paint an unrelenting tale of woe.
For them, it doesn't matter what the evidence says: the assumption is that teachers are underperforming and will only improve if forced to do so.
Never mind the fact that Australia's modest decline in education performance has occurred during a time of politicisation, government interference and declining respect for teacher professionalism.
Topics: education, teachers, states-and-territories, federal-government
Labor's flagship education initiatives NAPLAN and My School are responsible for narrowing learning, while its funding reforms represent a largely squandered opportunity.
Topics: education, schools, federal-government, alp
Posted| Updated
As a long-time advocate for refugees, I discovered early on a pattern of error and delay by the federal government in assessing refugee claims.
Now, the policies of mandatory detention and offshore warehousing are no longer the gravest threat to which refugees are subjected. The increasing numbers of deaths at sea are an even greater evil.
But claims that "tough" asylum seeker policies are motivated by the goal of preventing deaths at sea falter on the overwhelming fact that they have consistently failed to do so. There is a better approach.
Topics: refugees, federal-government, government-and-politics
Posted| Updated
State schools do the heavy lifting in Australia, and without Labor's promised funding boost, the potential of their students will be further squandered.
The debate over 'teacher quality' is often accompanied by the myth that Australian teachers are below standard and that our education system is failing.
There is little that schools and teachers can gain from the NAPLAN tests. So why continue with a system that has failed?


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Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy Post Approval Registry (MADIT-CRT PAR)
This study has been completed.
Boston Scientific Corporation
Information provided by (Responsible Party):
Boston Scientific Corporation
ClinicalTrials.gov Identifier:
First received: February 7, 2011
Last updated: December 3, 2014
Last verified: March 2014
- Full Text View
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
Detailed Description:
MADIT-CRT PAR is an FDA mandated follow-up registry for patients that participated in the MADIT-CRT IDE study examining long-term mortality.
|Heart Failure
|Device: MADIT-CRT ICD Device: MADIT-CRT CRT-D
|Study Type:
|Study Design:
|Observational Model: Cohort
Time Perspective: Prospective
|Official Title:
|Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy Post Approval Registry
Resource links provided by NLM:
MedlinePlus related topics: Pacemakers and Implantable DefibrillatorsU.S. FDA Resources
Further study details as provided by Boston Scientific Corporation:
Primary Outcome Measures:
- All-Cause Mortality [ Time Frame: 5 years ]Outcome measured for total population. Not broken down by indication received.
|Study Start Date:
|March 2011
|Study Completion Date:
|November 2013
|Primary Completion Date:
|October 2013 (Final data collection date for primary outcome measure)
|Assigned Interventions
Device: MADIT-CRT ICD
Patients that were randomized to the the implantable cardioverter defibrillator (ICD) device for the study.
Other Name: Market approved Boston Scientific implantable cardioverter defibrillators
Device: MADIT-CRT CRT-D
Patients that were randomized to the the cardiac resynchronization therapy with defibrillation (CRT-D) device for the study.
Other Name: Boston Scientific market approved cardiac resynchronization therapy defibrillators
Detailed Description:
The registry is designed to determine the long-term mortality benefit as a result of Cardiac Resynchronization Therapy with Defibrillation (CRT-D) vs. Implantable Cardioverter Defibrillator (ICD) therapy in the MADIT-CRT study patient population. The registry will collect data on patients that previously participated at MADIT-CRT sites within the US through five years of participation from their orginal enrollment in the MADIT-CRT IDE study (MADIT-CRT IDE: NCT00180271).
|Ages Eligible for Study:
|21 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Probability Sample
Study Population
The registry involves only those patients that participated in the MADIT-CRT IDE study within the United States.
Inclusion Criteria:
- Active patients who were enrolled in the MADIT-CRT IDE (NCT00180271)within the United States
Exclusion Criteria:
- Patients who are unable or unwilling to comply with the protocol requirements
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01294449
Please refer to this study by its ClinicalTrials.gov identifier: NCT01294449
|United States, New York
|University of Rochester /Strong Memorial
|Rochester, New York, United States, 14642
Sponsors and Collaborators
Boston Scientific Corporation
|Principal Investigator:
|Arthur J Moss, MD
|University of Rochester Heart Research Follow-up Program
More Information
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Biton Y, Kutyifa V, Cygankiewicz I, Goldenberg I, Klein H, McNitt S, Polonsky B, Ruwald AC, Ruwald MH, Moss AJ, Zareba W. Relation of QRS Duration to Clinical Benefit of Cardiac Resynchronization Therapy in Mild Heart Failure Patients Without Left Bundle Branch Block: The Multicenter Automatic Defibrillator Implantation Trial with Cardiac Resynchronization Therapy Substudy. Circ Heart Fail. 2016 Feb;9(2):e002667. doi: 10.1161/CIRCHEARTFAILURE.115.002667.
Biton Y, Zareba W, Goldenberg I, Klein H, McNitt S, Polonsky B, Moss AJ, Kutyifa V; MADIT‐CRT Executive Committee. Sex Differences in Long-Term Outcomes With Cardiac Resynchronization Therapy in Mild Heart Failure Patients With Left Bundle Branch Block. J Am Heart Assoc. 2015 Jun 29;4(7). pii: e002013. doi: 10.1161/JAHA.115.002013.
Daimee UA, Moss AJ, Biton Y, Solomon SD, Klein HU, McNitt S, Polonsky B, Zareba W, Goldenberg I, Kutyifa V. Long-Term Outcomes With Cardiac Resynchronization Therapy in Patients With Mild Heart Failure With Moderate Renal Dysfunction. Circ Heart Fail. 2015 Jul;8(4):725-32. doi: 10.1161/CIRCHEARTFAILURE.115.002082. Epub 2015 Jun 2.
Goldenberg I, Kutyifa V, Klein HU, Cannom DS, Brown MW, Dan A, Daubert JP, Estes NA 3rd, Foster E, Greenberg H, Kautzner J, Klempfner R, Kuniss M, Merkely B, Pfeffer MA, Quesada A, Viskin S, McNitt S, Polonsky B, Ghanem A, Solomon SD, Wilber D, Zareba W, Moss AJ. Survival with cardiac-resynchronization therapy in mild heart failure. N Engl J Med. 2014 May 1;370(18):1694-701. doi: 10.1056/NEJMoa1401426. Epub 2014 Mar 30.
Skali H, Dwyer EM, Goldstein R, Haigney M, Krone R, Kukin M, Lichstein E, McNitt S, Moss AJ, Pfeffer MA, Solomon SD. Prognosis and response to therapy of first inpatient and outpatient heart failure event in a heart failure clinical trial: MADIT-CRT. Eur J Heart Fail. 2014 May;16(5):560-5. doi: 10.1002/ejhf.71. Epub 2014 Feb 27.
Campbell P, Takeuchi M, Bourgoun M, Shah A, Foster E, Brown MW, Goldenberg I, Huang DT, McNitt S, Hall WJ, Moss A, Pfeffer MA, Solomon SD; Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy (MADIT-CRT) Investigators. Right ventricular function, pulmonary pressure estimation, and clinical outcomes in cardiac resynchronization therapy. Circ Heart Fail. 2013 May;6(3):435-42. doi: 10.1161/CIRCHEARTFAILURE.112.000127. Epub 2013 Mar 22.
|Responsible Party:
|Boston Scientific Corporation
|ClinicalTrials.gov Identifier:
|NCT01294449 History of Changes
|Other Study ID Numbers:
|Study First Received:
|February 7, 2011
|Results First Received:
|August 25, 2014
|Last Updated:
|December 3, 2014
Additional relevant MeSH terms:
Heart Failure
Heart Diseases
Cardiovascular Diseases
ClinicalTrials.gov processed this record on September 21, 2017


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Ripping Runways Magazine Model Casting Calls 2018 Print Model Search
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Ripping Runways Magazine Model Casting Calls 2017
International Magazine Print Model of The Year Search NYC
Miss 2018 Ripping Runways Magazine Print Model of the Year international model search NYC for a select group of fashion savvy, gorgeous and glamorous aspiring female models ages 18-35 that have great model posing qualities and would like to become Miss 2018 Ripping Runways Magazine Print Model of the Year and receive a free magazine photo feature in this internationally known online magazine that is respected worldwide for featuring the most glamorous and fashion savvy models in the world since 2012.
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Ripping Runways Magazine will be selecting a fashion savvy female Print Model of the Year for Miss 2018 Ripping Runways Magazine and other fashion savvy female models that will also be featured with her in the January 2018 Issue of Ripping Magazine.
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Episode 49 —
Main articleFrom Creation magazine ()
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