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Study Forecasts Major Oncologist Shortage by 2020
Developed for the American Society of Clinical Oncology (ASCO) by the Association of American Medical Colleges (AAMC), the report estimates that by 2020 visits to oncologists will increase by 48 percent, while the projected supply of oncologists is expected to grow by only 14 percent over the same time period. The result: A shortfall of 9.4 to 15.1 million visits annually. Read more
Guest Update by Dr. Martin Brown
NCI Surveillance Program Helped Project Oncologist Shortage
The leadership of ASCO should be commended for sponsoring the AAMC report on the U.S. oncology work force. The conclusions they reach are clearly concerning: A potential shortage of 2,550 to 4,080 oncologists in the United States by 2020. In many respects, the fact that a shortage is being projected is not surprising. We have known for some time that the population is aging and that, as a result, cancer incidence and prevalence are likely to increase. Using data from SEER and the SEER-Medicare Linked Database, NCI was able to generate specific projections of cancer prevalence and of the demand for oncology services through 2020. These data, combined with information on medical school graduation rates and reports from other specialty medicine groups about work force availability, raise concerns that there may be a shortage of oncologists over the next two decades. Read more
Study Forecasts Major Oncologist Shortage by 2020
An estimated doubling of the number of people over age 65 over the next two decades and simultaneous increases in cancer incidence, prevalence, and survivorship are expected to create a situation where the number of cancer patients far outstrips the number of oncologists available to treat them, according to a new report released last week.
Developed for the American Society of Clinical Oncology (ASCO) by the Association of American Medical Colleges (AAMC), the report estimates that by 2020 visits to oncologists will increase by 48 percent, while the projected supply of oncologists is expected to grow by only 14 percent over the same time period. The result: A shortfall of 9.4 to 15.1 million visits annually.
"We think this is a very serious situation that deserves a response sooner rather than later," said study co-author Dr. Edward Salsberg, director of the AAMC Center for Workforce Studies.
"The whole force of the medical care delivery system is going to really be challenged 10, 15 years from now to meet what we see is a greatly increased demand [for oncology services]," added Dr. Michael Goldstein, a study co-author from Beth Israel Deaconess Medical Center in Boston and chair of the ASCO Task Force on the Oncology Workforce.
To develop its work force supply estimates, AAMC used new and existing surveys of current oncology fellows, directors of oncology fellowship programs, and 4,000 practicing oncologists from across the country. The demand component of the study relied on incidence and prevalence estimates and oncologist visit rates developed by NCI staff from the Health Services and Economics Branch and the Statistical Research and Applications Branch in the Division of Cancer Control and Population Sciences (DCCPS), using data from the Surveillance, Epidemiology and End Results (SEER) program and the SEER-Medicare Linked Database (see the Director's Update for more details).
A number of specialty physician organizations and other groups have released similar forecasts over the past few years, including projections of shortfalls in cardiology, critical/emergency care, and primary care.
For specialties like cardiology and oncology, the "graying" population is particularly concerning, because both heart disease and cancer are closely associated with older age. In addition, the available data suggest the physician pipeline isn't robust enough to satisfy future demand. For example, according to a study published last year in Academic Medicine, the number of physicians retiring annually will swell from 9,000 in 2000 to more than 22,000 by 2020, with no expected corresponding growth in medical school graduates. And, Dr. Goldstein explained, based on the survey responses from oncology fellowship program directors, funding issues will limit any increase in the number of oncology fellowship slots to an estimated 8 percent by 2010-11.
In the ASCO/AAMC study, the baseline supply/demand analysis was performed assuming that current physician practices (number of patient visits, use of physician assistants and nurse practitioners) and care delivery patterns would remain the same. However, different scenarios were modeled to account for potential changes that could affect both supply and demand, including greater use of electronic medical records (EMRs), delaying retirement of existing physicians, and greater reliance on primary care physicians during certain care periods.
Some changes made the work force shortfall less severe, particularly expanded use of EMRs and creating more oncology fellowship positions. But no single measure or combination was a panacea, and there were also factors that could exacerbate the shortfall.
"The bottom line is that no matter which scenario we looked at, it is likely the shortage will continue," Dr. Salsberg said.
ASCO has assembled an implementation group with expertise in clinical practice, cancer education, research, and oncology training to develop recommendations to address the projected shortfall. The recommendations, which are expected by the end of the year, will initially focus on areas like joint initiatives with nonphysician oncology professionals and general practice physicians, modifications to oncology fellowship training programs, and guidance from ASCO on how oncology practices can improve efficiency.
By Carmen Phillips
Guest Update by Dr. Martin Brown
NCI Surveillance Program Helped Project Oncologist Shortage
The leadership of ASCO should be commended for sponsoring the AAMC report on the U.S. oncology work force. The conclusions they reach are clearly concerning: A potential shortage of 2,550 to 4,080 oncologists in the United States by 2020.
In many respects, the fact that a shortage is being projected is not surprising. We have known for some time that the population is aging and that, as a result, cancer incidence and prevalence are likely to increase. Using data from SEER and the SEER-Medicare Linked Database, NCI was able to generate specific projections of cancer prevalence and of the demand for oncology services through 2020. These data, combined with information on medical school graduation rates and reports from other specialty medicine groups about work force availability, raise concerns that there may be a shortage of oncologists over the next two decades.
With this new report, we now have a credible analysis from which the cancer and medical communities can begin to work together to address a serious situation, something ASCO is already doing with the assembly of an expert Workforce Implementation Group.
NCI's contribution to this report was important, because it helped to quantify in the most accurate way possible the demand component of the analysis. We were able to do this because of NCI's commitment to cancer surveillance research resources and personnel.
Dr. Angela Mariotto and colleagues from the Statistical Research Applications Branch in DCCPS used SEER data from 2000 to 2002 and applied it to the most recent U.S. Census Bureau population projections to develop a rigorous method for projecting incidence and prevalence for all cancers from 2000 through 2020. That work led to a forecast of a 48-percent increase in cancer incidence and an 81-percent increase in people living with or surviving cancer over this time period.
Dr. Joan Warren and colleagues from the Health Services and Economics Branch in DCCPS used data from the SEER-Medicare database to construct a model that separated out oncologist visit rates by patient sex, age, and time of diagnosis during patients' first 12 months after diagnosis, last 12 months of life, and the period in between.
These analyses made it possible for the ASCO/AAMC study team to develop a clearer picture of important trends in cancer care, particularly the influence of increased cancer survivorship. These analyses revealed that two-thirds of the projected visits to oncologists in 2020 will be made by patients who are more than 1 year post-diagnosis.
That is likely due, in part, to the benefits being seen with adjuvant chemotherapy in breast and other cancers, and it means that, moving forward, oncologists will be involved in direct patient care with individual patients over longer periods of time. As a result, they may need to depend more on physician assistants and nurse practitioners and consult more closely with patients' primary care physicians. Physician-patient communication and coordination of care, already topics of concern for U.S. health care delivery, will become even more important. Surveillance of such trends will be critical to a better understanding of the quality of cancer care and where, perhaps, efficiencies in care can be gained.
NCI staff are currently working on a paper for publication that will provide the technical details of how the demand projections that contributed to this important work force study were generated. In the interim, it's gratifying to yet again witness the power of our surveillance program and contribute to an important new study that will help shape cancer care.
New Molecular Imaging Compound Pinpoints Metastases in Mice
Researchers have created a new imaging compound that fluoresces only when processed by cancer cells. Use of this compound allowed scientists to visualize 92 percent of the very small tumors in the peritoneum - the tissue that lines the wall of the abdomen - in mice with ovarian cancer. The results were published in the March 15 Cancer Research.
The team led by Dr. Hisataka Kobayashi from the Molecular Imaging Program in NCI's Center for Cancer Research (CCR) created a compound consisting of the protein avidin, which binds to a protein commonly found on cancer cells that have spread to the peritoneum, joined to three molecules of the fluorescent compound rhodamine X. This complex, called Av-3ROX, is taken up by a cancer cell after binding to its surface and is subsequently broken down in the lysosome. When enzymes in the lysosome break the molecule into smaller pieces, the fluorescence from rhodamine X is released, enabling the cancer cell to be detected using imaging techniques.
To verify that Av-3ROX was specifically internalized into tumor cells, the investigators used cells that carried the gene for red fluorescent protein (RFP) to induce tumors and peritoneal metastases in mice. The investigators injected Av-3ROX into the peritoneum of the mice, captured fluorescent images of both Av-3ROX and RFP, and compared the number of metastases identified using both compounds. They found that Av3-ROX had 92 percent sensitivity and 98 percent specificity for the cancer cells.
Because Av-3ROX would cause an immune system reaction in humans, the researchers are now working on a second-generation compound that joins the binding site of avidin - the part that recognizes the cancer cells - to human serum albumin. The authors believe that this approach to molecular imaging "holds promise as a method of optically enhancing surgical or endoscopic procedures," and may allow for more complete surgical removal of metastatic disease.
Many Protein Kinase Genes Linked to Cancer
Researchers have cataloged the mutations in genes that produce protein kinases, which are enzymes that regulate other proteins and play a role in some cancers. Using DNA from 210 diverse human cancers, the researchers sequenced 518 protein kinase genes. Approximately 120 of the genes carried a mutation related to cancer development and may function as cancer genes, the researchers reported in the March 8 Nature.
Drs. Andrew Futreal and Michael Stratton of the Wellcome Trust Sanger Institute in Cambridge, U.K., and their colleagues identified more than 1,000 mutations in the gene family, but only some of these are so-called "driver" mutations that drive the cancer. The others are "passenger" mutations, which are present in tumors but may not contribute to disease. Their results suggest that most mutations in cancer cells are likely to be passenger mutations.
Mutations were relatively common in cancers of the lung, stomach, ovary, colon, and kidney, and rare in cancers of the testis and breast. "Given that we have studied only 518 genes and limited numbers of each cancer type, it seems likely that the repertoire of mutated human cancer genes is larger than previously envisaged," the researchers wrote.
Together with another large-scale sequencing study published in September 2006, this study presents a largely unbiased overview of the spectrum of mutations in human cancers, noted an editorial by Drs. Daniel Haber and Jeff Settleman of Massachusetts General Hospital. These studies suggest that "each cancer genome carries many unique abnormalities, and not all mutations identified contribute equally to the manifestation of the associated cancers," they wrote.
Study Compares Two-Transplant Treatments
An Italian clinical trial has shown that patients with newly diagnosed multiple myeloma (MM) who received a transplant of their own stem cells (an autologous stem cell transplant) and a second stem cell transplant from an "HLA-matched" sibling (an allogeneic stem cell transplant) had superior survival outcomes compared to patients who received two autologous stem cell transplants.
Published in the March 15 New England Journal of Medicine, the trial involved 162 consecutive patients with newly diagnosed MM who were under age 65 and had at least 1 sibling. Patients with a sibling whose blood cells expressed genetically identical surface antigens, human-leukocyte antigens - known as an HLA match - were offered the option of the autologous-allogeneic treatment regimen. The chances of a sibling being an HLA match are one in four.
Both patient groups received the same initial chemotherapy regimen at conventional dosing followed by high-dose myeloablative chemotherapy and an autologous stem cell transplant. Those with an HLA-matched sibling received radiation and an allogeneic stem cell transplant using the siblings' cells (60 patients); those without an HLA-identical sibling received another round of high-dose chemotherapy and a second autologous stem cell transplant (59 patients). Of these patients, 58 receiving allogeneic transplant and 46 receiving double autologous transplants completed treatment.
Allogeneic stem cell transplants, while they are considered to have greater curative potential because they have a stronger antitumor cell effect, have been associated with high treatment-related mortality rates. Combined regimens like the one used in the Italian trial that employ "reduced-intensity" chemotherapy or radiation before the allogeneic transplant "have lowered transplant-related mortality to approximately 15 percent," lead author Dr. Benedetto Bruno of the University of Turin and colleagues explained. But it has been unclear whether they offer a survival advantage.
In the trial, there was little difference in treatment-related mortality between the two groups; however, survival outcomes clearly favored those in the autologous-allogeneic transplant group - a 67-percent improvement in overall survival and a 53-percent improvement in event-free survival.
African Americans' Prostate Mortality Rooted in Class
Prostate cancer mortality is twice as high in African American men compared with white men, a fact often attributed to poor education, lack of awareness of the threat, and undiscovered genetic factors.
In fact, according to a study published online March 12 in Cancer, screening, treatment choices, and health behavior are all affected by barriers that "arise directly from the racial disparity in socioeconomic position, not reduced information or culturally based misunderstandings sometimes presumed to arise in its wake."
Dr. James A. Talcott of the Center for Outcomes Research at Harvard Medical School and colleagues surveyed 207 African American men and 348 white men from North Carolina who were recently diagnosed with prostate cancer. The disparities they found, generally attributed to lower social position, translate "into disadvantages in their medical care that may escape notice in studies that collect less detailed information than ours," wrote the authors.
For example, the researchers found that African Americans were more aware than white men of their prostate cancer risk and the responsibility to get screened. Yet they were less able to access good medical care because of less convenient health care settings, less public and private insurance coverage, and less flexible work circumstances.
Distrust of their physicians was also rooted in African Americans' health care experiences. Their lower income, educational level, and social status make them more likely to use public clinics and emergency rooms and less likely to receive continuity of care. They were also less likely to establish ongoing ties with a primary physician, had less frequent regular physical exams, and less follow-up on significant medical complaints. These findings led researchers to conclude that African Americans "are simply less likely to know their physicians and other providers well enough to develop trust."
Improving Mammography Quality, Expanding Screening Research
In passing the Mammography Quality Standards Act (MQSA) of 1992, Congress mandated efforts by the medical practice, research, and regulatory communities to improve the performance, quality assurance, and oversight of screening mammography in the United States. The Act authorized the Secretary of Health and Human Services to fund research establishing a breast cancer surveillance system that could assess more extensively mammography performance in clinical practice. Dr. Rachel Ballard-Barbash, associate director of DCCPS' Applied Research Program, explains that "NCI was assigned the mandate for supporting this research and in response to the Act established the Breast Cancer Surveillance Consortium."
Founded in 1994, BCSC originally consisted of independent centers studying the practice of breast cancer screening in their individual communities. However, it proved difficult to draw conclusive results from comparisons of similar but heterogenous data. NCI realized the potential of establishing an ongoing centralized database on women undergoing mammography, and increased the standardization of data collection and created a central pooled data resource from all of the centers. BCSC currently consists of five main research sites, two affiliated sites, and a statistical coordinating center located in Seattle, Washington.
"Because of the effort to create a pooled central research data resource, we now have data on over 5.5 million mammograms, representing over 2 million women. More than 52,000 cases of breast cancer have been diagnosed [at participating sites] over the 10 years that BCSC has been in operation," says Dr. Ballard-Barbash.
This large, standardized dataset presents a unique opportunity for investigators throughout the country to study how mammography screening performance may be improved and how breast cancer screening relates to changes in disease stage at diagnosis, survival, and mortality. In addition, investigators have used BCSC to study disparities in screening and risk factors for breast cancer. It has also been used as a resource for new investigator-initiated studies. Researchers from any organization can apply to use BCSC data for their projects.
"This work produced to date includes more than 235 peer-reviewed publications on a variety of issues, including factors that affect the quality of mammography interpretation and breast characteristics, like density, that affect the likelihood of both cancer occurrence and detection," says Dr. Stephen Taplin, project director of BCSC.
That breast density is a risk factor for breast cancer has become more widely known over the past several years, and this knowledge has been incorporated into several models for estimating an individual woman's risk. A new study using BCSC data published in the March 7 Journal of the National Cancer Institute now adds an important piece of information on the use of breast density in calculating risk - that two or more measurements of density over time may be better at predicting risk than a single measurement.
The investigators, led by Dr. Karla Kerlikowske from the University of California, San Francisco, used prospectively collected data from 301,955 women aged 30 or older, who were not taking hormone-replacement therapy and had undergone at least two mammograms at a BCSC center. Breast density was scored on a scale of 1 to 4, in order of increasing density, by the American College of Radiology Breast Imaging Reporting and Data Systems (BI-RADS) criteria.
By linking BCSC records to cancer registry data, a capability built into BCSC data collection methods, the investigators identified 2,639 incidences of breast cancer in the group. Women diagnosed with breast cancer were more likely to have received a breast density score of 3 or 4 on their first and last mammogram than women without cancer. Overall, a high breast density score assigned on the first or last mammogram was associated with an increased likelihood of breast cancer.
Importantly, the rate of breast cancer diagnosis increased for women whose breast density score increased from first to last mammogram, and conversely decreased for most women whose breast density score decreased from first to last mammogram, with the exception that risk remained high for women with a breast density score of 4 on their first mammogram.
These results show "that breast density is a very important risk factor for breast cancer, and that because density can change over time, one measure at one point in time may not accurately reflect how breast density affects a woman's risk of breast cancer," explains Dr. Kerlikowske. "If you have two measurements over time, those two measurements together are more likely to give you a better idea of how density increases your risk."
Dr. Kerlikowske and colleagues are now working on identifying the best time to measure a woman's breast density for use in a risk model. This work and other BCSC collaborations, including projects in partnership with NCI's Cancer Intervention and Surveillance Modeling Network and the American Cancer Society, will further leverage BCSC data to answer pressing questions about how best to use breast screening to help predict risk and reduce mortality, and how to improve mammography practices nationwide.
FDA Issues Warning on ESAs
On March 9, the U.S. Food and Drug Administration (FDA) notified health care professionals of new safety information for drugs which stimulate red blood cell growth. The erythropoiesis-stimulating agents (ESAs) are Aranesp (darbepoetin alfa), Epogen (epoetin alfa), and Procrit (epoetin alfa). Four new studies in patients with cancer found a higher chance of serious and life-threatening side effects or death with the use of ESAs. These research studies were evaluating an unapproved dosing regimen, a patient population for which ESAs are not approved, or a new unapproved ESA. FDA believes these new concerns apply to all ESAs and is re-evaluating how to safely use this product class.
Complete information is available at http://www.fda.gov/medwatch/safety/2007/safety07.htm#ESA.
FDA Approves Lapatinib for Advanced Breast Cancer Patients
On March 13, FDA approved lapatinib (Tykerb), a new targeted anticancer treatment, to be used in combination with capecitabine (Xeloda) for patients with advanced or metastatic HER2-positive breast cancer. The combination treatment is indicated for women who have received prior therapy with other cancer drugs, including trastuzumab (Herceptin).Lapatinib is a tyrosine kinase inhibitor that works through several molecular pathways to block the signals that tell tumor cells to grow. Unlike the monoclonal antibody trastuzumab - which is a large protein molecule that targets the part of the HER2 protein on the outside of the cell - lapatinib is a small molecule that enters the cell and blocks the activity of HER2 and other proteins from within. Because of this difference in mechanism of action, lapatinib works in some HER2-positive breast cancers that no longer respond to treatment with trastuzumab.
Additional information is available at http://www.fda.gov/bbs/topics/NEWS/2007/NEW01586.html.
Preventing Mucositis in Head and Neck Cancer Patients
Name of the Trial
Principal Investigator
Why This Trial Is Important
Palifermin has been approved by the FDA to prevent and treat mucositis in patients undergoing high-dose chemotherapy and radiotherapy for leukemia or lymphoma. It promotes the growth of mucosal cells lining the mouth and gastrointestinal tract and helps replace cells damaged by cancer treatment.
In this trial, patients undergoing chemoradiotherapy for advanced head and neck cancer will receive intravenous palifermin or placebo before and during cancer treatment."Chemoradiotherapy for head and neck cancer has led to significant improvements in survival, but those improvements have come at the cost of greater incidence of oropharyngeal mucositis, the most common reason for unplanned treatment interruptions," said Dr. Rosenthal. "Based on preclinical data and its proven efficacy in leukemia and lymphoma, palifermin is the most promising agent for reducing the burden of mucositis for head and neck cancer patients."
Who Can Join This Trial
Study Sites and Contact Information
An archive of "Featured Clinical Trial" columns is available at http://cancer.gov/clinicaltrials/ft-all-featured-trials.
If Memory Serves...
NCI's first director was Dr. Carl Voegtlin, who served in this role from 1938 to 1943. He was born in Switzerland and received his Ph.D. from the University of Frieberg before coming to the United States in 1905. (Read more)
For more information about the birth of NCI, go to http://www. cancer.gov/aboutnci/ncia.
On March 26 and 27, leading breast cancer clinicians and scientists will discuss "Preoperative Therapy in Invasive Breast Cancer: Reviewing the State of the Science and Exploring New Research Directions" in the Natcher Conference Center on the NIH campus. The meeting is sponsored by the Cancer Therapy Evaluation Program in NCI's Division of Cancer Treatment and Diagnosis. The conference will seek to determine the state of the science of preoperative therapy in breast cancer, as well as identify future research agendas.
There is no charge for this meeting, but preregistration is requested. The proceedings will be webcast at http://videocast.nih.gov and archived for later viewing. The meeting will also be available as a podcast. Information about registration and Continuing Medical Education credit, the agenda, and the faculty list are available at http://ctep.cancer.gov/bcmeeting.
New Cancer Health Disparities Web Portal Launched NCI has just launched a Web portal on Cancer.gov to highlight the Institute's efforts to reduce and ultimately eliminate cancer health disparities. The portal includes links to information about the NCI Center to Reduce Cancer Health Disparities, as well as information about training opportunities, statistics, and research resources and results. To view the portal, go to http://www.cancer.gov/health-disparities.
Following are newly released NCI research funding opportunities:
Avon-NCI "Progress for Patients" Awards for Early Phase Clinical Interventions and Biomarkers in Breast Cancer (Limited Competitive Supplements [Revisions] for P30 Cancer Center Support Grants)
This funding opportunity will use the P30 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3690. Inquiries: Dr. Jaswant S. Bhorjee - firstname.lastname@example.com
Avon-NCI "Progress for Patients" Awards for Early Phase Clinical Interventions and Biomarkers in Breast Cancer (Limited Competitive Supplements [Revisions] for P50 SPORE Grants)
This funding opportunity will use the P50 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3691. Inquiries: Dr. Igor Kuzmin - firstname.lastname@example.com
Technology Development for the Detection and Evaluation of Chemical and Biological Carcinogens (SBIR)
This funding opportunity will use the R43 and R44 award mechanisms. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3692. Inquiries: Phillip J. Daschner - firstname.lastname@example.com
Technology for the Detection and Characterization of Low Abundance Proteins, Peptides, or Micro RNAs (SBIR)
This funding opportunity will use the R43 and R44 award mechanisms. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3693. Inquiries: Dr. J. Randy Knowlton - email@example.com
Technologies and Software to Support Integrative Cancer Biology Research (SBIR)
This funding opportunity will use the R43 and R44 award mechanisms. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3694. Inquiries: Dr. Jennifer Couch - email@example.com
2007 NIH Director's New Innovator Award Program
This funding opportunity will use the DP2 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3697. Inquiries: Dr. Judith H. Greenberg - email@example.com
Occupational Safety and Health Research
This is a renewal of PA-04-038 and will use the R01 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3695. Inquiries: Dr. Mukesh Verma - firstname.lastname@example.com
H. Lee Moffitt Cancer Center & Research Institute
Center Director: Dr. William S. Dalton • 12902 Magnolia Drive, Tampa,
Florida 33612 • http://www.moffitt.org 1-888-MOFFITT
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Though the Kyocera Contact is inexpensive and easy to use, there are better, more reliable prepaid phones on this network and others.
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On today's show, Rich and Ashley discuss Google's glucose-measuring contact lenses, Jaguar's future car tech, and a new USGS map of Mars. How would you use an augmented reality windshield?
On today's show, we're checking out the newest map of Mars, Jaguar's fancy windshields, and Google's new partnership for their high-tech contact lenses. Also, new releases, and your user feedback.
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Wednesday, Ogden's 25th Street was named one of the greatest streets in America by the American Planning Association.
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National Coupon Month serves as a friendly reminder that spending just 20 minutes a week clipping coupons can save a family of four close to $1,200 a year.
How and why to forgive your spouse
Kim Giles, KSL.com Contributor | posted Sep 29th - 6:58am
"My spouse has done some things that really bother me. I'm trying to forgive, but I can't seem to really get there." In this edition of LIFEadvice Coach Kim explains the challenges in forgiving past mistakes and gives some amazing tips for letting them go.
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Jacque Wilson, CNN | posted Sep 25th - 11:16am
Soda makers want to cut the number of calories you're drinking each year. At the Clinton Global Initiative on Tuesday, the big three — Coke, Pepsi and Dr. Pepper — pledged to reduce the number of beverage calories Americans are consuming by 20% over the next decade.
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Sta-Rite MPRA6F-206L Dyna-Pro Standard Efficiency Single Speed Up Rated 1-1/2HP Pool Pump, 115V/230V
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Short Description
The Pentair Dyna-Pro Pumps offer a hydraulic design and optional energy-efficient motor to ensure optimum functionality and long life.
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When cleaning is required, a simple quarter-turn of the exclusive Cam and Ramp? lid gives you easy access to the ultra-sized strainer basket. Simply empty the basket, and re-attach the see-through lid... you're done in seconds.
Durable and rugged for long life
Only the best materials are used to build lasting quality into each pump. On the outside, Sta-Rite's exclusive thermoplastic composite resin weathers temperature extremes and will never corrode. On the inside, a heavy duty shaft seal and impeller stand tough against harsh chemicals.
Frequently Bought Together


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Culture, Arts & Entertainment
Library Branch
Join us for a holiday puppet show. The exact puppet show is TBA....
Come and enjoy our favourite puppeteer-Mike Harding -performing with his unique humour and talent. He will make you giggle and laugh in preparation for the festive season.
Explore one of Canada's national treasures with a docent from the Museum of Inuit Art, the only museum in Southern Canada exclusively dedicated to collecting, researching and exhibiting art made by Inuit....
Mr and Mrs. Sock Puppet will put on a puppet show to demonstrate how to turn an old sock into a talking sock puppet....
Join us on your PA day for a new release family feature....
Fri Nov 14
Fri Dec 05
Spadina Road
Learn about the dinosaurs at the Royal Ontario Museum. Make a dinosaur craft to take home.
Casa Loma presents "Medieval Weapons and Armour". An interactive history of the Medieval period.
Join the participants of the "Swallowing Clouds" arts library program in a live performance. This event will display and celebrate the performance and creativity skills gained by students in a condensed four-week period....
Experience our haunted house and participate in a creepy science experiment, ghoulish stories and a take-home craft....
Art historian Suzanne Tevlin considers the innovative work of the great artist during the impressionist period: Pierre-Auguste Renoir. Call 416-394-5270 or email firstname.lastname@example.com to register.


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"We were able to personalize our invitation through the help of one of the designers and he made suggestions about script and color, parallelism, and overall layout that really enhanced our invitation! He also made the changes that we requested in a timely manner and our invitations were shipped and printed in less time than we expected! I was so excited when they came in the mail! The paper quality was textured and even nicer than I expected and the picture on the back printed very nicely on it as well! Thank you!!"
"We ordered this invitation and RSVP card in Almond with a solid almond back on the matte white stock, and could not be more pleased with the decision! The design is so lovely, just perfect for my daughter's outdoor garden-style wedding. It has just the right soft, vintage feel we were looking for. The paper quality is excellent, they look and feel great. The design review process is extremely helpful - our reviewer made a couple of changes that improved what we had submitted - and the turnaround was incredibly fast. The final product was exactly what we expected and were hoping for ... no complaints or disappointment whatsoever. We highly recommend this product!"
"Paper and print quality were perfectly acceptable, but not remarkably good. Design of course is beautiful, absolutely lovely, not to mention a multi-generational people-pleaser! My grandmother said it was the most beautiful wedding invitation she'd ever seen, and I'm inclined to agree. Customer service was extremely competent, prompt, and obliging, I can't say that enough. We had several changes made, and they were all completed within hours of our submitting the request."
"Unique look of chalk on black can be perfect for certain wedding themes. The contrast of color (we chose plum/purple) is stunning and adds dimension to invitation's appearance. Whimsical swirl to font matches the product's design, but it may be harder to some people to read. Prompt delivery was impressive!"
"Exquisite, beautiful invitation printed on quality paper. Photo quality is impressive! Very satisfied with design and quality of product!!"


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I'm freaking out because I hoped that it would all end with peace.. like in the book.. :( What about you?
Views: 98
Haven't seen the trailer; however, it was clear to me in the book that Aro and his murdering maniacs would not forget about the Cullens. Aro felt he was outnumbered and his secret weapons (the "witch twins") had been rendered useless by Bella's powers and that of others, Had the nomads and other covens not been there along with the strength of the Quileute "Werewolves," Aro would have never listened to Carlisle but would have slaughtered the Cullens as was his intent (capturing Edward and Alice if he could). I hope the movie makes it very clear that it isn't "over."
The trailer part is till 2:06
I know right. I hate it when they change the endings in a book because they want more action. It looks like its going to be a good movie though, im just disappointed that they changed the ending.
Go on Twilight's sight for info about the movies through google and watch the clip. It is amazing to see and the longest one i have seen so far. From the looks of it, Bella does a round house kick on a hooded figure with Edwards help. Apperantly their is also talk of some being killed including the Cullens. If that so, Mrs Meyer went back on what she had been saying. No character can be killed unless she wrote it. I will be #%^&(&*$# if it has been changed from the books ending. I will be very disappointed too.
OMG i have seen every single Breaking Dawn Part 2 trailor ever and they are all so amazing.i think they are making the trailors so good JUST to tortute me.like i want to wait a month or so more to see that movie.i am so dying to see that movie,and on a websight i was on i got to see the first 7 minutes of the movie,(trust me i have no idea how)because some guy snuck a camra into the theater and filmed the begining of it.it was a little shaky but at least i got to see it and it was amazing!you have no idea.can't wait till i get to see the rest of the movie!and yeah i am NOT very happy about the ending change,but i still can't help to be a little curious to see how it will end.i will be disappointed if it does end badly,but at least we have the books to know that it won't be the real ending if its different than the books,so all we can do is hope it will end like it was supposed to.
The Official trailer of Breaking Dawn Part 2
is REALLY cool! I have seen this trailer on YouTube
I am looking forward to this movie of Twilight Saga
Hopefully what we are seeing in the previews is what happens before any talking was done. I noticed too that Renesme disappears all the sudden too. Did any one else notice. Hopefully Mrs Meyers didn't let them go against what was written in the book. Maybe what they are showing is a deleted scene/alternate ending that will be put on DVD/BR. I think that would be awesome. They show the alternate ending in preview but not the actual ending to get people talking and going to put the alternate ending on DVD/BR
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Back to Dressing up, Dressing down
This lavish tunic or abho is made of striking maroon silk which has been finely tie-dyed in the bandhani technique. The silk has then been further decorated with a type of gold thread stitching which has been applied by couching, known as karchobi work. It almost certainly represents the work of professional dyers and embroiderers in Gujarat, Western India, around 1900.
This loose robe has a very simple cut and would have been worn as a traditional wedding outfit, or as dress for festivals, by women in North West India, especially by those from the Muslim communities. This abho would have been worn with matching salwar, or trousers, with bands of gold thread embroidery around the lower legs, and a head veil would complete the ensemble. The kamiz worn by women in India and Pakistan today, and by these communities in Britain, is related to the abho, and has been popularized in high fashion by such figures as Cherie Booth and Jemimah Khan.
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"robe & aba" [1929.119]
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Harry Potter and the Deathly Hallows: Part I posterCopyright by respective production studio and/or distributor. Intended for editorial use only.
Directed by: David Yates
Cast: Daniel Radcliffe, Emma Watson, Rupert Grint, Bonnie Wright, Julie Walters, Bill Nighy, Alan Rickman, Richard Griffiths, Harry Melling, Fiona Shaw


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6 Things Your Friends in Crisis Wish You Knew
Whether you have a friend who just lost a job, went through a divorce, or is dealing with a chronic ...
4 Ways to Test if God Is Calling You
Here are 4 tests to determine if God is calling you to a certain task or ministry.
When Church Becomes a Soap Opera
How do you respond when you find yourself in the middle of church drama?
The Osteen Predicament: Mere Happiness Cannot Bear the Weight of the Gospel
Is Al Mohler being too harsh with the Osteens, or is he dead on?
Discerning the Progressive Applications of Your Prophetic Revelations
Sometimes you have to grow into your prophecies, while your prophecies grow in you.
5 Things You Need to Know About Speaking in Tongues
The truth behind one of the church's greatest controversies is boldly stated throughout ...
4 Wicked Ways the Enemy Puts You to Sleep
Paul clearly warned us not to be ignorant of the devil's devices. Jennifer LeClaire unveils ...
Where True Intimacy Starts in Marriage
Teresa Shields-Parker thought her issues with intimacy were caused by her weight. The Holy Spirit ...
Prophetic Prayers for the Middle East Crisis
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Spiritual Adultery and Fornication in the 21st-Century Church
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How to Legally Study the Bible in Public School
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There appears to be no end to the bad news.
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Keeping the Shemitah Produces Supernatural Results
When a banana farmer in Israel finally resolved to observe the Shemitah, the miraculous happened.
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In Luke 17, Jesus warned that offenses will come. Here's how to handle offenses in a ...
5 Unfair Expectations of Your Husband
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Many of us use Gmail as our primary mail client. But most of us don't know about the most useful features of Google Labs for Gmail. If you are using Gmail and have not used these Gmail Labs options yet, you are definitely missing out some fun.You can get to Gmail Labs by clicking on settings and then selecting Labs options. I am going to discuss about 20 best Gmail Labs features which every user must try. You can enable or disable these settings by simply going to Lab option and selecting enable or diable option in front of every feature.For opening Gmail lab either click on setting and then select Labs option
or you can click directly on green lab button displayed along with settings option.
1.Undo Send
Sometimes after sending mails you realize that you should not have sent that mail. The Undo Send Labs feature allows you to cancel sending of a mail while it is on its way. This feature introduces a time delay and lets you un-send the message after you have clicked the send button or after you have entered the sent mails displaying your message has been sent.You can see in the image below that we get an undo option after sending a mail.
If you want to categorize your emails you can easily do it with SuperStars feature in Gmail Lab . If you want with something more than a single yellow star, superstars is for you. With this you get a more star icons to choose from for marking emails.
3.Message Sneak Peek
There are times when you are away and you do not have access to your inbox for a long time. And on returning, you find it flooded with hundreds of mails. It could be really time-consuming to read each and every mail one by one by opening them.The newly introduced Labs feature Message Sneak Peek is the solution to this problem. By enabling this Labs feature you can preview your mails without opening them. By right clicking it you can have a preview of the message.
4.Add any gadget by URL
This features lets you add a Gadgets tab to Settings, where you will be able to specify the URL of any gadget. This gadget will be shown in a box in the left column.This feature is specially for those people who love gadgets.
5.Create a Document
It allows you to create a Google Document from an email conversation or a new blank document.This feature can be helpful if you want to send a document or letter to your friends.
6.Custom date formats
This feature adds an options to the general settings page allowing user to change the date and time format which would be independent of language. For example, you can use a 24-hour clock (14:57) or show dates with the day first (31/12/07).
7.Filter import/export
Now Gmail gives you power to import or export your filters.Now you can export your mail filters as a file: back them up, share them, or save them before deleting so you can restore them later. You can then import one of these files to quickly add or restore filters.Once you enable this feature these options become available under Settings, Filters option.
8.Flickr previews in mail.
This feature will show photos previews whenever you receive a Flickr link in an email.
9.Google Calendar gadget
It adds a box in the left column which shows your Google Calendar. You can See upcoming events and their details.
10.Google Docs previews in mail
It allows you to preview your documents, spreadsheets and presentations directly in the email when you receive any link to a Google Doc. It also gives an option to open these documents directly in Google Docs.
11.Google Maps previews in mail
This is a very good feature available in Gmail Labs. It shows Google Map previews of all the addresses found in an email.
12.Google Search
It displays Google search results inside your mail window, letting you quickly find things and use them when you're writing an email. It might be useful in some situations.
13.Google Voice player in mail
It lets you play voice mails left on your Google Voice account right from the email notifications.
14.Android Chat
This feature will enable you to show up as robot icons if they are currently using Android. Helpful to determine if you are chatting with someone on a computer or someone on an Android device.
15.Message translation
This features uses Google Translate to translate messages you receive in other languages.
16.Move Icon Column
This features allows you to move the column containing the attachment and other icons over to the left hand side to make it more noticeable.
17.Pictures in chat
As the name suggest this feature will allow you to See your friends' profile pictures when you chat with them.
18.Right-side chat
This feature will enable you to move the chat box to the right side of the inbox.
19.Inserting images
It allows you to insert images into a message body. You can upload and insert image files in your computer, or insert images by URLs. This lab feature will not work if you have offline enabled.
20.Inbox Preview
This feature will show a simple, static preview of the inbox while loading.


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All Residence Inns by Marriott in the USA and Canada have a smoke-free policy that applies to guest rooms, restaurants, lounges, meeting rooms, public space and associate work areas . To accommodate the needs of smoking guests, Hotels will have designated smoking areas outside of the property .
|Check-in Policy
|Check-out Policy
|# Of Rooms
|# Of Floors
Fairfield Inn & Suites
Morgantown, West Virginia Hotels & Resorts
The Fairfield Inn and Suites by Marriott Morgantown Granville is situated 14 miles from Fairmont, 19 miles from Waynesburg, and 23 miles from Uniontown. ...
$124 Per Night
Hilton Garden Inn Morgantown
Morgantown, West Virginia Hotels & Resorts
Located in the new Suncrest Towne Center, the exquisitely designed Hilton Garden Inn Morgantown is situated near West Virginia University and offers easy ...
$93 Per Night
Hampton Inn Morgantown
Morgantown, West Virginia Hotels & Resorts
Hampton Inn Morgantown is located in west Morgantown, across from West Virginia University campus, and approximately four miles from Morgantown Airport. ...
$87 Per Night
Comfort Inn Morgantown
Morgantown, West Virginia Hotels & Resorts
This Comfort Inn is located approximately 10 miles from Cheat Lake and Morgantown Airport. ...
$90 Per Night
Econo Lodge Morgantown
Morgantown, West Virginia Hotels & Resorts
The Econo Lodge Morgantown is conveniently located just four miles from West Virginia University. ...
$62 Per Night
Ramada Inn Conference Center
Morgantown, West Virginia Hotels & Resorts
The Ramada Inn Morgantown offers affordable accommodations approximately seven miles from Morgantown Municipal Airport. ...
$78 Per Night
Best Western Mountaineer Inn
Morgantown, West Virginia Hotels & Resorts
The Best Western Mountaineer Inn, featuring newly renovated rooms, is an ideal lodging choice for West Virginia University visitors. ...
$80 Per Night
Econo Lodge Coliseum
Morgantown, West Virginia Hotels & Resorts
Adjacent to US-19, Econo Lodge Coliseum is about two miles from West Virginia University, three miles from downtown Morgantown, and five miles from Morgantown ...
$70 Per Night
Clarion Hotel Morgan
Morgantown, West Virginia Hotels & Resorts
"Historic Downtown property. Business rooms, meeting room, ballroom and fitness room. FREE Coffee and Pastries." ...
$110 Per Night
Super 8 Motel Morgantown
Morgantown, West Virginia Hotels & Resorts
Super 8 Morgantown is located approximately one mile from Morgantown Airport and 20 miles from Waynesburg. ...
$64 Per Night
Lost World Caverns
New River/Greenbrier, West Virginia Cave Exploration
We offer self guided cavern tours that take you on a half mile loop trail where you will see a vast wonderland of stalactites, stalagmites, and columns. The average tour will take about 45 minutes. The cave temperature is 52 degrees year round....
Starting at $12 Per Person
World Class Whitewater Rafting in West Virginia
Whitewater Country, West Virginia Rafting Trips
Wildwater Expeditions, the pioneers of whitewater rafting in West Virginia. Since 1968, we've guided whitewater rafting trips in southern West Virginia (WV), specializing in New River rafting and Gauley River rafting....
$74 Per Person
West Virginia Rafting New & Gauley Rivers
Whitewater Country, West Virginia Rafting Trips
West Virginia whitewater rafting adventures on the New and Gauley rivers.We offer rafting from 1/2 day to 4 day, horseback trips, cabin rentals, camping and other family adventures!...
New River Llama Treks
.West Virginia, West Virginia Hiking & Trekking
Guided llama pack trips in West Virginia's Monongahela National Forest, New River Gorge, Gauley River Canyon. Trips for all ages & abilities. Combine a llama trip with any number of great activities such as whitewater rafting....
Away from the everyday
Capon Bridge, West Virginia Summer Camps & Programs
Camp Tall Timbers is situated on 120 acres west of Winchester, Virginia . We offer programs that help to foster a camper's personal development via participation in a broad range of activities. 1,2 and 3 wk programs for ages 7-16....
Starting at $1,250 Per Week
Quality bed and breakfast in Fayetteville WV
New River/Greenbrier, West Virginia Bed & Breakfasts
Country River Inn - Fayetteville WV is located minutes from the New River Gorge Bridge & close to all local outdoor activities. Our six non smoking guest rooms include a private bath, two queen size beds, air conditioning,TV, free wireless internet...
Starting at $115 Per Night/Room
River Riders
Harpers Ferry, West Virginia Rafting Trips
West Virgina white water rafting, tubing, kayaking, canoeing, fishing, and biking trips on the Shenandoah and Potomac Rivers and C&O Canal only one hour from Washington, DC and Baltimore beltways in Harpers Ferry, WV....
Family Rafting only one hour from Washington DC
Eastern Panhandle, West Virginia Rafting Trips
Join us on this beginner whitewater trip on the Shenandoah or Potomac Rivers, as they carve a spectacular 2-4.5 hr watercourse through the Blue Ridge Mountains. Travel through three states near Harpers Ferry, WV. Guides and picnic included....
Starting at $55 Per Person
ACE Adventure Resort
Whitewater Country, West Virginia Rafting Trips
Featured on the Travel Channel as "North America's Largest Adventure Resort", ACE Adventure Resort is a private 1,500-acre mountain hideaway that has the most impressive array of on-premises adventures, activities, lodging than any other outfitter....
Whitewater Rafting, Tubing, Zipline, and Canoeing
Harpers Ferry, West Virginia Rafting Trips
River Riders offers rafting, zipline, canoeing, kayaking, tubing, and biking trips in Harpers Ferry, WV on the Shenandoah and Potomac Rivers only one hour from the Washington, DC and Baltimore, MD beltways. Beginner to advanced level trips available....
Starting at $27 Per Person
|Link Code


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With all that snow expected to hit the high country, you can bet people are going to be heading up for a fun winter day. But fun can quickly turn dangerous as one valley family found out during their snow play day.
Katrina Gerser was left paralyzed from the waist down in a freak sledding accident. After a month-long hospital stay, she's back in her Glendale home. But everything has changed.
"I want other people to have fun and not say, I can't go sledding because Katrina got hurt," says 16-year-old Katrina.
But Katrina's story is an unfortunate warning for some. The first run of the day down a snow covered Flagstaff hill and her tube spun backwards.
"I remember going down the hill, the tube turning."
She did not see the tree.
"I didn't know I was going to hit anything, it was all fun for me."
The accident broke a vertebra, dislocated another and fractured ribs.
"I told her, you cannot leave me Katrina," says mother Jenny Gerser.
There was a moment when jenny thought she might lose her only daughter, but Katrina pulled through. Now, she is paralyzed from the waist down.
"Probably won't be the same with the nerves," says Katrina.
It's a whole different life for Katrina. She needs around-the-clock care, as she learns to roll over in bed and sit up on her own.
Katrina, who keeps busy with school work, admits she has hit her breaking point a couple of times.
"Frustrations. Not being able to do things by myself, not physically at school. I'd rather be at school that in this situation."
Friends bring the family dinners. Many have donated money through a fundraiser.
A company remodeled the Gerser's home. Wheelchair ramps and widened door frames now make it easier for Katrina to get around.
Humor is the medicine that helps the family heal, and faith is what keeps them going.
"We still have hope that she can be healed. But we know that there's no guarantee so we need to be happy in the moment."
Katrina's biggest goal is to get back in the classroom, but first she's got to get a little more independent back home.
WTTG FOX 5 & myfoxdc5151 Wisconsin Ave. NWWashington, DC 20016Main Number: (202) 244-5151Newsroom: (202) firstname.lastname@example.com


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Los Angeles Dodgers Apparel & Gear
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Product Selection
Los Angeles Dodgers Apparel & Gear for the Season
Check out the Los Angeles Dodgers Fan Shop when it comes time to suit up for the big game. With a wide variety of officially licensed Los Angeles Dodgers jerseys, hats, shirts and more, there's something for the whole family.
Whether you're heading to the game at Dodger Stadium or watching from home, pair your game day enthusiasm with a jersey, shirt or sweatshirt.
Rep the Dodgers in certified MLB® style by choosing from an assortment of Majestic® jerseys including Replica, Cooperstown and League Diva styles. Young fans also have the option of choosing from adidas® Replica jerseys offered in kids' sizes only. Top off your game day look with a Los Angeles Dodgers hat from brands like New Era, Nike and '47 Brand.
Buying Tips
The Majestic® replica jerseys enable the Dodgers biggest fans to duplicate the on-field look of Matt Kemp, Clayton Kershaw and Yasiel Puig. Choose from home, road and alternate jersey designs, and match it with a Los Angeles Dodgers fitted, adjustable or knit hat.
For the fans with a sentimental side, the Los Angeles Dodgers Cooperstown Collection offers a glimpse into the golden years of baseball. Designed in true throwback style with the colors and details of your favorite time period, the Majestic® Cooperstown jerseys are a testament to the depth of your loyalty.
Expert Advice
For those diehard fans, filled with pride to the core, the ESPN Fan Shop at DICK'S offers apparel and merchandise to meet the high standards of Los Angeles Dodgers faithful following.
Browse Dodgers-themed accessories to boost your team spirit at your home or office, and find the perfect outfit your game-day tailgate. With men's, women's and kids' apparel, you can depend on DICK'S Sporting Goods as your one-stop shop when it comes to cheering at the ball field in Los Angeles, California or supporting from home.
- Los Angeles Dodgers Jerseys
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- Los Angeles Dodgers DVDs
- MLB Accessories


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Nike Cal Varsity Rugby Camps Berkeley, California
US Sports Camps is pleased to announce a partnership with Cal Varsity Rugby and Head Coach, Jack Clark! Cal Rugby has one the most decorated histories in collegiate sports, including 26 National Championships since 1980 and we are thrilled to continue the tradition of youth rugby camps at University of California, Berkeley. Join the Cal coaches and current players for an unforgettable experience.
Overnight Program
The Cal Varsity team has a long history of success based on superb skills and a winning attitude. These are qualities we want to share with your sons during camp. Our camp mixes Cal's rich rugby heritage with an innovative staff. The camp (for athletes ages 14 - 18) emphasizes safety and fun, while we remain on the cutting edge of rugby training. Our coaches bring with them the latest rugby skills, strategy and tactics from the international and professional arena. The camp's seminars with campus professionals increase awareness regarding academics, strength and conditioning, nutrition and drug awareness. Perhaps our best endorsement is the number of young men who have returned for a second, third, even fourth summer.
The overnight camp includes all rugby instruction, meals, housing and evening activities on campus. There is a commuter option from 8:30am - 6:00pm during the overnight camp session.
For questions regarding the camp registration process, please contact Nike Rugby Camps at 1-800-645-3226. For all other camp-related questions, please contact Cal Rugby Director of Operations, Jerry Figone, at 510-643-1971.
Early Arrivals
For those campers traveling from a distance, we offer an early arrival the evening of Sunday, July 27th. The fee is $90 and includes lodging in the Cal dorms, dinner that night, and breakfast the following morning. We'll have a staff member living in the dorms to provide supervision.
One-Day Weekend Clinic
Saturday, August 2nd
This one-day, weekend clinic will run from 8:30am - 4:00pm at the Witter Rugby Fields on the UC Berkeley campus. This program is designed for young athletes (Ages 9 - 14) looking to hone their rugby fundamentals under the instruction of the Cal Bears Rugby coaches and players.
Highlights Include
- Daily instruction and match play at Witter Rugby Field
- Receive coaching from Jack Clark and Tom Billups, with Cal Rugby players serving as camp counselors
- Small group sizes: approximately an 8:1 player to staff ratio
- Opportunity to experience a college environment at UC Berkeley
- Meetings/discussions on nutrition, fitness, academics, college rugby
- A healthy and positive learning environment to help every player get better
Witter Rugby Field
Nestled in Strawberry Canyon, Witter Rugby Field is the home of Cal varsity rugby - the most successful collegiate program in the country with 26 national collegiate championships. A $2 million facility built in 1995, Witter Rugby Field is a dedicated rugby facility with electronic scoreboard on the east and west ends, towering goalposts and permanent kicking nets.Meet your coaching staff
Jack Clark
- 31 years as Head Coach
- 23 National Collegiate Championships
- Named one of Cal's 10 most influential sports figures of the 20th century by the Daily Californian
- Head Coach U.S. National Team, 1993-1999
- General Manager U.S. National Team, 1993-2003
- Cal Coach of the Year, 1995, 2000, 2002
- Head Coach Collegiate All-American Team, 1987-1992
- Former U.S. National Team Player
- Former World XV Player
- Former Cal football and rugby standout
Tom Billups
- 14th season as Coach
- 12th season, Cal Strength & Conditioning Coach
- Head Coach, U.S. National Team, 2001-2006
- Head Coach Collegiate All-American Team, 2001
- 44 International appearances for the U.S. National Team
- 25 international appearances on U.S. Sevens Team
- Former professional player for London Harlequins and Pontypridd, Wales
- 4-time NCAA Division III National Champion football player
Jack Clark's Nike Varsity Rugby Camp instructors include members of the Cal Varsity coaching staff, as well as specialists in nutrition, strength, and conditioning, and academic counseling. Camp counselors include current Cal varsity rugby players and All-Americans, representing a variety of positions.
Overnight Camp Check-In and Check-Out
Check-in for overnight campers is on Monday, July 28th from 11:00am - 1:00pm. Check-in for day campers is from 12:00pm - 1:00pm. Check-out for all overnight campers is on Thursday, July 31st at 1:00pm at the Clark Kerr Building on campus. Day camper check-out is at 12:30pm on final day.
Day Camper Information
- Monday, July 28th - Drop-off at 12:00pm and pickup at 9:00pm
- Tuesday - Wednesday, July 29th and 30th - Drop-off at 8:30am and pickup at 6:00pm
- Thursday, July 31st - Drop-off at 7:50am and pickup at 12:30pm
One-Day Clinic
Check-in is from 8:30 - 9:30am at Witter Rugby Field, North Entrance on Centennial Drive. Check-out is at 4:00pm. Campers are required to bring lunch, water will be provided by camp. There will be certified athletic trainers on staff. Participants should bring rugby/soccer footwear and socks, rugby/soccer shorts and jersey, mouthpiece, any pads/headgear you wear, sunscreen, and sweatshirt/pants.
Schedule: Check-in between 8:30-9:30am. Following check-in, there will be a camp welcome and introductions followed by skill acquisition activities and drills, lunch/campus tour, and continued skill and technical instruction, competitions and games in the afternoon. Camp ends at 4:00pm.
Campers are supervised 24 hours a day. The staff live in the dormitories with the campers and participate in evening activities. Drugs, alcohol and tobacco are strictly prohibited, and constitute, along with general misconduct, grounds for dismissal from camp without a refund.
Nike Rugby Camps does not provide transportation to and from airports, bus depots or train stations. The packet we send to registered campers in the spring offers suggestions on shuttle services for each specific camp.
Registration Packets
A detailed camper registration packet containing check in location, health/release forms, emergency contact info, and a list of things to bring will be emailed to all registered campers in the spring.
Early Arrivals
For those campers traveling from a distance, we offer an early arrival the evening of Sunday, July 27th. The fee is $90 and includes lodging in the Cal dorms, dinner that night, and breakfast the following morning. We'll have a staff member living in the dorms to provide supervision.
Important Note: For questions regarding the camp registration process, please contact Nike Rugby Camps at 1-800-645-3226. For all other camp-related questions, please contact Cal Rugby Director of Operations, Jerry Figone, at 510-643-1971
Sample Daily Schedule
- 7:30am Wake up
- 8:00am Breakfast
- 9:00am Meeting
- 9:30am Clinic (Speed/Agility, Conditioning, Strength/Quickness, Kicking)
- 10:30am Training (Witter Rugby Field)
- 1:00pm Lunch
- 3:00pm Seminar (Nutrition, Fitness, Academics, Laws of the Game)
- 4:00pm Training/Golden Bear Rules (Witter Rugby Field)
- 6:30pm Dinner
- 8:00pm Technical Meeting
- 10:30pm Room Check
- 11:00pm Lights out


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Good luck with the house Suja.
I'm sorry you're having troubles sleeping Myles. I'm back to that again too.
Good luck with the house Suja.
I'm sorry you're having troubles sleeping Myles. I'm back to that again too.
Well, I talked to Faye at work and between what she said and what y'all said, I decided to call Bernie. I've already emailed her and will be calling her tonight after work. Ugh. I hate this, but it probably needs to be done.
FWIW, I think you're doing the right thing, Chrissy. You don't know what she has shared with the others, and it would be good to at least put it out there privately that you are (of course) not responsibile, but also that you are concerned for her well-being.
Yet another one of my friends has lost her old dog. She was one for the ages, the grande dame of dogdom.
So many people and dogs, all gone, and it's only March. 2013 can die a fiery death.
Sorry to hear that, Chrissy. Sometimes, I wonder if we're being selfish by keeping Khan alive. But, he still eats with gusto, even snarks at Pan and Finn if they get too close to his grub, and enjoys laying out in the sun and snoozing. I'm not sure if that's a good enough quality of life or not. I just hope to do right by him.
That decision is a really tough one. Rich brought it up over the weekend and I told him I didn't want any part of that decision at all. I'm not there enough to see what all is going on. I feel kinda mean, but Rich really has to start making some decisions on his own.
I'm sorry, Suja. I think that as long as he isn't in a lot of pain all the time, and still enjoys his life over half the time then there isn't anything wrong with choosing to keep him alive. He's got all the great things a dog wants - food, naps in the sun and other dogs to interact with. I would also measure it, too on if the dog/cat stops eating. That tells me they aren't interested in being around much anymore.
Chrissy - the theft accusations were so awful. In 5th grade, someone from my girl scout troop stole my girl scout cookie money on the day we were supposed to turn it in and the troop leaders accused me of spending it. In 8th grade I was a page at the state capital, so one of 15 or so 8th graders in a small class and someone stole money from someone else and put it in my wallet so it would look like I stole the money. It was so terrible I couldn't believe it - I still feel like no one believed me, even my mom. And then my first job out of school I had a co-worker who told several volunteers with our organization that I stole money so that I should never be allowed to handle money. I got her fired soon thereafter because I caught her doing work for another organization using our copiers/paper (essentially stealing, so hoisted on her own petard.) I guess I have been hanging around the wrong kind of people.
"Any idiot can face a crisis; it is this day-to-day living that wears you out." -Anton Chekhov
Oh man, those do sound awful. Especially the one where they put the money in your wallet. I can totally see kids being that mean and thinking they're clever and funny. It's really sad to think even your own mom might not have totally believed you. I gotta say, that would be hard even for me. I always remind myself that while I have great kids, they're not immune to being sh!theads. I'm not sure how I'd react to that scenario. Something to think about, because anything is possible.
Just got back from another ear check for Finn. Still has an ear infection, although it is much improved. Vet says he must've had it for years. She also thinks it possible that his jaw was broken at some point, because it doesn't align properly. And his teeth are an abscess waiting to happen, so I'm trying to get a cardiologist appointment in sooner rather than later. Oh, and she thinks that maybe he has a poultry allergy that is contributing to the ear infection, so no more rotisserie chicken. Now he really will want to run away from home.
Chrissy, that's so awful about the credit card and the bookclub. You're handling it so graciously, but I'm sorry you even have to go through it. I can imagine how horrifying and offensive it must have been to be accused. I hope it all gets smoothed out, but I know for me it would be hard to be around someone who thought that way about me. I can see why you don't want to give up the group, though. I hope you find support from the other ladies.
Katy, that sucks about you being accused falsely, too! Ugh, teenage and kid stuff is the worst.
Suja, I'm sorry about Khan and his ongoing troubles. We had to say goodbye to one of our cats n September. She had just turned 21. The quality of life thing was something we talked about all the time from about age 17 on. We looked at it like you do -- she still had some spit & vinegar, she still enjoyed her food and a good cuddle and pet. She became incontinent, which was a big hassle for us but we didn't feel like it was right to end her life because it was inconvenient for us. So we asked each other all the time, "How will we know when it's time?" Above all, I didn't want her to suffer. And then over the summer she just seemed to get more and more fragile, and tired, and seemed to enjoy her days less and less. And dh and I both saw right around the same time that she was ready. It was clear. It was still very, very sad, and fulfilling that responsibility is the hardest one I think we have as pet custodians. But the point is that we wondered for years if we would know -- and in the end, we did know. Oh, and I hope Finn's health improves.
Update on us: I don't get on much on weekends, but I hope everyone had a pleasant one.
My mother came to visit last week. It was nice to see her and especially to get a little break and have someone else to help with dishes and play with Noe, but it's also always a little stressful. She is very religious and conservative, and she also is very outspoken about her religious views but gets easily upset and takes it personally if someone has different views. So we all tend to spend her visits smiling blandly and keeping our real thoughts behind our teeth. It can be tiring. We had this weird incident where she asked me for a specific kind of bible (a concordance) that she wanted to do her bible study. I happened to have two bibles on my bookshelf (both were there for sentimental reasons and not because we actually use them). Neither of them was the kind she wanted, and she made a point of asking me if I had a concordance. I said I didn't think so, or if I did it was still in a box somewhere in the back of our garage. I could tell she was bothered by it but tried to play it off. Then later that night I heard her on the phone to my dad, saying, "Well, you know, Gretchen doesn't even have a bible out."
I was really annoyed by that and complained to dh. I said I was annoyed by the way she always has to get that dig in about my lack of religion -- I know she and my dad talk about it all the time and that bugs me. But I was also annoyed that she had exaggerated it to my dad, saying I didn't have a bible out, because I actually did have one, just not the kind she wanted. And dh was like "Why do you even care about that? You're not religious. You don't care about having a bible." And I'm not really sure why it bugged me that she said I didn't when I actually did. Except that I'll probably never get over the feeling that I have to prove myself to her.
But anyway, she's gone home now, and we're all good. And she did all of Noe's laundry and organized her room, so that's very nice, and I feel somewhat refreshed after having had a little help. Dh has about 3 weeks left on his crazy crunch time, and we're all counting the days. It's 2.5 weeks until my consultation at ucsf and, hopefully, a treatment plan, and I'm looking forward to getting that going. DD1 finished her big French project, and although she has to show it to the whole school, I'm trying not to be too embarrassed. The crayola marker mustache came off, anyway.
Oh, and Myles -- after you made that comment about Errol Flynn I got to thinking about him and wondering how he died. I don't know why, but I always wonder that about celebrities. Holy crap crackers. That debonair, swashbuckling, hard-drinking Jake Barnes-esque lifestyle sure has a downside. Dude had heart disease, malaria, chronic tuberculosis, cirrhosis of the liver, diverticulitis, chronic back pain, drug addiction (including heroin!), alcoholism, and "numerous venereal diseases." Kinda makes me feel fit as a fiddle! If that guy made it to 50, I'm golden... blood disorder/genetic disease be darned.
FWP of the week: I took a yoga class from a new teacher over the weekend. She was mean and I cried. But I spent an hour or so having conversations with her in my head wherein I told her exactly what I thought of her, and now I feel much better.
Hi, everyone. SCUBJIA, but I just had to come in here to get something off my chest.
Public service announcement:
Percent is abbreviated %
Percentile is abbreviated %ile
They are NOT the same thing. There is no such thing as "The X%."
Thank you. That felt good.
Me (40) DH (47) & furbabies * m/c 7/08 4/12 11/12
Whaddaya mean, Mandy, there is no The 90%?
Gretchen, I'd be annoyed as well, with the distortion of facts. And what's wrong with the yoga instructor? They are SO not supposed to make others feel bad like that. She doesn't sound like she would be a good teacher.
I've never even seen X%
I just got off the phone with Bernie (my therapist/bookclub friend). I told her what happened and she was just stunned. And she herself apologized profusely because she said they'd all seen little things here and there with Judy that made them worry, and even discussed whether or not to warn me that Judy wasn't quite herself any more...but they didn't really have anything concrete either and all could have been written off as nothing. They've kinda just been watching her carefully. Bernie said this is big, though, and clearly something needs to be said to her family now. She's taking the initiative and emailing the group. She assured me no one would think for one minute that I'd actually done that.
I feel bad for Judy but vastly relieved for myself. I'm hoping Bernie is right. Whatever it is may be in the early stages and if she gets on medication perhaps she'll be herself again for a number of years to come.
Well, there is The 99%, but that's another matter entirely. ;). There is no The 90%.
Gretchen, I'm glad you got everything straightened out with the mean teacher in your head!
Chrissy, I'm glad you are going to talk to someone about this issue. I think you need to clear the air. If you do it in that light without undue drama, there is no reason you can't talk though your feelings. They're supposed to be therapists, for crying out loud! They should be able to handle an adult conversation about a legitimate concern!
Me (40) DH (47) & furbabies * m/c 7/08 4/12 11/12
I'm referring to the growth thread elsewhere on this site. Just glancing through it set my teeth on edge.
I'm SO glad you spoke to her.
Me (40) DH (47) & furbabies * m/c 7/08 4/12 11/12
Me too. Now, I kinda feel foolish. I should have known how Bernie would react, even if she hadn't seen warning signs. Jill too would have been baffled, but wouldn't have assumed I'd stolen anything. Barb & Kandi too. Ugh-I just want to have one aspect of my life that doesn't have any ick in it. Is that really so much to ask? lol
I know what you mean ... But still, YOU didn't cause the drama. And as you now know, they had also seen signs of it. If you had never said anything, you may never have known they were all watching her and looking for a serious enough reason to talk to her family. And you might have wonderedmformyearsmwhat they were all thinking about you. So yes, you needed to get it out.
And back to the percentile thing, 80th% is just as bad. 80th%ile, thank you very much. Nails on a chalk board.
Me (40) DH (47) & furbabies * m/c 7/08 4/12 11/12
Stats. Actually one of the most useful classes I have ever taken, as it provides some basis for interpreting the slew of numbers the media constantly throws at you. It was required for my major in college, but I don't think most people have to take it. It should be a requirement in high school as far as I'm concerned.
Me (40) DH (47) & furbabies * m/c 7/08 4/12 11/12
So ... Question. Have any of you ever seen a depressed three-year-old? In the absence of a major incident such as a death in the family?
Me (40) DH (47) & furbabies * m/c 7/08 4/12 11/12


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I confess everytime a mom and son in boyscouts come selling cookies and popcorn to my door i look down on the parent for allowing their child to be part of an organization that discriminates
i confress i role my eyes way to often at religion
i confess sometimes i wish i could just lie to my kids and tell them heaven does exist to make the end sound better but i just cant do it..
i confess i have no clue what the freekin noise is upstairs and i should really stop typeing and go see..wtf
i confess i dont think i could handle it if my kids turned out ubber religious..
i confess i wnat to eat soo bad right now but its 11:25 at night and i knwo i dont need to
i confess i wish i stopped typeing so fast so i didnt have so many freekin errors
i confess i want ot know wtf is wrong with cats that they need to make noise at night doing stupid ****..
I confess that when I was a teenager, I was one of those obnoxious people that gave atheists a bad name.
I confess that when I was a teenager a few years later I started listening to Christian rock and going to church so a boy would like me.
I confess that it doesn't matter how many times I've read the Bible, I still can't believe people believe it verbatim.
I confess that even though I am Christian I don't believe everything in the Bible.
I confess I don't feel comfortable in the Christian forum because I know people on there are against gay marriage.
Why cant you eat me on Good Friday?
I confess I have never owned a bible...
I confess that I avoid coming into this room very much because I get mad and/or upset when I think about religion and all the problems it can cause between people. It's much easier to be an ostrich...
I confess that I also avoid talking much in the threads in this room because there are a lot of incredibly intelligent and educated people having deep convo's and I just don't want to concentrate that much. I'm on here to relax, baby!
"Any idiot can face a crisis; it is this day-to-day living that wears you out." -Anton Chekhov
I love it, too. On some days this is the only place where I get a conversation deeper than "Shoes and socks! Shoes and socks! Let's put on your shoes and socks! Yaaaayyyyy!!!"
But it also makes me realize how much I feel like my brain is crumbling and turning to mush, and even more quickly since the baby.
"Any idiot can face a crisis; it is this day-to-day living that wears you out." -Anton Chekhov
I confess I love Jesus jokes.
I confess I'm scared to go out and meet people in my community because I know they're all Jesus freaks.
I confess I can't believe people believe the Bible either.
I confess I don't understand how someone can be so blind. I don't get blind faith at all. How can you just believe that it is what it is because some old book told you so? I DON'T GET IT.
Ok, had to get that out.
I was at a park a few weeks ago waiting for some clients to show up when I saw another photographer. We waited for our people together and had a long conversation. She was SO nice and then... "Today is SO beautiful. I feel so blessed that the Lord gave us this beautiful day." Five minutes later her clients showed up and she said the SAME thing to them. I was like ...... I confess that's SO unprofessional. The couple did look a little uncomfortable - they gave each other a look before responding. I doubt the lady caught it. She smelled like Nedina Flanders.
I confess unless you are running a church or christian book store, I think you should keep your religion out of your business. I don't care if you are religious or not... I find it extremely unprofessional... Like "Covenant Trucking" who has religious bumper stickers on every one of their trailers...
I confess I don't talk about religion IRL.
I confess I don't know what to believe, but I'm pretty sure of what not to believe.
I confess I sing Allison Krauss's "Down to the River to Pray" to my LO but shut up as soon as DH walks in the room. It's a pretty song. But yeah, not something I should be teaching her.
I confess I should have gone to bed an hour ago.
I confess my BFF is in the hospital and it is killing me that I can't be there with her... She has had kidney stones, and a pretty nasty kidney infection for like... over a month...
I confess I want to slap the ER doc she saw in Fairbanks, because they told her she was in kidney failure, and they life-flighted her to Anchorage.... When she got there, the doc said.. "WOW! They really said kidney failure?! Your kidney IS enlarged, but that's because of your infection.... "
So she's sitting there away from her son on IV antibiotics for who knows how much longer....
My hamsters managed to escape their cage last night (how, I have no idea)... Apparently the survived the FIVE FOOT DROP to the hard floor below. I found one - it scurried out of wherever it was hiding about an hour after looking. The bigger one is still missing though. She'll turn up, I know. I just hate the thought of her chewing up my crap!
i dont know what iam i bealive in some stuff n not in others i havent babtized my 2 daughters they are 5 n 3 n al my dh family brings it up everytime we see them" they where suposed to be babtized beafore turning 1" i support gay marrige but not abortion n i had one my self i dont go to church i "pray" when i feel the need but i dont know how to pray so its like my own lil prayer thing i have lit up candles with saints on them idk why but i have my mother in law teached my girls about the virgin mary n jesus n god n saints shes catholic so now everytime my daughter sees a virgin mary statue she points n says look it dosent bother me but i dont discurage her about doing it i dont like church ppl i think they are hipocripts {spelling} n use god for there own truth n bealives i dont like when women say well i have to be by my husband beacuse thats what god wants or accept being abbused phisicly n emotionaly beacuse they r merried for ever n ever till there husband kills them beacuse the bible said so,,, i have a open bible in my room and a money toad next to it i eat meat in passover week im a totall mess o well.. i also say god bless or bless u when a person sneezes i do the cross when ever i see a cathlic church so i really dont know what i am m sure not christian im not catholic i dont enforce it or do it practice it but there are some things that i do that seem/are religious
Last edited by melypelon; 04-28-2009 at 04:31 AM. Reason: added more stuff
I confess that I've been taking all the religious quizzes on Facebook and I've been scoring way way too high for my liking. One quiz even said I was a bible guru.....
I confess that I enjoy getting DH into debates about religion because I know I'll win, even if I don't change his mind. I also sometimess rent documentaries like 'Jesus Camp' and 'Constantine's Sword' and make him watch them with me and I hope that he'll finally give up the ghost one of these days (he is nominally Catholic, but never attends church and disagrees with church doctrine on just about everything. He isn't attached to the miracles or much of the bible being true, but he still calls himself a catholic.). I confess that I call him a pseudo-catholic, which I think is hilarious even though it kind of bugs him. Its true, I am a jerk.
I confess i havent been around much..things just get to me sometimes and i float off for a bit..if i confess some other things i might get the boot lmao..
I confess im super excited about meeting brad in 3 days..
I confess i hate the thoughts of dieing and not being here it almost makes me panic..not death but the thought of never seeing my kids, husband, family, sun, trees, flowers, earth ever gain..
I confess i could confess all day..wtf is wrong with mei love this thread.
I confess i was abused as a child and to this day want to choke the sh it out of anyone who tells me i should forgive cause it would give me closure..no a bullet would give me closure lmao


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The husband of the 75-year-old grandmother accused of shooting and killing her grandson took the stand for the prosecution on Friday. He testified that he didn't even know his wife owned a gun, and that she told him to walk the dog right before the shooting.
Sandra Layne didn't show much emotion in court. She smiled at a couple of people in the audience, but for the most part was stone faced when her husband took the stand despite a small tear at the very beginning.
"She was just trying to do her duty as a grandma and get him through high school," Fred Layne testified.
"You think she loved him?" he was asked.
"She would do anything in the world for that kid," he replied.
The husband described what it was like to have Jonathan Hoffman living with them in the house, the circle of friends he hung out with at the alternative school he attended, and how his wife tried to shelter him from some of her dealings with Hoffman.
"Whenever she had a problem, I said send the kid back to his parents. We don't have to put up with this," Fred Layne said.
"How often did you say that?" he was asked.
"A number of times. Ten times," he answered.
"At least?" he was questioned.
"Yes, at least," he said.
The 17-year-old was staying with his grandparents because his own parents were in the process of a divorce and had moved to Arizona.
While Fred Layne seemed to contradict himself at times, he was quick to point out that he is 87 years old and his memory was much better at the time of the May 18 shooting. He told the court that his wife was frightened of her grandson, even though she never mentioned him by name.
Sandra Layne's husband was not home when the shooting took place because, according to him, she had asked him to leave. He also had no idea she owned a gun.
"I was flabbergasted," Fred Layne said.
"Flabbergasted meaning what?" he was asked.
"Thinking that Jonathan had the gun," he replied.
"So you were surprised that, in fact, it was your wife? Is that correct?" he was further asked.
"Yes," he said.
The jury also heard from one of Hoffman's friends late in the day, who described the pair's final conversations, including the fact that Hoffman had admitted to him he smoked Spice the night before the shooting and had failed a drug test just hours before he died.
"He just sounded scared. He sounded pretty scared. He told me he was going to go to jail," said Max Dashevsky. "He didn't sound high. He didn't sound angry. He sounded completely sober. He sounded scared and upset."
That friend also testified that Hoffman never expressed any ill feelings about his relationship with his grandmother, at least to him.
We also heard from the man that sold Sandra Layne the gun. She apparently said she needed it for home protection.
Sometime on Tuesday, Sandra Layne is expected to take the stand in her own defense.
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Phone: (407) 644-3535News Tips: (866) 55-FOX35


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