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A few weeks ago, Dr. Danielle Ofri, published her personal view in the NEJM of receiving individual feedback on how patients attain certain performance targets. On his personal blog, Dr. Kent Bottles wrote a rebuff, where he suggested that Dr Ofri was implying that because she and other doctors cared about their patients, these scorecards were irrelevant. My reply stated that Dr. Ofri was not against feedback per se, but that she believed it should be at the level of the institution. Kent's thoughts are now reposted on the Health Care Blog where it has created much debate. I'm sure that Dr. Ofri doesn't really need defending but here is my take on what she has written.
She starts by pointing out the silliness of treating success in reaching targets as a binary outcome and particularly mentions blood pressure control in diabetes. This is a good point. Treating hypertension in diabetes is about treating a risk factor in a population; one can never know the benefit for any individual patient. The original UKPDS study which looked at the impact of 'tight BP control in diabetes' compared targets of 150/85 (tight control) vs 180/105 (less tight control). The tight control group managed a mean BP of 144/82 whilst the less tight control group averaged 154/87. The tight control group had reduced all cause mortality and also lower rates of nephropathy and stroke. However, the tight control group were given a regimen including an ACE-inhibitor (a treatment that we now know to decrease all cause mortality in diabetic patients, and to be protective of kidneys) while the less tight control group were to be deliberately not given this. So we don't really know how much of the benefit was down to the actual blood pressure attained, or the treatment used.
But back to Dr. Ofri's point; looking at how many patients achieve a target might, but doesn't necessarily, tell you about how the overall BP in the population has changed. And that is what matters. An aggregate measure of how much change has been produced in the BP of all patients might be a better way of describing how well BP is managed in any practice. She could spend all her time trying to get the patients with a BP of 145/85 down to 130/80 to meet the target, but completely ignore the patients with much higher blood pressures because they will be so much harder to get to the target. I doubt that Dr. Ofri would ever be so cynical as to take this approach because as she says most doctors have the good of their patients at heart, and are not just trying to make a fast buck as quickly as they can. I work in the UK, so I can't say if Dr. Ofri is seeing her colleagues through rose-tinted glasses. She afterall has chosen to work in Bellevue Hospital, the oldest public hospital in the US, where 80% of patients come from under-served poulations.
But back to Dr. Ofri's point; looking at how many patients achieve a target might, but doesn't necessarily, tell you about how the overall BP in the population has changed. And that is what matters. An aggregate measure of how much change has been produced in the BP of all patients might be a better way of describing how well BP is managed in any practice. She could spend all her time trying to get the patients with a BP of 145/85 down to 130/80 to meet the target, but completely ignore the patients with much higher blood pressures because they will be so much harder to get to the target. I doubt that Dr. Ofri would ever be so cynical as to take this approach because as she says most doctors have the good of their patients at heart, and are not just trying to make a fast buck as quickly as they can. I work in the UK, so I can't say if Dr. Ofri is seeing her colleagues through rose-tinted glasses. She afterall has chosen to work in Bellevue Hospital, the oldest public hospital in the US, where 80% of patients come from under-served poulations.
Some of the discussion has been around what are meaningful endpoints for quality measures. We might presume that reducing blood pressure is always good, but it seems to be more complicated than that. Atenolol, which was one of the agents used in the tight control group in the UKPDS trial above, does decrease blood pressure but not overall mortality so it isn't a sensible choice for first-line treatment. And in diabetes achieving even lower blood pressures through aiming for a target of 120/80, is associated with more side-effects from medication but no benefits for patients. Dr. Ofri's failure to get her patients' blood pressures below 130/80may be a good thing for some of them.
But her main complaint about these scorecards for individual doctors is not about the choice of targets, although I hope I have helped you to understand what she meant when she said it is easy to pick fault with them. No her main issue is that the scorecards place responsibility with individual doctors for the outcomes of their patients. She doesn't have a problem with tracking outcomes, and says she would be keen to see how her institution compared to others. She cites a systematic review which shows that this kind of feedback may work at the level of the organisation but not at the level of the individual. She also cites an opinion piece in JAMA where the authors suggest there may be unintended consequences to publicly sharing feedback on the performance of individual doctors, and organisations. These consequences may include "causing physicians to avoid sick patients in an attempt to improve their quality ranking, encouraging physicians to achieve "target rates" for health care interventions even when it may be inappropriate among some patients, and discounting patient preferences and clinical judgment."
Could that be true? Only this evening I came across the following tweet
Pay-for-performance quality measures will result in docs firing noncompliant patients. I know I don't want a dipshit diabetic to sink me.
In the UK, we have already introduced pay-for-performance in primary care. When this was introduced in a new GP contract in 2003, it was lauded by Paul Shekelle, as "the boldest such proposal on this scale ever attempted anywhere in the world". But he was also worried about unintended consequences. One was that areas which were not assessed in the performance measures would suffer. This is hard to assess, and new areas have been added in each annual review in any case, but it is thought that there has been no impact. The other was that the relationship between doctor and patient would change, with loss of some of the holism thought to define UK general practice. We can gain some insights in to how that might have been realised through the ethnographic work of Checkland et al. who documented the changes that the contract brought to two UK general practices. There was an increased focus on recording 'hard' biomedical data over 'soft' patient-centred data. But the staff involved did not see any change in their practice. It is well worth reading this and their other work to gain insights in to some of the impacts that pay for performance may be having in the UK.
Primary care doctors in the UK can not choose their patients. If their 'list is open' (they think that they have spare capacity) then they must take any patient that wants to join. So there is no risk that an individual patient may not receive care because of pay-for-performance. However, unlike in the US, patients may be excluded from denominators if they are having 'maximally tolerated treatment'. This may reduce some of the frustrations that doctors in the US feel about such performance measures.
Secondary care in the UK does not have pay-for-perfomance, or even publicly accessible feedback on performance, but evidence exists that there is a tension between protocol-driven care and tailoring care to the needs and preferences of patients. Sanders et al. have done some excellent work describing how this plays out in specialist heart failure clinics.
Getting back to Dr Ofri's concerns, it is worth noting that the feedback on achievement of targets in UK general practice is at the level of the practice, not the individual doctor (although there is still a size-able number of single-handed GP practices). How does this feedback play out in real life? Here is the prevalence data of disease areas covered by the contract for my own practice in South Wales. The practice is in a deprived area, so unsurprisingly the prevalence of diabetes is 34% higher than the UK average, and the prevalence of hypertension is 32% higher. In our patients with chronic disease the prevalence of smoking is 26% compared to a UK average of 22%. This next link shows how well we compare to other practices in the area in meeting the target of having BP readings of less than 145/85 in our patients with diabetes. Despite the higher than average burden of disease in our practice, we have managed this in 75% of our patients. However, this puts us only on the 25th centile for performance within the area. Through a process of internal peer review we try to figure out how we can improve our success in these targets. We are continually reviewing our recall systems for patients, and how we can share work within the practice team.
Dr. Ofri does not say that doctors should not be subject to performance measures just because they are good people. Instead she points out that the measures should be sensible, and that they should probably be applied at the level of the institution and take in to account wider systemic issues, for example availability of cheap medications. She has drawn attention to the complexity of such an apparently simple process.
Finally, I would ask you to watch this short video of Dr. Julian Tudor Hart, a doctor who inspires many in primary care with his research and work in South Wales. He has demonstrated what can be achieved when caring for underserved populations, and the mindset and caring attitude required.
EDIT: 24/8/10 I came across this YouTube "Can we tell physicians apart without better scorecards?" I find it interesting because it starts with talking about feedback from patients about empowerment. shared decision making etc. Next, the comment is made that if this could be done by email it would significantly reduce costs, however no-one has the email addresses of patients. Lastly, the point is made that although institutional/system measures 'should' be the way to address quality improvement in real life it doesn't work that way, and individual physicians seems to be a key determinant themselves. However, this fits with the notion of process measures- not the outcome measures described by Ofri. The debate continues!


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Whelan Pest Prevention Alsager's professional technician Pat Malpass to ready to visit and eradicate your Squirrel Problems today for domestic and commercial properties
Our Technician in Alsager is Pat Malpass
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You will also find all our Pest Controllers friendly and approachable and they will talk you through any work that they carry out. We also use the latest equipment and safe chemicals to ensure just one visit to your property for Squirrel Control.
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Information About Squirrels
Gray squirrels are approximately 18 inches in length, which includes their 9 inch tail and they weigh about 1-1.5 lbs. as an adult. Their coloration is usually a grayish colour, however they can have tan hairs in the fur as well and they usually have a white belly.
Their winter coat is grey above with a white underside and their summer coat is shorter, sleeker and more brownish grey Red squirrels have red/brown upper parts in summer but may show some grey on the back in winter, which can sometimes lead to some confusion.
Red squirrels are smaller, lighter, have ear tufts and prominent in the winter coat and brown on the legs and tail. Their natural habitats are wooded areas in tree cavities, and they can also be near hardwoods like oaks and hickory trees.
They will also construct feeding shelters out of leafs. They generally have 2 litters a year, 2-4 young per litter and they normally breed in midwinter and late spring. Gestation is about 44 days. Their diet consists of bird eggs, insects, berries, fruit, vegetables, nuts and nestling birds, squirrels also like to hoard their food.
The Gray squirrels are most active during the day, and can inhabit the attic areas as well as crawl spaces. They like to enter the attic areas from your gutters and nearby trees and bushes. Installing gutter guards, or down spouts with screen may prevent them from climbing up to the roof through a down spout.
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Abbey Hulton, Alsager, Alton, Baldwins Gate, Bentilee, Biddulph, Birchall, Blackshaw Moor, Blurton, Blythe Bridge, Bradnop, Bridgeford, Brown Edge, Brown Lees, Bucknall, Burslem, Butterton, Cheadle, Cheddleton, Church Leigh, Cobridge, Congelton, Eccleshall, Endon, Fenton, Grindon, Hanley, Haywood, Ipstones, Keele, Kidsgrove, Leek, Longton, Meerbrook, Meir, Mixon, Mow Cop, Newcastle-under-Lyme, Newtown, Norton, Oakamoor, Onecote, Rudyard, Scholar Green, Smallthorne, Sneyd Green, Stoke, Stoke on Trent, Stone, Stone, Stramshall, Talke, Talke Pits, Tean, Thorncliffe, Tunstall, Upper Hulme, Uttoxeter, Uttoxeter, Waterhouse, Werrington, Weston Coyney, Woodseaves

subset: commoncrawl


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World-Class Ass-Kicking
Jackson's gym defends the Duke City's title as a stronghold for tough talent
Jon "Bones" Jones is one such transplant. A year and a half ago, the UFC light heavyweight contender relocated here from upstate New York with his young family to train full-time at Jackson's.
"Albuquerque's really cool. The people here are cool. It's a fighter town," he says (watch the interview here). "There's no other place I'd rather be. I love the high altitude, the green chile, all that good stuff."
Jones is riding quite a hype-train these days. He's an exciting young star known for creative striking and tenacious takedowns, including an arsenal of trips and throws. And he makes it look easy. At only 23, Jones has years ahead of him, provided he remains injury-free. Like so many others, Jones came to Albuquerque because of Jackson's—and not just for the coaching. The gym has become a crossroads for a who's who of MMA. The gym's reputation brings in a steady stream of world-class training partners.
While fighters travel to Albuquerque from around the world, a large contingent of Jackson's talent is homegrown.
Another local, Carlos "Natural Born Killer" Condit, grew up in a political family in Albuquerque—his dad, Brian Condit, was the chief of staff for former Gov. Richardson. Mild-mannered and soft spoken, he only plays the part of "Natural Born Killer" in the cage, where he's known as a calm fighter who can turn your first mistake into your last.
Donald "Cowboy" Cerrone has been here long enough to be considered a common-law local, and the former rodeo rider from Colorado is putting down roots in New Mexico. He recently went in on some rural property with fellow Jackson's featherweight star and longtime buddy Leonard Garcia.
In addition to raising cows, goats, chickens, pigs, horses and sheep, he says, they've also bought the house next door. "We own about 40 acres now, we got a 4,000 square-foot gym we're building out there, got a cage, ring, everything. All the lightweight guys come down and train every night. We train here in the morning and there at night. So it works out good, man." he says, "You know, doing what I love and living a life worth living."
Cerrone makes his UFC debut against British striker Paul Kelly at on Feb. 5 in Las Vegas, Nev., on the same night Jon "Bones" Jones faces the biggest test of his young career in the Scottsdale-trained Ryan Bader.
Another fighter getting settled in Burque is Keith "The Dean of Mean" Jardine, a former UFC title contender who's now trying to fight his way back into the promotion after a losing streak.
The Mean One has opened two gyms—one in Albuquerque and one in Rio Rancho—called the Mean1 MMA & Fitness. Jardine still trains as a fighter at Jackson's, though the two gyms are competitors. There's one line, however, that Jackson's fighters agree not to cross: They won't compete against one another in the cage.
This policy presents matchmaking problems in the title picture of nearly every UFC weight class: Sanchez and Condit share the welterweight division with their teammate, the champion Georges St. Pierre; Jon Jones shares the light heavyweight division with teammate Rashad Evans, a champion and title challenger; the lightweight division includes Guillard and Cerrone, as well as their teammates Joe Stevenson and Clay Guida.
Not surprisingly, UFC president Dana White has never been one to hide his distaste with the idea that training partners can't compete against each other. It's a sport, he contends, arguing that in no other sport will certain athletes claim a lifelong ban on competing with other athletes.
These bonds have yet to be tested with the temptation of a title belt dangling on the line. And in the even more crowded ranks of the lower-level pros and upper-level amateurs, things get a little more tricky, as fighters trying to make it big vie for a limited number of fighting opportunities in which to make an impression.
There's also competition from athletes at other area gyms, as would be expected in a fighter town. In addition to Jackson's and Mean1, several other MMA training grounds make their homes here, including Albuquerque Kickboxing, Fit NHB and Lion Academy of Martial Arts, as well as numerous karate, tae kwon do, Brazilian jiu-jitsu and other combat arts in a strip mall near you. The demand is so great that even Jackson's offers classes for regular people in search of fitness and self-defense techniques.
The idea behind the Jackson's MMA Series is to provide experience for the team's fighters, explains Ricky Kottenstette, general manager of the gym and of the series. "So we basically put out a challenge to fighters from other camps."
"It shows that we're putting our fighters to the test."


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So I have been slacking on the blog front lately. Slacking on all fronts really. I feel like I haven't baked in weeks. Although I did make 3 Coconut Salted Caramel Chocolate Pies for a lady at work, I haven't baked anything new. I think I have thrown myself into pre-vacation mode where I don't really want to do anything. I also seem to also be choosing to venture outside and enjoying this wonderful weather we have been having (off and on). I have also spent barely any time on twitter, pinterest or blog reading. I am now trying to catch up on days worth of my dashboard, bloglovin et all to find out what I have missed over the last week. Uggh..so behind.
Since my plans for excessive mini egg baking have gone out the window with my trip I wanted to give you an awesome Easter pie.
Raspberry Pecan Coconut Pie
(adapted from Anna Olson)
- 1 homemade or premade pie crust
- 2 eggs + 1 egg yolk
- 3/4 cup brown sugar
- 1 tsp pure vanilla extract
- 1/2 cup unbleached all purpose flour
- 1/2 tsp baking powder
- 1/4 tsp salt
- 1 1/2 cups pecan peices
- 1/2 cup unsweetened coconut
- 1/2 cup sweetened coconut
- 1 cup fresh raspberries
1) Bake the pie crust as per blind bake instructions. Let cool and place the pie crust on a baking tray.
2) Preheat oven to 325F. Combine eggs, brown sugar and vanilla in a large bowl. Mix together well.
3) Add flour, baking powder, salt, coconut and pecans
4) Fold in raspberries. Pour the mixture into the crust.
5) Bake for 45 minutes, until evenly browned and set. Allow tart to cool completely. Store in the fridge up to 4 days.


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Unidentified artist
British, 19th century
The Love Letter, c. 1850
oil on canvas
76.5 x 50.4 cm
Collection of the Winnipeg Art Gallery; Gift of the Women's Committee
The painter of The Love Letter has been identified with the Pre-Raphaelite Brotherhood, a group of English artists who looked to the pre-Renaissance (before Raphael) for their artistic inspiration. Founded in 1848, the group, which included Dante Gabriel Rossetti, John Everett Millais, and William Holman Hunt, drew from a variety of literary sources such as the Bible, Shakespeare, contemporary poetry, and quattrocento painting for their subject matter. In the WAG picture, a woman in a fashionable Victorian black velvet and satin dress can be seen hiding a letter in a section of the foliage-covered stone wall. With large trees found on both sides of the wall, it is difficult to tell whether she is standing within or outside the enclosed garden. However, considering the painting's Pre-Raphaelite association, we might assume she is found within a medieval-inspired garden.
Gallery Hours
- Tuesday 11am-5pm
- Wednesday 11am-5pm
- Thursday 11am-5pm
- Friday 11am-9pm
- Saturday 11am-5pm
- Sunday 11am-5pm
- Closed Monday


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Last year at the London Show, I upgraded my RISC OS system to a Titanium based system (in my case the TiMachine from R-Comp).
As the London Show is fast approaching, and other people may have similar thoughts, I felt some retrospective was in order...
I have found the machine to be a very stable and fast. I use it as my main RISC OS machine and experience a noticeable feeling of sluggishness if I go back to an older machine. All the software I use (especially !TechWriter and !MPro) work very well. It is a undoubtedly a pricey machine but I have made far more use of RISC OS in the last twelve months. It is a 'proper' machine in the sense you have DVD, SSD and lots of ports.
It is has been nice to see steady improvements to the system, especially the update to RISC OS 5.23, and releases to use Dual monitor support. It is also great to see Elesar updating their software and bringing some 'old' friends back to the platform such as Look Systems excellent font tools.
The big issue for me is the lack of a decent web browser as I spend a lot of time in web applications such as Jira, Trello and BaseCamp. I tried using my Pi3 with VNC for this, but have reverted to my Mac.
As I said, I have made much more use of RISC OS for the 'traditional' uses which it still excels at and very happy at my purchase. What are your thoughts/experiences?


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Story highlights
- Tiger Woods takes part in Tavistock Cup a week after suffering Achilles injury
- Woods' pulled out of last week's World Golf Championships due to the complaint
- Former world No. 1 says he withdrew as precautionary measure
- Woods confident of his fitness ahead of the first major of the year, the Masters in April
Tiger Woods returned to competitive golf Monday dispelling fears he might miss the first major of the year at the Masters next month.
The 14-time major winner pulled out of last week's World Golf Championships in Florida with an Achilles injury, putting his place at Augusta in doubt.
But the former world No. 1 was back on the course to take part in the Tavistock Cup, played between rival international golf clubs Albany, Queenswood, Isleworth and Lake Nona.
Woods, joining up with the Englishman who won the WGC event Justin Rose, showed his game is still in good working order as the pair made nine-under-par for Team Albany.
"I did the smart thing and prudent thing this time, hence I'm back in a week," Woods told reporters about his decision to quit the WGC.
"I've done it before and played through not just pain, but injury and set myself back quite a bit. That's what I did last year and missed two major championships because of it.
"I want to be ready for Augusta. I have to do the right thing. Unfortunately there are times when I've played when I probably shouldn't have and it's cost me."
Team Albany, which also consists of South Africans Ernie Els, Trevor Immelman, Tim Clark and England's Ian Poulter, ended day one third on 23-under as Team Isleworth, who include American pair Bubba Watson and Sean O'Hair in their ranks, lead on 26-under.
At the Lake Nona course, Woods showed no signs of the limp he carried when walking off at Doral the previous week after calling it a day on the 12th hole.
At that point there were fears he might not to be able to try to add to his four Masters titles, the last of which came in 2005, especially as the 36-year-old missed a significant chunk of last season with knee and Achilles problems.
But after a week's rest and some treatment on his injury he was fit to compete, and has confirmed he also intends to play at the Arnold Palmer Invitational, which starts Thursday.
Woods will take his place for the singles matches on the second and final day of the Tavistock Cup on Tuesday.


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Carrie Underwood Takes Home Female Single of the Year for 'Mama's Song' at 2011 American Country Awards
Carrie Underwood was the first artist at the 2011 American Country Awards to walk away a winner. Underwood was victorious in the night's first category for Single of the Year by a female artist for her sentimental and touching hit 'Mama's Song.'
"First off … I don't even know what to do about that intro," Underwood said, laughing, when she got to the microphone, referring to the skit between the show's hosts, Trace Adkins and Kristin Chenoweth, who had a comical sing-off. "That was awesome … the badonkadonk and what not."
After gaining her composure, Underwood continued on with her acceptance speech as she clutched her new telecaster guitar trophy. "I would like to thank God for giving country music the best fans in the world! Everybody in this room that's nominated tonight or performing tonight or presenting tonight are here because you guys put them there, so thank you so much. Thank you, thank you, thank you!"
During last year's ACAs, Underwood was the award show's top winner with six wins, including the night's biggest honor, Artist of the Year.
Watch Carrie Underwood Accept the Female Single of the Year Award at the 2011 American Country Awards


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This Week at Physics
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Event Number 2963
Thursday, February 7th, 2013
- Astronomy Colloquium
- Galactic Winds: Lessons from Nearby Starbursts
- Time: 3:30 pm
- Place: 4421 Sterling Hall
- Speaker: Jay Gallagher, UW Astronomy Prof and Chair
- Abstract: Gas outflows from galaxies are a key aspect of the feedback process. Winds act as a cosmic safety valve to limit star formation while also injecting metals, magnetic fields, and cosmic rays along with fast moving gas into their surroundings. They also may provide a path for the escape of Lyman continuum photons through the hot, highly ionized wind material. Studies of 3 nearby classic starburst galaxies with winds, M82, NGC 253, and NGC 1569 offer new insights into how how starburst winds are launched and the conditions under which they break out. I will review our work on this topic that has been largely based on observations obtained with WIYN and Hubble Space Telescope, and also briefly describe work in progress with Ellen Zweibel and Tova Yoast-Hull to better understand cosmic ray interactions in these types of systems.
- Host: Dept
- Add this event to your calendar
- Galactic Winds: Lessons from Nearby Starbursts


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Tuesday, October 5
Honking Commute Year
The only road where more than one honk occurred was eastbound Westport Parkway, between I35W and Old Denton Road. This segment is a two-lane road in which it is legal to pass a cyclist or other slow-moving traffic, and which has no bike lane, path, or sidewalk anywhere near it. I was never honked at on the Alliance Gateway Freeway or Highway 377 in Keller, nor on any residential street or multi-use path.
The furthest I commuted without a honk was 1120 miles, and the shortest distance between commute honks was 80 miles. Ironically, one of the short spells was followed by the longest one.
Five of the honkers drove pickups. Two of those pickups were white. Three honkers had stickers in their back windows, including two of the pickup honkers. I was able to determine the honker sex in five cases. Two were male, two were female, and one was a honker couple with a male driver.
In all honesty, I'd be hard pressed to claim that more than half of the honks were associated with any aggressive intent at all. While my estimate of how long following honkers may have been held up might be open to question, six of the honks were from people held up for an estimated three seconds or less. In the case of the other two, neither had any safe place to pull over for a cyclist, and neither motorist seemed to honk aggressively.
Cyclist Bias
My route evolved to get me to and from work quickly, without adding undue stress. Route evolution was largely complete prior to the report period and no major route changes took place in the report period. The route involves few roads with shoulders, and doesn't generally involve long slow stretches where a following motorist might have difficulty in passing. The morning route takes advantage of lighter traffic, and is about a half mile shorter as a result.
7 comments:
- RANTWICK said...
Pickup trucks... hmmm. My experience too, but what is the ratio of pickups to other passenger vehicles in DFW vs London Ontario? Loved this post. You are insane. In a good way.
- October 5, 2010 at 10:05 PM
- Chandra said...
Nice Statistics!!
In the last month or so, I was honked at by only the driver of one vehicle. It was a younger male in a Land Rover :(
But then, I get honked at because I don't drive my truck like a maniac. So, the heck with honkers LOL!
Peace :)
- October 5, 2010 at 10:50 PM
- limom said...
You sir, take your honking seriously!
- October 6, 2010 at 12:21 AM
- John Romeo Alpha said...
"I've been tracking commute-related honking for a full year now." In a spreadsheet? honking.xls? With columns for vehicle make, model, color, and gender of honker? For a year? Steve you are my hero.
- October 6, 2010 at 1:49 AM
- Steve A said...
Andy Cline of Carbon Trace was my inspiration. The spreadsheet just helps me keep track of something that happens infrequently in an organized fashion rather than my memory focusing on particular incidents and generalizing them. Over a period of years, patterns would begin to evolve into testable hypotheses. It also helps pass the miles.
- October 6, 2010 at 3:03 PM
- Hugh said...
I drive a pick-up. But it is a compact Ranger XLT with a "Share the Road" bumper-sticker. What concerns me is this. The last time I got an "angry honk" the offender was driving a white pick-up. So much for the good guys always wearing white. I guess it only applies to hats(:
- October 9, 2010 at 7:03 PM
- Khal said...
Neale Pickett (a co-author on the LA Bikes blog) has also commented that when he actually tracked aggressive or obnoxious motorist behavior, it was actually quite rare.
- October 10, 2010 at 9:04 AM


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Sarnia Harbour
Sarnia Harbour Divestiture
Discussions began in the Fall of 2011 regarding the transfer of ownership and responsibility of the Sarnia Harbour from Transport Canada to the City of Sarnia. Transport Canada's window of opportunity for divestiture was scheduled to close on March 31, 2014. On March 28, 2014 the City of Sarnia and Transport Canada completed the divestiture of Sarnia Harbour. A set of divestiture documents were executed and a Federal contribution of $8,565,953.00 was made to Sarnia to aid in the operation of the harbour.
Sarnia Harbour
The Sarnia Harbour website has been established and includes general information about the Sarnia Harbour, Rates & Fees, Maps, Photo Gallery and contact information.
A promotional video of the Harbour can be found below.
This page was reviewed or revised on Friday, April 7, 2017 1:03 PM


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MOVIE REVIEW- Albe-quirky: Second <i>Sunshine's </i>sweet
Independent films are known for their quirks, some endearing and some annoying. Sunshine Cleaning has a surfeit of the former but enough of the latter to keep my enthusiasm in check.
Chief among its assets is the performance of Amy Adams. After appearing as an "Enchanted" nun in Doubt, she creates a completely different and far more multidimensional character here. On the downside, some scenes appear to have been thrown in just to let her show specific emotions or facets of her talent.
Adams plays Rose Lorkowski, a single mother whose seven-year-old son Oscar (Jason Spevack) is going to have to go to private school or start taking meds mandated by his public school. She can't afford the former but is opposed to the latter on principle.
We only see Oscar's good side, so it's hard to understand his problems, except that he may be getting overstimulated by his Aunt Norah (Emily Blunt), a frequent babysitter whose bedtime stories give him nightmares.
Rose is the more stable sister, going to real estate school while eking out a living cleaning houses. Norah, who lives with their father (Alan Arkin), can't even hold down a waitressing job.
On a less positive note, Rose has an ongoing affair with a married policeman, Mac (Steve Zahn). His suggestion leads to a new career path for the sisters: cleaning up crime scenes. "It's just like cleaning up a house but there's blood there." And it pays better.
After plunging in, they learn the fine points of their new profession from Winston (Clifton Collins Jr.), a one-armed man who makes model airplanes and runs a janitorial supplies store. (How he lost his arm is never discussed, but a scene where Norah goes "trestling" raises an intriguing possibility.)
Personal effects found at the scene of a "decomp" (you don't want to know!) lead Norah to track down the dead woman's daughter, Lynn (Mary Lynn Rajskub), a lonely lesbian who misinterprets Norah's interest in her.
The presence of Arkin, a kid and a van suggests some inspiration from Little Miss Sunshine (which had the same producers), even extending to the title. At its frequent best, Sunshine Cleaning may recall that film, but it has many more low points.
That it was filmed before the economic downturn made starting a small business next to impossible gives Sunshine Cleaning an air of instant nostalgia.


text: Hi, I'm trying to work out the best way to deal with spam. I'm curious if it is possible to setup a mail account for a vDomain and have all mail marked as spam for that vDomain forwarded to that account? And have this as an option for each vDomain (like the move to junk mail option already available in ISPConfig). I know I can have the spam deleted automatically using a Dovecot plugin, but I'm worried that some mail might get classified as spam when in fact it is not. Cheers, Nap


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Argument recap: Taylor v. Sturgell
Arguing for petitioner Brent Taylor, Adina Rosenbaum began with a restatement of the most forceful legal principle conveyed by the petitioner in his merits brief: the right of every person to have his day in court, and the corollary canon that "a lawsuit does not decide the rights of non-parties." She jumped into the facts of the case directly, noting at the outset that Taylor had no legal relationship to Herrick, or any parties in the first case.
Chief Justice Roberts asked about the res judicata principles behind associational standing, which proved to be a recurring theme throughout the argument. Ms. Rosenbaum answered that the association must have authority to bring a case on behalf of an individual; otherwise, the individual cannot be bound by the court's determination.
Justice Souter then stepped in and asked a series of questions about the court's power to estop a collusive second party from bringing a case""even absent a legal relationship between the first and second party. Ms. Rosenbaum answered that on the bare facts of Justice Souter's hypothetical, where one litigant solicits another to file the same case, the second party would not be precluded from moving forward with the suit. When pressed, Ms. Rosenbaum clarified that collusion can lead to preclusion in cases in which one party exercises control over the other's suit. Justice Ginsburg jumped in to help, noting that in the instant case, there was no finding of solicitation or collusion. Just as Ms. Rosenbaum agreed, Justices Souter and Alito pressed her further on the details of the petitioner's collusion theory. Ms. Rosenbaum reiterated that the facts of petitioner's case did not demonstrate collusion between Taylor and Herrick, and that the contours of collusion for the purposes of a res judicata inquiry need not be decided by the Court.
Justice Souter next asked Ms. Rosenbaum for any other conceivable reason for Taylor to file a FOIA request besides his interest in repairing Herrick's plane. Ms. Rosenbaum answered that Taylor's position as executive director of the Antique Aircraft Association, and his "interest[] in antique aircraft and in aviation generally," could easily have motivated Taylor to file the request. Justice Scalia jumped in to note that a person does not have to have a reason for filing a FOIA request""naked curiosity would be sufficient to entitle the person to request information from the government. Justice Souter countered that a person off the street wouldn't face the same collusion charges that two connected parties would face.
The next major theme concerned the structure of the FOIA statute. Ms. Rosenbaum pointed out that FOIA is set up to allow "repeated litigation over the same records." That is, even though Congress could have structured FOIA in any way it saw fit, it chose explicitly to allow every individual to request information from the government. "And once they have requested those records and [have] been denied . . . they have suffered a concrete and particular injury; and they have the right to seek judicial review of that injury." Also, Congress chose not to specify a single venue for FOIA suits""instead, the suit could be brought where the records were located, where the requester resided, or in the District of Columbia. Because of the unique plan contemplated by Congress, this "chosen scheme should not be altered through the back door of preclusion doctrine."
Ms. Rosenbaum next urged that a clear set of rules was critical in an area like res judicata, so that non-litigants may be able to determine easily when they will be bound by a judgment. Justice Scalia entered the conversation and asked which clear rules petitioner was advocating. Ms. Rosenbaum laid out clearly the three factors in which a non-party to a case may be bound by a judgment: first, where there is a legal relationship between the parties; second, where a non-party has had "their full and fair opportunity to litigate in the prior case"; and third, where the non-party was officially "represented in the prior case." The discussion turned to class action lawsuits, which was a "very good example of [the] representational relationship" due to the protections built in for class members, such as members' ability to withdraw from the suit and the "judge's obligation" to look out for absent class members.
Justice Kennedy asked Ms. Rosenbaum whether providing a non-party with notice of the prior litigation would be sufficient to fit into the second category of having a "full and fair opportunity to litigate." Ms. Rosenbaum answered no, because that would "set[] up a system of mandatory voluntary intervention." In other words, the non-party receiving notice is still not "fully and fairly litigating" the prior case. A nonparty's knowledge of a case is not enough to ensure that her interests would be represented, or that she would be able to exercise control over the strategic decisions of the prior litigation.
The Justices continued to present Ms. Rosenbaum with a series of hypotheticals to flesh out petitioner's theory on the required relationship between parties, including an extended dialogue on law firms and their representation of companies. Ms. Rosenbaum walked through the questions, making clear that a simple case involving a law firm's representation of a company would bar the company from later litigating the case on its own. She then reserved her remaining four minutes for rebuttal.
Douglas Hallward-Driemeier, Assistant to the Solicitor General, then presented his argument for the Government. He began by asserting that it was not "critical to find that [Taylor] was [Herrick's] agent in the very technical sense of the Restatement of Agency" to hold that Taylor was barred from litigating the FOIA request for records. Instead, he argued, a case in which "multiple persons engage in coordinated successive litigation to vindicate a joint interest" fell perfectly in line with normal principles of res judicata, even though it didn't have certain hallmark characteristics of other estopped cases.
Justice Ginsburg jumped in right away and distinguished the case, highlighting the lack of notice given to Taylor regarding Herrick's suit. Mr. Hallward-Driemeier responded that even "[p]etitioner acknowledge[d] that there can be circumstances in which Taylor would be bound" to a judgment absent notice, namely, if the two parties had formed an agency relationship after the first suit. Justice Ginsburg clarified that, in Mr. Hallward-Driemeier's hypothetical, the outcome would be premised on the idea that the person really litigating the second claim is the principal, who is bound by the prior unfavorable ruling that she brought without an agent. Mr. Hallward-Driemeier agreed.
Mr. Hallward-Driemeier offered a case that illustrated how a court may act when the connection between the two parties is "just shy of a true agency relationship." The court of appeals case, United States v. Des Moines Valley Railroad, involved the Government bringing a claim on behalf of a homesteader. Though the two parties did not share an official relationship, the Des Moines court found privity between them because the Government lent its name to allow "the [homesteader] a second bite at the apple." Thus, though there was "no section of the Restatement (Second) that specifically govern[ed]" the case, the "reality of the situation [was] that there[ was] a sufficient relationship between [the two parties] that they ought to be barred." Justice Ginsburg seized on Mr. Hallward-Driemeier's hypothetical to point out that Taylor's case was inapposite""here, there was no evidence of collusion between the two parties. Mr. Hallward-Driemeier agreed that Justice Ginsburg's facts were correct, but emphasized that the court of appeals did find that Taylor had brought the "suit in order to vindicate the exact same interests" that were involved in the prior suit.
The discussion that followed concerned the effects of stare decisis on FOIA litigation. Justice Stevens asked counsel why "the defense of stare decisis" wasn't adequate to solve the vexatious litigation around identical FOIA claims. Mr. Hallward-Driemeier responded that the text of FOIA allowed a number of different venues to hear the suit, which allowed individuals "scattered throughout the country" to maintain an identical lawsuit in diverse venues. Given the government's and Fairchild's "burden of persuading the court in each case" that a FOIA exemption is warranted, repeated litigation forced the two parties to travel around the country litigating the same case repeatedly. Such an outcome was unfair to the respondents, Mr. Hallward-Driemeier argued. Also, given the "public-right nature" of the FOIA interest, preclusion was particularly appropriate because the individual interests of plaintiffs were lower, and the "almost infinite" quantity of plaintiffs would compound the litigation problem indefinitely.
Mr. Hallward-Driemeier then went on to praise the virtue of the narrow rule advocated by the Government, despite Justice Scalia's assertion that, for a "thousand-headed monster of litigation . . . [your] solution is to cut off one eyebrow." Mr. Hallward-Driemeier pointed out that the goal was to still allow "multiple individuals on entirely independent grounds" to bring suit. The Government's narrow rule would merely bar the very few people whose relationship was based on relitigating the same claim. In a case such as this one, though there was no legal relationship, "[i]t is the substance of the relationship that counts."
Catherine E. Stetson, counsel for Fairchild Corporation, opened by seizing upon the endless, "vexing hypotheticals" that the Justices had posed to the previous attorneys. Such hypotheticals showed that privity was a changing concept with no precise statutory or constitutional definition. But instead of the "freewheeling, totality-of-the-circumstances test" that Justice Scalia had earlier pressed, Ms. Stetson asserted that there were definite inquiries that must be made in a res judicata inquiry: first, an examination must be made into the relationship between the litigants; second, the court must look at how the parties conducted themselves during the suits. Turning to the latter inquiry, Ms. Stetson urged the court to acknowledge the lower court's factfinding that there was indeed a request from Herrick to Taylor to assist in repairing the F-45. Justice Souter interjected that an inference of factfinding is something that the Court, as a court of appellate jurisdiction, was not equipped to do. Ms. Stetson responded that the trial court held "precisely" that there was "deliberate maneuvering" between Herrick and Taylor. Justice Ginsburg responded that because the court of appeals failed to reach the same question, the relevant trial facts were not before the Court. Ms. Stetson went on to concede that the case was factually unique, but argued that it still fell "well within the wheelhouse of privity cases that [the] Court is quite comfortable with."
Chief Justice Roberts pressed Ms. Stetson on whether the interests in an associational standing case were sufficiently aligned to bind individual members to a decision binding the organization. Ms. Stetson asserted that it was not sufficient to have similar interests. For preclusion to apply, the interests of the two parties had to be identical; that bar was met here, "because one [case] was literally factually derivative of the other." Taylor had standing to bring the FOIA request, but that did not give him a "free pass from a res judicata inquiry."
Ms. Stetson closed by noting that respondents were "not advocating[,] nor is the government, a privity rule that [would] result in the widespread preclusion of FOIA plaintiffs who seek[] the same documents for independent reasons." But when a case presented a "square privity issue," the case should be barred under normal res judicata principles.
Ms. Rosenbaum's four-minute rebuttal began with a response to the cases brought up by Government counsel. Ms. Rosenbaum asserted that the "exact[] . . . point" was that the legal relationships defined in those cases gave rise to privity, and that those same relationships were missing in Taylor's case.
Second, Ms. Rosenbaum argued, Congress set up a clear remedial structure in FOIA, involving multiple venues, that should not be second-guessed.
Third, Ms. Rosenbaum clarified that although the district court had found "tactical maneuvering" between Herrick and Taylor, the court of appeals "specifically said that the district court had erred in concluding there had been an agreement." Ms. Rosenbaum acknowledged Chief Justice Robert's suggestion that the case could be remanded to the lower court to answer the question of whether collusion had occurred. She closed by stating that "privity should be based on [underlying] rationales that protect the litigant's right to be heard and ensure that they do have their day in court."


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Open Innovation at ALTANA AG
ALTANA AG is a member, among others, of some innovation networks:
Futurebizz is a Germany-wide "open innovation" network for companies in all industries.
It serves trend monitoring and the exchange of new business ideas on the topics of living and working.
UnternehmerTUM GmbH - Center for Innovation and Business Creation – based at the Garching campus of the Technische Universität München devotes itself to fostering entrepreneurial talent and provides business plan seminars, workshops, a support program for junior executives, and assistance for prospective entrepreneurs free of charge.
The Karlsruhe Institute of Technology (KIT) was founded in 2009 by a merger of Forschungszentrum Karlsruhe and Universität Karlsruhe.
KIT bundles the missions of both precursory institutions: A university of the state of Baden-Wuerttemberg with teaching and research tasks and a large-scale research institution of the Helmholtz Association conducting program-oriented provident research on behalf of the Federal Republic of Germany. Within these missions, KIT is operating along the three strategic fields of action of research, teaching, and innovation.
With KIT, an institution of excellent international research and teaching in natural sciences and engineering is being established.
The visions of KIT are:
- KIT will attract the best experts from all over the world.
- KIT will set standards in teaching and promotion of young scientists.
- KIT will become the leading European center of energy research.
- KIT will play a role in nanosciences that will be visible worldwide.
- KIT will be a leading innovation partner of industry.
The InnovationsAllianz (Innovation Alliance) works consistently to improve the collaboration between companies and other social organizations with the universities in North Rhine-Westphalia. Companies in NRW support the InnovationsAllianz in its aim to make North Rhine-Westphalia the top innovation site and to secure this position long-term.
Members of the "InnovationsClub NRW" are companies either based or represented with a branch office in NRW that, together with the InnovationsAllianz, represent a "spearhead for innovation in NRW" and are looking to strengthen the collaboration between science and industry in order to make the innovative ability of North Rhine-Westphalia stronger.
The Cluster for Industrial Biotechnology (CLIB 2021) is a regional network in North Rhine-Westphalia that links up chemical and biotechnology companies with scientific institutes and investors.
The IBB Netzwerk GmbH is an organization promoting the real economy in the field of industrial biotechnology. Purpose of this network is to speed up the implementation of scientific knowledge into innovative products and processes. The IBB network consists of members of the industry, small and medium-sized companies, universities, non-university research institutions, economic development agencies, consultants and associations.
The Organic Electronics Association (OE-A) is an international information and communications platform promoting the development of a competitive infrastructure for the production of organic electronics. OE-A represents the entire organic electronics value chain, from material manufacturers, to plant builders and manufacturers, to users.
The cooperative project MaDrix is driving the development of high-performance printed radio frequency identification tags (RFID). It is sponsored by the German Federal Ministry of Education and Research.
The Dutch Polymer Institute (DPI) was established in 1997 as a public-private partnership to perform pre-competitive research into polymers and their application, linking scientific knowledge to the industrial need for innovation. This results in added value for universities in scientific publications and for companies in intellectual property rights and the possibilities to execute new activities. Some 200 researchers (PhDs and Post-Docs) are currently involved in DPI projects at knowledge institutes throughout the world.


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|Chocolate Cobbler
Sandlake Country Inn's Chocolate CobblerI know, I know...it sounds strange, doesn't it? It even LOOKS strange! But my, oh my, is it delicious!
This is one of my most requested recipes at Sandlake Country Inn. At breakfast, we deliver a 4 course hot breakfast to your door each morning of your stay. Breakfast changes every day. I use this chocolate cobbler as our fruit dish. I know we'd love to think chocolate is a fruit, but for those who disagree, you'll be happy to know that I serve this with berries on top and a tiny bit of whipped cream. Now that's a fruit course in my dictionary!
Every time I make it, guests ask if I'll give up the secret recipe. Well, here it is:
2 sticks butter
1 1/4 cups sugar
1 1/2 cups flour
1/4 teaspoon salt
1 3/4 teaspoons baking powder
1 teaspoon vanilla
3/4 cup milk
1 cup sugar
6 tablespoons unsweetened cocoa powder
2 cups boiling water
Preheat oven to 350. In a 9x13 glass baking dish, melt the two sticks of butter in the oven.
Meanwhile in a bowl, mix together the 1 1/4 cups of sugar, flour, baking powder, vanilla and milk. Once the butter is melted pour the batter over the butter, but do not stir.
In a separate bowl mix together the cocoa and remaining sugar.
Sprinkle cocoa/sugar mixture on top of batter. Do not stir.
Pour the 2 cups of boiling water on top of that (don't stir)
bake for 30-45 minutes. I bake mine until I have a nice golden brown crust and inside is pudding-like. In my oven this usually take about 35 minutes.
Serve warm with sliced strawberries & a dollop of cream.
Now imagine this is only 1 of 4 courses you could be eating while in your romantic room at Sandlake Country Inn.
Diane Emineth,
Sandlake Country Inn
8505 Galloway Rd
Cloverdale, OR 97112
Your Romantic Getaway on the Beautiful Oregon Coast


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NASHVILLE, Tenn. (AP) — Lady Antebellum's Hillary Scott is expecting.
Scott announced her pregnancy Friday on Twitter, calling the baby "our Christmas gift." A spokeswoman confirmed the news and said no other details were available.
It's the first child for the 26-year-old "Need You Now" singer and her husband, Chris Tyrrell. It's also the first child for the trio, which includes Charles Kelley and Dave Haywood.
Later in the day Scott traveled to Las Vegas, where the Lady A will attend Monday's American Country Awards. Scott tweeted that she was headed to bed: "… this growing a baby thing makes ya sleepy!"


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Bar None XXXIV - Lawquaman
Bar None is an annual musical variety show sponsored by the Dallas Bar Association and Dallas Bar Foundation, and supported by local attorneys and law firms. Bar None features hilarious skits, songs and dance numbers for our audiences. Bar None raises funds for the Dallas Bar Foundation's support of the Sarah T. Hughes Diversity Scholarships at the Southern Methodist University's Dedman School of Law, UNT Dallas College of Law, and Texas A&M University School of Law. To date Bar None has raised over $2 million for the Hughes Scholarships.


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Labor Day is a long weekend that many people consider as the end of the summer and last chance to celebrate outdoors for a while. Enjoy a nice long weekend with some of the ideas for your Labor Day weekend.
1. Fiskars shares some great ideas for Labor Day decorations here.
2. Play some outdoor Jenga using your own wooden blocks like these.
3. Use a simple bucket caddy like this one from Martha Stewart for a casual picnic.
4. Download your free Labor Day invitations from Martha Stewart here.
5. Add some variety to your barbecue by making this grilled corn with sundried tomato-bacon butter.


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God's Glory Through Man
Although humanity is the crowning jewel of God's creation, we are not its end goal. Instead, God made all things for His glory, and we glorify Him the most when we reflect His holy character. Because Christians have been born ...Read More
The Nature of Man
Our understanding of the fall has inevitable consequences for our view of what human beings are, how wonderful God made us originally, how important it is that we preach the gospel so that sinners can recover the high dignity that ...Read More
Our Purpose
If our original purpose is to shine forth God's image to creation, then the importance of our obedience to His will takes on new significance. When our goodness and mercy align with His standards, we reveal His pure character ...Read More
Reflecting His Image
Pray this prayer: "Dear God, reveal to me the depth and riches of the nature of Your Son, Jesus."Read More


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You see the following error code and message when you try to play a video on Xbox 360:
The gamertag that started downloading the content is no longer signed into Xbox Live.
Most video playback errors occur for one of the following reasons:
To resolve this problem, sign in to Xbox Live using the profile that started the download.
If you keep experiencing the problem, contact Xbox Support.
Thanks for your feedback!
Provide feedback for this topic
Would you like to contact Support regarding the "Error 70-C00DF233 occurs when playing a video on Xbox 360" issue you were reading about or a different issue?


text:
SAP S/4HANA Cloud SOC 2 Audit Report 2017 H1
The scope of this SOC report includes the SAP S/4HANA Cloud as offered in the data centers in St. Leon–Rot / Germany; the data center in Sterling / US, and the data center in Sydney 2 / Australia.
SAP S/4HANA Cloud is intended to offer a quarterly innovation cycle so customers can take advantage of ongoing innovation with minimal disruption. In addition, SAP HANA Cloud Platform aims to serve as an extension platform and agility layer for the cloud edition. This way, customers and partners will be able to build specific capabilities extending the scope of SAP S/4HANA Cloud by either integrating non-SAP products or building their own innovations. With SAP S/4HANA Cloud, enterprises can now participate in the digital economy with a suite that intends to bring together the simplicity of the cloud and the value of instant insight across industries, business functions and networks, and granular data sets.
SOC2 reports fulfill various information and assurance needs of customers and aim to place trust in SAPs service organization systems, processes and controls. These narratives are related to the trust principles Security, Availability, Confidentiality Processing Integrity or Privacy which must be met to demonstrate a well-designed system. SOC 2 also contains details on performed tests and their results. SOC2 Type 1 covers management's description of a service organization's system and the suitability of the design of controls at a specific point in time, whereas a SOC2 Type 2 also includes the operating effectiveness of controls for a dedicated period of time.
SAP S/4HANA has regularly prepared SOC2 Type 2 audit reports by an independent 3rd party accountant. This version of the report covers the audit period 1. November 2016 to 30. April 2017, the locations in St. Leon–Rot / Germany; the data center in Sterling / US, and the data center in Sydney 2 / Australia and the trust principle Security.
The use of these reports is restricted. A copy of this report is available for all SAP customers and prospects with non-disclosure agreement in place.


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Happy Father's Day – 2012
Jun 17 2012
To all you great father's out there who are really involved in the lives of your kids, Happy Father's Day to you! When father's are involved in their children's lives everyone, and I think even the dad's themselves, are better off. Just like having a good mother, a good father is critical to a child's well being. The same stuff holds true for great father's that I mentioned in my almost record breaking viewed mother's day post.
Much has changed in a father's role over the last 50 years, and I think so far that change has been good!Author: Aruni | Filed under: dad, father, Father's Day, holiday, working dad, working father | Tags: Father's Day, involved father, mother's day | 6 Comments »


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Always grateful
It's Photo Assumption, sure, but doesn't she seem it? Like, super appreciative to be gifted with his attention? Maybe it's just me...
Sarah Jessica Parker and Matthew Broderick attended the Broadway opening of Present Laughter last night. Funny I don't remember him at the New York premiere of Did You Hear About the Morgans. He was likely busy. With the twins. Or something.
There's nothing wrong with a desperate wanting to please, and being desperately pleased when wanted. Just... I wonder how often he wants her. What? Look at him. That is a man who wants his wife all the time. Never mind Photo Assumption. It means nothing. Even when the photos assume it over and over, it totally means nothing.
Photos from Wenn.com


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Google Apps provides a less expensive, Web-based alternative to traditional proprietary software. In addition to the standard Gmail, Calendar and Doc features, a wide variety of integrated apps are available that add functionality to Google Apps. These integrated apps also include single sign-on capability, thereby limiting the number of passwords users must remember. This slideshow features 10 of the highest-rated apps for document management from the Google Apps Marketplace.
13 of Today's Hottest Tech Skills Highlights of the most in-demand skills and their growth over the past year.
Seven Tips on How to Navigate the Social Media Transformation Seven tips to bring more balance into your life as a leader.
Top 10 Strategic Technologies for 2011 Gartner highlights the top 10 technologies and trends that will be strategic for most organizations in 2011.
Related Topics : Topics, Mobile Technology
Biometrics are changing the way we think about security. Here are some of the more innovative ways biometrics are being used and what we can expect in the future. ... More >>


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The Providence leg of the 2013 RevGirl Finals was held on Thursday, February 6 at Revolution pub partner Ri Ra in Providence, Rhode Island.
Former American Idol contestant Erika Van Pelt emceed the night's event, and guest judges included Will Gilbert from WPRI's Rhode Show, 2013 Miss Rhode Island Jessica Marfeo, Providence Journal Reporter Jena Pelletier, and 92 PRO-FM on-air personality Jessica Schiano.
The winning 2014 RevGirls are Meghan Larrat (Saunderstown, R.I.), Jamie McIntyre (Cranston, R.I.) and Margarita Propper (East Providence, R.I.). Check out some photos from the event below, or click here to view on Flickr.
Welcome to our 3 newest Rev Girls! Meghan, Jamie & Margarita! @ErikaVanPelt pic.twitter.com/DC3BFIqA67
— Rev Girls (@RevGirls) February 7, 2014


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Tue, 24 February 2009
Pat Buchanan says the real cause of the economy collapse is the imbalance of trade. Then, answering listener email. Are court decisions law? We are basing a bunch of education expenditures based upon that silly notion. Lotsa great conversation.
Direct download: mickelson-2009-02-24.mp3
Category:podcasts -- posted at: 12:58am CDT


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Topic: Gears of War 2
As many may know the new Gears 2 came out this week. I'm already very far in the campain and like it a lot so far. The new shooter post many new enemies, weapons, and vehicals. Things are britter and more colorful then the first gears making it a great expernce! I posted this topic so peaple can post their ideas about the game. Enjoy the game!
http://www.youtube.com/watch?v=cjWYhXrC0-c Ceck out this trailer!


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Mustang Body & Sheet Metal 1964-2019
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Patients with HAIs suffer social, emotional pain
New IP recruitment video: Infection Preventionists Save Lives
What's new at APIC
APIC and SHEA CEOs pen Op-Eds aimed at C-suite
APIC CEO Katrina Crist, MBA, CAE, and SHEA CEO Eve Humphreys, MBA, CAE, jointly authored a series of Op-Eds to raise awareness of the need for institutional support from hospital leadership for infection prevention and control and antimicrobial stewardship programs.
South Carolina infection control professional to be honored for distinguished service
Connie Steed, MSN, RN, CIC, FAPIC, corporate director, Infection Prevention Department, Greenville Health System, will receive the 2018 President's Distinguished Service Award from the Association for Professionals in Infection Control and Epidemiology (APIC). The award, which will be presented at APIC's 45th Annual Conference, June 13-15, in Minneapolis, Minnesota is given to an individual who has made major contributions to the profession of infection prevention and control (IPC) through service within APIC.
Northwestern Memorial HealthCare Vice President receives APIC's Healthcare Administrator Award
The Association for Professionals in Infection Control and Epidemiology (APIC) has named Cindy Barnard, PhD, MBA, MSJS, vice president of quality for Northwestern Memorial HealthCare in Chicago, Illinois, the recipient of the Healthcare Administrator Award. The award, which will be presented at APIC's 45th Annual Conference, June 13-15, in Minneapolis, Minnesota, recognizes the pivotal role that healthcare leaders play in establishing an organizational culture that enables and supports infection prevention and control (IPC) efforts.
Thomas Jefferson University nursing professor receives APIC's Distinguished Scientist Award
Mary Lou Manning, PhD, CRNP, CIC, FAAN, FSHEA, FAPIC, Professor at the Thomas Jefferson University College of Nursing in Philadelphia, will receive the Distinguished Scientist Award from the Association for Professionals in Infection Control and Epidemiology (APIC). Given to individuals who have made outstanding contributions to the science of infection prevention and control (IPC) as determined by the APIC Research Committee, the award will be presented at APIC's 45th Annual Conference, June 13-15, in Minneapolis.
Prevention Strategist—Summer 2018Casual Boutique Dress winter Boutique Astr Astr winter zazTX
- 2018 APIC Award Winners (Open access)
- Consultant corner: Outbreak investigation (Open access)
- Tools for the trade: Weathering hurricanes
- #NapaStrong: Infection prevention and emergency preparedness during the 2017 northern California wildfires
- Lessons learned from a hospital scabies outbreak (Open access)
- Preventing secondary cases of measles in an acute care hospital
- Bioterrorism preparedness: A critical role for the infection preventionist
- San Diego County hepatitis A outbreak: The need for a collaborative approach to infection control (Open access)
American Journal of Infection Control—August 2018
- Infection prevention staffing and resources in U.S. acute care hospitals: Results from the APIC MegaSurvey
- Hand hygiene compliance rates: Fact or fiction?
- Factors affecting annual compensation and professional development support for infection preventionists: Implications for recruitment and retention
- Speaking up about hand hygiene failures: A vignette survey study among healthcare professionals
- Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives
- Ultrasound probe use and reprocessing: Results from a national survey among U.S. infection preventionists
Public Policy Updates
HelloLife recalls products due to possible microbial contamination
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Cotton Hoodie Merino Pine Merino Cotton 8/30/2018
BioMerieux AST cards recalled due to false results
Cotton Merino Hoodie Cotton Pine Merino 8/30/2018
Product Quest Manufacturing LLC recalls nasal products and baby oral gels


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Monday, October 11, 2010
Picapp - millions of free blog pics, elegantly simple
I love using Picapp to post photos to my blog. It's quick, free, easy to use, has an elegantly simple interface and gives you access to millions of stock and news photos. No attribution is required: readers simply click on the gallery button visible on every photo you embed for full details. And you don't need to register to use the service.
The Picapp site is still in beta. Enjoy.
Posted by Raman Job at 2:40 AM
Labels: blogging, free, Picapp, stock photos
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Hubble Data Suggest Galaxies Have Giant Halos
NASA's Hubble Space Telescope has helped solve a two-decade-old cosmic mystery by showing that mysterious clouds of hydrogen in space may actually be vast halos of gas surrounding galaxies.
"This conclusion runs contrary to the longstanding belief that these clouds occur in intergalactic space," says Ken Lanzetta of the State University of New York at Stony Brook.
Hubble Space Telescope
NASA's Hubble Space Telescope has helped solve a two-decade-old cosmic mystery by showing that mysterious clouds of hydrogen in space may actually be vast halos of gas surrounding galaxies.
"This conclusion runs contrary to the longstanding belief that these clouds occur in intergalactic space," says Ken Lanzetta of the State University of New York at Stony Brook.
The existence of such vast halos, which extend 20 times farther than the diameter of a galaxy, might provide new insights into the evolution of galaxies and the nature of dark matter – an apparently invisible form of matter that surrounds galaxies.
The possibility of galaxy halos was first proposed in 1969 by John Bahcall and Lyman Spitzer of the Institute for Advanced Study, Princeton, NJ. Previous observations with ground-based telescopes, the International Ultraviolet Explorer satellite, and Hubble have suggested that these clouds might be galaxy halos. However, the latest results are the most definitive finding yet, says Lanzetta, because they come from a large sample of 46 galaxies.
For the past two decades, observations with ground-based telescopes have shown that the light from distant quasars (the bright cores of active galaxies) is affected by intervening gas clouds. These clouds are invisible, but betray their presence by absorbing certain frequencies, or colors, of a quasar's light. When a quasar's light is spread out into a spectrum, the missing wavelengths appear as a complex "thicket" of absorption features. Ground-based observations also showed that the number of these clouds rapidly rises out to greater distance. One possible explanation was that these were primordial clumps of gas that dissipated over time.
However, in 1991, independent observations made with Hubble's Faint Object Spectrograph and Goddard High Resolution Spectrograph instruments detected more than a dozen hydrogen clouds within less than a billion light-years of our galaxy. These clouds could not be detected previously because they are only visible in the ultraviolet part of the spectrum, which is inaccessible with ground-based telescopes. This gave astronomers a powerful opportunity to further test the halo theory by imaging nearby galaxies and attempting to match them with nearby clouds.
Lanzetta, David Bowen of the Space Telescope Science Institute (STScI), Baltimore, MD, David Tyler of the University of California at San Diego, and John Webb of the University on New South Wales, Australia, attempted to match galaxies and clouds by first collecting Hubble archival data on six quasars. Next, using telescopes at the National Optical Astronomy Observatory, the Anglo Australian Observatory, the Lick Observatory and the Isaac Newton Telescope, they identified galaxies near the clouds and measured distances. In the majority of cases they found galaxies within about 500,000 light-years of the clouds.
"These results are a surprise. We have never seen these halos in the local universe," said David Bowen of STScI.
The results explain why so many clouds are seen at greater distances: the light from distant quasars was more likely to pass through a galaxy's halo because the halo is so large.
These results appear in the April 1 issue of the Astrophysical Journal. The researchers plan to extend their research to a larger sample of galaxy/cloud pairs.


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Methodology and Guidelines
Different methodologies for calibration, cross-validation and inter sensor calibration are described here.
A summary of existing calibration methods has been compiled with the expected associated accuracies.
The methodologies for the following set of sensors will be provided
- Infrared and optical sensors
- Calibration Methods Requirements
- Calibration Methods Guidelines
- Validation Theoretical Study
- Calibration Test Sites Documentation
- Atmospheric chemistry (planned)
- SAR instruments (planned)
- Microwave instruments (planned)


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Write a Report
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