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More than 20 years ago, Jessica's journey on the path of yoga began unfolding. In the first years of her practice, she injured her lower back snowboarding, but with patience discovered the therapeutic power of yoga. This blessing-in-disguise has kept her on her mat ever since, helping her to maintain a healthy body, mind, and spiritual existence.
Jessica's most influential teachers who have inspired her life's work include: Sri. K. Pattabhi Jois, Dr. Scott Blossom, Mary Kay West, and Greg Miner. Now as an Experienced 500 hour- Registered Yoga Teacher, with three thousand hours of guiding classes, workshops, private therapy sessions, retreats, and Teacher Trainings, she is more passionate than ever about continuing to help others.
Philosophically, Jessica calls herself a "Yoga Universalist," referring to any form or perspective of yoga that awakens clarity, strengthens and heals the body, and energizes the spirit.
Personally, Jessica connects most with Vinyasa Yoga, Yin Yoga, and Ashtanga Yoga. She is a Phoenix Rising Yoga Therapist and also holds a Master's degree in Counseling. She uses her mental and emotional health training and experience in all of her teachings.
Workshops: A Tribute to the First Lady of Yoga – Why Your Yoga Journey Matters and Welcome to the Mothership: Hips
Website: Jessica Jollie


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Part of ECNE's Power Utility Institute (PUI), the Leadership I Program is scheduled on October 24 - 26, 2017 at Unitil Service Corporation (6 Liberty Lane West, Hampton, NH 03842).
Participants may elect to attend one, two or all three days of the program.
About the Program:
The primary focus of Leadership I is management of self and an appreciation of the differences found in others.
The sessions promote self-reflection to identify personal strengths, an awareness of the strengths in different behavioral styles and to adapt their suite of styles to increase effectiveness in leading others. The end result is a highly interactive and personalized professional development experience.
A combination of teaching methods are employed, including group exercises, individual work, lecture and class discussion.
Advance course work is required for the program, including completion of a behavioral profile (DiSC) and study of a negotiation text.
Oct. 24: Behavioral Profiles: Understanding Your Impact on Others & Adapting Your Style for Greater Effectiveness
A critical component of leadership is an understanding of yourself and knowing how you impact others, whether consciously or unconsciously. Effective leaders incorporate a non-judgmental approach to different behavioral styles, and know how to capitalize on the strengths of each style. You will analyze and get feedback on your own communication and work style, learn to appreciate other styles, and be able to adapt your style to effectively lead others.
M.L. (Mary Lin) Hannay is a nationally known leadership consultant, group facilitator, motivational speaker and management and staff development trainer. Her client list includes Harley-Davidson, Tyco International, Florida Power & Light, National Gas Association, Eastern Propane and Oil, Bruce Power Nuclear (Canada), Nike Bauer, Public Service of New Hampshire (Eversource), Grinnell Fire Protection Systems, Massachusetts General Hospital, and North Carolina Propane Gas Association . ML's high-energy and down-to-earth style delivers hard-hitting, reality-based sessions, creating a lasting impression.
Oct. 25: Using Interest-Based or "Principled" Negotiation Techniques to Affect Group Outcomes
Based upon Getting to Yes: Negotiating Agreement Without Giving In by Fisher, Ury & Patton, this workshop provides an understanding of interest-based or "principled" negotiation techniques. Learn:
Chuck Doran is Founder of MWI, a dispute resolution service and training organization located in Boston. He is an experienced mediator, trainer and ombudsman, specializing in the resolution of business, employment and workforce disputes. His expertise has assisted Coca Cola Enterprises, Bose, General Motors and the Harvard Negotiation Project at Harvard Law School.
Oct. 26: Difficult Conversations: One-on-One and with Teams
As a leader your approach to communication has far-reaching impact beyond the immediate communication itself. This session begins with foundational skills and progresses into coaching and handling difficult conversations. It builds upon the prior two sessions to enhance one-on-one and team communication. Skills covered include:
David Gilman is President of Gilman Performance Systems, an ECNE partner for over 5 years. David has worked with a number of Utilities providing over 20 different workshops and services for the past 15 years. David Gilman is the former Manager of Training for an entire division of General Electric and has been delivering Leadership and Management programs focusing around communication for over 20 years.
Who Should Attend:
Leadership I is ideal for managers and executives who seek to develop and refine their personal leadership potential. The program is designed for managers, supervisors, coaches and other team/project leaders.
You may either register online by clicking the "Register Now" button at the top of this page, or return the Leadership I Application to email@example.com.
Space is limited and registrations are accepted on a first-requested, first-honored basis. Tuition is non-refundable, however substitutions may be made at any time.
Participants may attend the entire program, or attend specific sessions at the daily rate.
Full Program
Daily Rate
Tuition includes course materials, lunch and breaks each day. Evening meals are on your own with the exception of Tuesday, October 24th if you plan to attend the reception and dinner.
Lodging is not included in your tuition and must be arranged with the hotel. Be sure to mention Unitil Service Corporation to get their rate.
Fairfield Inn 136 Portsmouth Ave. Exeter, NH 03833 (603) 772-7411 Reference Unitil to receive their corporate rate
Hampton Inn & Suites 59 Portsmouth Ave.Exeter, NH 03833 (603) 658-5555 Reference Unitil to receive their corporate rate.
If you have any questions, don't hesitate to contact ECNE at (603) 626-4602.

subset: commoncrawl


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Bois de Rose
Tributes to Christian Dior's favorite flower, the poetic rings of the Bois de Rose collection transport us into a romantic world. As St. Valentine's Day approaches, we take a look at these precious jewels designed as a declaration of love by Victoire de Castellane, the Creative Director of Dior Joaillerie.
"When I arrived at the House in 1998, I immediately immersed myself in the archives: I liked the image of a Christian Dior in love with nature and his garden at Milly-la-Forêt," says Victoire de Castellane. For the Bois de Rose collection, she has designed a ring inspired by the lines of the couturier's beloved bloom, the rose. "I asked myself: "Why does one always have to focus on the flower or the bud and never the stem?" That's how the idea of Bois de Rose came to me. A stem that wraps around the finger, a symbol of love," she continues. A design that the Creative Director of Dior Joaillerie has produced in white, rose or yellow gold. Set with diamonds or left natural, they can be worn alone or grouped together.


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About Two Hands Wines
At Two Hands Wines, regionalism is key. The Garden Series, for instance, is a collection of six Shiraz bottlings from the top six growing regions in Australia, each faithfully demonstrating the different characteristics of its place of origin. The wines are emphatically modern in style, with lavish but harmonious oak and deep, rich fruit combining to offer early accessibility. In addition to the Garden Series, there is also the Flagship Series as well as the Single Vineyard Series. Grapes for all wines are sourced from growers and vinified at the Two Hands winery in the Barossa Valley. For a firm that was started in 1999, Two Hands has displayed the wisdom and hands-off approach of the older guard, and has some outstanding wines to show for it.


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October already?
I've been itching to make something fun for Halloween,
and these cute Pumpkin Lollipop Holders were the perfect thing
to satisfy my crafty itch.
Here's a view from the side.
How fun are these?
Want to make your own?
Directions can be found HERE,
and the pumpkin idea came from HERE.


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Contact Us
Are you interested in partnering with NIET?
We'd love to visit with you to design a solution that fits your educator effectiveness needs. Please call (310) 570-4860 or email firstname.lastname@example.com.
Are you an existing partner looking for technical support?
For Portal and CODE inquiries, please contact:
NIET Support
(479) 249-8091
Hours of operation are between 8:30 a.m. and 5:30 p.m. Central Time Monday through Friday.
For media inquiries, contact:
Jana Rausch
Communications Director
(310) 570-4774 (office)
(310) 435-9259 (cell)
For all other inquiries, see below:
National Institute for Excellence in Teaching
1250 Fourth Street
Santa Monica, CA 90401
Phone: (310) 570-4860
Fax: (310) 570-4863
NIET - Washington, D.C.
1525 Wilson Blvd., Ste. 705
Arlington, VA 22209
Phone: (703) 243-4319


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The key for me with Java is this statement from Joel:
Java required you to create a whole object with a single method called a functor if you wanted to treat a function like a first class object. Combine that with the fact that many OO languages want you to create a whole file for each class, and it gets really klunky fast.
I think of Java's OO nature as "hard" object orientation, in that choices are relatively set in stone based on how class files are organized and how the code flows. You can make variants of a class that do whatever you want, but you might have to do a lot of advance planning.
Conversely, in Perl, you can do like so:
sub something
...one set of code...
sub something
...another set of code...
You can call something(), and it picks up the last definition. Which makes it very easy to change the behavior of a program by overriding a method right before you call it, or by swapping the order of 'require' lines, or what have you. I think of this as "soft" object orientation, because it may be less amenable to mathematical proof of correctness, but it requires less planning and is less likely to produce cascades of syntax errors. Define it, call it, redefine it, call the new thing.
Most languages have some sort of dynamic execution facility. For example, with PL/SQL it's the EXECUTE IMMEDIATE statement and the OPEN-FOR statement. Any time you see a language concatenating strings and executing the result, you need to watch out for potential security problems. Who gets to enter that string, could it be rigged to execute multiple statements instead of one, could different names be substituted so it operated on some object you didn't expect. PL/SQL has the USING clause to guard against such problems by using bind values. Still, the Javascript approach of passing around functions as parameters feels comfortable, because all the variations of those functions are defined in your own source code rather than combined from arbitrary strings.


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EHV-1 Infection Risk in Alpacas and Llamas ColoradoState Univ. Veterinary Teaching Hospital News Release
–General note to Alpaca owners in my area; For the next 3 weeks I suggest you ask visitors to your farm, "Have you visited horses in the last couple of days? If so please do not visit my alpacas."
Mike Foss DVM
May 19, 2011
EHV-1 Infection Risk in Alpacas and Llamas
Colorado State Univ. Veterinary Teaching Hospital News Release
May 17, 2011
An outbreak of neurologic disease in horses caused by Equine Herpesvirus-1 (EHV-1) infections has developed during the past week in the Western US and Canada. This outbreak is linked to horses that participated in a cutting horse show in Utah form April 29 […]


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Community-Driven Ironmen
Ironmen Making Nine Appearances in 48 Hours
Newark, N.J. (Thursday, June 11, 2009) – While it may be the offseason as far as playing games are concerned, the New Jersey Ironmen remain as active as ever. Proving their strong commitment to the community they represent, the Ironmen will be quite visible this weekend by making nine appearances in less than 48 hours.
"We are an organization that is proud to call New Jersey our home, and we will remain focused on the development and growth of our community," Ironmen General Manager Tony Novo commented. "Every member of our team and staff is committed to making positive contributions to our community, and that is why we will continue to be so visible throughout the entire region."
The Ironmen will start the weekend by heading out to Mercer County Community College in support of the New Jersey Wildcats of the USL W-League. The Wildcats will be attempting to set the state record for most people juggling a soccer ball at one time at halftime of their 7:00 p.m. match, and the Ironmen will be there to assist them in the venture. Earlier this year, the California-based Pali Blues Soccer Club took a shot at the world record of 652 jugglers, coming up just short.
Saturday has five community appearances on tap for the Ironmen, beginning at 9:00 a.m. at the JAG Physical Therapy and WCBS-TV sponsored Walk and 5K Run benefiting The Valerie Fund, a not-for-profit organization that provides support for the comprehensive health care of children with cancer and blood disorders. The Valerie Fund was started in 1976 in memory of nine-year-old Valerie Goldstein by her parents, Ed and Sue.
Next up for the Ironmen are a few appearances for some of the soccer clubs that have been supportive of them, with the first ones being from 11:00AM-2:00PM at the Ocean Township United Soccer Association Tournament and from 11:00AM-1:00PM at the Union Soccer Club Soccerfest. Members of the Ironmen can also be seen from 1:30-3:30PM at the Intercounty Youth Soccer League KIP Awards and from 4:00-6:00PM at the Thistle Soccer Club Family Picnic.
The Ironmen will close out the weekend with three appearances on Sunday, starting from 8:30AM-12:00PM at the Just One Soccer Clinic. The final two stops will be from 2:00-4:00PM at the Spotswood Soccer Club Picnic and from 5:00-7:00PM at the North Brunswick Youth Sports Festival.
On tap for this summer, the 2009 Ironmen soccer camp program will kick off in late June and run through the end of August. Space is limited for Ironmen camp registration, and the team has created a special website for their camp programs on the web at www.njironmen.com/camps. The camp website offers information and the summer schedule, as well as the convenience of completing the entire registration process online. All campers this summer will receive an Ironmen soccer ball, t-shirt and two tickets to their 2009 home opener this fall, and camps are open to all types of skill levels and players age 4-16. As a special incentive, all campers that register prior to June 15th will now receive an immediate $5 discount off the $149 registration fee as well as an Ironmen water bottle, while supplies last. Any clubs or townships that are interested in hosting a camp still have the opportunity to do so, and they can call the Ironmen camp hotline at 973-757-6323 to discuss the details further.
Training is also available for travel clubs this summer with commitments of at least 10 campers. The cost for each camper is $129, and each training session will be conducted for two hours a day over a period of five concurrent days. The age of campers can range from 8-16, and each participant will receive an Ironmen camp t-shirt. Teams must provide the field, water and balls for the training sessions, and the Ironmen will always have at least one professional player on location for every day of the camp. Coaches that would like to schedule a travel camp can call 973-757-6323 today for additional information.
The Ironmen have now opened the sale of 2009-10 season tickets, and all seating sections are now available for submittal of a $50 deposit. Fans that would like to reserve their seats for the upcoming season can click the 09-10 season ticket icon on the Ironmen home page (www.njironmen.com), or they can also call Mike Milich, Ironmen Ticket Sales Manager, at 973-757-6322.


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- Browse bikes
- Top bikes
- Tools
- News & reviews
- Forums
- Free classifieds
Derbi Senda XTreme 50 R 2008
2008 Derbi Senda XTreme 50 R specifications, pictures, reviews and rating
Picture credits - Derbi. Click to submit more pictures.
|Derbi's profilation of this bike
|This Urban-Off-Road is fascinating by its amazing design, its technical features and its price-quality-relation.
|General moped information
|Derbi Senda XTreme 50 R
|Enduro / offroad
|73.6 out of 100. Show full rating and compare with other bikes
|Engine and transmission
|49.90 ccm (3.04 cubic inches)
|Engine type:
|Single cylinder, two-stroke
|Bore x stroke:
|39.9 x 40.0 mm (1.6 x 1.6 inches)
|Electronic CDI
|Lubrication system:
|Oil pump
|Cooling system:
|Chassis, suspension, brakes and wheels
|Front suspension:
|36 mm. hydraulic fork. 190 mm travel
|Rear suspension:
|Monoshock. 182 mm wheel travel
|Front tyre:
|Rear tyre:
|Front brakes:
|Single disc
|Front brakes diameter:
|240 mm (9.4 inches)
|Rear brakes:
|Single disc
|Rear brakes diameter:
|180 mm (7.1 inches)
|Physical measures and capacities
|Dry weight:
|118.0 kg (260.1 pounds)
|Seat height:
|900 mm (35.4 inches) If adjustable, lowest setting.
|Overall height:
|1,222 mm (48.1 inches)
|Overall width:
|805 mm (31.7 inches)
|1,355 mm (53.3 inches)
|Fuel capacity:
|8.00 litres (2.11 gallons)
|Other specifications
|Color options:
|Further information
|Insurance costs
|Get estimated US insurance cost with a quote from Allstate Motorcycle Insurance.
|Parts finder
|Chaparral provides online schematics & OEM parts for the US. 2Wheels offers first time 2Wheels buyers $10.00 off now. Same day shipment to the US. Also check out our overview of motorcycle webshops at Bikez.info.
|Dirt-bike parts
|Dirt-bike parts and gear available from Rocky Mountain ATV/MC. Ships to most countries.
|Ask questions
|Join the 08 Derbi Senda XTreme 50 R discussion group or the general Derbi discussion group.
|Loans, tests, etc
|Search the web for dealers, loan costs, tests, customizing, etc.
|Related bikes
|List related bikes for comparison of specs.
Buying a bike starts at BikezGet a list of related motorbikes before you buy this Derbi. Inspect technical data. Look at photos. Read the riders' comments at the bike's discussion group. And check out the moped's reliability, repair costs, etc. Show any 2008 Derbi Senda XTreme 50 R for sale on our Bikez.biz Motorcycle Classifieds. You can also sign up for e-mail notification when such mopeds are advertised in the future. And advertise your old MC for sale. Our efficient ads are free. You are also welcome to read and submit motorcycle reviews.
|Rating sample for this Derbi moped
Value for money for the 2008 Derbi Senda XTreme 50 R:
(75.9 out of 100)
Click here for complete rating. You can also compare bikes.
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Copyright © 1999-2019 by Bikez.com a.s. This web uses cookies.
About Bikez. Advertise products. Contact Bikez.com. Privacy policy. Motorcycle catalogue and Motorcycle classifieds


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Provider Procedures
Being assured that our clients receive the most efficacious care is of the utmost importance to us. To insure that things run smoothly, we are outlining here the responsibilities of all parties so that everyone is informed as to how the various processes work.
The provider is responsible to do the following:
- Mines and Associates
- Claims
- P.O. Box 270669
- Littleton, CO 80127
Submit extension requests prior to use of last authorized session.


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Discover Your Dream Home
Gayle & Michael Blonar
- 724-344-4795
- 724-942-1200
Welcome To Your Pittsburgh Area Real Estate Resource
Expert information at your fingertips
- Begin your home search by reviewing a list of communities served.
- Visit Market Insider to get the inside track on your favorite neighborhoods, with critical market data,
side-by-side zip code comparisons, and local demographics.
- Get a customized seller's report to find out what your home is worth.
- Contact us via email or phone to get your questions answered promptly.
Buying or selling a home? You'll find all of the information and expertise you need - right here - to put you in control of your real estate decisions.
If you are planning to buy or sell real estate in the Pittsburgh area, we are the Realtors® who will go the extra mile to help you. We will help you bridge the gap to maximum real estate savings.
We can help you find just the right home in any area of the city. We specialize in the city of Pittsburgh, including South Side, Mt. Washington, Brookline, Shadyside, Squirrel Hill; Pittsburgh's South Hills communities including Mt. Lebanon, Bethel Park and Dormont; West Allegheny county communities including Bridgeville and South Fayette and all of Washington County, including Canonsburg, Peters Township and Cecil.
Is it time to cross the bridge from tenant to home owner? Are you a home owner who needs to upsize or downsize? Or maybe you're moving into the Pittsburgh area and don't know where to begin. It doesn't matter how you've arrived here, this website has been designed to help you find just the right Pittsburgh property. Please take a look around and when you are ready – contact us. We'd love to help you.


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It's a beautiful day for sure – Toronto Family Photographer
Remembering their childhood is so important. From the imagination it takes to pull stuffed animals on a leash, to a boys obsession over anything on wheels, and of course a sweet babe's chubby rolls, those are the moments to cherish. I've heard they love a good ole' fashion Gangham Style dance off as well. The one thing I had the pleasure of experiencing was a tea party and story time. Everyone was just enthralled in mom's story as she used such great, animated expressions and engaged all three of them in the story line. Even glances between mom and dad were too sweet to miss. A family filled with love, respect and the know how to have fun.
It was a joy and an honour getting a glance into your world!
March 27, 2013


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Car Hire Aix En Provence High Speed Train Station
Opening times
Address & Contact DetailsGare Tgv Mediterranee, Rd9, Aix En Provence, 13592. Tel: 0820611637
24-hour drop-off
Opening Times
|08:00 - 22:00
|08:00 - 22:00
|08:00 - 22:00
|08:00 - 22:00
|08:00 - 22:00
|09:00 - 18:30
|10:00 - 20:30
Find your perfect hire car at Aix-en-Provence High Speed Train StationSet deep in France's sun-drenched southern Provence region, Aix-en-Provence provides the ideal setting for a truly unforgettable journey.
The city itself bursts with leafy boulevards, bustling pavement cafes, ancient monuments and world-famous art museums, while its surrounding Province landscape provides a postcard-perfect setting you'll never forget.
It's easy to see why this Parisian setting draws visitors with its delectable cuisine, fascinating cultural sights, historic architecture and spectacular countryside, which offers an array of outdoor pursuits en route.
Reserve your Avis hire car at Aix-en-Provence High Speed Train Station to experience one of the most scenic road trips in Europe.
Plan your journey from Aix-en-Provence High Speed Train StationEven by impeccable French standards, Aix-en-Provence is a very attractive city brimming with ancient buildings, grand fountains, charming boutiques, cosy bistros and tempting bakeries.
Start your adventure wandering along Cours Mirabeau – a beautiful tree-lined walkway lined with landmarks and cafes. It's the perfect place to relax and watch the world go by. Keep an eye out for beautiful fountains and statues depicting some of the city's most famous residents, including world-famous artist Paul Cézanne. While the south end of this route passes through the new town, the north end moves into the old quarter, where characterful streets and grand mansions from the 16th, 17th and 18th centuries reside.
Aix-en-Provence has long been associated with talented artists and academics, which has contributed to its reputation as a creative and intelligent city with an air of elegance and sophistication. Take a short drive out of the centre to reach the country house and farm where Cézanne created some of his finest paintings. Here you can explore his studio and living quarters, as you admire postcard-perfect views of olive trees and mountains.
Art lovers can't miss the Musée Granet, home to an impressive collection of paintings, sculptures and archaeological exhibits. Admire the works of Renoir, Rembrandt, Monet, Van Gogh, Picasso and Cézanne.
A car rental allows you the freedom to enjoy all this and much more in the Parisian chic Aix-de-Provence region.
Beyond Aix-en-Provence High Speed Train StationDreamy landscapes dotted with lavender fields and vineyards are waiting to be discovered on scenic drives beyond Aix-en-Provence. Road trips really don't get any better than this. Stop off and enjoy the region's charming villages, towns and cities at your leisure.
A 50-minute scenic drive heading northeast from Aix-en-Provence High Speed Train Station leads to the beautiful little village of Valensole. Surrounded by verdant hills and with views of a river valley and the creeks running through it, Valensole is simply stunning. The nearby lavender and sunflower fields in the Parc Naturel Régional du Verdon will be a vision you'll never forget.
The old village centre boasts plenty of charm too, with cafes, pretty buildings with traditional shutters, and an early 20th century sundial and grand fountain.
Arles is most famous for its Roman remnants scattered around the city. These include the Neolithic settlement of Alyscamps, where ancient burial grounds lie, a huge arena – Les Arènes d'Arles – and the baths of Constantine. The intriguing Roman history can be further explored at the Musée de l'Arles, where artefacts such as 4th century sarcophaguses are exhibited.
Other museums on the list are the Musée Arlaten, featuring furniture and folk art, and the Musée du Riz, where visitors learn the history of the local rice industry.
Pick up the keys to your hire car at Aix-en-Provence High Speed Train Station and let the road trip begin.


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Major League Baseball plans to build a home on 125th Street, Harlem's premier boulevard, for its cable network, which is scheduled to make its debut early next year with some 50 million subscribers, real estate and baseball executives said on Wednesday.
The planned building, to be developed by Vornado Realty Trust, would rise 21 stories in an interlocking set of luminescent glass cubes at 125th Street and Park Avenue and would be the first prime office tower to be built in Harlem in more than three decades.
Vornado is also negotiating with Inner City Broadcasting, the second-largest radio broadcasting company aimed at black listeners, to move to the planned tower from its Midtown offices, according to real estate executives and local officials.
The Vornado project is an expression of how sky-high rents in Midtown Manhattan have contributed to Harlem's renaissance, pushing residential developers in particular to build in the once economically struggling community. The Vornado project, to be called Harlem Park, would be the first major office tower in the area since the construction of the State Office Building, also on 125th Street, in the early 1970s.
But Vornado still has hurdles to cross, and if the project advances, it would not be the first to hold a groundbreaking at the site. Three years ago, Gov. George E. Pataki and Mayor Michael R. Bloomberg held a press conference there in anticipation of a $236 million hotel and retail project that never materialized.Continue reading the main story
Vornado is seeking an exception to proposed rezoning that would impose height restrictions on buildings along 125th Street before it starts construction in the spring, and Major League Baseball is negotiating with the city for an incentive package. Some elected officials are also seeking assurances that the project will provide jobs for local residents and will not displace small businesses in the area.
"We want to know about jobs and we want to protect indigenous businesses," said city Councilwoman Inez E. Dickens, whose district includes the site, now a vacant lot.
Still, city officials are optimistic that a national developer like Vornado and a major tenant like Major League Baseball will propel the project forward.
"Harlem Park will be the area's first Class-A office tower in decades and will attract major tenants, showcasing the economic growth under way in Harlem," said Robert C. Lieber, the deputy mayor for economic development. "We're still negotiating with Vornado and Major League Baseball, and if we are able to get it done, it will be a home run for the entire area."
Real estate executives said that Major League Baseball was completing negotiations to lease about one-fifth of the planned 630,000-square-foot building. That would include the second and third floors for broadcast studios and editing, as well as the top two floors of the tower for the network's executive and sales offices.
The area around Park Avenue is still frayed and has not seen as much development as other stretches of 125th Street. But Harlem has changed dramatically.
The average price for new apartments in Harlem has hit $895,000. The historic Apollo Theater on 125th Street is in the midst of a $96 million restoration and expansion. Two hotels are under development nearby, and national retailers like Old Navy, Starbucks and Sony Theaters have moved onto the boulevard. Columbia University has plans for a new $7 billion campus on 17 acres to the west.
Vornado took over the site at Park Avenue last year, after the hotel project died. The company said then that it viewed the spot as ideal for a commercial tower because it sits close to a subway stop, a Metro-North train stop and what will be the northern terminus of the Second Avenue subway. It has nearby highway access to the airports and has nostalgic appeal because it is also less than two miles south of 155th Street and the former site of the Polo Grounds, where the New York Giants played, and Yankee Stadium, in the Bronx.
Vornado hired Swanke Hayden Connell Architects. But it still needed a blue-chip anchor tenant for the project in order to begin construction. And Major League Baseball, which wanted to enter the lucrative world of cable television, needed space.
The league's new network, like the channels already operated by the National Basketball Association, the National Football League and the National Hockey League, will offer a mix of live games, studio-based shows and archival, fantasy and reality programming. League-owned networks are vehicles to appeal to fans who want the type of concentrated fix on a single sport that they cannot get from ESPN or the local channels that carry teams' games.
Unlike the N.F.L., baseball chose not to wage a protracted fight against cable operators to extend its subscriber rolls; it ensured major distribution by giving Comcast, Time Warner and Cox shares in the network that total 16.67 percent, the same stake that had already been provided to DirecTV for being the first to agree to carry the channel. Because of that deal, the baseball network is expected to be one of the most successful start-ups in television history.
After searching for space in Manhattan, Queens and New Jersey, the league's broker, CB Richard Ellis, brought it to the Vornado project on 125th Street, where proposed rents are half those of similar buildings in Midtown. Tenants could also get tax breaks. Since Vornado does not expect to complete the tower until 2010, Major League Baseball has found temporary space in Secaucus, N.J.
The city is set to rezone 125th Street and restrict building heights in such a way that the tower would be about 40 feet too tall. The company is hoping for an exemption.
But local officials are also concerned that the current wave of gentrification is displacing not only longtime residents, but also small businesses on 125th Street that had stuck it out through the bad times in Harlem.
Major League Baseball's decision "is an exciting way that they can deepen their relationship with the African and Hispanic communities," said Robert J. Rodriguez, chairman of Community Board 11. "We're interested in seeing how that develops. As a community, we recognize how an office development could add vibrancy to the surrounding community. But we remain concerned about how this development proceeds and about jobs for local residents."Continue reading the main story


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Cardiff City owner Vincent Tan is making a habit of using financial investment as a way of seeing to keep supporters onside.
While announcing the swathes of changes to the club's brand, including the alteration of the club crest and home shirt colour last May, seemingly purely to appease the Asian market, Tan pledged to invest in a new training ground and in Malky Mackay's playing squad.
As the search for a site for the new training ground continues, over £10m was spent on the playing staff in the summer. The signings of Craig Bellamy, Jordon Mutch, Nicky Maynard and Etien Velikinja among others might have been merely a sweetener for fans upset by the changes, but they signalled intent on ending over 50 years without top flight football.
The fans were split three ways. Those who were disenchanted by the alterations boycotted, fans who opposed to the changes but continued to support the team, and the majority who have embraced the modifications amid the fine wine the Premier League could offer despite over a century of history having been dismissed.
Promotion to the top flight for the first time since 1962 has duly followed.
Tan is of course aware that Cardiff should follow a business model, and with a prospective £100m investment, the Malaysian owner is keen to see a return. To exchange it for the club's dignity however, is an abuse of power, coupled with the immoral use of financial investment in the playing squad as a bargaining chip.
While just two changes were made to the club's brand 12 months ago, you fear that with Tan offering between £20m-£25m worth of investment in players during the upcoming summer, he may be planning staggered changes in South Wales. Last summer, ideas to rename the club thus removing the Bluebirds nickname and replacing it with 'Dragons' and changing the colour of the seats to red were all shelved, ideas that Tan maintained on Tuesday night, after the draw with Charlton Athletic which selaed promotion, won't resurface.
Any additional tinkering will really test the resolve and loyalty of Cardiff's supporters and could work to drive away fans who stuck with the club during their spell in the fourth division. Of greater concern is if Tan will care.
"We need to strategise well and we'd like to spend some money - maybe 20 to 25 million," said Tan.
"Others have spent a big amount of money and don't do well, so we will try to spend smartly."
Some fans have compared Cardiff's situation to being one step away from that of Milton Keynes Dons. In some ways, they're worse. If the 60 mile relocation from south London to Buckinghamshire cut Dons fans off ruthlessly from their beloved club, then Cardiff are sliding to a slow, agonising death in ostracising their support.
You need only spend a few minutes hearing from Mackay to realise that he's not yet lost his sanity at the Cardiff City Stadium. While Tan might force upon him droves of funds, the Scot is unlikely to be foolhardy enough to accept. Recent history tells us that stability in the Premier League is built on the foundations of a club's promotion side, and not top flight cast offs. Norwich City and Swansea City will tell you mind succeeds over matter.
But financial promises will continue to strike the right cord with some fans, regardless of any further changes. How to lose fans and alienate people; Tan is the product of football's over commercialised and greedy guise.


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Almost a year ago, I spent some time here setting out the fears and hesitations that have kept me from setting out on my own, in the city, on my bike. The post was the culmination in a short series in which I thought about Travel and Independence as I moved into retirement. Forty-some years into a happy and sustaining marriage, I worried sometimes about comfortable dependencies that have settled into place. In the post about biking, I fretted that as much as I was enjoying a newly adopted activity, riding through the city's many bike routes, I hadn't done so solo but always waited for my husband to accompany me.
And I promised that I would get the bike off the apartment balcony, wrestle it through the livingroom and out the heavy door, down the hallway to the elevator, through those doors that always, always, always shut too quickly, and then wrangle the bike through the last two doors to the basement exit, one of which requires propping the first door open with hand or foot, holding the bike steady with another limb, and extending the key fob forward to the second door until the "click" releases said door to then be dragged open along a path just millimeters from the bike's front tire. Not even in the lane yet, and I'm wanting a rest. . . .
No, it wasn't my anxieties anymore that kept me from biking solo after last summer's end. Rather, circumstances seemed to keep me consistently away or busy anytime we had cycling weather. By the time we were moving back into more clement times again this spring, we were in the midst of our big move. Many reasonable excuses, I think you will agree. (And I worked on my independence via a solo trip to visit my daughter's family in Rome in January
Pedalling to the bike route so early in the morning meant little traffic, and I was cycling confidently around the Stanley Park Seawall before 7 to greet the morning sun. Thinking, "Woman, What took you so long?!" I can't say that I also thought, "Wow! You are so badass!" But perhaps this would be my version of earning that adjective. . . The lame version of badass? Is that an oxymoron? (See what I tend to mistrust binaries?)


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July Updates: Drug Costs and Setting Prices in a Public or private Plan
This post on exactly how to Pay-for-Outcomes-Over-Time combined with three other simple reforms linked here would constitute cost-effective Health Care Reform.
Also note: this method of payment (below) is a way to encourage and spread coordinated-care systems like the Mayo Clinic, Cleveland Clinic, and Bassett Healthcare by rewarding their effectiveness. Those wanting to go directly to the details can skip down past the 2nd excerpted quote below the video.
When you look across the spectrum from Grand Junction to McAllen—and the almost threefold difference in the costs of care—you come to realize that we are witnessing a battle for the soul of American medicine. Somewhere in the United States at this moment, a patient with chest pain, or a tumor, or a cough is seeing a doctor. And the damning question we have to ask is whether the doctor is set up to meet the needs of the patient, first and foremost, or to maximize revenue.
There is no insurance system that will make the two aims match perfectly.... -- Dr. Atul Gawande
There might be!....
I got a sudden idea today (6/25, below), which I'm mulling over. While I refine it, perhaps others can too. (Updates -- 7/9, 7/23 multiple refinements at this point. I think it's a good outline of how to set up incentives for both everyday and complex situations.)
First, for those wanting a more extensive, deeper look into costs, I encourage those who haven't seen the updates to the Health Care Cost Reduction post below to search (ctrl-f) on the words "effective" and "incentive" for the updates (or read the whole post if you really want a big picture look with issues like technology, psychology, end of life care, etc.).
My initial thinking on how to control costs was to limit a Public (or private) Plan to approved treatments (as existing private plans in fact do!) -- and specifically the most "effective" treatments (definition in this post), in sequence, according to actuarial data on what works best for specific, narrow diagnoses. This seems like a good idea in any case, but there is a more powerful, general way to get excellent care at lower costs and encourage innovation.
Not by specifying what kinds of treatments are used in the Plan. But by incentives alone!
Pay for outcome. Modest pay for trying. Better pay for succeeding. Effectiveness and innovation are rewarded.
I'm not proposing the previous idea of some extra pay (incentive) for a good result. More than that. Instead of a blend of fee-for-service and a little more for outcome, how about payment substantially for outcome.
Before I continue and lay out a plan that answers all the objections I could find to pay-for-outcome, let me illustrate how well-liked the basic idea is by many doctors. Here are only two examples of many:
Dr. Jack Lewin's 2nd point is the current incentives are for volume of care provided, not effectiveness.
Here's a good NPR piece on the same broad issue.
"The high-performing systems of this country are much more able to help manage patients as outpatients without having to be hospitalized, without having to be referred to the emergency room," he says. Doctors in lower-spending areas "are willing to see a patient in the afternoon, start some initial medications, follow them up later in the day to see how they're doing, and if they're doing fine, talk to them in the morning and keep them away from that unnecessary hospital stay."
But the way the government and most insurers pay doctors and hospitals works against the kinds of systems that are more efficient, Fisher says. Doctors don't get paid for things like making phone calls or sending e-mails. And hospitals lose money if patients don't come through their doors.
He and other experts want Congress to implement new payment systems that would encourage doctors and hospitals to work together and give them bonuses for keeping patients healthy, and thus using fewer expensive services. "And I think that if we're thoughtful about creating incentives for organized systems to form — that would allow them to really practice in the ways that physicians came to medicine to do, and the hospital administrators were trained to do — we could get the kind of performance that we want," he says.
This is the subject of this post -- how to structure incentives that will work in the complexity of the real world.
Let me start by pointing out that paying for outcomes instead of designating approved treatments would actually increase "choice" -- doctors and patients could choose whatever treatment or innovation they like, even within a Public Insurance Plan.
As you will see below, the structure needed is a lot less than we might have guessed, as it is self-forming to a large degree.
Since we want to pay substantially more for good outcomes, we must carefully set or structure the market to set (as you will see) the initial treatment payments so that they defray most of the per-treatment marginal costs, but aren't high enough to be profitable without some success.
For example, for a certain specific condition (specific, narrowly-defined conditions could be listed in a criteria table; see below) the initial treatment payment for that condition might be set for instance at 62% of the full success fee for that condition. The initial payment is made upon treatment, and before the outcome has been determined.
After one or more time periods (listed in the table of criteria, for each condition) have passed and the outcome or intermediate outcome is determined, there would be a failure, partial success or full success, according to the table of criteria. If there is full success, the successful-outcome payment would be the remaining part of the full fee (another 38% payment in our example). For a partial success, the additional payment would be the intermediate-success portion of the fee as defined in the table. For "difficult" cases the overall full fee is increased -- see below. Well-defined levels of partial successes would have defined payments levels.
(update 7-23: establishing outcome criteria)
The tables of outcome criteria -- including time periods for partial to full outcome -- should ideally be formed by large panels of researchers and practitioners in their own specialities via participation in a polling process at the secure internet site where the criteria tables are maintained. This process can easily be formed to take advantage of the increased reliability of larger groups, and should be open to all researchers and practitioners in that speciality, so that participation could be widespread and include even hundreds for some specialties. First, criteria sets, including time-periods, for what would constitute full success and partial success(es) could be created by any participant during the pre-voting period. Participants could also vote on how many distinct levels of success to use for this condition -- 1, 2, 3, 5, etc. -- thus creating the number of partial-success levels. Then a voting period would allow all participants to choose which criteria (including time periods) are most reasonable for full-success, 2nd level success, etc. to the lowest level. There could even be a "run-off" for levels where no criteria set gains a majority on the first vote. After the sets of voting are complete, the results -- for instance the most selected (voted for) of competing criteria sets for a full success would be the result for "full success" criteria -- could then be displayed along with the voting sets (answers) of each participant (to encourage discussion). For narrowly defined conditions, a refined process of this sort could be accomplished in a cumulative 20 minutes or less from most participants as it involves simply listing one's own criteria, and then voting -- notification by email would move each step of the process along. Further, to encourage high standards and discourage vote-fixing these results could be fully visible, transparent, to the public. The resulting criteria tables should be renewed periodically by periodic re-votes and by adding more participants. In this way the criteria tables for most conditions will be an excellent, evolving guide for what constitutes a good outcome and what constitutes one or more levels of partial success. The process itself would be a way to spread knowledge and evolve standards.
Under this system the incentive for a provider -- hospital, doctor, clinic -- is to cure/heal/improve the patient as effectively and cost-efficiently as possible.
They get a initial payment for a treatment, but a nice payoff for a cure or reasonable success. (also see 7-10 update on how to set prices below)
A crucial part of the Plan must be recurring payments over time for successful preventative care, such as controlling high blood pressure or diabetes. Both the patient and the provider should gain from effective preventative care. We want to strongly incentivize cost-efficient care of all kinds, such as accurate emergency diagnoses for instance.
So, we have a basic principle to organize how to pay for medical services:
Pay for success.
(And partial payments for partial successes, according to tables).
The public or private plan could be structured in this way instead of by approved treatments, leaving doctors/providers free to innovate.
The idea is to accelerate treatments, efficiency, and innovation. There is little profit in care that doesn't accomplish much. Instead of repeated, largely-ineffective treatments, the incentives are to find real solutions quickly.
Let's work it out. Is there any reason this would not work well? Let's imagine some difficult situations.
For instance, if a doctor/clinic/provider believes it cannot meet the criteria for success or partial success for one diagnosis for a particular patient -- achieving a standard outcome for a specific condition: curing the cause of the symptoms, relieving some symptoms, or for certain conditions, palliative care -- they may turn down a patient, who is then motivated to search out a provider that believes they can succeed. The original provider that thinks they cannot succeed is not motivated to just try a few things for fees/profit. They are motivated to quickly admit to the patient they cannot succeed, and stop without excessive, expensive, wasted tests/treatments.
When one provider fails (or only gives a diagnosis and quits), the full-success payment for that particular patient would be increased by a fixed percentage (e.g.--another +15 percentage points, so that the full fee with success becomes 115% for this patient), which can be earned by other providers who have no remunerative relationship to the first provider, sweetening the pot, and making the patient more attractive as a customer in spite of their difficult condition. More failures or refusals to treat could lead to bigger jackpots for success (125%...then 135%...then 150% for success), but still only the original initial payment for failed treatments or an exam-only fee for exams without treatment. But, note that the partial-success payment levels would be increasing in proportion to the full-success fee (e.g.-- for instance, a partial-success payment of 18% of full fee amount for meeting certain criteria for a certain condition would increase in value as the full fee amount increases.))
Therefore, even a partial-success becomes more and more worth a try even for the least responsive patients.
Diagnoses themselves should be incentivized, with initial payments for tests, but substantial payments (according to table) for proven-correct diagnoses, contingent on treatment proving a diagnosis via treatment-response criteria. If the diagnosis indicates a certain condition, and the treatment results show a change that meets criteria that prove the condition was present, then the diagnosis was correct. The initial payments for diagnostic tests would be carefully structured to support the diagnostic test costs, but not make tests too profitable in the absence of correct diagnosis. The diagnosing doctor has an incentive to get the diagnosis right, and earns more per hour of work if he/she finds the correct diagnosis, or several correct diagnoses, sooner. The test costs are covered but not especially profitable, and the main payoff comes from getting correct diagnoses.
The patients themselves help police the system (along with the success incentives) -- wanting to be cured quickly and well, they will try to find the best providers available for their condition, and they have freedom to choose providers without plan restriction, since the cost control is built-in (also see pricing update below).
===Update 7/8 --Drug Costs=====
A basic aspect to consider is drug costs. Today, we need effective law against the prescribing doctor receiving any kickbacks or participation in profits from prescriptions. But this need could become obsolete under a better system.
The central issue is getting the best drug choices for the dollar.
Providers should have an incentive to choose drugs wisely, balancing cost and effectiveness. A simple idea to incentivize smart drug choices is to require 1/2 (or perhaps even all) of the drug cost be paid by the prescribing doctor. This would then be a part of the full success fee, and the fee would be set accordingly by the price of the commonly effective drug; but the fee itself would also be independent of drug choice except when specific drugs fail or are ruled out (see below). The doctor has to choose what is cost-effective and works effectively, to get the best economic outcome -- the full success fee without undue drug cost. The doctor then has a strong incentive to find cost-effective drugs for his/her patients.
Sometimes a patient will not respond to one drug or family of drugs or cannot take that type of drug, and needs a different type of drug. If effective alternative drugs are significantly more expensive, then the full success fee would be appropriately higher for the condition of non-response or non-usability of the initial best-practice type of drug.
===Update 7-10, 7-17 -- Setting Prices===
One key practical question in a Public Option (aka Public insurance Plan) or a Private Insurance Plan is how the insurer sets its prices -- the fees paid to doctors/providers.
To understand this section, be sure to first read "establishing outcome criteria" above.
Whether the public or private insurer is paying for piecemeal treatments in an old-style (and costly) fee-for-service system or instead is paying for outcomes (based on specific, narrow diagnoses -- "conditions") in a fee-for-outcome system as described above, the insurer must have a rational way to set prices.
Either way, the answer is an auction.
The exact way to run an auction and set up incentives for bidding are practical questions. Below, I will offer some price setting ideas that can be tested and refined by experience over time by any insurer, public or private.
The Plan (public or private insurer) can simply solicit bids to perform specific treatments or bids for treating specific conditions (bidding is for the "full-success" fee -- see establishing outcome criteria above), and have a community or regional target of having a certain minimum number (or percentage) of providers in that area for each kind of treatment.
Doctors and providers need do no extra work to submit bids. They could simply submit their current pricing (for a fully-successful treatment or outcome) perhaps with a volume-discount of 10%-20% in anticipation of more patients (due to the more people having insurance). Thus little or no effort to calculate prices is needed.
No complex calculations are needed.
Even without submitting a bid or being in a network, any doctor can participate fully or partially in the Plan with little paperwork, or none (see below).
Once the sealed bids are in (via on-line submission), then the Plan will simply accept a bid level high enough to include roughly the target number of providers for each specific treatment or outcome. In this way, the low bidders don't lose, they gain -- they will get the accepted bid level, thus they gain the extra pay difference between their original low bid and the accepted price level.
One good bidding incentive would be to reward bidders that submit bids below the accepted final price with a bonus above that of the price difference they will already receive, perhaps another 5% of that difference. A further refinement is that once an average number of patients per doctor/specialist are treated by a provider during a time period, the low-bid bonus could be phased out for additional patients, gaining an extra price efficiency for the insurer and thus the policy holders. (Note that this is a suggestion of a method and bonus percentage that can be tested and refined over time through experience by the insurer.)
For instance if the bids for a specific treatment or outcome range from $105 to $287, and the target portion of providers is 50% in that region, then the bid at or below which 50% of the providers come in would be the new Plan price for that specific treatment or outcome. In this example, for our range of $105 to $287, this price level that includes 50% of providers might be at $172, thus the new Plan price would be $172 for all in-network providers. But this same payment would be paid to any doctor who chooses to accept a Plan patient, even without any prior paperwork or network status (more on this below).
Providers that submit bids below our example $172 would then would get both the full $172 plus a bonus percentage for submitting a bid below price. (Again, such details can be tested and refined over time by the insurer.)
This is done for all the specific treatments/conditions covered by the Public (or private) Plan in a computerized on-line pricing auction, thus effecting a complete set of Plan prices. Providers then can choose whether to become a Plan in-network provider at these prices.
A few simple rules could handle the question of all-or-nothing in-network status.
For instance, to be certified as a "Full (Public or private) Plan Provider" or a "Preferred Plan Provider", etc., a provider would accept all the Plan prices for the treatments they offer. But...a provider could choose to offer certain treatments at above-Plan pricing (and perhaps advertise as a "Partial Plan Provider" etc.) by giving clear notification to the patient at sign-in of those price premiums, and requiring the patient sign-off on a specific price premium they must pay out of pocket (or via supplemental insurance) before treatment in order for the provider to be fully reimbursed from the Plan for the portion paid by the Plan (lack of a price notification signed off by patient would result in the patient being only liable for 1/3 of the premium above Plan, this amount capped at 10% of the Plan price).
This is only an optional, pragmatic method to allow non-Plan providers to opt-in to widespread Plans with less paperwork and administration.
This allows 100% flexibility. The Plan (Public or private Plan) using this method does not exclude any provider. Any above-price provider could accept any Plan patient with simply a clear notification of their premium pricing the patient or supplemental insurance must cover.
(Another interesting possibility is to allow private insurers to use any Public Plan as a building block within their own plans, in addition to being able to offer "supplemental" insurance. This would allow individuals to purchase private insurance for less established or less reliable treatments which are not fully reimbursed by any particular Plan.)
This is 100% freedom of choice, and 0% interference in the choices of patients and doctors.
Treatments or treating conditions can be auctioned on an ongoing basis, annually or semi-annually. Providers would not need to change their existing bids unless they feel their pricing needs to change. Providers could gradually modify their bids as new ways of treating conditions emerge that are more cost-effective, thus gaining the additional small bonus percentage from lower-than-plan bids.
This promotes cost-improvement over time, as in other areas of service technology.
New Treatments -- providers could offer new unique bids for new possible outcomes. Once enough bids occur for a new type of outcome (a new successful treatment of a previously incurable condition), the Public or private Plan can then initiate an accepted bid level for this new type of treatment at its own discretion, thus including the new treatment into its benefits. Before new treatments/drugs or potential new outcomes are fully accepted as Plan-Established, they could have co-insurance requirements (patients must pay part of the cost out-of-pocket, or via private supplemental insurance).
In principle, this kind of pay for outcome could work quite well. It is widely used in a simple form we all are familiar with -- work guarantees.
Savings accumulate to the plan in three ways -- more preventative care due to incentives, fewer tests and wasted treatments due to incentives, and innovation leading to reduced costs for many conditions which will then over time gradually lead to some fees being reduced in the compensation tables.
Combined with the three other simple and easy reforms which involve increasing information to patients and encouraging preventive care, we have complete reform.
It's encouraging that "changing incentives" was one of Obama's major points on ABC the other night.
I'll update this preliminary post as I think of further aspects.
In its simplest form, the Public (or private) Plans would pay set fees for specific narrow diagnoses/ages in fixed regions. The patient could then find a provider willing to try to earn the success (or partial success) fee, in town, or nearby, or in some cases by traveling to a specialized center.
The Public (or private) Plan, and any private insurer choosing this method, would pay its successful-outcome payment after specified time periods for various conditions when a successful outcome is verified by an independent inspector. One key part of this plan is periodic payments for continued preventative success, perhaps annually.
Your thoughts?
7-7: Just saw this great article by David Leonhardt on this whole question of costs and incentives. Highly recommended.
Update 9-22:
Reading this brief Peter Orszag interview it occurs to me to point out an easy, low-stakes way to gradually move from pure fee-for-service towards more pay-for-outcome-over-time.
The objective is to transition with small changes anyone could like and which doctors universally (or near universally) could support.
Reform without big, sudden change would be much easier to implement politically.
Start with a very short list of only a few narrowly defined conditions (such as a severely arthritic knee which needs replacement, or certain heart conditions) and implement small success payments, such as 5%-15% of the normal full cost of complete treatment. The success payment would be made after the treatment is shown successful as indicated by no need for extra treatment(s) beyond the normal follow ups needed for that specific condition within a certain specified time period for each specific condition in the list.
The initial payment, made when the main treatment is complete, would be most of the full cost of complete treatment. For example, if the success payment is 10% (before we also add a bonus percentage for outcome quality), then the initial payment would be 90%. Thus the complete payment for a successful treatment in this example would be the total of 90% + 10% + the bonus percentage.
Another example, for clarity: for a certain condition, upon treatment an 88% initial payment (88% of the full fee) could be made, and if the patient does not need further treatment (other than normal follow up and normal therapy) for that condition during the specified success time period, a 12% success-over-time fee payment would be made after that time period. The outcome quality would then be used to also generate an additional bonus percentage payment. --- For instance, in our example of an 88% initial fee, the success payments might total 14%, for a grand total of a 102% successful treatment payment. For this condition, some patients might not be treated successfully and would thus result in a payment of only 88% of the full fee, while most patients on the other hand would be treated successfully and would result in a payment of 102%.
This outcome-incentive system could be implemented initially for a short list of 5-20 specific, moderately-expensive narrow conditions which have clear enough typical outcomes such that it is easy to specify what is a good outcome-over-time in terms of a no-relapse, or success, time period. Any success bonus percentage (above the normal full fee) can vary according to what is shown to work well over time by experience.
Gradually, several new conditions/success-criteria could be added each year to the list, for instance by vote of panels of doctors, or even better by the full process I described earlier in this post.
I recommend that the establishing outcome criteria internet-polling process as laid out above be implemented from the beginning, to gain several kinds of powerful advantages, such as spreading information about best-practice and new techniques, encouraging market-driven innovation, etc.
This is a simple, limited version of pay-for-outcome-over-time which would have low stakes, and allow a gradual implementation.
Slowly, over time, a pay-for-outcome system could come into being, improving quality and value.
Note: Several ideas from comments below have been incorporated into this Pay-For-Outcome-Over-Time system, which was developed over several months. Note also that comments are forwarded to me, and I respond usually. Also, anyone can contact me via email at: firstname.lastname@example.com


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2 Shades performed a 2-hour set at Costa Coffee this week. It was a low-key affair with minimal kit – just my Washburn electro-acoustic guitar – but a great opportunity to try out some new songs and some we hadn't performed for a while.
It was also a chance to see how well my Fishman Loudbox Mini acoustic guitar amplifier's vocal channel performed. It was excellent and using the TC Helicon harmony voice processor in stereo mode, an Electro Harmonix B9 Organ pedal, and a Boo Tremolo pedal, there was sufficient variety in sounds to support the eclectic 31 -song programme which included standards, pop songs and a couple of blues-orientated songs.
New to our set was Homeward Bound, When I Fall in Love, Mountains of Mourne, Sixteen Tons, and Here Comes the Rain Again.
An enjoyable afternoon which we shall be repeating.


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BRIEF PROFILE OF THE MUNICIPALITY In tracing the history of San Vicente, one always one to start from Vigan. Vigan was established by the Spanish colonizer Juan De Salcedo on June 13, 1572 where there only 800 residents . Upon Salcedo's return in 1574, he brought with him the Augustinians friars in order to teach Christianity to the inhabitants. After Salcedo's death on March 11, 1576, Franciscan friars replaced the Augustinians in the year 1579. These friars spread up to San Vicente to convert and influence the people to the catholic faith. In 1591, Vigan had already an organized form of government which included these barrios namely : B...Read More
Looking for a souvenir items for your friends and relatives? Visit Pasalubong Center, Located at Poblacion near the Municipal Hall. Furniture products are displaye...Read More


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Who operates the Walt Disney World golf courses?
Golf – Frequently Asked Questions
The Walt Disney World golf courses are owned by The Walt Disney Company and operated by Arnold Palmer Golf Management.
Arnold Palmer Golf Management is one of the premier golf operators in the world, and we are proud to work with them to provide a world-class golfing experience.


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Thursday, 25 December 2014
End of the Year Greetings
Thank you Mr Mark san for the photo. It was a wonderful year. So much happiness. (The neurotic part of me has me worried.....I used up my bucket of blessings. The future is going to be rough.)
Best to everyone. I pray and hope all our paths continue to cross with our indigo and other journeys in life.
Posted by Bryan's Japanese Textiles at 12:17
4 comments:
Merry Christmas to both yourself and Hiro. May the festive season be filled with wonder, magic, love and laughter. Long may our indigo journey continue.ReplyDelete
just reading about using up the blessings, oh, that sounds so familiar. i always feel this way.ReplyDelete
- Anonymous27 December 2014 at 08:18
I echo Judi, an indigo sister from that very first workshop. May your bucket of blessings continue to refill.ReplyDelete
a bit late, or maybe in time for the new year?ReplyDelete
love luck and sunshine to both of you.
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Nolvadex is a treatment drug that is highly popular amongst middle-aged women. This is because this is the drug that is very useful as well as effective when it comes to treating or preventing the development of breast cancer. The reason that this drug is very effective when it comes to the treatment of such is that the drug itself has been made particularly to bind with estrogen receptors, thus prevent the estrogen activated growth of the cancer. Once the drug is absorbed by your body via metabolic processes, the drug's mechanism of action as selective estrogen receptor modulator will be binding itself towards estrogen receptors and preventing estrogen hormones from binding with the receptors. Breast cancer actually needs estrogen for growth. However, if the levels of estrogen are being limited, in essence, you will be able to stop the cancer from growing.
Nolvadex actually has other uses aside from just solely treating breast cancer. In fact, Nolvadex can be used for treating medical conditions such as angiogenesis, bipolar disorder, infertility problems, estrogen-related premature puberty, and gynecomastia. Nevertheless, for more than three decades, Nolvadex has been used mostly for the treatment or prevention of female breast cancer. If you are looking to buy this anti-estrogenic drug, then you will be glad to know that you can buy Nolvadex online.
If your physician has prescribed you to buy this drug to treat a particular condition, your decision will either be to buy it at your local pharmacy or drugstore, or you can buy your Nolvadex online. There are actually many online merchants who sell Nolvadex online. The best part of all is that it is very convenient to buy Nolvadex online and it is also more economical to get your Nolvadex online, simply because the prices per pill given by online merchants cannot easily be beat by the prices offered by any physical store.
As mentioned earlier, it is more economical to get your Nolvadex online. However, if you buy Nolvadex online, it will take around several days before you are able to get your first dosage of the drug. If you require to take the drug immediately, the best thing to do is to first purchase your doses of Nolvadex online and get the estimate on when your Nolvadex online purchase will be delivered to you. This will provide you with a rough estimate on how much Nolvadex pills you will need to purchase from your local drugstore while waiting for the package of your Nolvadex online purchase.
If you are familiar to buying stuffs online, then you will have no problems when it comes to buying Nolvadex online. However, if this will be your first time making purchases over the internet, the task may actually become a bit tricky or even daunting for some. But if you are serious in getting better savings by buying your Nolvadex online, then you may want to take time and ensure that you get your does of Nolvadex online. It is actually simply a matter of making a search query, picking the online shops which you may want to buy Nolvadex online from, comparing prices and delivery charges with different websites, checking if the site is authentic, and finally finalizing and completing the online transaction.


text:
v Also known as the Schoolroom poets or Household Poets. These were a group of American poets that were very popular both in
America and Europe.
v The group included Longfellow, Bryant, Whittier, Lowell, and Holmes Sr.
v Bryant was the oldest, and
was the youngest.
Oliver Wendell Holmes was the last to die, in 1894. Lowell
v These poets all lived in
Massachusetts, and were connected with ,
either as professors, students, or guest speakers. Harvard University
v Besides their popularity, these poets were connected by their style, using standard forms, meter, and stanzas, that made their work easier to memorize in school. J
v Their poems were about family life, mythology, and politics, and were meant for common people, not critics.
William Cullen Bryant
v Bryant became famous at age fourteen with his poem "Embargo", criticizing the president.
Henry Wadsworth Longfellow
v Longfellow is famous for his poem "Paul Revere's Ride", about a hero of the American Revolution who warned farmers that the British were coming.
John Greenleaf Whittier
was a
Quaker abolitionist, most famous for his poem "Snow-Bound", about a family
trapped in their home by a snow storm. They relax by telling each other stories. Whittier
James Russell Lowell
is most
famous for a book length satirical poem titled "A Fable for Critics". It made
fun of all the most famous poets and critics in Lowell . America
Oliver Wendell Holmes Sr.
v Holmes's most famous poem is "Old Ironsides", a poem that saved
's greatest warship, the USS
Constitution from being turned into
scrap. America


text:
Why Your Hands Are Always Freezing Cold? Is It Serious Disease? Causes And Treatment Of Raynaud`s Syndrome!
Raynaud's phenomenon or syndrome is a disorder that affects blood vessels, mostly in the fingers and toes. Other parts of the body that can be affected by Raynaud's include the ears, nose, nipples and lips.
When you are cold or feeling stress, the body's reaction is stronger than normal. It makes blood vessels narrow faster and tighter than normal. It happens because your blood vessels go into a temporary spasm, which blocks the flow of blood.
This causes the affected area to change color to white, then blue and then red, as the blood flow returns. You also experience pain, numbness and pins and needles.
Preventive methods:
- Don't smoke.
- Keep your hands and feet warm and dry.
- Warm your hands and feet with warm water.
- Avoid air conditioning
- Wear gloves
- Wear many layers of loose clothing and a hat when it's cold.
- Avoid medicines that make symptoms worse
- Control stress
- Exercise regularly
People with Raynaud's often go for long periods without any symptoms, and sometimes the condition goes away altogether. Raynaud's is slightly more common in women than men.
Help yourself!
It`s proved that Raynaud can be solved.
- First, you must reduce stomach acid with eating the right food
- Start your day with one juice made of fresh fruit or vegetable. Practiced to make it with green ingredients like spinach, chard, parsley, apple, etc. They contain a lot of chlorophyll and oxygen that is so important for your brain and bloodstream. You may drink this kind of juices before every meal.
- Eat a lot of food rich in Omega3 fatty acid, like salmon, flax seed or almond.
- Drink a lot of clean water, 2 liters per day
- After lunch you can drink 1 glass of red wine. It`s good for normalize body temperature and protect the heart.
- Use tea, tincture, lotion,shower gel or essential oil of sage, it reduce stress
- Use honey instead of sugar
- Use himalayan salt instead of sea salt
One homemade recipe
- 1 jar of honey
- 100g flax seed
Ground the flax seed and put it into the honey immediately,because it may oxidizes after 10 minutes and lose the benefits. Every morning, you should eat one small teaspoon of this mixture.
Be persistent and you will be surprised by the results!
Source of the article: http://www.medicinenet.com/
Reference link: http://www.mayoclinic.org/


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by Bruce KiVo
Ultimate Fighter season 18…with women training alongside male fighters for the first time and "Rowdy" Ronda
Rousey's nemesis Meisha "Cupcake" Tate replacing an injured Kat Zingano as coach, this season looks to be off the hook.
16 men and 16 women battled in 2 round elimination bouts to gain entry into the house. Narrowed down to 8 men
and 8 women, everyone is vying for that six figure UFC contract plus bonuses for best KO, best submission and
best fight.
Veteran Tara LaRosa, once considered the best female fighter in the world lost by unan decision and never made
it into the house.
Meisha gets first pick based on Dana's coin toss and Ronda gets first fight. Meisha chooses one time training
partner Julianna Pena.
Ronda's first pick is veteran superstar, Shayna "Ace Of Spades" Baszler.
Ronda gets first fight and picks Shayna vs Juliana. From jumpstreet, Shayna and most of the house thought
Julianna had little chance, if any of beating Shayna.
Next the fighters moved into "The House". Some fighters got on their swimsuits and jumped into the outdoor jacuzzi.
The following day Tim Gorman discusses his views on women fighters and says morally, he could never go 100
percent vs a female fighter. "They would get hurt". Sara Moras and Shayna Baszler don't appreciate the
disparaging talk and in a fun way Sarah vows to tap out Gorman in practice.
Veteran Shayna tells how her first fights were for a few hundred bucks, were held in warehouses and the sacrifices
over the past decade have paid off. Women's MMA is now in the UFC.
Julianna seems a bit concerned about her opponent's experience advantage, but vows to kick her ass.
At the weigh-in, Shayna slaps an Ace of Spades card on Julianna's chest followed by an intimidating staredown and
believes she got into Julianna's head.
Back at the house, extremely charismatic Shayna Baszler was professing that Julianna Pena doesnt even belong in
the same ring with her, was most likely scared and should be taking her seminars and learning.
Round one, Pena comes out swinging and aggressively charging forward pits Baszler against the fence.
Baszler gets the takedown and soon winds up in guard. Pena goes for an armbar, stands up and "Ace Of Spades"
Baszler puts her back down getting side control. What a fight!! Baszler tries for a guillotine, Pena rolls with it,
winds up in Baszler's half guard dropping hard elbows and punches. Julianna Pena seems unstoppable. Veteran
Shayna Baszler gets a single leg takedown and r1 is over.
Round 2 starts with Julianna scoring a big right and then a powerful left hook. Julianna pena is on a mission.
A stunned Shayna secures a clinch and pushes Julianna against the cage. Pena reverse Shayna and begins landing
vicious knees in the clinch. Julianna takes Shayna down, gets her back and locks in one tight rear naked choke.
At 1:52 of round 2 Shayna taps. What a fight. I'm sure Shayna Baszler will be back. She is truly one of the greats
in the women's division.
As for Julianna Pena…this girl has heart and super skills to back it up. She may just be the next Ultimate Fighter.
Lookin' forward to next week's episode for sure!!


text: ...not that I for a moment think that others won't be out between now and then...! Evans, S.E., Wang, Y., and Jones, M.E.H. 2007. An aggregation of lizard skeletons from the Lower Cretaceous of China. Senkenbergiana Lethaea 87(1):147-156. ABSTRACT: Many fossil taxa are known only from single specimens, making it difficult to gauge levels of intraspecific, and particularly ontogenetic, variation. Here we report on an aggregation of the Early Cretaceous lizard Dalinghosaurus longidigitus from deposits of the Yixian Formation, China. A single block from the Lujiatun Bed contains parts of at least sixteen three-dimensional skeletons ranging from hatchling to young adult. Taphonomic features suggest the animals were probably part of a natural aggregation caught up and transported by a localised mudslide during a volcanic eruption. The most complete specimens on the block add new information on jaw, palate and braincase morphology for this derived lizard. Dalinghosaurus is now represented by a sample of nearly thirty individuals from hatchling to skeletally mature adult, permitting a discussion of skeletal ontogeny. While the narrow fused frontal, flange-like angular process, strong conical teeth and long feet remain constant features throughout development, there are marked changes in cranial sculpture pattern through ontogeny and more minor changes in skull morphology and limb proportions. Sterli, J., and Joyce, W.G. 2007. The cranial anatomy of the Early Jurassic turtle Kayentachelys aprix. Acta Palaeontologica Polonica 52(4):675-694. ABSTRACT: The fossil turtle Kayentachelys aprix is known from Early Jurassic sediments of the Kayenta Formation, Arizona, USA. The detailed description of this taxon's cranium offered in this paper demonstrates that this turtle presents a mixture of primitive and derived character states. Among others, the presence of an interpterygoid vacuity, a basipterygoid process, a prootic that is exposed in ventral view, and a foramen posterius canalis carotici interni that is formed entirely by the basisphenoid are generally considered primitive for turtles. On the other hand, the presence of an undivided apertura narium, a well developed cavum tympani, an incipient cavum postoticum, and an unpaired vomer are considered to be derived. Kayentachelys aprix has previously been hypothesized to be the oldest stem cryptodiran turtle because of the presence of a flat, vertical plate on the processus pterygoideus externus, and the presence of a processus trochlearis oticum. However, the presence of these characters cannot be confirmed in the available specimens. Other putative stem-cryptodiran characters, such as the prefrontal-vomer contact and the presence of an epipterygoid, are herein corroborated as being symplesiomorphies, because they generally appear to be present in basal turtles. Skutschas, P.P. 2007. New specimens of albanerpetontid amphibians from the Upper Cretaceous of Uzbekistan. Acta Palaeontologica Polonica 52(4):819-821. ABSTRACT: The albanerpetontid fossil record in Asia was limited to five dentaries of unidentified genus from the Upper Cretaceous Khodzhakul (lower Cenomanian) and Bissekty (Turonian) formations, Kyzylkum Desert, Uzbekistan. Here I describe two fragmentary frontals fromthe Khodzhakul local fauna as the first unequivocal record of the genus Albanerpeton in Asia. Agnolin, F.L. 2007. Brontornis burmeisteri Moreno & Mercerat, un Anseriformes (Aves) gigante del Mioceno Medio de Patagonia, Argentina. Revista del Museo Argentino de Ciencias Naturales, n.s. 9(1):15-25. Natarajan, L.C., Melott, A.L., Rothschild, B.M., and Martin, L.D. 2007. Bone cancer rates in dinosaurs compared with modern vertebrates. Transactions of the Kansas Academy of Science 110(3/4):155-158. doi: 10.1660/0022-8443(2007)110[155:BCRIDC]2.0.CO;2. ABSTRACT: Data on the prevalence of bone cancer in dinosaurs is available from past radiological examination of preserved bones. We statistically test this data for consistency with rates extrapolated from information on bone cancer in modern vertebrates, and find that there is no evidence of a different rate. Thus, this test provides no support for a possible role of ionizing radiation in the K-T extinction event. Merriam, D.F. 2007. The Cretaceous basal conglomerate in Kansas. Transactions of the Kansas Academy of Science 110(3/4):179-186. doi: 10.1660/0022-8443(2007)110[179:TCBCIK]2.0.CO;2. ABSTRACT: The basal Cretaceous conglomerate, consisting of material derived from the east and northeast, was deposited by westward flowing streams on an eroded surface of Paleozoic rocks. The unnamed stratigraphic unit, composed of pebble- and cobble-size material, is exposed locally along the outcrop belt from Clay County southwestward to Kiowa County. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Jerry D. Harris Director of Paleontology Dixie State College Science Building 225 South 700 East St. George, UT 84770 USA Phone: (435) 652-7758 Fax: (435) 656-4022 E-mail: firstname.lastname@example.com and firstname.lastname@example.com http://cactus.dixie.edu/jharris/ STORIES IN SIX WORDS OR LESS: "Machine. Unexpectedly, I'd invented a time" -- Alan Moore "Easy. Just touch the match to" -- Ursula K. Le Guin "Batman Sues Batsignal: Demands Trademark Royalties." -- Cory Doctorow


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The Miami Heat defeated the San Antonio Spurs 109-93 in Game Four of the 2013 NBA Finals. The Heat evened the series 2-2 with Game Five looming on Sunday night.
Miami was led by the Big Three combining to score 85 of Miami's 109 points. Dwyane Wade led the Heat with 32 points, four rebounds, six assists, and six steals and LeBron James had 33 points, 11 rebounds, and four assists.
San Antonio was led by 20 points from Tim Duncan as well as 15 points and nine assists from Tony Parker, but all of Parker's points came in the first half. San Antonio turned the ball over 18 times due to the solid Miami defense.
"The old Flash is back with the nasty scowl from the 2006 NBA Finals. San Antonio had no answer for greatness. #CountOnFlash"


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An honorable man. "Give me an army full of Australians and I can win the war". So it is said that Erwin said that :-)
The Nazis definitely won the battle of ,,who had the coolest helmets and uniforms
Well, if it was Panzer Grenadiers in blotchy came from 1943 onwards, yes.
Some of u guys are wrong, I read Rommel knew the landing would be in Normandy. Hitler ignored him....
+mickey rat (maqnchs) Rommel expected the invasion would be in Normandy.
Hitler did not believe him, thinking it would be in Calais.
Rommel was a man of great integrity or moral conviction.
He presided over battles that abided by the rules of war, and like all great leaders, hated the needless death/slaughter of those he commanded, and thus the German soldiers and citizens alike loved him.
I (too) studied History, and found Rommel the be a completely honorable
My father told me that Rommel was held in high regard by the Allied (Australian) forces in northern Africa, he was also to be feared when you were in battle against him.
What I'm trying to say is that "Rommel was a solders solder".
That rare breed of officer, for whom the command and loyalty (of his men) is given to him freely, through force of character and his natural brilliance.
History (so far) treats General Field Marshall Irwin Rommel well, as he above all other German Officers deserve it.
A Great Man.
That is just not true, several high ranking officers in the Werhmacht never joined the Nazi Party. Admiral Wilhelm Canaris, Admiral Karl Dönitz, General Adolf Gallant, Feld Marshall General von Rundstedt, Feld marshal Erwin Rommel, Count Claus von Stauffenberg plus several hundred others were never party members.
Read your history!
Well I've taught WWII history and have never read anything in any English history book that has ever said that all high ranking German officers were required to be Nazi's, quite the opposite.
There were no Admirals or high ranking naval officers in the Krieg's marine that were members of the Nazi Party at all. I'd like to know what history books you are reading and when they were published?
Rommel was trigger happy and wanted to see people die.
He often went directly to the front lines to watch.
They had to forbid him such actions.
Nice presentation, and some great footage.
Like most points of view some topics are open to debate.
Reading the comments below some people seem to miss the most valid point.
When your enemies RESPECT you, that should give you a clue !
"Rommel didn't fear death"...of course not!
Death feared Rommel instead. R.I.P Desert Fox
Where's Rommel?, "He's on the front lines".
A common line spoken by his men.
He preferred to be fighting alongside.
Great man and leader unfortunately the shit stain that was Hitler screwed his legacy.
Rommel was a military careerist and a soldier through and through.
While he didn't commit war crimes I can't say that Rommel was a great or a good man.
Just like his son, Manfreld Rommel said : "In general, it is worth mentioning that all secondary virtues such as bravery, discipline, loyalty and perseverance only have validity so long as they are used in a good cause.
When a positive cause becomes negative, these virtues become questionable."
+Maël Dove Another way to say it is --- When a good man helps a bad man succeed the good man is not serving mankind.
+Maël Dove yeah , yeah Germans were shocked with concentration camps.
All the time they were thinking that Gestapo is taking their Jewish neighbors for a vacation.
Even Rommel is romanticized now b/c he turned against the Hitler at the end of the war .
He did it b/c Hitler was losing war in 1944 , and removing Hitler was only way to prevent Germany from complete destruction, not b/c he ( Rommel) was against everything that Hitler did before and b/c Hitler brought the misery to millions in Europe.
Rommel said that he found about death camps " later in the war and he was shocked" - while thousands of ordinary Germans served in concentration camps and did atrocities against Jewish and Slavic people in Eastern Europe, sending letters home, a Field Marshall Rommel " did not know anything until later in the war".
What a bunch of BS !
I always wondered if Hitler had not sent Rommel to kill himself how fair would the allies have been to him
+Neuschwabisch : No not at all. Rommel was a Soldier of great integrity.
All Allied Commanders recognized this quality in him. Rommel was no criminal, he didn't take part in any activity regarding genocide of any peoples.
So the Allies would have no reason to do such a thing.
Executing an Officer of the vanquished forces, who had not committed any known crime, would be a folly.
As it would set a precedent, that in future wars, all military officers of the defeated side would suffer execution....And one never knows when you yourself may be on the wrong side.
In fact Rommel is the epitome of the perfect soldier, yes he wanted to win, but win by the rules governing war.
I suppose we would say today, that Rommel was a gentleman.
He went about his duty as an officer, with integrity of the highest order, and was respected Militarily by both Montgomery and Eisenhower.
It is a shame, that such character and sense of duty, is missing in many leaders of men today, it really is the most admirable of traits.
Lastly and ironically, Rommel was forced to commit suicide, for being involved in the plot to assassinate Hitler, when in fact he had nothing at all too do with this act...though of course he knew of it.
For Rommel even though he believed Hitler was an Enemy of the German people, he still would not forsake his oath as an officer to his Leader......
+Neuschwabisch "They probably would have hanged him." Yeah, just like they hanged Guderian, Mannstein and Dönitz. Oh wait...
A German wounded 6 times in combat received an arm band designating that.
I believe Rommel cherished being able to wear his as much or more than his Pour le Merited.
He got the wound badge in gold.


text: Are you a local real estate agent? Do you have a friend that might be? Please share this information so that they can to "Ride to School" with us on Tuesday, March 22. We will have a series of bus tours to help local realtors understand everything we have to offer in our wonderful school district! Special thanks to the Valdosta Board of REALTORS for the support of this event.


text:
Live: Higgs Boson announcement
- CERN observes new particle consistent with 'Higgs boson'
- One in several million probability it could have happened by chance
- Professor Higgs: "I shall ask family to put champagne in fridge"
- Science Minister: Professor Higgs "secured his place in history"
1124 Well the press conference is over - that's it for the live blog. News story to come shortly...
1119 Heuer asked about economic justification for CERN. "23 years ago the world wide web was born here. This has changed the world dramatically. I think there's a lot of justification"
1113 Question in conference on little known victim of this announcement - it has entirely scooped the world's biggest particle physics conference in Melbourne...and clashed with their drinks' reception.