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June 8, 2007
NEW HAVEN, Conn. - Jennie Hansen, who was the stroke for Yale's second varsity, has been elected captain of the 2007-08 Yale women's crew team. Hansen, a rising senior, helped the Bulldogs to a fourth-place finish at the NCAA Team Championships.
"Being elected captain is a huge honor," Hansen said. "The team is made up of an amazing group of women, and I am so proud to represent them. I hope to build upon the great success the team had this season, but next year is also a new year that has yet to be defined. My first priority is to lead with a positive attitude and develop a solid team dynamic that will facilitate hard work and success."
Hansen, a Rosemont, Pa., native, led Yale to a bronze medal in the Grand Final at the Eastern Sprints and a third-place finish in the Petite Final at the NCAA Championships.
"Jennie is well liked and respected by the entire team," said Yale Head Coach Will Porter. "She will lead by example through her training and ability to step up in competition."
Four team awards were also announced
Nat Case Award: Presented to a member of the women's crew, chosen by the team, who has shown playfulness of spirit and care for her teammates, and in so doing, exemplified the love of crew essential to the spirit of Yale Women's Crew.
Suzanne Salgado
Anne E. Warner Award: Presented to that member if the varsity boat who has provided the greatest impetus toward the achievement of the crew's racing goals.
Rachel Jeffers
Eugenia C. Kiesling Award: Presented to that member of the women's crew who has shown the dedication, perseverance and consistency of effort necessary to maintain morale and a high level of competitiveness and cooperation on the squad.
Emily Cleveland
Christine K. Ernst Award: Presented to that novice who best exhibits the qualities of spirit and leadership necessary for a successful rowing experience.
Katherine Adams
Report filed by Tim Bennett, Yale Sports Publicity

subset: commoncrawl


text:
This playground is na Read more [...]
Carlos R. Lillo Park (Queens, NY)
Place Category: Parks and Playgrounds
This park is named for Carlos R. Lillo, a paramedic who died while on duty during September 11, 2001. Lillo served as a paramedic for the New York City Fire Department's Emergency Medical Services Division. He began his life-saving work as a volunteer with the Astoria Volunteer Ambulance Corps and attended school to obtain certification to be an emergency medical technician (EMT). In 1984, he joined the city Emergency Medical Services.
Parks acquired this 0.1 acre of land in 1997 with more than $400,000 allocated by Mayor Michael Bloomberg, Queens Borough President Helen Marshall and Assembly Member Michael Gianaris. The park, opened in 1998, provides the neighborhood with a place for solace and reflection. The park includes flowering trees, shrubs and perennials, four benches and two game tables.
Phone: (212) 639-9675


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It was named after a very dear friend who died this summer, and in her memory really should be knit in purple.
Click on the photo to go to where there are a few more photos.
Congrats on the pattern. It's super-lovely!
Congrats on the pattern! I just saw it in the mag - it looks gorgeous and such a fantastic purple color!
Congratulations. The pattern and photos are lovely.
i love it!! congrats!
I love it! I think the design is so original and interesting - thanks so much!
Woo hoo! What a great way for you to remember your friend. It's very touching.
It will be in my to-do list!
Thanks for this great pattern - I immediately fell in love with it, and loved your comment about mentally unravelling people. Glad to know I'm not alone with this slightly obsessive quirk. People do tend to get uncomfortable when you've stared at them for too long though...
Alice, yours is my favorite of the new knitty patterns. I'm so glad it led me to your blog! Purple's my favorite color. Thanks for the excuse to buy some.
very nice - so pretty and such unusual construction!
ester is my favorite pattern from the new knitty. congratulations, i LOVE it.
Its a great pattern! I'll probably put it in the knitting cache to be done. Great work!
Congrats! It's wonderful. Purple is my favorite color also.
What a pretty pattern.
alice it is just gorgeous! i love it and it is definitely one of my favourite designs in the current knitty as well as being a beautiful sentiment.
Is that photo taken in Greenwich foot tunnel?!
That is fantastic! Just what I've been looking for since watching The Verdict a few weeks ago & seeing Ingrid Tarrant with a wrap with armholes! Not a patch on yours as hers was a beige ribbed affair, but I loved the concept. Thank you so much for your time, creativity & generosity in sharing your talent.
I've just started making it - will let you know how it goes! Thanks for the pattern.
Congratulations, what a wonderful thing to do, I saw this pattern on Knitty the other day, and it was the only one I am considering knitting!!! Take Care! Kirsty
Congratulations. And what a wonderful, thoughtful way to honor your friend's memory and meaning in your life.
I'm very sorry about your friend. However, I would like to personally thank you for including larger sizes. Those of us who need them APPRECIATE IT!
Gorgeous! Love the selection of color and stitch. Really great work.
It's beautiful. The construction is very witty and i love this modern version of the aran style.
I'm probably going to hurry and knit it before winter's over.
Condolences and congratulations.
Hi, I just started this tonight, and I am wondering about the sizing. How stretched is the ribbing supposed to be? I've gotten about 10 rows in, and it is supposed to be 17 inches wide for the size I'm doing. It is more like 11! If I really stretch it it might be 17, but it doesn't look that stretched in the photos. I'm knitting it in a different yarn, but I did get gauge.
note for Joanna (you didn't leave an email and your blogger profile is locked, so hope you think to check back here...)
The measurements were taken over the cable pattern, not ribbing, so you'd expect them to be slightly narrower at this point but not that much of a difference! It was relaxed, but not stretched, at all. I can only think that your ribbing style is especially tight (a simple st st gague doesn't fit everything) and/or maybe you are using a tight cast on?
Try changing cast on, and maybe go up a needle size (or if you like the feel of the fabric at that gauge, do a size up).
It's hard to give any more advice than that, if you are still having trouble EMAIL ME (address on knitty pattern page) and I'll see if can be of more help.
Love this so much we're starting a KAL!!! Thanks for the dreamy pattern. We're all knitting in purple so far :-)
I just finished knitting your lovely pattern. I adore it. For a number of reasons, wearing it now reminds me of a friend of mine who sadly died. Making something is a beautiful way to pay tribute to your loss.
Quite worthwhile information, thank you for the article.
This can't truly have success, I suppose so.
I found a great deal of helpful info in this post!
Bottoms Up (Ravelry)
Wonderland Socks (Purlescence)
Lion cloth (Knitty)
Ester (Knitty)
Bakerloo (Ravelry)
Rosalind (Ravelry)
exchequered (knitty)


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Forget Mallomars and MoonPies. In North Korea, the most politically isolated nation on earth, Choco Pies are the preferred sweet snack.
Choco Pies are individually wrapped cakes with marshmallow filling and a chocolate covering. The perennially popular treats, which evoke childhood memories for many Koreans, offer a unique view into North Korea's growing private enterprise economy.
When a factory complex that North and South Korea share reopened last month after a closure of roughly five months, employees got fewer Choco Pies, which are part of their compensation, NK News reported. While payment in Choco Pies is curious in itself, Korea watchers say reducing the number of treats is significant because it symbolizes a government trying to keep free-market forces in check.
Entrepreneurial North Koreans sell the snacks in the country's large markets, which are tacitly tolerated by authorities. "I would not describe them as 'black markets,' " said Andrei Lankov, history professor at Kookmin University in Seoul. Choco Pies also are exchanged in the markets for more substantial food items and other necessities.
"The North Korean authorities likely want to reduce the number of pies employees receive to something closer to what the employees will themselves consume, thus significantly reducing the sales of Choco Pies to third parties," said Bruce Bennett, senior defense analyst at the RAND Corporation, a nonprofit research group. "The authorities may thus hope to reign in market forces and information flows coming out of Kaesong and into the North more broadly," he said.
A tighter budget resulting from the halt in the complex's operations had cut the number of snacks workers receive, according to the Kaesong Industrial Complex Company Association.
In fact, South Korean companies based in the complex use Choco Pies as a major hiring incentive. "They're easily sellable and valuable in terms of providing money for staples," Bennett said.
Workers at the Kaesong complex also get the equivalent of $100 a month in wages (though it's estimated that the North Korean government pockets between 50 percent and 65 percent of that).
But Choco Pies appeal lies beyond its resale value. The snack exemplifies modern prosperity outside North Korea's guarded borders.
"It symbolizes South Korea's prosperity, sophistication and progress," said Lankov, who highlights the country in a new book, "The Real North Korea: Life and Politics in the Failed Stalinist Utopia." A native of the former Soviet Union, Lankov lived in North Korea as an exchange student in the 1980s. "Like canned beer in the Soviet Union of my youth, [the Choco Pie] shows that the surrounding world is rich and full of wonders—gastronomical and otherwise," he said.
(Read more: Inside North Korea's not so isolated, free-enterprise economy)


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Working This Summer? Students Need to be Tax Savvy, Tooby GDN Shared Post June 29, 2010
In these difficult financial times it is common for college students to engage in some part-time work while juggling regular semester coursework or, at a minimum, take that obligatory summer job.
Any level of paid remuneration will trigger a potential tax liability for the student, and in some cases involving unearned income, the parent may wind up paying the tax, according to Rick Marmon, an associate professor of accounting in the Rohrer College of Business at Rowan University, Glassboro, N.J. who holds advanced degrees in business, law and tax and is a certified public accountant, certified management accountant and licensed attorney.
There are a couple of planning considerations that anyone with working kids should know that will help make reporting a little less taxing in the new year, said Marmon, who teaches taxation courses in the undergraduate and graduate business programs.
First, children under the age of 24 who are full-time students at least some part of five months during the year are generally considered dependents of their parents. Dependents are not entitled to reduce their taxable income by their personal exemption ($3,650 for 2010), which means that once a child earns more than $5,700 (his/her standard deduction), he/she will have a tax liability.
One thing that a working youth should do is file a W-4 with his/her employer exempting him/her from tax withholding if his/her projected earnings are less than $5,700. There is little need to waste time and money filing a tax return when the child ultimately will get a refund of all taxes withheld during the year, Marmon said.
Second, if a child has unearned income exceeding $1,900, he/she will have to pay tax on the excess at his/her parent's marginal tax rate. This provision was added to the Internal Revenue Code to prevent parents from reducing their taxes by putting their stocks and CDs in their childrens' names. The "kiddie tax," as it is known, applies to children under 18 years of age or under age 24 who are full-time students and whose earned income does not exceed half of their support (excluding scholarships).
Another issue involving working kids is the dreaded "self-employment tax." If a child is engaged in some type of work that is considered self-employment income and he/she earns more than $433, he/she must pay a 15.3-percent self-employment tax in addition to any federal income tax required. Self-employment income includes any money earned that is not reported on a W-2 by an employer. For instance, that summer lawn business or odd-job business is subject to self-employment tax; however, babysitters have been held to be employees of the parents for whom they are working and are not subject to the tax.
In addition to the federal tax issues, most states require some form of reporting and/or tax obligation for student workers. Addition detail and instructions can be found in IRS Publication 929: Tax Rules for Children and Dependents.


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Cognitive scale score by traumatic brain injury (TBI) category at 3 and 12 months after injury.
Twelve-month posttraumatic stress disorder (PTSD) and cognitive scale scores across categories of traumatic brain injury (TBI).
Customize your JAMA Network experience by selecting one or more topics from the list below.
Zatzick DF, Rivara FP, Jurkovich GJ, et al. Multisite Investigation of Traumatic Brain Injuries, Posttraumatic Stress Disorder, and Self-reported Health and Cognitive Impairments. Arch Gen Psychiatry. 2010;67(12):1291–1300. doi:10.1001/archgenpsychiatry.2010.158
© 2019
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010
Few large-scale, multisite investigations have assessed the development of posttraumatic stress disorder (PTSD) symptoms and health outcomes across the spectrum of patients with mild, moderate, and severe traumatic brain injury (TBI).
To understand the risk of developing PTSD symptoms and to assess the impact of PTSD on the development of health and cognitive impairments across the full spectrum of TBI severity.
Multisite US prospective cohort study.
Eighteen level I trauma centers and 51 non–trauma center hospitals.
A total of 3047 (weighted n = 10 372) survivors of multiple traumatic injuries between the ages of 18 and 84 years.
Main Outcome Measures
Severity of TBI was categorized from chart-abstracted International Classification of Diseases, Ninth Revision, Clinical Modification codes. Symptoms consistent with a DSM-IV diagnosis of PTSD were assessed with the PTSD Checklist 12 months after injury. Self-reported outcome assessment included the 8 Medical Outcomes Study 36-Item Short Form Health Survey health status domains and a 4-item assessment of cognitive function at telephone interviews 3 and 12 months after injury.
At the time of injury hospitalization, 20.5% of patients had severe TBI, 11.7% moderate TBI, 12.9% mild TBI, and 54.9% no TBI. Patients with severe (relative risk, 0.72; 95% confidence interval, 0.58-0.90) and moderate (0.63; 0.44-0.89) TBI, but not mild TBI (0.83; 0.61-1.13), demonstrated a significantly diminished risk of PTSD symptoms relative to patients without TBI. Across TBI categories, in adjusted analyses patients with PTSD demonstrated an increased risk of health status and cognitive impairments when compared with patients without PTSD.
More severe TBI was associated with a diminished risk of PTSD. Regardless of TBI severity, injured patients with PTSD demonstrated the greatest impairments in self-reported health and cognitive function. Treatment programs for patients with the full spectrum of TBI severity should integrate intervention approaches targeting PTSD.
Traumatic brain injury (TBI) constitutes a major public health problem for both veteran and civilian trauma-exposed patient populations.1-7 The US involvement in the current Iraq and Afghanistan conflicts has brought the interrelationship between TBI and posttraumatic stress disorder (PTSD) to the forefront of medical research, commentary, and practice.8-19 Many earlier studies of TBI and PTSD focused on injured civilians presenting with a full spectrum of mild, moderate, and severe TBI.20-33 More recent published investigations have focused on returning soldiers with mild TBI1,34,35 and the substantial number of wounded combat veterans who incur varying degrees of TBI in conjunction with multiple injuries to other body regions.36-40
This growing body of literature documents that PTSD symptoms can develop after mild, moderate, and severe TBI.1,20,21,23,30,31,34,41 Although it has frequently been suggested that the impaired memory of an event characteristic of increasingly severe brain injury could be associated with a diminished risk of PTSD,19,21,26,27,42,43 literature review revealed few investigations that have directly compared the development of PTSD across TBI severity subgroups.28 Most previous investigations have not included large enough samples of patients with mild, moderate, severe, and no TBI to allow for comparisons of PTSD rates across the full spectrum of TBI severity. In studies that have included examination of other associated injuries, the composite injury severity score (ISS) has been used36,44; the ISS does not facilitate assessments of the occurrence of injuries to specific body regions, such as disfiguring facial injuries, that may be associated with both head injury and the development of PTSD.38,45-47
Investigations in veterans and civilians now document that PTSD and other comorbid psychiatric disorders make an independent contribution to a broad profile of health and cognitive impairments after mild TBI.1,34,35 Bryant and colleagues48 reported that, in a large sample of civilian injury survivors, functional impairment was related to the development of a spectrum of anxiety and depressive disorders rather than mild TBI.
An unanswered question is whether observations linking PTSD to adverse health outcomes extend to other patients experiencing more severe head injuries. Previous investigation in patients with multiple trauma suggests that longitudinal changes in cognition may be the outcome most clearly linked to baseline TBI severity after an injury hospitalization.49 Investigation in noninjured veterans suggests that PTSD is independently associated with cognitive impairments as documented by neuropsychological assessment.50 These combined observations raise questions regarding the nature and strength of the association between PTSD and cognitive impairments across the full spectrum of TBI severity.
The National Study on the Costs and Outcomes of Trauma (NSCOT) is the only multisite US investigation to date to observe PTSD symptom occurrence in a large cohort of patients who had sustained the full spectrum of mild, moderate, severe, and no TBI injuries.51 The present analysis of the NSCOT data capitalizes on the large numbers of patients with mild, moderate, severe, and no TBI. The analysis also provides the ability to assess severity of injury to other body regions and to prospectively evaluate the impact of TBI severity on the occurrence of symptoms consistent with a screening diagnosis of PTSD 12 months after injury. As with most PTSD studies in injured cohorts to date,33,40,52-62 previous NSCOT PTSD analyses used a composite ISS rather than breaking down injury severity into discrete body regions or head injury subtypes.63,64 Further analyses of the large NSCOT sample afforded the opportunity to assess the associations between TBI severity, PTSD, and self-reported health and cognitive outcomes while adjusting for relevant demographic and clinical characteristics.
The investigators hypothesized that greater TBI severity would be associated with a diminished risk of symptoms consistent with a screening diagnosis of PTSD, even after adjustments for relevant demographic and clinical characteristics. The study also hypothesized that a screening diagnosis of PTSD would be associated with a broad spectrum of self-reported functional impairments across mild, moderate, severe, and no TBI severity subgroups. Finally, the investigation sought to perform an in-depth exploration of the interrelationships between TBI severity, PTSD, and acute neurologic deficits and long-term impairments in self-reported cognitive function.
The NSCOT was a multisite prospective cohort study designed to assess physical and mental health outcomes after hospitalization for traumatic injury.51,63-65 All level I trauma centers and large non–trauma center hospitals were identified within US metropolitan statistical areas; states included were California, Florida, Illinois, Indiana, Maryland, Massachusetts, Michigan, New Jersey, New York, North Carolina, Pennsylvania, and Washington. Patients were enrolled from 69 hospitals. Eighteen of 27 (66.7%) level I trauma centers and 51 of 124 (41.1%) non–trauma center hospitals agreed to participate. The study was approved by the institutional review board of each of the participating hospitals. Informed consent was obtained from all participants before the conduct of patient assessments.
English- and Spanish-speaking patients aged 18 to 84 years were eligible for the study if they arrived alive at participating hospitals and were treated for moderate to severe injuries as defined by at least 1 injury with an Abbreviated Injury Scale (AIS) score of 3 or greater.66 Patients were not eligible for enrollment if they were incarcerated at the time of injury, were 65 years or older, had treatment delays in excess of 24 hours, or had a first listed diagnosis of hip fracture or major burn.
Data regarding the episode of acute care was obtained by medical record review by trained nurse abstractors. Research nurses were trained in the chart abstraction procedure by the study investigators (F.P.R. and A.N.) and in the AIS coding procedure by the developers of the scale.51,63-65
Telephone assessments were conducted at 3 and 12 months after hospital discharge. Interviewers were experienced with telephone surveys and subsequently received additional specific training on the administration of the NSCOT assessment instruments (see also Mackenzie et al51). Telephone interview by proxy was allowed if the study participant was unable to be interviewed because of postinjury limitations, including severe brain injury.51,67,68 At 3 months, 11.3% of interviews and, at 12 months, 10.0% of interviews were completed by proxies.
Severity of injury by body region was coded by means of the AIS to determine the Maximum AIS (MAXAIS) injury score.66 The AIS was designed 30 years ago and is the most widely accepted anatomic measure of injury severity.69 The MAXAIS has been shown to be highly correlated with threat to life as well as postinjury disability and quality of life.70 Calculated as the highest AIS score for a single injury received, the MAXAIS performs well as a single measure of injury severity with an area under the receiver operating characteristic curve of 0.88 for mortality in a national database of more than 75 000 patients.71
The NSCOT used a quota sampling strategy to ensure that one-third of the patients had a head injury with an AIS score of 3 or higher and that the remainder had either a moderate-severe extremity injury or a moderate-severe injury to the chest or abdomen. Patients in these other 2 groups may have had a head injury, but it could not have an AIS score greater than 2. This strategy ensured that there was adequate representation of patients across the full spectrum of mild, moderate, severe, and no TBI severity subgroups.
In the NSCOT prospective cohort design, TBI was identified and categorized from hospital chart–abstracted International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes indicative of traumatic injury. Specific ICD-9-CM codes used to prospectively identify TBIs included 800.0 to 801.9, 803.0 to 804.9, 850.0 to 854.1, and 959.01.72,73 Severity of TBI was coded on the basis of a previously validated algorithm for hospitalized inpatients that assigned MAXAIS head injury scores of 1 to 2 to mild TBI severity, 3 to moderate TBI severity, and 4 or higher to severe TBI.2,49
The Glasgow Coma Scale (GCS) is a widely used scale for assessing level of consciousness after TBI.74 The GCS score is based on the evaluation of 3 categories of neurologic function: eye opening, best verbal response, and best motor response. The GCS score ranges from 3 (most severely impaired) to 15 (no neurologic impairment). Lower GCS score has been shown to be highly correlated with greater duration of coma and increased posttraumatic amnesia.75,76 In the NSCOT, GCS was assessed on initial admission to the hospital emergency department.
The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) was administered during the 3- and 12-month postinjury telephone interviews.77 In the present investigation, the 12-month SF-36 scores were used in the outcome assessment. The SF-36 has been used extensively to assess self-reported health and functional outcomes in injured patients.49,64 The SF-36 contains 8 subscales that assess a broad profile of outcomes; subscales are scored from 0 to 100, with 100 equal to the best possible health state. Previous investigation using both internal consistency and test-retest methods have established reliability estimates for the 8 subscales of greater than 0.80.77 Cronbach α for the 8 SF-36 subscales was 0.90 or greater at the 12-month assessments. Previous reports suggest that a single chronic medical condition, such as hypertension, diabetes, or depression, is associated with a 10-point or greater reduction in SF-36 subscale scores.77
A 4-item self-reported cognitive symptom scale was used to assess cognitive function at 3 and 12 months after the injury.49 The items assessed 4 specific aspects of self-reported cognitive functioning, including reasoning and problem solving, memory, attention, and concentration and thinking. In a previous investigation, the scale demonstrated excellent internal consistency and construct validity.49 In the present investigation, Cronbach α for the 4 items was 0.87 at the 3-month assessment and 0.90 at the 12-month assessment. The scale is scored from 0 to 100, with 100 equal to the best possible self-reported cognitive functioning.49
Symptoms of PTSD were assessed at the 12-month postinjury telephone interview with the civilian version of the PTSD Checklist (PCL).78 The PCL is a 17-item self-report Likert response (1-5) questionnaire that assesses the intrusive, avoidant, and arousal PTSD symptom clusters. The measure has established reliability and validity across trauma-exposed populations.79-82 In a study of motor vehicle crash survivors, Blanchard et al83 reported that a PCL cutoff of 45 or greater has excellent sensitivity and specificity when compared with the criterion standard Clinician-Administered PTSD Scale. The PCL can be used to create an algorithm consistent with a diagnosis of PTSD by rating 1 intrusive, 3 avoidant, and 2 arousal symptoms with a score of 3 or greater as symptoms consistent with the DSM-IV diagnostic criteria. This algorithm was used to derive symptoms consistent with a diagnosis of PTSD at the 12-month postinjury time point.
As in previously published NSCOT reports, we used sampling weights for all statistical analyses.65 It was necessary to weight data on eligible participants because not all patients selected for inclusion in the study were enrolled in the NSCOT investigation. The sampling weights used in the NSCOT investigation consisted of the reciprocal product of 2 probabilities: the probability of being selected and the probability of being enrolled and having data abstracted from the medical record, given selection into the study. The reference population to which weighted inferences were made consisted of 15 440 patients who met or were projected to meet the inclusion criteria.
Multiple imputation techniques were used to account for missing covariates. Data were missing for less than 5% of patients for most NSCOT variables. Ten imputed data sets were created. To account for clustering within hospitals, robust standard errors were computed for each data set. All analyses were first performed on each imputed data set, and results from these 10 analyses were combined according to Rubin's rule to yield the final results.84
In the analyses, we first compared the demographic and clinical characteristics of patients who did and did not complete the 12-month telephone interview. The χ2 and 2-tailed t test statistics were used for categorical and continuous variables, respectively, to assess for significant differences.
We next assessed the frequencies of patients incurring mild, moderate, and severe ICD-9-CM –documented head injury, as well as the frequency of patients incurring injuries with a MAXAIS score of 3 or higher to other body regions (ie, face, neck, thorax, abdomen, upper extremity, lower extremity, spine, and integument). Because we were interested in estimating the relative risks (RRs) and 95% confidence intervals (CIs) for developing PTSD, we used unadjusted Poisson regression with robust error variance to ascertain these univariate associations.85,86 To obtain adjusted RRs and 95% CIs, we entered into a single Poisson regression model a dummy-coded variable for mild, moderate, and severe TBI (with the no-TBI group used as the reference), as well as variables for each body region with a MAXAIS score of 3 or higher (yes/no) that were significant at the P < .05 level in univariate analyses. Demographic and clinical characteristics previously shown to be associated with PTSD in hospitalized injured patients were also entered into the Poisson regression model as covariates.63,64 Covariates included were GCS score; age; sex; ISS; race/ethnicity; injury type (intentional vs unintentional); marital status; insurance status; education; preinjury cigarette smoking; benzodiazepine use before the injury admission; hospital record documenting history of depressive, anxiety, alcohol, drug, or other mental health diagnosis; intensive care unit admission (yes/no); mechanical ventilation (yes/no); intubation (yes/no); emergency department heart rate; medical comorbidities; and SF-36 bodily pain, and mental health symptom subscales at the 3-month postinjury time point. Symptoms consistent with a screening diagnosis of PTSD on the PCL at the 12-month postinjury assessment were the dependent variable.
We next assessed 12-month SF-36 scale scores for patients with and without PTSD, stratified by mild, moderate, severe, and no TBI groups. We first conducted univariate analyses and used 2-tailed t tests to compare SF-36 scale scores for patients with and without PTSD. These were followed by linear regression analyses that assessed for the association between PTSD and SF-36 scale scores across TBI subgroups while adjusting for demographic and clinical characteristics.63,64
Next, 3- and 12-month cognitive scale scores were compared for patients across the 4 TBI subgroups. An adjusted, mixed-model regression was used to assess the association between TBI severity and self-reported cognitive impairments over time.63,64 We next assessed differences in 12-month postinjury cognitive scale scores for patients with and without PTSD stratified by TBI status (ie, none, mild, moderate, or severe). Four linear regressions were used to assess for an association between PTSD and self-reported cognitive impairment while adjusting for covariates (as listed earlier63).
Finally, we performed sensitivity analyses for the multivariate regressions by means of both a continuous PCL score and an alternative PCL dichotomous cutoff of 45 or greater83 instead of PTSD diagnostic screening criteria. To assess the impact of proxy interviews, all analyses were conducted with and without proxy interview data. Analyses were conducted with the SAS 9.2 (SAS Institute Inc, Cary, North Carolina) and STATA 10 (StataCorp, College Station, Texas) data analytic software.
A total of 5043 (weighted N = 14 477) patients were eligible for the study. Of these, 1245 patients (weighted n = 1381) either died in the hospital or died in the days and weeks after hospitalization. A total of 3798 patients (weighted n = 13 096) were included in the 3-month assessment; 90 died after the 3-month interview (weighted n = 204), and 661 were lost to follow-up (weighted n = 2520). A total of 3047 patients (weighted n = 10 372), or 82.2% of 3708 eligible injury survivors, completed the 12-month follow-up interview. Patients lost to follow-up were significantly more likely to be younger (mean age, 38.4 years for those lost to follow-up vs 43.0 years for those who completed the interview; t1 = 3.7, P < .001) and intentionally injured (32.2% vs 16.4%; χ21 = 12.7, P = .001). Relative to white patients, African American (26.2% vs 15.3%; χ21 = 11.4, P = .001) and Latino (28.7% vs 15.3%; χ21 = 6.0, P = .02) patients were more likely to be lost to follow-up. There were no significant differences in rates of loss to 12-month follow-up for patients in the severe (17.2%), moderate (13.3%), mild (17.5%), and no (22.0%) TBI subgroups (χ23 = 5.7, P = .14).
At the time of injury hospitalization, 20.5% of patients (2123 of 10 372) had experienced severe TBI, 11.7% (1216) moderate TBI, 12.9% (1342) mild TBI, and 54.9% (5691) no TBI. Patients with severe and moderate TBI were more likely to also incur severe facial injuries (Table 1). In contrast, patients with mild and no TBI were more likely to incur extremity, thoracic, and abdominal injuries (Table 1). Patients in the no-TBI group had significantly lower injury severity (mean [SD] ISS, 13.5[14.4]) relative to patients with severe (26.6 [19.2]), moderate (17.2 [14.4]), and mild (17.9 [15.9]) TBIs (F3,68 = 188.2, P < .001).
At the 12-month postinjury time point, 21.8% of patients (2228 of 10 203) endorsed symptoms consistent with a diagnosis of PTSD on the PCL. In univariate analyses, increasing severity of TBI was associated with a diminished risk of PTSD symptoms (Table 2). In the adjusted Poisson regression analysis, severe and moderate TBI remained associated with a diminished risk of PTSD symptoms relative to the no-TBI comparison group (Table 2). Severe facial and spinal cord injuries were also associated with an increased risk of PTSD symptoms (Table 2). In this adjusted analysis, ISS was not associated with the development of PTSD (RR, 1.00; 95% CI, 0.99-1.01).
The mean (SD) initial admission GCS score was 10.3 (9.6) for patients with severe TBI, 12.7 (7.3) for patients with moderate TBI, 13.6 (5.9) for patients with mild TBI, and 14.3 (4.6) for patients with no TBI. In analyses that adjusted for demographic and clinical characteristics, these comparisons achieved statistical significance (F3,68 = 57.0, P < .001). In univariate (RR, 0.99; 95% CI, 0.95-1.01) and multivariate (0.99; 0.97-1.01) analyses, lower GCS score was not associated with a diminished risk of PTSD.
Across TBI subgroups, in univariate analyses patients with symptoms consistent with a diagnosis of PTSD demonstrated clinically and statistically significant reductions in SF-36 subscale scores relative to patients with no PTSD (Table 3). Most of these associations remained significant in regression models that adjusted for relevant demographic and clinical characteristics (Table 3).
Patients with the most severe head injuries demonstrated the lowest cognitive scale scores as well as more gradual cognitive improvements during the year after injury (Figure 1). Repeated-measures mixed-model regression analyses with 3- and 12-month cognitive scale scores as the dependent variable demonstrated a significant main effect for severe (β = −8.34, SE = 1.11, P < .001), moderate (β = −5.69, SE = 1.15, P < .001), and mild (β = −2.06, SE = 1.09, P = .06) head injuries relative to the no-TBI comparison group.
At the 12-month postinjury time point, regardless of TBI severity, patients with PTSD consistently demonstrated significantly lower cognitive scale scores (all P < .001) relative to patients without PTSD (Figure 2). Adjusted regression analysis identified a significant association between PTSD and lower cognitive scale scores in the severe TBI (β = 24.20, SE = 5.50, P < .001), moderate TBI (β = 16.25, SE = 5.68, P = .01), mild TBI (β = 15.34, SE = 4.70, P = .002), and no TBI (β = 22.09, SE = 1.52, P < .001) subgroups.
Sensitivity analyses that used a continuous PCL score and an alternative PCL dichotomous cutoff of 45 or greater83 instead of PTSD diagnostic screening criteria did not substantially alter the magnitude, pattern, or significance of the associations between TBI subgroup, PTSD, and functional outcomes (ie, the results presented in Table 2, Table 3, and Figure 2). Also, analyses that excluded all interview data obtained by proxy did not substantially alter the magnitude, pattern, or significance of the observed associations between TBI subgroup, PTSD, and functional outcomes.
Recent commentary and investigation have focused extensively on the associations between TBI, PTSD, and health status among returning veterans of the current Central Asian conflicts.1,8,10-12,14,15,17,19,34-40 A key criterion for the progression of epidemiologic knowledge is consistency of observations across exposed populations.87 The prospective design and large civilian sample of patients with head and other bodily injuries afforded by the present NSCOT analyses allow for a unique contribution to this evolving literature on TBI and PTSD.
The present investigation demonstrates in a large prospectively observed cohort that patients with more severe TBI have a diminished risk of developing symptoms consistent with a diagnosis of PTSD. Although lower GCS score was significantly associated with TBI severity, the investigation did not find a direct association between immediate postinjury neurologic deficits as measured by the GCS and the later development of diminished PTSD symptoms. Although duration of coma and posttraumatic amnesia were not directly measured in the NSCOT, previous investigations have established that lower GCS score is associated with lengthier coma and amnesia.75,76 The diminished risk of PTSD by TBI severity is consistent with the possibility that the mechanism involves impaired consolidation of traumatic memories19,20,27,43; however, the immediate level of consciousness at the time of injury does not appear to be the most important factor in this process. Future investigations could explore alternative etiologic mechanisms including temporal variations in the generation of posttraumatic affective responses, implicit coding of sensory perceptual experiences, and neurobiological factors that may influence physiologic, behavioral, and emotional responses after TBI.13,19,20,27,43
To our knowledge, this is the first investigation to document that severe facial and spinal cord injuries are independently associated with an increased risk of symptoms consistent with a diagnosis of PTSD. In these analyses, which included detailed assessments of injury to specific body regions, the composite ISS was not associated with the development of PTSD symptoms.19,36 Co-occurring head and facial injuries have been commonly described among wounded Central Asian veteran survivors of blast injuries/multiple trauma.37,38 A previous smaller-scale investigation suggests that disfiguring injuries may amplify posttraumatic symptoms by increasing concerns about body image and social acceptance,45 and other studies have described PTSD symptoms in the aftermath of spinal cord injury.88,89
The investigation corroborates and extends previous studies by demonstrating a strong independent association between PTSD and a broad profile of self-reported health and cognitive functioning impairments in patients with the full spectrum of mild, moderate, and severe TBI.52,61,90-95 Other recent investigations have focused on PTSD-related health and cognitive limitations among returning veterans with and without mild TBI.1,34,35,50
There are a number of important limitations to this investigation. One such limitation is the restriction of psychiatric outcomes to PTSD; recent investigation by Bryant et al48 suggests that multiple psychiatric diagnoses, including but extending beyond PTSD, may be associated with TBI. Thus, limitations in health-related and cognitive-related functioning observed in the present investigation could be partly explained by other mental health symptoms. The analyses conducted at the 12-month time point assessing the associations between PTSD symptoms, health outcomes, and self-reported cognitive impairments are cross-sectional. The investigation cannot rule out the possibility that self-reported health and cognitive impairments could be contributing to the worsening of PTSD symptoms. Of note, previous prospective longitudinal investigations in injured youth and adults suggest that early high levels of PTSD symptoms may influence the later development of poorer health outcomes.61,92,93,95 Another limitation is that new cases of PTSD could not be determined because the design of the investigation did not allow for the assessment of preexisting PTSD.48 The present investigation used MAXAIS to classify TBI severity; although there are a number of methods for classifying TBI severity, the use of the MAXAIS classification framework allowed for head injury severity to be assessed prospectively and did not require retrospective recall of the physical injury trauma. An additional limitation is the exclusive reliance on self-reported health and cognitive functional outcomes; it cannot be ruled out, for example, that what is being described as self-reported cognitive function throughout this article is really patient cognitive complaints. The investigation is further limited by the use of proxy interviews in a subsample of injured trauma survivors. Finally, the present investigation did not include in-depth assessments of duration of coma, posttraumatic amnesia, memory of the traumatic event, neuropsychological evaluation of cognitive impairments, or neuroradiologic findings.19,27,43,96,97
Traumatic brain injury represents a dynamic spectrum of physiologic and cognitive dysfunction that exerts effects at the level of the individual neuron, neural networks, and ultimately more global cognition and health.7 The present investigation adds to a growing body of research that suggests that psychological factors play a substantial role in TBI-related impairments in self-reported health and cognition function. A key assumption in the TBI literature has been that health and cognitive impairments in more severely injured patients with TBI would be less affected by the presence of PTSD. For example, it has been suggested that, in moderate and severe TBI, the meticulous assessment of neurocognitive deficits underlying functional impairments may be an essential and valuable component of ongoing clinical care; in contrast, for mild TBI, the assessment of neurocognitive deficits has been suggested to be less conclusive, presumably because of the predominating influence of PTSD and other psychological factors.11 The misattribution of health- and cognitive-related functional impairments to brain injury alone has the potentially detrimental implication that recovery from TBI depends predominantly on neurologic factors.10 The results of the present investigation suggest that treatment programs for the full spectrum of injured patients with mild, moderate, and severe TBI could productively integrate multifaceted interventions targeting PTSD.98-102
Correspondence: Douglas F. Zatzick, MD, Harborview Injury Prevention and Research Center, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Campus Box 359911, 325 Ninth Ave, Seattle, WA 98104 (firstname.lastname@example.com).
Submitted for Publication: December 29, 2009; final revision received June 10, 2010; accepted June 15, 2010.
Author Contributions: Dr Zatzick had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Financial Disclosure: None reported.
Funding/Support: This work was funded by grant R49/CCR316840 from the National Center for Injury Prevention and Control and the Centers for Disease Control and Prevention, grant R01/AG20361 from the National Institute on Aging, and grants R01/MH073613 and K24/MH086814 from the National Institute of Mental Health.
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Creating the Perfect Cookie
What happens when you challenge three radically different product development teams and methodologies - including a food industry "dream team" - to design a cookie?
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|Cookie competitors included: the Oatmeal Pecan Cookie, made by the Open Source "Dream Team"; the Strawberry Cobbler Cookie, created by the Current Industry Practice Team; and the Oatmeal Chocolate Chip and Butter Toffee Crunch cookie, developed by the XP Team.
That will be one of the questions answered when independent product developer Mattson and Co. tallies the results of Project Delta, an innovative experiment in collaborative product development. With 20 R&D people across the country from food processors and ingredient suppliers plus chefs working collaboratively but remotely, the project blended together continual consumer feedback with charity work to produce the best tasting cookie possible with "wholesome, sensible nutrition."
The "quest for the ultimate cookie" started with the idea of pooling the food industry's top minds and resources to create a superior healthy product "that mainstream Americans will want to eat," and then to share the results of that endeavor with the food industry.
Of course, the results that will most concern consumers are the "nutritionally improved" Oatmeal Pecan, Strawberry Cobbler and Oatmeal Chocolate Chip and Butter Toffee Crunch cookies spawned by competing teams and expected soon to land on grocery market shelves. But the project also should engender substantial charitable contributions. Under the terms of the licensing agreement, one percent of all sales of the Project Delta products will help feed hungry Americans.
Project Delta is the brainchild of Steve Gundrum, president and CEO of Mattson and Co., located in the Silicon Valley town of Foster, Calif. The company calls itself "the largest independent developer of new products for the food and beverage industry." Mattson has a long list of successful product developments, including Starbucks' Frappuccino, Pom Wonderful pomegranate juice, Mrs. Fields' shelf-stable cookies and PowerBar Energy Bites. Mattson's 70-person staff works with Fortune 500 clients and occasionally start-ups, guiding products from concept to and through formulation, scale-up and distribution.
A new product development model
The business leg of Gundrum's threefold plan was to test and showcase innovation models with the hope of unveiling fresh strategies and team designs that would expedite new product development.
|Steve Gundrum
And it was Silicon Valley's software leaders from whom Gundrum took his lead.
"For the past five years, I have been looking especially at productivity in the software industry," he says. "The productivity there is off the charts. In contrast, food innovation is very low."
Why start with a cookie? "It's a ubiquitous snack that millions of Americans eat every day," explains Gundrum, also noting that cookie sales have leveraged a lot of charitable dollars over the years.
To launch the "ultimate professional high-tech bake-off," three project teams received the same product brief. In addition to titillating the taste buds, the resulting products had to meet or exceed the following nutritional goals (based on the average content of existing products):
- 15 percent lower fat;
- 15 percent less sugar;
- 15 percent higher protein.
Three competing teams
Project Delta built the first of its three project teams around Current Industry Practice. This was the traditional product development team headed by a single manager/director and comprised of trained talents in various disciplines, all Mattson employees. This would be the "benchmark process," to which the other two models would be compared.
Team Two was the "XP" team, short for Extreme Programming. With its origins in software development, XP is a low-risk, small-team approach known for developing new products on the fly. Rapid feedback and short cycle times characterize the approach. Each team member participates in every phase of the project.
"We adapted this model for the food industry," says Gundrum. "In the software industry, two programmers become a project team. They harmoniously work together. One programs, the other debugs. Then they flip-flop their roles. Their customer is their coach. When you have very talented people, this is a highly productive process."
|A member of the "XP" team diligently applies himself to the cookie creation competition.
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The NFL's wild-card playoff schedule is set.
We normally look at the entire league on Sunday Scramble, but not much else matters right now other than the head-coaching news and the upcoming playoffs. So here are three quick thoughts on next weekend's matchups:
Cincinnati Bengals @ Houston Texans
1. This is a rematch of last year's wild-card game, but this time, the Texans are limping in. Losers of three games out of their last four (by 57 points combined), the Texans must be massively disappointed just to be playing in this game. The Bengals, meanwhile, have won seven of their last eight.
2. Both quarterbacks, Andy Dalton and Matt Schaub, aren't playing well coming into this game. But Cincinnati's defense is playing better overall and is more capable of winning a game on its own.
3. This game will include a matchup of the two best interior defensive linemen in football: J.J. Watt and Geno Atkins.
Minnesota Vikings @ Green Bay Packers
1. The Vikings needed all 34 carries from Adrian Peterson on Sunday to beat the Packers. Now the greatest running back of his generation must bounce back from such a massive workload on a short week. We're not going to doubt him.
2. Vikings cornerback Antoine Winfield couldn't finish Sunday's game because of his broken hand. Minnesota's defense essentially fell apart in the second half against Green Bay. The Packers hope to get wide receiver Randall Cobb back.
3. It's a quarterbacks league, and the Vikings don't exactly have a dominant defense. There aren't many bigger upsets possible than a Christian Ponder-led team beating an Aaron Rodgers-led team in back-to-back weeks.
Indianapolis Colts @ Baltimore Ravens
1. Colts coach Chuck Pagano faces the defense he worked with for four years. Pagano knows better than anyone where the weak spots are in Baltimore's defense, and there are plenty of them this season. Ravens offensive coordinator Jim Caldwell also will face his former team, but the 2012 Colts are so different than last year's squad that it doesn't really matter.
2. The Colts have won five of their last six games. The Ravens have lost four of five. Both AFC games feature home teams that enter the playoffs in a serious slump.
3. The Ravens have won at least one playoff game in every year of the John Harbaugh-Joe Flacco era. But this is the worst defense they've had by far, and the offense was poor enough to get the coordinator fired in December. Baltimore hardly is a heavy favorite.
Seattle Seahawks @ Washington Redskins
1. Three rookie quarterbacks will start in Sunday's wild-card game. Two will face off in this matchup. It's the battle of the read option. It's the most intriguing game of the weekend, and it comes last.
2. The quarterbacks receive the attention, but both teams' offenses are built around the running game. It doesn't get much more rugged than Marshawn Lynch and Alfred Morris.
3. The Seahawks struggled on the road for much of the season, but their victory in Chicago was the biggest win of their season. Seattle followed that up with a blowout win over Buffalo in Toronto. The Seahawks aren't the same team away from home, but they are good enough to be the favorites next week in Washington. The Redskins simply can't match the Seahawks' defensive talents.
Follow Gregg Rosenthal on Twitter @greggrosenthal.


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Zarre's digital
While sitting in front of the screen,
I take a bit of bread and light my cigarette.
I open the software and choose a brush stroke or two.
It's dark and cold outside and the moon is just in front
of my window sill. I feel one with the night, with the
sound of the distant waves, while surfing on the net...
Everything far away becomes at once very close ...
Everything foreign becomes familiar and near!
Copyright ©Teymor
Zarré, 2001, all rights reserved.


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Charlotte, NC – The Charlotte Chapter of Speedway Children's Charities (SCC) joined forces with Charlotte-based Britax USA, a leading manufacturer of child safety seats and strollers, to help make life on the road safer for young mothers and their children.
Tuesday, Marcus Smith, president of the Charlotte Chapter of SCC and general manager of Charlotte Motor Speedway, presented 81 car seats and strollers donated by Britax USA to the Crisis Pregnancy Center in Gastonia, N.C., a nonprofit organization committed to helping women, men and families in crisis pregnancy situations.
"Speedway Children's Charities is really focused on helping local charities, people who are doing great work like what's happening here at Crisis Pregnancy Center," said Smith. "Today's donation represents about $20,000 worth of car seats and strollers, courtesy of Britax."
Dr. Ancil Overbey III, executive director of the Crisis Pregnancy Center, said it was hard to put into words the impact the donation would have on clients receiving the donated items.
"If you could put into words the smile on their face and the joy of knowing that those kids are going to be safe, you can't compare that to anything," Overbey said. "To walk in and see the wall of car seats and strollers – over $20,000 in high-tech equipment. We do this all the time; we've done car seats for years, but we've never had a blessing like this."
During the presentation, Overbey introduced three clients who received the first three new car seats. Among them was Tiffany O'Brien, whose daughter is due in three weeks.
"With me not working and having troubles with my health, this helps out a lot," said O'Brien. "Knowing my daughter is safe, that's my main concern."
Members of the Crisis Pregnancy Center staff who are trained in car seat installation were on hand to help properly install the seats for the three recipients.
For all the latest news and information from Speedway Children's Charities, follow them on Twitter at www.twitter.com/scc_charlotte or on Facebook at www.facebook.com/scc.charlotte.


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DrFannin needed a new logo design and created a contest on 99designs.
A winner was selected from 4 designs submitted by 1 freelance designers.
Brain SuperCharger
This is a product for training the brain. This audio visual entrainment device will be used to deal with ADD, Anxiety, Depression and difficulty sleeping.
Target audience: all people ages 8-95 This product can be used by a number of people and each can download their special application
Need a great logo that depicts the distribution of this product on a smart phone.
Find out how a design contest works or learn more about our logo design services.


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Get the Flash Playerto see this player.
|Secretary Seductions
Short review: I left his site feeling fairly satisfied. The site is, admittedly, relatively new, and they could go a long way to improve things here and there. And I can definitely see the lack of 100% exclusive content putting some off. However, the material is quality, the porn stars are top-notch, and the update schedule is rock-solid. Couple all that with the wealth of bonus content available, and I think you'll find this one to be a real deal. It sure as hell beats the court costs you'll face after being charged with sexual harassment in the work place.
Content Amount: 43 videos and 46 photo galleries.


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TownLife necesitaba un nuevo diseño de página web y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 70 diseños de 10 diseñadores freelance.
This design is for a new website for http://alturl.com/wvc8z - photos are available on their website to help showcase their town highlights which include a giant sausage, a new multi-million dollar downtown renovation, an international sausage factory, attractive downtown businesses with many services including a bank, bakery, pizza joint, grocery store, gas/convenience store etc. In the past their focus has been on their Ukrainian culture and agricultural history which can still be maintained.
Their target market is locals that are just getting high speed internet, nothing too flashy or Silicon Valley is wanted, we want to keep the small town look and feel. The design should be warm and welcoming not overly web 2.0/flashy.
Please go through the photo gallery to get a feel of the current art work posted around the town.
We are looking for a design to showcase this town in a more impressive fashion - they have had one image on every page since it was created, we would like to polish off the home page and introduce different banner images for each major page heading.
Layout will also be changed to 1024 with horizontal navigation for the parents.
Ensure your design includes a theme that is introduced on the home page with very little clutter, then continued on the internal page sample (including a footer with appropriate contact information).
The 2 pages we would like to see is (1) the home page and (2) the internal content pages with a sample image banner. The main tabs/navigation will not change, which currently include Community - Council - Services. The home page should showcase a better way to display their "latest blogs", "latest photos", and "latest events" as the current box style is functional but needs a new look.
Current site is http://alturl.com/wvc8z
Samples of what we are looking for can be found at http://alturl.com/qzr8k
We also enjoy the way the parents and children navigation is setup at http://alturl.com/u5dqd and would like to use that in our internal content page


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Frederik Wellmann
Indecomposable transformations. Rules of transformation, with commutation and association developed from these rules. Implication contradiction and excluded middle aggregation and composition. Ethics of terminology applied to the case of Boole's creation of logical algebra. Transitive relations incompossibility identity and lines of identity. Propositions and signs universal, particular, individual propositions subject of propositions. Among the variants, the following topics occur: lines of identity individual, definite, and singular terms rules for existential graphs. Also the initial discussion of categoriology in connection with logical term
Aggregation, Boolean algebra, Categories, Commutation, Composition and aggregation, Contradiction principle of (see also Laws of thought), Excluded middle principle of (see also Laws of thought), Graphs existential, association of Ideas, Identity, lines of identity, Implication, Incompossibility, Logic (modal see Modality), Particular, Proposition, Relatives logic of, Sign(s), Term(s), definite Term(s), individual Term(s), singular Term(s), ethics of Terminology, Universals
pp. 1-34, with 25 pp. of variants
(First Prin)


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Talking to Your Doctor About nPEP
May 2007
IntroductionPlease share this with your health provider. If your doctor does not have a great deal of HIV experience, he or she may want to contact a more experienced provider to support making decisions around nPEP. San Francisco General Hospital has a 24-hour PEPline, which offers guidance around occupational HIV PEP. It may also help providers making decisions for non-occupational PEP (nPEP). The phone number is 1-888-448-4911. Provider AIDS Training (PAT) Warm Line (800-933-3413), with skilled staff to support doctors with anti-HIV drug management decisions. These resources are for health care providers only.
A Few Points to ConsiderA doctor should be aware of the issues concerning the care of someone with a possible HIV exposure. A few points to consider include:
Discussion Points and Comments
Step OneDid the possible HIV exposure occur within the past 72 hours? Can anti-HIV therapy be started within those 72 hours?
Step TwoAre you currently HIV-positive?
Step ThreeConduct a risk assessment. What is the chance that the activity(ies) that put you at risk resulted in an HIV exposure or infection?
Step FourWhat is the chance that the source (like a sexual partner or needle) was HIV-infected?
Step FiveBased on the risk and source assessment, is nPEP reasonable to consider?
Choosing an nPEP Regimen
Step OneIs the person seeking nPEP a woman?
Step TwoIs the HIV status of the sex partner or source of exposure known?
Step ThreeOnce a regimen is chosen, discuss side effects, adherence and monitoring
Step FourIf nPEP remains a desired option ...
Step FiveIf nPEP is no longer a desired option ...
Suggested Schedule for nPEPThe CDC has funded a 24-hour national PEP registry for non-occupational HIV exposure: 1-877-448-1737 and www.HIVpepregistry.org. Its purpose is to collect information about the use and impact of nPEP among people at risk for HIV. The registry is entirely anonymous and no names or personal identifiers are collected.
Visit #1: Medical Evaluation
Note: HIV RNA tests are NOT recommended for diagnosing HIV infection. The false positive rate is high and may cause undue anxiety for the patient.
Visit #2: Week 1
Visit #3: 1 Month
Visit #4: 6 Weeks
Visit #5: 3 Months
Visit #6: 6 Months
Recommended Lab Evaluation for nPEP of HIV Infection
nPEP Resource ListThese resources may be useful for people seeking information about nPEP and related issues. While Project Inform provides this publication, it is not an HIV prevention organization and does not answer calls on prevention, high-risk behaviors or risk reduction. Project Inform's Hotline answers questions about HIV disease, its treatments and related conditions. Do not call the Hotline about questions prevention. You will be referred to other resources. Some are listed below.
HIV Prevention
Domestic Violence and Rape Crisis
HIV/AIDS Treatment Information Resources4
For Physicians Only
PEP Programs And Resources5
Internet ResourcesSeveral nPEP documents are found on the internet. On most search engines the key words, PEP HIV, will bring up a long list of articles. A few include:
This article was provided by Project Inform. Visit Project Inform's website to find out more about their activities, publications and services.


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An empty parking lot surrounded by a six-foot-tall chain link fence taunts the patrons of the adjacent Atwater Village post office as customers drop off and pick up their mail. Even during the somewhat slower times of the day, there are often times many more patrons than parking spots in the small lot in front of the Glendale Boulevard office, causing a traffic tie up that spills over into the street.
"We just get too much traffic here to not have that lot," said local resident Kary Hightower of the fenced off lot that was once available to post office customers. "I think someone's going to get hit". In a letter sent last year to then Councilman and now mayor Eric Garcetti, Melissa Roth, Safety Director of the Atwater Village Chamber of Commerce, described conditions in the post office parking lot as "anarchy."
"The community could use another parking lot, obviously," said Ray Tamaio, who grew up in Atwater Village.
However, the fenced off corner lot that once accommodated up to 20 vehicles was closed last year after the Postal Service decided not to renew the lease as part of a cost-cutting measure. This decision has left 10 spaces available for patrons to park their cars in front of the the Atwater post office, which is officially know as Griffith Station. As a result, there is relatively little that can be done to solve the often annoying and sometimes dangerous traffic situations.
With parking so limited, customers who arrive by car have no choice but to wait, often in the middle of traffic on Glendale Boulevard, or to search for a space on a nearby residential street. Choices are limited by the fact that street parking directly next the post office does not exist, forcing patrons to often drive at least a block away to find the next possible closest parking spot. Complicating matters is that many motorists have to wait on a traffic signal to change before they can make a left turn out of the lot.
Safety issues are a big concern for local residents. Traffic on Glendale Boulevard, one of the busier stretches in the neighborhood, often backs up in front of the post office behind the vehicles waiting to pull into the now-tiny post office lot. One one recent late afternoon, seven cars waited to enter the crowded lot.
"Oftentimes I can't even get at the drop-off mailbox because people are sitting there, and I don't blame them in a way because it's really hard to park," said Robin McCarthy, Silver Lake resident and graphic designer. "It's better now that they moved the boxes over," she said, referring to the recent relocation of the mailboxes from right side of the parking lot to the left side.
Meanwhile, the former post office lot at Glendale Boulevard and La Clede Avenue may not stand empty for long, according to neighborhood council member and Atwater Village Chamber of Commerce director Luis Lopez.
The current owners of the property are seeking to carve up the lot into nine individual parcels as part of a residential development.


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Katy Perry booed at fashion show
Pop star KATY PERRY was booed and heckled by the crowd at Milan Fashion Week in Italy when she stepped onto the catwalk to have her picture taken.
The Roar singer took to the runway ahead of the Moschino show on Thursday (20Feb14) to pose for photographers, but her turn in the spotlight sparked a furious response from the crowd.
Video footage from the event shows audience members booing loudly and shouting at the star while she attempted to strike poses for the cameras.
She snapped back at the hecklers, "You're all going to get your picture, so shut the f**k up."
The booing continued after she left the stage and took her seat in the front row.
Reports suggest Perry's frosty reception came after her late arrival delayed the start of the show by nearly an hour.


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Plans are moving forward for construction of two 46-story residential towers behind the landmark Hyatt Regency Century Plaza Hotel in Century City following the unanimous approval of the project last week by the Los Angeles City Council.
Developer Next Century Associates plans to start work next year on the $2-billion project designed by Pei Cobb Freed architects. In addition to the towers, the project is to include a 100,000-square-foot retail plaza with shops and restaurants and more than two acres of public open space with fountains and courtyards.
Under the plan, the front of the 19-story Century Plaza that now caters to arriving auto traffic will be made over to include cafe seating and walkways. The crescent-shaped hotel, which has hosted many high-profile visitors and events since 1966, will be renovated, and the number of rooms for rent will be reduced to 394 from 726. The reconfigured building also will include 63 luxury condominiums for owners who may live there full time.
The swimming pool is to be removed to make way for the new towers and then re-created in two pools on the hotel roof. Plans also include a proposed Metro station for an eventual Westside subway.


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Tuesday, April 3, 2012
Les Miserables--wow
While I never quite reached those depths, I flirted with the feeling. I'm glad to report that Les Miserables woke me up out of my doldrums and made me feel a fool.
This past Christmas I got my wife and I a pair of tickets to a March 31 showing at the Opera House in Boston. I had not listened to any of the music of Les Miserables previously and I scarcely knew the storyline, save for the barest outline. I had planned to listen to some of the songs beforehand but never got around to it, and by the time Saturday rolled around I thought, "screw it, too late. I'm sure it will be a good show anyway."
I was wrong. It was great. I was not prepared for the emotion of the show, the soaring voices, nor the frank depiction of religious material. Not knowing what to expect--a rare experience in this age of the internet and instant communication and gratification--and having my expectations greatly surpassed made it all the better.
"Stars" was when I knew this show was something special. It was not sung by this gentleman, Philip Quast, but the actor who played Javert at the Opera House on Saturday looked and sounded much like him.
All in all a memorable night out on the town. Les Miserables is art at its peak. I am so glad I got to see it.
I guess one can like heavy metal and show tunes. Go figure.
5 comments:
- Aaron E. Steele said...
Les Mis is fantastic. Glad you had a chance to experience it yourself.
I have to say, it was jarring to see all the people in tuxes and evening gowns, watching a musical about the oppression and extermination of the masses.
- April 3, 2012 at 11:30 PM
- Taranaich said...
I always chuckle when I come across the "real men don't like musicals" meme. To which I reply: Lee Marvin, Clint Eastwood, Paint Your Wagon.
Of course, with me it depends heavily upon the show and the tunes in question. I fairly like Les Mis, though it struck me as a bit too... easy? It strikes me as rather easy to get powerful emotional reactions when you see all that death and misery based on real events. And where half the cast dies. Including some of the children... Still good, though, and definitely one of the top musicals, something about it just doesn't gel with me.
- April 6, 2012 at 5:58 AM
- Brian Murphy said...
I have to say, it was jarring to see all the people in tuxes and evening gowns, watching a musical about the oppression and extermination of the masses.
Funny, I had the exact same thought as we were walking out afterwards!
Still good, though, and definitely one of the top musicals, something about it just doesn't gel with me.
I know what you mean, but Les Mis worked for me. I may have just been overwhelmed by the quality of the singing, which was rather incredible. Also it took me a good half hour/45 minutes or so to get a good grasp of what was happening--I wasn't expecting that there would be no dialogue--so I was expending effort listening to every scrap of song and not analyzing the events, if you know what I mean.
- April 6, 2012 at 5:09 PM
- Eric D. Lehman said...
Saw it at age 16 and cried like a baby. Saw it again at age 27 and cried like a baby again. One of the most powerful experiences with theater I've had (probably the most powerful).
- April 10, 2012 at 12:07 PM
- Brian Murphy said...
Eric: I didn't cry like a baby, but I could definitely feel a little sting in my eyes. Must have been a dust mote...
- April 10, 2012 at 8:33 PM


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Brooklyn Woman Pleads Guilty In Manhattan Federal Court To Participating In $57.3 Million Fraud On Organization That Makes Reparations To Victims Of Nazi Persecution
Preet Bharara, the United States Attorney for the Southern District of New York, announced that ELLA VOSKRESENSKIY pled guilty today in Manhattan federal court to conspiring to defraud programs administered by the Conference on Jewish Material Claims Against Germany, Inc. (the "Claims Conference"), established to aid the survivors of Nazi persecution, out of more than $57 million. VOSKRESENSKIY, a former employee of the Claims Conference, was arrested in October 2011, as part of an ongoing investigation that has resulted in charges against a total of 31 defendants, 10 of whom were former Claims Conference employees, including a former director. She pled guilty today before U.S. District Judge Thomas P. Griesa.
Manhattan U.S. Attorney Preet Bharara said: "Ella Voskresenskiy's abuse of her position at the Claims Conference and her continued exploitation of the organization even after her employment ended is an all-too-familiar story in this case. But guilty pleas have also become very familiar in this case, and hers is the 26th."
According to the Complaint and the Indictment filed in Manhattan federal court:
The Claims Conference, a not-for-profit organization which provides assistance to victims of Nazi persecution, supervises and administers several funds that make reparation payments to victims of the Nazis, including "the Hardship Fund" and "the Article 2 Fund," both of which are funded by the German government. Applications for disbursements through these funds are processed by employees of the Claims Conference's office in Manhattan, and the employees are supposed to confirm that the applicants meet the specific criteria for payments under the funds.
As part of the charged scheme, a network of individuals systematically defrauded the Article 2 Fund and Hardship Fund programs for over a decade. The Claims Conference first suspected the fraud in December 2009, and immediately reported their suspicions to law enforcement, which conducted a wide-reaching investigation.
The Hardship Fund pays a one-time payment of approximately $3,500 to victims of Nazi persecution who evacuated the cities in which they lived and were forced to become refugees. Members of the conspiracy submitted fraudulent applications for people who were not eligible. Many of the recipients of fraudulent funds were born after World War II, and at least one person was not even Jewish. Some members of the conspiracy recruited other individuals to provide identification documents, such as passports and birth certificates, which were then fraudulently altered and submitted to corrupt insiders at the Claims Conference, who then processed those applications. When the applicants received their compensation checks, they kept a portion of the money and passed the rest back up the chain.
From the investigation to date, the Claims Conference has determined that at least 3,839 Hardship Fund applications appear to be fraudulent. These applications resulted in a loss to the Hardship Fund of approximately $12.3 million.
The Article 2 Fund makes monthly payments of approximately $400 to survivors of Nazi persecution who make less than $16,000 per year, and either lived in hiding or under a false identity for at least 18 months; lived in a Jewish ghetto for 18 months; or were incarcerated for six months in a concentration camp or a forced labor camp. The fraud involved doctored identification documents in which the applicant's date and place of birth had been changed. The fraud also involved more sophisticated deception, including altering documents that the Claims Conference obtained from outside sources to verify a person's persecution by the Nazis. Some of the detailed descriptions of persecution in the fraudulent Article 2 Fund applications were completely fabricated.
From the investigation to date, the Claims Conference has determined that at least 1,112 Article 2 Fund cases it processed have been determined to be fraudulent. Those cases have resulted in a loss to the Claims Conference of approximately $45 million.
While employed as a caseworker in the Article 2 Fund program at the Claims Conference, VOSKRESENSKIY knowingly processed fraudulent applications in return for payments from her co-conspirators. In addition, when she was no longer employed at the Claims Conference, VOSKRESENSKIY passed materials, including identification documents, to a co-conspirator still employed at the Claims Conference to support fraudulent Hardship Fund applications.
VOSKRESENSKIY is the 26th of the 31 defendants charged in the scheme to plead guilty, including eight former Claims Conference employees. Charges remain pending against the remaining five defendants in the case, who are presumed innocent unless and until proven guilty.
VOSKRESENSKIY, 42, of Brooklyn, New York, faces a maximum sentence of 40 years in prison. She is scheduled to be sentenced by Judge Griesa on August 5, 2013 at 4:30 p.m.
Mr. Bharara praised the investigative work of the Federal Bureau of Investigation ("FBI"). He also thanked the Claims Conference for bringing this matter to the FBI's attention and for its extraordinary continued cooperation in this investigation, which he noted is ongoing.
This case is being handled by the Office's Complex Frauds Unit. Assistant U.S. Attorney Christopher D. Frey and Special Assistant U.S. Attorney Rebecca Rohr are in charge of the prosecution.


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James, Durant headline All-NBA First Team
New York, NY – NBA MVP LeBron James and Kevin Durant headline the 2012-13 All-NBA First Team.
James was a unanimous selection, receiving all 119 first-team votes, to earn a First-Team selection for the sixth consecutive year and seventh time overall. The Miami Heat superstar was named the league MVP for a fourth time this year.
Durant, the Oklahoma City Thunder star, was a First-Team choice for the fourth time and picked up 102 first-team votes.
San Antonio center Tim Duncan and guards Chris Paul of the Clippers and Kobe Bryant of the Lakers rounded out the First Team. Duncan earned his 10th First- Team selection and first since 2006-07, while Paul was selected to the First Team for the third time.
Bryant, meanwhile, was a First-Team choice for the eighth straight year and his 11th selection overall matched the record set by Karl Malone.
The Second Team consists of forwards Carmelo Anthony of the Knicks and Blake Griffin of the Clippers, center Marc Gasol of Memphis and guards Tony Parker of San Antonio and Russell Westbrook of Oklahoma City.
Selected for the Third Team were forwards Paul George of Indiana and David Lee of Golden State, center Dwight Howard of the Lakers and guards Dwyane Wade of Miami and James Harden of Houston.


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No. 76,5671
Under K.S.A. 21-4614a, a defendant may receive jail credit for time spent in a halfway house while assigned to a community corrections program if the halfway house is a residential facility owned, controlled, operated, maintained, or contracted for by a community corrections program, which is operating under the Community Corrections Act, K.S.A. 75-5290 et seq.
Appeal from Finney District Court; J. STEPHEN NYSWONGER, judge. Opinion filed October 31, 1997, Affirmed in part, reversed in part, and remanded.
Ryan Kipling Elliot, assistant appellate defender, and Jessica R. Kunen, chief appellate defender, for appellant.
Brian R. Sherwood, assistant county attorney, John P. Wheeler, Jr., county attorney, and Carla J. Stovall, attorney general, for appellee.
Before LEWIS, P.J., ROYSE and MARQUARDT, JJ.
ROYSE, J.: Bradley Shawn Cordill appeals the district court's denial of his motion to award jail credit pursuant to K.S.A. 21-4614a.
Cordill pled guilty to misdemeanor theft and burglary. He was sentenced to a controlling term of 2 to 5 years and assigned to a community corrections program in Finney County for 18 months. The State subsequently moved to revoke Cordill's assignment to community corrections. The district court granted the motion and reinstated Cordill's original sentence.
Cordill then filed a motion for additional jail time credit. He claimed that he should receive jail credit for the time spent in the Mirror Incorporated Drug Treatment Program and the New Chance Drug Treatment Program. The district court denied the motion, relying on State v. Williams, 18 Kan. App. 2d 424, 856 P.2d 158 (1993). Williams held that a treatment facility operating under the county's community corrections program could qualify under 21-4614a.
After the district court's decision, the Williams decision was clarified in State v. Brasfield, 22 Kan. App. 2d 623, 921 P.2d 834 (1996). Brasfield makes clear that a treatment facility comes within the scope of 21-4614a if it is owned, operated, maintained, or contracted for by a community corrections program operating under the Community Corrections Act. K.S.A. 75-5290 et seq. The facility need not be controlled by the sentencing county. 22 Kan. App. 2d at 625.
In this case, the district court relied on the fact that the treatment facilities mentioned in Cordill's motion were not under the control of Finney County. This decision was erroneous in light of Brasfield.
Cordill further claims he is entitled to jail credit for time spent in house arrest in Wichita. House arrest does not meet the requirements for a residential facility or a community correctional residential services program under 21-4614a. Williams, 18 Kan. App. 2d at 431.
Cordill also claims he is entitled to jail credit for time spent at Hope House in Wichita. While the Supreme Court held in State v. Babcock, 226 Kan. 356, 362, 597 P.2d 1117 (1979), that time spent in a halfway house does not qualify for jail credit under K.S.A. 21-4614, that decision predates the passage of 21-4614a. Babcock does not resolve the question of whether a halfway house can meet the requirements under 21-4614a.
Finally, Cordill argues that the district court erred in giving him credit for only 8 days spent in jail. The State concedes that Cordill should have received credit for 15 days in jail.
In summary, the decision of the district court denying Cordill jail credit for time spent in house arrest is affirmed. The decision of the district court denying Cordill jail credit for time spent at New Chance, Mirror Inc., and Hope House is reversed, and the case is remanded for further proceedings. On remand, the journal entry should also be corrected to reflect that Cordill will receive credit for the 15 days he spent in the county jail.
Affirmed in part, reversed in part, and remanded.
1REPORTER'S NOTE: Previously filed as an unpublished opinion, the Supreme Court granted a motion to publish by an order dated February 4, 1998, pursuant to Rule 7.04 (1997 Kan. Ct. R. Annot. 44).


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Art Brokerage: Navajo artist R. C. Gorman. b. 1931-2005. Gorman is considered by many to be the premiere Indian artists. The New York Times quoted him as being the Picasso of American Indian Art. A man of today in every sense, his art reflects the racial memory and experience of an ancient people that remains timeless and universal. The deceptively simple, lyrical lines of his drawings provoked the New York Times to title R. C. Gormans as "The Picasso of American Indian Art." R. C. Gormans' work, especially the lithographs, drawings and bronzes, is collected as often by lovers of contemporary art as by those specializing in Indian Art. Sadly R.C. Gorman passed away on November 5th, 2005, he will be missed. Listings wanted by Art Brokerage. Check out our new sister site Bluechipartbrokerage.com
John Nieto
Kenneth M. Freeman
John Soderberg
Roger Hayden Johnson
Herb Mignery
Doug (Sculptor) Hyde
Dan Namingha
R.C. Gorman
Amado Pena
Ellie Hamilton
Penni Anne Cross
Tony Abeyta
Robert Redbird, Sr.
Karen Thayer
Loren Mosley
Woody Crumbo
Joseph Henry Sharp
David Johns
Stan Solomon
John Leone
Carol Kelley
Ferdinand Burgdorff
Mark Rossi
Glenn Hinz
Susan Hartenhoff
Albert Handell
Tim Yanke
Cody Hooper
James Reynolds
Joe Beeler
William Weege
Jean Wallin
M.A. (Marco Antonio) Gomez
Phyllis Kapp
Gary Lee Price
Ed Morgan
Brooks Willis
Bert Seabourn
Julian Robles
Jacqueline Rochester
Sue Krzyston
Loren Two-Bulls
Joy Richardson


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rotoinfo needed a new web page design and created a contest on 99designs.
A winner was selected from 67 designs submitted by 17 freelance designers.
Italian organic alcoholic beverage, consisting of italian organic whole wheat vodka, italian blood oranges, and crushed grapes.
looking to target the organic health conscience audience.
one page web page. italian themed beverage. we need to keep in mind its a product Italy. So an Italian theme would probably be best. the fonts for the bottle are located in the picture. Or you can go to punzone.com and see what we have now. Any questions feel free to ask, i will reply as soon as possible.


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transport necesitaba un nuevo diseño de página web y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 82 diseños de 36 diseñadores freelance.
We are a UK based online company operating in the logistics industry. Speed of loading is very important to us, so we don't want anything too flashy, but it needs to look more professional and finished than it does currently.
Very broad but roughly speaking a very clean, clear design is essential - for ease of use by everyone. We are really looking for use of web standards and familiarities and not flashy/confusing just for the sake of it.
The two pages to be redesigned:
1) http://bit.ly/apBZ0D
2) http://bit.ly/aYP8wP
We are not looking for enormous changes in terms of layout, but rather a "tidy-up", neaten and overall more professional look.
1) Search Results (e.g. http://bit.ly/atd0OE & http://bit.ly/apBZ0D)
You can login as user: 99designs, pass: 99designs to view full page with bid form. However, please do not bid as this is the live site!
The layout should remain roughly the same, a lot of users are now used to our layout and so we don't wish to cause confusion. Rather, we do want it to look more "professional and finished" generally.
Feel free also to play with colour schemes, in particular we are not very keen on the orange featured listings at the top.
2) Auction Listing Page (http://bit.ly/aYP8wP)
Again, we are hesitant to make significant changes to the layout of the page generally, however it needs to convey a more finished, professional and up-to-date look.
We look forward to seeing your submissions.


text:
Contact Details
Unit 2, 112 Fision Avenue
Eagle Farm QLD 4009
+61 7 3252 4337
Company Profile
iPipe is an Australian owned and operated resources and utilities services company providing specialist pipeline, process and construction services for the Oil and Gas, Mining, Utilities and Water, and Process Industries. Our capabilities extend across all aspects of pipeline and process system integrity, security and safety. Our reputation has grown around providing responsive pipeline solutions across a broad range of capabilities including; Engineering, Pipeline and Process Services, Nitrogen Services, Maintenance and Emergency Response. We are continuing to expand these capabilities through; innovation, investment in research and development, being at the forefront of new technology and, through our commitment to training development. Our technical ability is reinforced by a commitment to quality and safety. This enables us to deliver high quality outcomes across all pipeline, process and construction projects.
Products and Services
Nitrogen services
Pre-commissioning and commissioning
Pipeline and process services
Construction and installation
Maintenance and emergency response
AS/NZS ISO 14001:2004 - Environmental System Certificate of Registration No. 4263
AS/NZS ISO 9001:2008 - Quality System Certificate of Registration No. 4170
NATA Accreditation in the field of Mechanical Testing No. 19270
Achilles Accreditation - Registration No. 101266


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Bumper cars were crazy fun when I was a kid. Even as an adult today, they still look immensely entertaining and I'd probably be on one every weekend if only everyone else lined up to ride them weren't in grade school. Instead of drawing power from the floor or ceiling like regular flat rides, these bumper cars seen around the San Diego area not only run independently - you can drive them down public roads.
That's right, these bumper cars, which have been reconfigured to run on four wheels, are completely street legal. Even if they're not, though, I doubt cops will pull you over for a ticket - they'll probably ask to try it for a spin around the block, instead.
Created by California-based builder Tom Wright, the original set of modified bumper cars came from the Long Beach Pike amusement park's discards. Instead of watching them join the trash heap, he took out the Harley motors, replaced it with 750cc Honda and Kawasaki boxes, and redesigned them to pass city driving standards. His fleet now consists of eight crazy-looking street bumper cars (culled from different amusement parks), all licensed to give your hottest ride a run for its money.
A couple of the cars can reportedly go up to 160mph, which seems awfully scary for a car with such a short wheelbase. There's no word on whether he's selling any of these rides, but I doubt he'll have a hard time moving at least a couple hundred of them. Seriously, who wouldn't want to cruise down the streets on a real bumper car?
Update: We found some more pics for you on MR38's Flickr Page
Another Update (01/30/2010) : Check out some more info here at Little Guy Street Rods.
[via Jalopy Journal, Jalopnik]