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Spinal Cord Injury
OverviewSpinal cord injury (SCI) may result directly from injury to the cord (e.g., from birth injury, falls, motor vehicle accidents, non-accidental shaking, or diving and trampoline accidents) or indirectly from disease of the surrounding bones, tissues, or blood vessels. SCI can also occur in the setting of autoimmune demyelination (e.g., transverse myelitis, neuromyelitis optica, or other autoimmune myelopathies). [Cree: 2014] Most injuries occur at the C1-C3 levels in children younger than 8 years. [Eric: 2006] The more elastic intervertebral ligaments and more horizontally aligned facet joints in young children predispose them to subluxation of the cervical spine without bony injury. Immature neck muscles and a proportionally large head further compound this effect.
Multi-system trauma, such as head injury, fractures of pelvis and long bones, and visceral injuries, often accompanies SCI. The acute period of spinal shock, manifested by hypotonia, flaccid muscles, and decreased or absent deep tendon reflexes below the level of injury, is followed over the next 1-12 weeks by the return of reflexes and development of spasticity. New bowel and bladder problems may occur during this phase. Overlaid on this process is the possibility of some recovery, depending on the extent of the injury. [Wang: 2004] The manifestations of SCI evolve over time, requiring the medical home and collaborating specialists, particularly physiatrists and the rehabilitation team, to adjust their approaches periodically to optimize a child's function and outcome.
Other Names & Coding
S12.x, fracture of the cervical vertebra and other parts of the neck
ICD-10 Coding Reference for Injury of Nerves and Spinal Cord at Thorax Level provides the additional digits needed to code for specific type and location of injury.
PrevalenceSCI in children is rare, accounting for approximately 5% of all SCI. The incidence of new SCI in children in the United States is 1.99 per 100,000 per year. [Vitale: 2006]
GeneticsThere is no genetic component to traumatic SCI. Although heavily suspected, the genetic aspects of autoimmune-related SCI have not yet been determined.
PrognosisPrognosis depends on the injury level within the spinal cord, the mechanism and severity of injury, and associated complications. Children are more likely than adults to show some neurological improvement than those in adults. [Wang: 2004]
Practice Guidelines
Rozzelle CJ, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, Ryken TC, Theodore N, Walters BC, Hadley MN.
Management of pediatric cervical spine and spinal cord injuries. In: Guidelines for the management of acute cervical spine and spinal cord injuries.
Neurosurgery. 2013;72 Suppl 2:205-26. PubMed abstract
Calhoun CL, Schottler J, Vogel LC.
Recommendations for mobility in children with spinal cord injury.
Top Spinal Cord Inj Rehabil. 2013;19(2):142-51. PubMed abstract / Full Text
Roles of the Medical HomeThe medical home can:
- Schedule frequent health maintenance and/or chronic condition management visits to monitor for complications, build a strong partnership with the family, and remain aware of possible new issues.
- Ensure that the family has access to reliable, family-focused information about SCI and relevant community services and resources.
- Facilitate access to other health professionals, coordinate the care that they provide, and interpret the information and advice they offer.
- Guide the family in working with preschool and school systems to ensure appropriate accommodations. This assumes even greater importance if a brain injury accompanies the SCI. (The Medical Home Portal's Traumatic Brain Injury module contains assessment and management information for this condition.)
- Facilitate access to private providers if the child needs services such as PT and OT and is not getting adequate services within the school system.
- Assess parental stress and social supports during each visit to the medical home.
- Help the child and family to accept diagnosis, adapt to the injury, optimize remaining function, and allow for the best future life.
- Evaluate for depression or other mental health issues.
Issues and complications to be watched for and managed in the medical home include:
- Autonomic dysreflexia - which can be a true medical emergency
- Decubitus ulcers
- Muscle atrophy and joint contractures, scoliosis, spasticity
- Neurogenic bowel and bladder
- Pulmonary complications
- Adjustment problems, behavior problems, depression
- Heterotopic ossification
- Sexuality and reproduction issues
- Depression
- Scoliosis
- Hip instability
Clinical Assessment
OverviewUnderstanding the nature of the SCI, its likely impact on function, and the potential complications and sequelae are important. The immediate focus after injury is stabilization and recovery; a rehabilitation team is usually consulted early in the process while the child is still in the intensive care unit. The manifestations of SCI evolve over time. Initially, there is a period of spinal shock when the child is hypotonic, with flaccid muscles and decreased or absent deep tendon reflexes below the level of injury. The second phase evolves over the next 1-12 weeks as reflexes return and spasticity results. New bowel and bladder problems may occur during this latter stage. Overlaid on this process is the possibility of some recovery, depending on the extent of the injury after edema decreases and contusions resolve. [Wang: 2004] This evolution will continue after the child leaves rehabilitation for care in a medical home. Ongoing programs for the major care areas (respiratory, muscle/bone/joint care, decubitus prevention, bowel and bladder management) will be needed. See Medical Home Questionnaire for SCI (MHP) ( 51 KB) for history and physical exam items to consider in the ongoing care of a child with an SCI.
Pearls & Alerts for AssessmentAutonomic dysreflexia = medical emergency
Autonomic dysreflexia can be life threatening. It occurs in about half of children with SCI above T6, although it is rarely seen in children younger than 5 years. It is caused by an exaggerated response of the autonomic nervous system to irritation of the skin (tight clothing bands, sunburn, ingrown toenail, etc.) or bowel or bladder issues (overfull bladder, fecal impaction, etc.), which lea to release of norepinephrine and subsequent increase in blood pressure, changes in heart rate, GI symptoms (e.g., nausea), sweating, anxiety, and goose-bumps below the level of the lesion. The increase in blood pressure can be life threatening, as it may lead to seizures or other cerebral manifestations.Inquire about chronic pain
Chronic pain is described in up to 65% of children with SCI [Jan: 2004]; inquire about pain at visits.Heterotopic ossification
Heterotopic ossification involves abnormal deposition of bone into muscles and tendons, or into joints. It usually occurs within the first year after an SCI. It is uncommon in children, but frequency increases in adolescents. Symptoms of heterotopic ossification include erythema, pain, swelling over a joint, and restricted range of motion. Failure to detect and treat this process can lead to permanent loss of joint motion.
For the ConditionTraumatic SCI should be highly suspected in the presence of abnormal neck or neurological exam, a high-risk mechanism of injury, or a distracting injury even in the absence of radiological anomaly. [Parent: 2011] Consider screening special populations at risk, which include patients with trisomy 21, JRA, skeletal dysplasias, and those with tumors, infection, or arteriovenous malformation (AVM).
For ComplicationsConsider screening for depression, diabetes, obesity, scoliosis, bowel/bladder dysfunction, decubitus ulcers, and chronic pain.
PresentationsThe signs of SCI will depend on where in the spinal cord the injury occurred. Partial injuries to the spinal cord are as likely as complete injuries, which may involve unusual patterns of motor and sensory loss. Examples of unusual patterns of motor and sensory loss include Brown-Sequard syndrome, with unilateral muscle weakness and contralateral sensory loss, and central cord syndrome, which involves the upper extremities more than the lower extremities. (Paraplegia involves paralysis of the legs and lower body; quadriplegia, or tetraplegia, involves paralysis of all four limbs.) Cervical cord lesions may also cause bilateral Horner's syndrome, due to sympathetic nervous system involvement, and additional problems with autonomic system function. Loss of sphincter control for bowel and bladder are associated with injury at all cord levels.
Children are more likely to present with SCIWORA (spinal cord injury without radiographic abnormalities), a condition where the spinal cord MRI shows significant damage but plain radiographs show no injury to bony structures. This type of injury, presumably indirect and usually ligamentous in nature, is seen in approximately one third of spinal cord injuries in children 0-5 years. The proportion decreases dramatically in the higher age groups. [Buldini: 2006] Because late and recurrent neurological deficits have been described after SCIWORA, follow-up spine MRIs are indicated. [Launay: 2005]
ADL Needs by SCI Level ( 65 KB) provides an overview of the impact of various levels of injury on activities of daily living.
Clinical ClassificationThe ASIA Impairment Scale (AIS) is used to categorize the degrees of injury:
A: Complete: no motor or sensory function is preserved below the level of injury, including the sacral segments S4-S5
B: Incomplete: sensory, but not motor, function is preserved below the neurologic level and some sensation in the sacral segments S4-S5
C: Incomplete: motor function is preserved below the neurologic level, however, more than half of key muscles below the neurologic level have a muscle grade less than 3 (i.e., not strong enough to move against gravity)
D: Incomplete: motor function is preserved below the neurologic level, and at least half of key muscles below the neurologic level have a muscle grade of 3 or more (i.e., joints can be moved against gravity)
E: Normal: motor and sensory functions are normal.
International Standards for Neurological Classification of Spinal Cord Injury Worksheet (ASIA) ( 637 KB) provides a two-page classification worksheet.
Medical Conditions Causing ConditionSCI can occur in the setting of transverse myelitis due to para-infectious or autoimmune mediated spinal cord inflammation, secondary to tumor-related mass effect and following disruption of its vascular supply (i.e., cord ischemia or infarction). See Evidence-based guideline: Clinical evaluation and treatment of transverse myelitis (American Academy of Neurology) for an abstract with recommendations.
Comorbid & Secondary Conditions
- Traumatic Brain Injury (depending on method of injury)
- Orthopedic and/or dermatologic issues
- Bowel/bladder issues
- Depression
- Chronic pain
- Pressure ulcers
History & Examination
Current & Past Medical HistoryReview details of the child's treatment program and assess for any needed changes. The plan will likely address pulmonary problems, bladder program, bowel program, therapy schedule, dietary issues, pain management, bone/joint/muscle health (spasticity, contractures), and decubitus ulcers. Determine the level of injury of the spinal cord and major problems experienced during the hospitalization. Ask about:
- Changes in breathing, mobility, bladder and bowel, skin, intercurrent illnesses
- Medications such as baclofen for spasticity or antibiotics for infection, and any side effects
- Neuropathic and other pain
- Difficulty adjusting, symptoms of depression
- The frequency of autonomic dysreflexia episodes and what triggers them for this particular patient. Autonomic dysreflexia is a complication of SCI where environmental stimuli below the level of the injury elicit a massive sympathetic discharge leading to possibly life-threatening hypertension.
Pregnancy/Perinatal HistoryAsk child's mother about pregnancy and perinatal history to identify any premorbid problems that might affect recovery.
Developmental & Educational ProgressDevelopmental/educational history should be explored to identify any premorbid problems, such as developmental delay or learning and attention problems that might interfere with recovery and/or require additional treatment.
Social & Family FunctioningIdentify family functioning problems and strengths including financial resources for dealing with medical expenses. Ask about layout of patient's home (e.g., how many stairs are involved) and places they often visit.
Physical Exam
SkinLook for areas of redness, warmth, tenderness, and ulceration. If there is a history of autonomic dysreflexia, look for ingrown toenails (a potential pain trigger). Check for incipient decubitus ulcers.
ChestListen for decreased breath sounds, wheezing, and breathing difficulties. Auscultate for pneumonia, access depth of breathing, check ventilator settings if applicable.
AbdomenCheck for mobile, non-tender masses that may represent stool and distended bladder, particularly if autonomic dysreflexia is a problem.
Extremities/MusculoskeletalAssess mobility, strength, and coordination. Look for contractures and decreased range of motion of joints. Evaluate as appropriate for scoliosis and hip instability. See Musculoskeletal Exam for Common Orthopedic Complications ( 579 KB) for a form for assessing functional abilities, joint mobility, and muscle strength.
Laboratory TestingConsider checking post-void bladder residual, UA, and culture if symptoms of infection or autonomic dysreflexia are occurring.
Other TestingIn a non-traumatic setting, electromyography and/or nerve conduction studies might be used to either rule in/out nerve muscle involvement (i.e., to rule out/support possibility of cord injury).
Screen for depression. See Center for Epidemiological Studies Depression Scale for Children (CES-DC) ( 37 KB) for a 20-item self-report inventory.
Specialty Collaborations & Other Services
Pediatric Physical Medicine & Rehabilitation (see ID providers [1])
Provides ongoing care to prevent complications, promote recovery, and assure that remaining function is optimized. Often works with the physiatrist who was involved during the acute inpatient stay to address a broad set of issues, including spasticity, sexuality, toileting, recreation, transportation, and psychological well-being.
Physical Therapy (see ID providers [34])
Provides outpatient and home programming while broadly concentrating on gross motor movements and positioning. Follow-up appointments should be considered if status is worsening.
Occupational Therapy, Pediatric (see ID providers [27])
Provides outpatient/home programming, broadly concentrating on activities of daily living. Follow-up appointments should be part of the discharge plan. Reassessment should be considered if status changes.
Pediatric Pulmonology (see ID providers [1])
Assists with pulmonary toilet and/or ventilation management when the injury is in the cervical cord.
Pediatric Gastroenterology (see ID providers [3])
Consider for evaluation and treatment of neurogenic bowel issues and associated GI complaints.
Pediatric Urology (see ID providers [1])
Consider for evaluation and management of a neurogenic bladder and when making changes in the bladder program.
Treatment & Management
OverviewTreatment of the acute SCI occurs in the hospital and may include surgical stabilization of the vertebral column, high dose intravenous steroids, and airway management. After the acute phase, the primary risks to life are from associated complications, usually infection of the lungs or kidneys or septicemia from decubitus ulcers. The role of the medical home in monitoring for and responding to illness in these children is critical; however, the focus of management should be optimizing function and developmental/educational outcomes. Avoidance and management of complications are directly related to perceived quality of life in patients with SCI. [Vogel: 2002] Collaboration with subspecialists, particularly physiatry and a rehabilitation team, is key in achieving best outcomes.
Pearls & Alerts for Treatment & ManagementDepression after SCI
Children sustaining SCI have an increased risk for depression as children [Craig: 2008] and into adulthood. [Anderson: 2007] Depressive symptoms are associated with increased mortality after SCI. [Krause: 2008]Chronic pain
Chronic pain in children following SCI may respond to tri-cyclic antidepressants, SSRIs, and SNRIs - similar to other types of chronic pain, such as headaches. A referral to a pain clinic in refractory cases may be helpful (Pain Management (see ID providers [5])).
Muscles contract slightly at rest (tone) and are dependent on inhibitory input from the brain, which is interrupted by SCI. Muscles innervated from below the level of the injury may develop high tone or spasticity. Spasticity can take weeks to months to develop after the spinal shock that follows injury.
Often the spasticity will hold a joint in a bent posture, which over time leads to permanent contractures due to tendon remodeling. In addition to pain, loss of function, and positioning problems with the involved joints, inner surfaces of contracted joints, such as the palm or armpit, can develop skin breakdown that is very difficult to treat.
During the initial hospital visit, physical therapy should have been arranged and caregivers taught to perform range of motion exercises to prevent or limit contracture development. Ask about range of motion exercises and physical therapy visits – if spasticity and decreasing range of motion are observed, consider referral to a physiatrist for botulinum toxin and/or phenol injections.
Oral medications, such as baclofen or valium, may be used to prevent spasticity, although their efficacy is limited by sleepiness at the doses often required. Baclofen is usually tolerated at higher doses if titrated gradually. [Montane: 2004]
An implantable baclofen pump may be used in children with severe spasticity (see Baclofen Pump Information (Medtronic)).
If contractures occur, surgery to release the tight tendon or to move it to another site to decrease its pull on the affected joint may be necessary. Selective dorsal rhizotomy (SDR) has been used in the management of spasticity in selected children with cerebral palsy and may have a role in the management of SCI-induced spasticity. [Reynolds: 2014]
Paralysis and spasticity may lead to scoliosis in children with spinal cord injuries, particularly if the injury occurred prior to puberty. [Dearolf: 1990] Scoliosis may take months to years to develop. Bracing may be used for positioning to facilitate seating and buy time before surgery.
Heterotopic Ossification
Symptoms of heterotopic ossification include erythema, pain, swelling over a joint, and restricted range of motion. Failure to detect and treat this process can lead to permanent loss of joint motion. Treatment is somewhat controversial and will probably require a visit to a rehabilitation specialist to consider pharmacologic treatment with etidronate or indomethacin, and enhancement of the physical therapy regimen. Because joints with decreased range of motion may present as spasticity or dystonia, a visit with a neurologist to rule out some other evolving neurological process may be necessary. Sometimes orthopedic surgery is required to release the joint contracture or remove the ossification after it has matured. See Heterotopic Ossification (eMedicine) for more information.
Specialty Collaborations & Other Services
Pediatric Physical Medicine & Rehabilitation (see ID providers [1])
Helps manage spasticity and contractures, evaluates for scoliosis and heterotopic ossification, and coordinates physical and occupational therapies. A physiatrist generally is involved on a regular basis.
Pediatric Orthopedics (see ID providers [4])
Patient mobility is highly correlated with patient independence. Fitting for appropriate orthoses to prevent contractures and improve function is vital. Use of mobility devices, adaptive equipment, and other modalities such as electrical stimulation units should be encouraged.
Pediatric Nephrology (see ID providers [1])
Facilitates the restoration of muscle strength and flexibility; improves mobility and coordination; and, maintains body functions through exercise. Gait training may be taught to patients with difficulty walking and could include teaching use of assistive devices (e.g., walker, crutches, or cane).
Occupational Therapy, Pediatric (see ID providers [27])
Encourages independence by helping the patient with daily tasks such as dressing, bathing, food preparation, going to the toilet, and other activities of daily living.
Skin & Appearance
Complete emptying, leaving minimal residual after voiding, is important to prevent reflux. Residual urine volumes should be checked periodically by the patient/caregiver. Good fluid intake is important to prevent complications of both bladder and bowel and should be stressed with patients and their families. Generally, a cystometrogram and a renal ultrasound should be done within the first few months after injury and every 1-2 years thereafter to measure bladder pressure and assess kidney size. Signs and symptoms of infection, including smelly, bloody, or discolored urine, abdominal pain, and increased temperatures or rigors, should be watched for. Suprapubic or chronic urethral catheterization or a continent urinary diversion [Chulamorkodt: 2004] may be initiated by the urologist in some situations.
For a helpful article on the evaluation and treatment of the neurogenic bladder in children, from many causes, see [Bauer: 2008]. The Portal's Constipation module contains information for managing constipation.
Specialty Collaborations & Other Services
Pediatric Urology (see ID providers [1])
Periodic visits with a urologist may be helpful for a child with bladder management problems.
Males: Sexual responsiveness in males will depend on the level and completeness of their injury. Almost all men with complete and/or higher levels of SCI will be able to have reflex erections, but may not have psychogenic erections. The erection may not be sustained enough or complete enough for sexual activity, however, a variety of treatments may be helpful. The patient should be referred to urology for more information. Though condom use may be difficult in men with impaired upper extremity function, their use should be advised for the same reasons as for other patients. Even though impaired ejaculation and/or decreased sperm motility may make biologic impregnation difficult, fertility specialists may be able to obtain semen for artificial insemination. See Sexuality and Sexual Function After SCI (UAB) for patient information.
Females: Little information is available regarding the sexual function of females after SCI. If the level of injury is high or complete, psychogenic stimulation leading to vaginal lubrication may not occur, but local stimulation may lead to reflex lubrication, and water-based lubricants can be used to avoid vaginal dryness and irritation. About half of women with spinal cord injuries are able to have orgasms. The majority of women after SCI are able to get pregnant and have normal vaginal deliveries. Therefore, adolescent females with SCI should have the usual counseling regarding sexually transmitted disease and pregnancy. SCI-related care is more complicated during pregnancy, including the use of chronic medications, pressure sores, autonomic dysreflexia, and bladder and bowel care. See Pregnancy after SCI (UAB) and Sexuality and Sexual Function After SCI (UAB) for patient information.
Although anti-hypertensive medications can be used when necessary, the best treatment consists of good bowel and bladder care and prompt removal of irritants. Education of patients and caregivers can help prevent episodes or allow for early recognition. [Hickey: 2004] Patients may want to visit Autonomic Dysreflexia (SCI-Info-Pages) for more information; Autonomic Dysreflexia (UAB) ( 277 KB) provides a 5-page pdf with information for patients and families about warning signs, symptoms, importance of blood pressure measurements, triggers, and treatments.
Swelling of the extremities and orthostatic hypotension (low blood pressure when rising) can also occur. Orthostatic hypotension can be helped by abdominal binders, increased salt intake, TED hose, Florinef, etc. There is a small risk that circulation changes may increase risk of developing blood clots, such as deep vein thrombosis or a pulmonary embolus.
Specialty Collaborations & Other Services
Pain Management (see ID providers [5])
Referral may be helpful for acute or chronic pain management.
Issues Related to Spinal Cord Injury
Funding & Access to CareWriting Letters of Medical Necessity
Mobility/Function/ADLs/AdaptiveInpatient Rehabilitation Criteria and Treatment
Ask the Specialist
How do I know when my child can start cathing him or herself?
The ability to self-catheterize depends on the type of SCI, the degree of physical impairment, and the developmental level of the child. A rule of thumb is that a child with the approximate level of a 5 year old can learn independent cathing techniques. An occupational therapist can help you decide whether your child is ready by testing fine motor abilities and the child's understanding and ability to follow directions. If the child seems ready, he or she will be shown how to self-cath and then demonstrate their abilities. Sometimes the process takes months to master but when possible, increases the independence of the child.
What should I tell my child with an SCI when she asks if she can have a child?
Generally, women who have had SCIs are able to become pregnant and have children, although they will usually require additional medical surveillance during the process. You can reassure her however, and then provide details that are developmentally appropriate for your child if necessary.
My child had an SCI two years ago and is doing well without any major problems. Does he still have a shortened life expectancy?
Life expectancy of children following SCI depends on the level of injury and associated conditions. For instance, children who have had cervical injuries and who are ventilator dependent are more likely to develop respiratory infections such as pneumonia, which may lead to a shortened life expectancy. Untreated urinary tract infections and skin ulcers can also lead to a shortened life expectancy. If your child does not have these complications, life expectancy should be approximately normal, although there is no scientific data in this regard. You and your child, as he/she gets older and it is developmentally appropriate to involve him/her in self-care, should monitor for possible complications.
Resources for Clinicians
On the Web
Spinal Cord Injury Information Network (UAB-SCIMS)
A wealth of information about SCI for health care professionals, including patient education materials; University of Alabama at Birmingham Spinal Cord Injury Model System.
A "best of the web" site for SCI health and caregiver information. Includes information about spinal cord injury, rehabilitation sites, clinical trials, related problems, and resources for patients with SCI and their caregivers; created by an individual with a spinal cord injury.
Helpful Articles
PubMed search for articles published within the last 5 years about pediatric spinal cord injuries
Bauer SB.
Neurogenic bladder: etiology and assessment.
Pediatr Nephrol. 2008;23(4):541-51. PubMed abstract / Full Text
Buldini B, Amigoni A, Faggin R, Laverda AM.
Spinal cord injury without radiographic abnormalities.
Eur J Pediatr. 2006;165(2):108-11. PubMed abstract
Klaas SJ, Kelly EH, Anderson CJ, Vogel LC.
Depression and anxiety in adolescents with pediatric-onset spinal cord injury.
Top Spinal Cord Inj Rehabil. 2014;20(1):13-22. PubMed abstract / Full Text
Parent S, Mac-Thiong JM, Roy-Beaudry M, Sosa JF, Labelle H.
Spinal cord injury in the pediatric population: a systematic review of the literature.
J Neurotrauma. 2011;28(8):1515-24. PubMed abstract / Full Text
Sayama C, Chen T, Trost G, Jea A.
A review of pediatric lumbar spine trauma.
Neurosurg Focus. 2014;37(1):E6. PubMed abstract / Full Text
Clinical Tools
Assessment Tools/Scales
Medical Home Questionnaire for SCI (MHP) ( 51 KB)
Historical questions and physical exam items that may be helpful in assessing patients with SCI; Medical Home Portal.
International Standards for Neurological Classification of Spinal Cord Injury Worksheet (ASIA) ( 637 KB)
Two-page assessment sheet updated in 2019; American Spinal Injury Association.
Center for Epidemiological Studies Depression Scale for Children (CES-DC) ( 37 KB)
Ages 12 to 18; 6th grade reading level; Spanish version available; 20 items, 5 to 10 minutes to complete. No fee required.
Clinical Checklists & Visit Tools
Musculoskeletal Exam for Common Orthopedic Complications ( 579 KB)
A concise, easy-to-use tool to document the limitations of a child's musculoskeletal abilities and exam; Medical Home Portal.
Patient Education & Instructions
Autonomic Dysreflexia (UAB) ( 277 KB)
A 5-page pdf with information for patients and families about warning signs, symptoms, importance of blood pressure measurements, triggers, and treatments; University of Alabama at Birmingham.
Resources for Patients & Families
Information on the Web
Spinal Cord Injuries (MedlinePlus)
Basic information and links to additional reliable sources; National Library of Medicine.
American Spinal Injury Association (ASIA)
Promotes standards of excellence, educates professionals and families, and facilitates research. Includes conference announcements, publications, and research information.
Reeve Foundation
Dedicated to curing spinal cord injury by funding innovative research; provides grants, information, advocacy, and referral service.
EP Magazine (Exceptional Parent)
A monthly publication that provides practical advice, emotional support, and up-to-date educational information for people with disabilities.
National & Local Support
United Spinal Association
A products & services directory with reviews.
Spinal Cord Injuries Clinical Trials (CenterWatch)
Lists trials by state.
Services for Patients & Families in Idaho (ID)
|Service Categories
|# of providers* in:
|Other states (5) (show)
|Adaptive Sports and Recreation
|Occupational Therapy, Pediatric
|Pain Management
|Pediatric Gastroenterology
|Pediatric Nephrology
|Pediatric Orthopedics
|Pediatric Physical Medicine & Rehabilitation
|Pediatric Pulmonology
|Pediatric Urology
|Physical Therapy
|Recreational Facilities
|Social & Recreational Opportunities
For services not listed above, browse our Services categories or search our database.
* number of provider listings may vary by how states categorize services, whether providers are listed by organization or individual, how services are organized in the state, and other factors; Nationwide (NW) providers are generally limited to web-based services, provider locator services, and organizations that serve children from across the nation.
American Spinal Injury Association.
Pediatric Committee - Mission and Goals.
(2014) http://www.asia-spinalinjury.org/pediatrics/pediatric_goals.php. Accessed on Dec. 2014.
Anderson CJ, Vogel LC, Chlan KM, Betz RR, McDonald CM.
Depression in adults who sustained spinal cord injuries as children or adolescents.
J Spinal Cord Med. 2007;30 Suppl 1:S76-82. PubMed abstract / Full Text
Bauer SB.
Neurogenic bladder: etiology and assessment.
Pediatr Nephrol. 2008;23(4):541-51. PubMed abstract / Full Text
Buldini B, Amigoni A, Faggin R, Laverda AM.
Spinal cord injury without radiographic abnormalities.
Eur J Pediatr. 2006;165(2):108-11. PubMed abstract
Calhoun CL, Schottler J, Vogel LC.
Recommendations for mobility in children with spinal cord injury.
Top Spinal Cord Inj Rehabil. 2013;19(2):142-51. PubMed abstract / Full Text
Chulamorkodt NN, Estrada CR, Chaviano AH.
Continent urinary diversion: 10-year experience of Shriners Hospitals for Children in Chicago.
J Spinal Cord Med. 2004;27 Suppl 1:S84-7. PubMed abstract
Craig A, Tran Y, Middleton J.
Psychological morbidity and spinal cord injury: a systematic review.
Spinal Cord. 2008. PubMed abstract
Cree BA.
Acute inflammatory myelopathies.
Handb Clin Neurol. 2014;122:613-67. PubMed abstract
Dearolf WW 3rd, Betz RR, Vogel LC, Levin J, Clancy M, Steel HH.
Scoliosis in pediatric spinal cord-injured patients.
J Pediatr Orthop. 1990;10(2):214-8. PubMed abstract
Eric R. Trumble, MD.
Pediatric Spine and Spinal Cord Injuries.
Neurosurgeons for Kids; (2006) http://www.neurosurgeons4kids.com/services-and-specialties/presentatio.... Accessed on August 2014.
Hickey KJ, Vogel LC, Willis KM, Anderson CJ.
Prevalence and etiology of autonomic dysreflexia in children with spinal cord injuries.
J Spinal Cord Med. 2004;27 Suppl 1:S54-60. PubMed abstract
Jan FK, Wilson PE.
A survey of chronic pain in the pediatric spinal cord injury population.
J Spinal Cord Med. 2004;27 Suppl 1:S50-3. PubMed abstract
Klaas SJ, Kelly EH, Anderson CJ, Vogel LC.
Depression and anxiety in adolescents with pediatric-onset spinal cord injury.
Top Spinal Cord Inj Rehabil. 2014;20(1):13-22. PubMed abstract / Full Text
Krause JS, Carter RE, Pickelsimer EE, Wilson D.
A prospective study of health and risk of mortality after spinal cord injury.
Arch Phys Med Rehabil. 2008;89(8):1482-91. PubMed abstract
Launay F, Leet AI, Sponseller PD.
Pediatric spinal cord injury without radiographic abnormality: a meta-analysis.
Clin Orthop Relat Res. 2005(433):166-70. PubMed abstract
Montane E, Vallano A, Laporte JR.
Oral antispastic drugs in nonprogressive neurologic diseases: a systematic review.
Neurology. 2004;63(8):1357-63. PubMed abstract
Parent S, Mac-Thiong JM, Roy-Beaudry M, Sosa JF, Labelle H.
Spinal cord injury in the pediatric population: a systematic review of the literature.
J Neurotrauma. 2011;28(8):1515-24. PubMed abstract / Full Text
Reynolds RM, Morton RP, Walker ML, Massagli TL, Browd SR.
Role of dorsal rhizotomy in spinal cord injury-induced spasticity.
J Neurosurg Pediatr. 2014:1-5. PubMed abstract
Rozzelle CJ, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, Ryken TC, Theodore N, Walters BC, Hadley MN.
Management of pediatric cervical spine and spinal cord injuries. In: Guidelines for the management of acute cervical spine and spinal cord injuries.
Neurosurgery. 2013;72 Suppl 2:205-26. PubMed abstract
Sayama C, Chen T, Trost G, Jea A.
A review of pediatric lumbar spine trauma.
Neurosurg Focus. 2014;37(1):E6. PubMed abstract / Full Text
Vitale MG, Goss JM, Matsumoto H, Roye DP Jr.
Epidemiology of pediatric spinal cord injury in the United States: years 1997 and 2000.
J Pediatr Orthop. 2006;26(6):745-9. PubMed abstract
Vogel LC, Krajci KA, Anderson CJ.
Adults with pediatric-onset spinal cord injury: part 2: musculoskeletal and neurological complications.
J Spinal Cord Med. 2002;25(2):117-23. PubMed abstract
This article discusses long term follow up of adults that had sustained spinal cord injury as children in regard to musculoskeletal and neurological complications.
Wang MY, Hoh DJ, Leary SP, Griffith P, McComb JG.
High rates of neurological improvement following severe traumatic pediatric spinal cord injury.
Spine. 2004;29(13):1493-7; discussion E266. PubMed abstract


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IBM Announcements for July 2011 - XIV Gen 3, and more
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Well it's Tuesday again, and you know what that means... IBM Announcements! While most of the attention is going to [IBM's new servers, the zEnterprise 114 and the POWER 775], there were a few [announcements related specifically to storage] that I wanted to discuss.
To learn more, read Jim Kelly's [XIV Gen 3: Both Hands Clapping], and Anthony Vandewerdt's [Brief History of XIV], and Elisabeth Stahl's [Big Day, Big Data, Big Announcements] blog posts, or see the resources on the [XIV resources page].
technorati tags: xiv, rv1, Information Archive, Tape Sticks, 3592, emc, symmetrix, hds, c07, usp-v, crossroads, readverify, hewlett-packard, ltfs, sonas, p9500, vmax, ts3310, ts2900, vsp, archiveverify, ibm, ts3500

subset: commoncrawl


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I am trying to configure my system (laptop, linux) to connect to a wireless point here at my school. I'm almost certain I've got my configuration correction, but I'd like a sanity check.
The wireless point is an 802.1x using EAP-MSCHAPv2. This is not a problem - I can associate with the AP and authentication succeeds. It's DHCP that's the issue. My client (dhcpcd) successfully goes through all the steps: discover, offer, request, ack - it reports all and I can capture all of these steps in a Wireshark capture. It fails on setting up the system at times, with the error of "add_route: No such process"
Sometimes it works, sometimes it doesn't, depending where I am on the campus. I feel that I'm getting a bogus DHCP response from the router. Now, routing tables are not my strong point, so feel free to correct me. When it fails, I generally see something like:
Subnet mask = 255.255.253.0
IP = some IP address
gateway = some other IP address
Now, that subnet mask just looks weird - is it valid? Further, if I do:
I end up with two different answers. To me, this says that the gateway and me are on different networks. My understanding is that the gateway is my sort of "portal" to other networks. If something is on another network, I need to go through the gateway. If the gateway is on another network... well, that seems very chicken-and-egg to me.Code:my IP (binary AND) subnet_mask; gateway's IP (binary AND) subnet_mask;
I found somewhere else that said in this case where the IP & gateway differ like that, that the DHCP response should contain additional info for a route to the gateway. I'm almost certain through my wireshark captures that the DHCP server is not sending anything extra.


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Orem High School
Mary Bishop Backus, age 67, died August 21, 2012 in Moab, Utah, at her home. She was born December 13, 1944 in Provo, Utah to Ralph and Eva Bishop. She married Delano Backus on September 3, 1965 in the Manti Temple. She attended grade school in Provo, Utah, high school in Orem, Utah and graduated from Mary's Beauty College in Provo. She worked various jobs in Orem from 1960 to 1967 at the Scera, the drive-in movie theater, the Hi-Spot, Naomi's Beauty Salon and Grants department store as a cook. In Moab, she babysat children from 1979 to 1987 then worked a short period at Taco Bender until about 1990. She was a full-time housewife and mother. She loved her husband, family, reading, family history, and the gospel. She was an active member of the Church of Jesus Christ of Latter-day Saints and served various positions in the Relief Society, Primary and a Spanish-speaking mission in the Atlanta, Georgia and Mexico, Oaxaca temples from May 2006 to May 2008. Mary is survived by her husband, Delano Backus; five children; Jon Backus, LaMont Backus, Kathryn (Shaun) Christensen, Brian (Kelsie) Backus, and Elizabeth (Jared) Shumway; many grandchildren; four siblings; Anita (Michael) Thorpe, Joyce (Edward) Short, Ken Bishop, and Paul (Pamela) Bishop.
Michael Dimick
She was more than beautiful inside and out.
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Thursday 21st February 2013
|Text too small?
Beleaguered APN News & Media, the Australasian publisher of the New Zealand Herald, has increased write-downs on the value of goodwill and its newspaper mastheads in its end of year result, to produce a net loss to Dec. 31 to A$455.8 million.
The decision to add a further A$151 million on non-cash impairments to the A$485 million already announced at the half-year result has effectively halved the total value of goodwill and non-amortising cash-generating units on APN's books from A$1.4 billion a year ago to $727.5 million now.
The result was presented by the company's new chairman, Peter Cosgrove, after a boardroom coup over the weekend in which the previous chair, three independent directors and former chief executive Brett Chenoweth resigned because major shareholders opposed raising capital to ease the company's woes.
The APN result was also affected by the company's sale of 52 percent of its APN Outdoor billboard advertising business into a joint venture during the year, cutting revenues and earnings accordingly.
Total revenue was down 13.4 percent to A$928.6 million, earnings before interest, tax, depreciation and amortisation were off 25.3 percent to A$156 million, and net profit after tax before exceptional items fell 30.4 percent to A$54.4 million.
However, on a continuing operations basis, stripping out the joint venture's impact, revenue rose 2 percent to A$857 million, while ebitda still fell 14 percent.
Unlike the first-half write-downs, which related only to New Zealand publishing assets, the bulk of the latest cuts is a charge of A$111.5 million against the value of the group's Australian regional newspapers, in part reflecting the impacts of the mining sector downturn and flooding in Queensland, where APN owns titles.
Notes to the accounts show the current asset valuations are highly sensitive to changes in advertising revenues, the assumed post-tax discount rate, and long-term economic growth rates in both countries.
For its New Zealand assets, a 1 percent decline in long-term growth would add further impairment of $14.7 million, a 1 percent increase in the discount rate would add $13.6 million, and a 10 percent fall in cash flow would have the biggest impact, wiping out $21.4 million.
Cosgrove highlighted the group's reduction in net debt by A$180 million during the year, with another A$40 million to A$50 million targeted in the current financial year.
"This will be delivered by organic earnings, including the cost reduction programme in publishing, as well as small asset and property sales," he said.
Today's announcement made no mention of the boardroom crisis, but appeared to make soothing noises about its plans for further cost-cutting in New Zealand and Australia.
Its New Zealand newspaper and magazine segment had delivered "substantial cost savings during the year", while advertising revenues fell by 8 percent, led by downturns in display and employment ads. The segment produced revenues of A$287.4 million, down 7 percent, and ebitda was down 23 percent to A$47.8 million.
However, the New Zealand assets, had "delivered its rejuvenation programme," with the relaunch of the New Zealand Herald - APN's largest single asset - in tabloid format. Other efforts to refresh its print products would continue this year, such as this month's relaunch of the Herald on Sunday.
The New Zealand media business had "a major cost reduction programme under way and is progressing with the sale of its publishing businesses in Christchurch, Oamaru, and Wellington."
With a half-share in The Radio Network, APN reported weak advertising in the New Zealand radio market although the Newstalk ZB network remained the country's top-rating network. TRN's revenue was down 2 percent at A$87 million, to produce 12 percent lower ebitda, at A$15 million.
The New Zealand outdoor advertising market was also difficult, with revenues down 19 percent, in part because of heavy advertising in the earlier year because of the Rugby World Cup.
The group's emerging digital operations, including the GrabOne and brandsExclusive shopping deal websites, produced strong revenue gains, up 367 percent to A$55.3 million and an 82 percent improvement in performance. However, investment in its growth contributed to an ebitda loss of A$800,000 for the year.
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The America's Cup "yacht" racing is well underway in San Francisco Bay. I used quotation marks around "yacht" since these things are yachts or boats in only the broadest sense. Reaching speeds over 50 mph while planing on three hydrofoils, powered by a wing, not a fabric sail, that is the size of a jumbo jet wing, and made almost entirely of carbon fiber, these things are truly awesome.
The New Zealand team has a sizeable lead over the Americans right now (best of 17), but every race is unpredictable and the Kiwis very nearly capsized yesterday.
If you get a chance to watch, the races are on NBCSportsNetwork (NBCSN) at 3:30 or 4PM EST


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A-10 Thunderbolt II
Aircraft 5 Март 2015, 19:46
Since 1997, the U.S. Air Force and Lockheed Martin-led A-10 Prime Team have worked closely to significantly digitize the A-10A Thunderbolt II close air support fighter to its A-10C configuration, enabling employment of new GPS and inertially-guided munitions, fingertip control of aircraft avionics and integration of Litening and Sniper Advanced Targeting Pods through a program called Precision Engagement (PE).
The improvements automate many functions (navigation, weapons employment and communications) previously performed manually by the pilot, while also providing enhanced situational awareness and the ability to deliver precision-guided air-to-ground weapons. The upcoming addition of a Helmet Mounted Cueing System (HMCS) in Suite 7 will allow for even greater efficiencies in targeting and situational awareness.
The most extensive upgrade in the A-10's celebrated 35-year history, Precision Engagement combined multiple upgrades into a single contract award.
Awarded to Lockheed Martin in 2001, the government-industry partnership has enabled the modifications to be completed earlier than planned and at lower cost.
2007 - The Department of Defense and the National Defense Industrial Association recognized the success of the A-10 Precision Engagement program in October 2007 when Lockheed Martin and the U.S. Air Force were awarded a Top 5 DoD Program Award for excellence in systems engineering and program management.
2007 - U.S. Air Force A-10 Depot at Hill Air Force Base (AFB), UT, wins the "Fox Award"; Lockheed Martin was invited to participate in the receipt of the prestigious award due in part to our assistance in providing continuous process improvement for the A-10C modification line.
2008 - Lockheed Martin wins the A-10 program a Nova Award, the highest Corporate Program Achievement Award, for exceptional performance on the A-10 Precision Engagement program.
With 13 years' experience with A-10 modernization and sustainment, Lockheed Martin has the knowledge of the U.S. Air Force processes and procedures necessary to support the A-10 for the remainder of its life.
Systems Integration Lab
In February 2004, Lockheed Martin opened the first-ever A-10 Systems Integration Lab (SIL). The SIL duplicates the aircraft's wiring and cabling infrastructure and is outfitted with actual weapons hardware, missile seekers, suspension racks and rocket launchers to emulate an A-10 aircraft on the flight line.
The Precision Engagement program has benefited significantly during systems development by allowing pilots and engineers to "fly and fix"; software and hardware updates in the SIL before aircraft installation and test.
A-10C is the only Combat Air Forces' aircraft that receives an avionics modernization and sustainment update (called Suites) on an annual cycle. This rhythm brings critical combat capability to the warfighter.
The U.S. Air Force at Hill AFB, Ogden, UT, is upgrading each A-10 aircraft from a kit of parts supplied by Lockheed Martin Systems Integration - Owego, in Owego, NY. The Air Force expects to upgrade the fleet of 356 aircraft by 2012.
Each kit includes:
– new cockpit instrument panel with two 5x5 inch multi-function color displays;
– new grip stick and right throttle to provide true hands-on-throttle-and-stick fingertip control of aircraft systems and targeting pod functionality;
– upgrades for six pylons, enabling "smart"; weapons capability;
– replaced wiring for new capabilities, which also increased reliability and maintainability;
– upgraded (doubled) DC power output;
– a central interface control unit that provides digital stores management and overall avionics systems integration;
– improved data management and display for mission and weapons employment operational test equipment with diagnostics interface to the avionics and weapons systems.
January 2005: First A-10C test jet rolls out, Eglin AFB, FL
August 2006: First production A-10C rolls out, Hill AFB, UT
August 2007: Air Force declares A-10C operationally capable, Langely AFB, VA
September 2007: First A-10C wing deploys
October 2007: First Joint Direct Attack Munitions employed in combat from A-10C
June 2009: The first annual software suite upgrades was delivered on schedule


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Jeff Olson, 40, of San Diego is currently on trial for writing messages on sidewalks protesting big banks and their predatory practices. Olson used water soluble chalk to express his advocacy on public walkways in front of three Bank of America branches in San Diego.
Yes, by water soluble it means that when it rains or is hosed down the chalk dissolves.
Months after he finished chalking his protests, he was charged with 13 misdemeanors that could, conceivably, land him in jail for nearly 13 years.
The trial, which is now underway, allegedly resulted from the contracted head of security for Bank of America in San Diego, Darell Freeman, leaning on his apparent former colleagues in the SD police department. Paige Hazard, deputy city attorney, informed Bank of America's local security chief of the charges against Olson, after a prosecution referral was received from -- get this -- the city's gang crimes unit. Olson had moved onto more personal pursuits months ago, but Freeman and the Bank of America didn't like his disappearing chalk protests during the Occupy movement and. as in Les Miserables, were in unrelenting hot pursuit of the sidewalk protestor.
Truthout and BuzzFlash don't take corporate funding - that's why we're able to confront the forces of greed and regression. Support us in this mission: make a tax-deductible donation today by clicking here.
Hazard justifies the prosecution, on behalf of City Attorney Jan Goldsmith, with this twisted astonishing argument as filed in a court document:
The People do not fear that this reading of section 594(A) will make criminals of every child using chalk. Chalk festivals may still be permitted. Kids acting without malice may still engage in their art. Circumventing the rules, without permission, under the color of night, and now waiving a banner of the First Amendment, does not negate the fact that defacement occurred, a private business suffered real and substantial monetary damages, and Defendant is responsible. (Italics inserted by BuzzFlash at Truthout.)
Mind you, it is worth noting again that the chalk writing was easily removed and would likely wear away quickly as people walked over it. But even arguing that point gives credibility to a profound and Orwellian waste of taxpayer dollars in even prosecuting this case.
If Bank of America feels that it suffered "real and substantial monetary" damages as a result of Olson's scrawls, let them prove it. That's not the business of a public prosecutor to pursue.
But of course the Bank of America is still a bank too big to fail and there are first amendment rights to protest private businesses unless they can show that liable has occurred that impacted their financial well being. That is hardly the case in the San Diego chalk protest prosecution.
If you wonder about how far the apparatus of the state has crossed over into protecting wealth over protecting constitutional rights, look no further than the case of Jeff Olson.
A San Diego television station reported this chilling twist to the opening of the trial on June 26:
During pre-trial motions prosecutors introduced a motion to prohibit Olson's defense attorney Tom Tosdal from using the words First Amendment, free speech, free expression and other similar terms during the trial. The judge agreed saying jurors should focus on whether Olson committed vandalism and not why he did it.
This is happening in a court of law? The protection of banks from chalk scrawlings supercedes the Constitution?
So it would appear as we further proceed down the road of our nation being transformed from the rule of law to the rule of protecting entrenched wealth and corporate power.
THURSDAY EVENING UPDATE: The presiding judge in this farce of a trial -- and a waste of taxpayer dollars on prosecution -- issued a gag order on Thursday for the defendant and almost everybody but himself. The clearly pro-bankster jurist even rebuked the mayor of San Diego for calling the trial a waste of time.
San Diego Mayor Filner had issued a statement the irked the San Diego judicial version of Supreme Court Justice Alito:
This young man [Olson] is being persecuted for thirteen counts of vandalism stemming from an expression of political protest that involved washable children's chalk on a City sidewalk. It is alleged that he has no previous criminal record. If these assertions are correct, I believe this is a misuse and waste of taxpayer money. It could also be characterized as an abuse of power that infringes on First Amendment particularly when it is arbitrarily applied to some, but not all, similar speech.
As one commenter noted in the June 27 San Diego Reader update about Judge Howard Shore's judicial stomping on the First Amendement: "Just when you think it can't get any nuttier, it does. A gag order for a misdemeanor case?"
According to another commenter, Mass. Senator Elizabeth Warren read about Olson's plight and allegedly tweeted, "You've got to be kidding me.
How impartial can the judge be when he is so biased?
(Photo: Robert Couse-Baker)


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"The Babylonians have one most shameful custom. Every woman born in the country must once in her life go and sit down in the precinct of Venus, and there consort with a stranger. Many of the wealthier sort, who are too proud to mix with the others, drive in covered carriages to the precinct, followed by a goodly train of attendants, and there take their station. But the larger number seat themselves within the holy enclosure with wreaths of string about their heads- and here there is always a great crowd, some coming and others going; lines of cord mark out paths in all directions the women, and the strangers pass along them to make their choice. A woman who has once taken her seat is not allowed to return home till one of the strangers throws a silver coin into her lap, and takes her with him beyond the holy ground. When he throws the coin he says these words- "The goddess Mylitta prosper thee." (Venus is called Mylitta by the Assyrians.) The silver coin may be of any size; it cannot be refused, for that is forbidden by the law, since once thrown it is sacred. The woman goes with the first man who throws her money, and rejects no one. When she has gone with him, and so satisfied the goddess, she returns home, and from that time forth no gift however great will prevail with her. Such of the women as are tall and beautiful are soon released, but others who are ugly have to stay a long time before they can fulfil the law. Some have waited three or four years in the precinct.[*] A custom very much like this is found also in certain parts of the island of Cyprus.
Such are the customs of the Babylonians generally. There are likewise three tribes among them who eat nothing but fish. These are caught and dried in the sun, after which they are brayed in a mortar, and strained through a linen sieve. Some prefer to make cakes of this material, while others bake it into a kind of bread."


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Lady Luck, Rah Digga, & Queen Pen Freestyle! [This Gonna Be A Classic]
Lenny S, Maya the B, and Big Lite. The Roundtable on RockMeTV.
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Last Updated: 06/04/2020
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I'm so glad people are out there trying to save me money. I mean California is expensive enough, so it's nice when someone is actually fighting to help me keep a few bucks. This is especially gratifying when an insurance company is willing to go to the mat, and the voters, so we can pay cheaper premiums. What a swell bunch of folks.
(Here is where we need to develop a whole set of punctuation for sarcasm, just in case you hadn't detected it yet.)
I'm talking about Prop 17 and Mercury Insurance. Right now, insurance companies can only offer "loyalty discounts" to good drivers who have spent a few years with the company. Like me. No wrecks, no tickets, and a loyal customer of my insurance company for 6 years now. My company has discounted my premiums over the years, hoping to keep a middle-aged responsible driver as a customer. In fact, I'd be quite a catch for any California insurer. But state laws say a competitor CAN'T try to lure me away from my present insurer by offering me a discounted rate based on my insurance history.
U.S. & World
And that's what Prop 17 wants to change. It wants to make it legal for one company to entice another company's customer away with a better rate based not on how long you've stayed with your insurer, but how good your driving record is. Backers of Prop 17 say drivers could save as much as $250 a year in lower premiums.
And what's more American than that? Free market capitalism at its best. Put that up alongside mom, apple pie, and Celebrity Rehab. So why is Mercury Insurance behind Prop 17?
Critics say the auto insurance game is like one of those balloons shaped to look like a Dachshund. Squeeze the rear part of the dog, and the head swells. What they argue is that when good people like me pay less for my insurance, bad drivers, and new drivers, will be foreced to pay higher premiums.
I'm all for saving money. I mean, I need some spare cash for DirecTV so I can keep up with Jersey Shore and The Dog Whisperer. But then I started thinking. I may be a responsible middle-aged guy, but I have three teenaged sons. And since none has any driving record at all, I can only imagine what their rates are going to be.
And that may be Mercury's endgame. The company has already poured $10 million into backing Prop 17. Mercury must feel it can do a pretty good job of offering the state's best drivers really good rates, and is willing to take that chance.
And now, voters have to decide what chance they want to take. For me, I'll have to decide if a guy ready to put three more drivers on California roads is going to be going to be better off under Prop 17. Or should I just leave bad enough alone.


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For the "Follow Friday" blog theme I would like to recommend Jill Morelli's blog "Genealogy Certification: My Personal Journal." Jill writes about her educational process as she prepares for certification through the Board for Certification of Genealogists.
I met Jill through the ProGen Study Groups and enjoyed getting to know her a little better at the Salt Lake Institute of Genealogy last January. On her blog she sometimes posts her thoughts about the ProGen Study Group assignments, but generally focuses on what she has learned as she studies and prepares to submit her BCG portfolio. As a genealogy education blogger, I appreciate her posts on the conferences and institutes she has attended. It is interesting to hear her perspective.
Jill has a series of posts on the elements of the Genealogical Proof Standard:
GPS Element #1: Thorough Search
GPS Element #2: Informative citations
GPS Element #5: Writing your conclusions
Another one of my favorite posts is:
What is "Context" Anyway?
I hope you enjoy reading her blog as much as I do.


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Tigers Finish Season, Tenth at OVC Championships
MUSCLE SHOALS, Ala. – For the second round in a row the Tennessee State women's golf team cut strokes off their previous round at the Ohio Valley Conference Championships. TSU shot a 350 on the final round, shaving seven strokes from Tuesday's round. The teams played under perfect conditions as the day reached a high of 72 with seven MPH winds, under sunny skies at the Par-72, 6,203 yard Fighting Joe course at Robert Trent Jones Golf Trail at The Shoals.
The Tigers (359-357-350=1,066) closed out the 2013-14 season finishing 10th, as they posted the lowest TSU score at an OVC Championship. Their previous best was a 1,084 at GreyStone Golf Club in 2011.
Murray State (307-298-310=915) charged back on the final day from six strokes back to claim the team championship over Eastern Kentucky (295-304-318=917). The Racers Delaney Howson (71-68-73=212) claimed individual honors finishing 4-under for the tournament.
Kelly Merkel (91-82-84=257) led the way for TSU for the second consecutive round. The sophomore carded eight pars with 11 fairways, nine greens and 38 putts.
Natalie Spicer (95-90-87=272) entered the clubhouse on Wednesday with eight pars. Spicer needed 37 putts as she hit six greens. The freshman hit 10-of-14 fairways during the final round and finished with 35-of-42 over the three-day event.
Laura Bremer (98-91-89=278) lowered her score for the second consecutive round by hitting 10 fairways and six greens on her way to nine pars on the day. Bremer registered eight between holes No. 3 and No. 13. The sophomore-transfer hit out of a fairway bunker on the par-4, 8th, to 12 feet past the pin. Bremer sank the downhill putt to save par. Bremer, once again found a fairway bunker off the tee box. The Metropolis, Ill., product punched out horizontally, leaving her 150 yards to the pin. Bremer stuck her third shot on the green just to the left of the flag, setting up a 17-footer to salvage a par.
The lone birdie of the day for the Tigers was recorded by Amelia Dap (90-96-90=276). The sophomore used a 3-wood off the tee on the par-4, 2nd, leaving just under 150-yards to the flag. Dap then landed nine feet from the hole as she hit a 7-iron into the wind. The Murfreesboro native needed just one putt to secure the birdie.
On No. 2, Sarah Needleman (83-94-98=275) overshot the green, but came back on a chip, just missing a hole-out. Needleman secured a par by draining a 16-foot uphill putt. The sophomore started the day off with four pars over the first six holes, but would finish with just five on the day. Needleman finished the OVC Championships 20 strokes better than her freshman season, as she hit 11 fairways and six greens.


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Short Corner
Extra Time
The Locker Room
Top Flight
Midweek German Action
What's stood out so far in the Copa?
Michael Bradley was bad but maybe that isnt his fault
Should U.S. Soccer bring back the U.S. Cup?
Absolutely. It would be far more competitive than the CONCACAF Nations League.
No. The international calendar is already congested.
Not sure.
EDGAR ZUNIGA - Monday, July 9, 2012
Ask any US Soccer fan if they think the men will win a World Cup in their lifetime and they will usually respond with a 40-yard stare in deep thought before a sheepish grin and, 'I hope so.'
In their recent
Debate Issue
, ESPN The Magazine had Stefan Szymanski, co-author of Soccernomics, answer the question, marking 2042 as the year the Red, White and Blue will shock the world.
Although that is actually only 30 years away, it is nearly halfway through the 21st century, when we will finally have cities on the Moon and colonies on Mars. Who knows? Maybe the Moon might even field a squad for the World Cup qualifiers.
That reminds me of when I was an idealist kid growing up in the '80s, raised on "Robotech" and "Transformers" and daydreaming of the distant year 2000 like it was some magical era when we would have flying cars and field trips to the Moon would be a common thing.
Of course, when the 2000s actually came around, the best we could do were aging, ill-fated space shuttles.
And forget the flying cars. For a while, just flying in airplanes became a frightening experience.
Although the advent of the Internet brought the world closer together (for some, too close for comfort) and we have gorged on amazing technological advances for our entertainment, we are nowhere near the space-age civilization envisioned by futurists and hopefuls throughout the mid-1900s.
In the case of US Soccer, the rise of talent and interest during the '90s and 2000s has many people entertaining dreams and hopes of World Cup glory in some not-so-distant future.
Szymanski backs up his claim with statistics that track the annual winning percentage of the US team and compares it to that of past World Cup winners entering the tournament. According to him, eventually, the US will rise to this magical percentage and be crowned World Champions.
If the national team maintains its current rate of growth, the stats paint a pretty picture for the future.
However, what Szymanski overlooked is that the competition within CONCACAF, when compared to that found in Europe and South America, is nowhere near at the same level-now or ever.
Mexico might be able to put up a fight against heavyweights from these other regions, and the US will steal a victory here and there, but what about the rest of the region?
What...is CONCACAF going to suddenly grow into some superpower where Nicaragua will battle with Surinam, Mexico and the US for spots in the World Cup? Is the CONCACAF Champions League going to eventually make everyone forget about that lackluster Euro sham?
Real Madrid vs. Juventus?
Bah! Give me Chivas USA vs. Defence Force!
Copa America?
Pfft! World Champions are made in the Gold Cup!
While I do allow myself to indulge a bit in Szymanski's optimism and would love to see his prediction become a reality, for the US to eventually reach the status of perennial World Cup contender, our region would have to undergo a similarly impressive growth spurt.
Unfortunately, the CONCACAF Champions League is but a small blip on the global radar, while the Gold Cup remains The US and Mexico Show (with that cameo from Canada in 2000).
To their credit, Mexico has enjoyed an impressive resurgence the last few years but the US seems to be stuck in neutral and it remains that we were closer to winning a World Cup in 1930 than we are now.
After Mexico and the US, you have shaky Honduras (still celebrating that they even showed up to the World Cup) and conflicted Costa Rica, who cringe at any mention of Jonathan Bornstein.
Our neighbors from the north are no closer to winning a FIFA World Cup than Brazil is to winning an Ice Hockey World Championship.
Then, there is the rest of the region, which is in constant flux and lacks any stability.
Astonishingly, however, it never fails that the US has a difficult time during qualification.
Not on paper, nor on the field, does beating Antigua and Barbuda 3-1 at home look impressive. That was a team composed almost entirely of members of Antigua Barracuda FC, which currently plays in the USL Professional Division-the third tier of err...American (?) soccer.
While Mexico had a similar result at home against Guyana, they made it clear, before, during and after, that they were on cruise control for that game.
The US rarely enjoys such a luxury and there is no way that Jurgen Klinsmann would allow the team to enter a World Cup qualifier in such a relaxed fashion. Everyone expected more of the US and rightfully so.
For the US, however, this is the nature of things in CONCACAF, especially on the road, which has historically been treated as a drive through a bad neighborhood in Detroit in the middle of the night. Roll up the windows and pray that you avoid all the red lights.
Despite any advantages in skill and athleticism the US might possess, any road trip south of the border is more of a struggle than it should be, as exemplified by that agonizing game in Guatemala, where the US was lucky to escape with a draw.
There is something to be said about home field advantage in CONCACAF and how US players react when playing on foreign soil.
They go from their comfortable homes and lives in First World nations to playing in balmy, loud stadiums located practically in jungles, but you would swear they just got airdropped into a savage wilderness with only a dull butter knife to protect themselves.
The rest of CONCACAF knows this and fans do everything possible to feed that anxiety.
If the US is to conquer the world, they must begin by vanquishing their own demons.
Until the US can go down to Costa Rica and win with attitude, take care of business in El Salvador, build upon their success in Honduras, avoid pitfalls in Panama and provide Mexico with a serious threat in Azteca, there is no way the US can take the next step in the evolution of a World Cup contender, when they can stare down traditional world powers.
Who knows? Maybe they will finally beat Ghana.
Without question, the United States possesses the infrastructure, population and resources to build a soccer superpower in decades to come-maybe sooner than later. But - where is my flying car? I would have loved to vacation on the Moon this summer.
Alas, those hopes and dreams of previous generations turned out to be scribbled on the shores of the cosmic ocean and eroded by waves of human conflict.
A World Cup in 2042 sure would be nice, but for the US to rise to the summit, CONCACAF will have to rise as well. But is that really going to happen?
I hope so.
Best uncapped Yanks
Guatemala 1 - 1 USA
USA 3 - 1 Antigua
United States
World Cup
Thursday August 2, 2012 2:44 pm
I just have a really good feeling that if I live a full life(and I am in my 20's) the USA(mens team) will have without a doubt won at least one FIFA World Cup.
Wednesday July 25, 2012 8:01 am
Stefan when 2014 comes around get ready to eat ur words, literally get that magazine and chew on it.
Lichaj, cameron, ream, johnson
gatt, bradley, shea
Donovan, boyd, dempsey
Look out world ur rein is at an end.
Tuesday July 17, 2012 9:15 am
Kobe did grow up playing soccer. He lived in Italy where his dad was a professional basketball player. He obviously was a lot better at playing basketball. Jay Heaps was good enough to play basketball at Duke - didn't make him a great soccer player.
Athleticism and size are important, look at the German National side. But the two best German players, Ozil & Bastien Schweinstager are its least athletic members.
Jason, to play tactically the same as the USMNT you must play in Europe rather than MLS.
Where will the future US players come from? The same places they come from now. What will have changed is American society. Little boys learn football, basketball and, especially, baseball from their fathers. In an increasingly matriarchal society, boys will learn the game and receive support in doing so from their mothers. A lot of moms can knock the ball around one touch, not so much for hitting fungos & grounders. The millions of ten & twelve year old girls who cheered on Mia Hamm in '99 are entering their child bearing years. Their children will fuel the USMNT in 25 to 30 years - right in line with the prediction.
Wednesday July 11, 2012 6:19 pm
TGA. What the heck does that even mean?
Wednesday July 11, 2012 1:07 pm
here is a good exercise for YA. Imagine that soccer was the premier sport in the USA. Now survey current superstars in NFL, NBA and MLB and put together a USMNT from that talent pool. I bet the first 11 would not include any current USMNT starters.
Wednesday July 11, 2012 1:05 am
Look at our domestic league; Major League Soccer. There is seemingly no incentive for yanks to not go abroad and stay in MLS where they would take a large pay cut (on average) compared to leagues abroad. If our large prospects could stay here in the MLS and play together and within the same basic tactical philosophy as the national team, then we would be way better off. Look at Spain...those guys are comprised of mostly two teams in the same league that have a consistent tactical philosophy between their club teams and their nat squat. But hey, I played football, what do I know.
Tuesday July 10, 2012 4:35 pm
I don't know what that stuff is in the last post. I don't want anyone to think I'm cussing.
Tuesday July 10, 2012 4:25 pm
Dismissing the importance of athleticism in the game is absurd.
Dempsey vs. Drogba:
Who's the better player? Dempsey
Who's the better athlete? Drogba
Who was worth more money during the peak of their career? Drogba
Are you not seeing that Chelsea, Bayern, Barcelona, etc. globally search for players that have elite skills as well as elite athleticism? It's because that combination is rare. From a national team perspective, you can only âshopâ within your own country and what the US has bought is clear and itâs mediocre. Itâs time to start shopping at another store, so to speak. Itâs not a âcop outâ to go after the best youth athletes that may normally grow up and play other sports. If you take âwhateverâ kids that wander onto a soccer field you may find that you get a âwhateverâ performance from the national team in a few years.
Tuesday July 10, 2012 1:42 pm
I agree with Chastro that saying "If only Kobe, ARod, etc. played soccer..." is a cop out.
Most US sports require freakish physiques to play. There are millions of kids that aren't 6'0+ or weigh 250 pounds or don't the ability to hit a curve ball that are nonetheless excellent athletes who can excel in soccer.
Even if you take out ALL of the football, baseball and basketball players, the USA still has more potential soccer players than any major soccer power (except maybe Brazil)
Charlie G.
Tuesday July 10, 2012 9:29 am
Its almost impossible to get a sense of where top talent for the USMNT pool will emerge in the future - our soccer landscape seems fragmented and disorganized, but comparing what appears to be our trajectory with another country may be misleading. As far as the necessity of a strong domestic league is concerned, what about Uruguay, Croatia, Denmark and Greece ? Perhaps I'm a crazy optimist, but having been a fan of US soccer since 1970, I'm still amazed how the sport has emerged in the last few years - yes, the success of the USMNT at the top varies, but to me an essential base is being built, as messy as it seems (well not that Messi). Talent will emerge, but maybe not in the way we think, and maybe not as slow as we think when we look at the past.
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Jesse Marsch made history on Friday as he led Red Bull Salzburg to victory in the Austrian Cup Final.
Matarazzo, Stuttgart Sign New Deal
Wins All Around For US Coaches
YA Transfer Tracker
Yanks Face Relegation in England
Soccer Stars React To Floyd Death
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Bundesliga (Germany)
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Eintracht Frankfurt
Schalke 04


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Designers van over de hele wereld zenden creatieve ontwerpen in voor eman2611 in webpagina ontwerpen - custom.
a template for web 2.0 free screensaver download site. should be very clean and easy to navigate.
The best screensavers in the world...
Desired Color Scheme:
Desired Style:
web 2.0
Accepted File Formats:
pds. vector
Here is a description of web 2.0 design: http://www.webdesignfromscratch.com…-style.cfm
In summary:
The great sites above share the following design features:
Simple layout
Centered orientation
Design the content, not the page
3D effects, used sparingly
Soft, neutral background colours
Strong colour, used sparingly
Cute icons, used sparingly
Plenty of whitespace
Nice big text
The design should have Main sections for types of screen savers. For example Celebrities, Cars, Sports etc, and it should have room for sub categories as well. Users will be able to download the screen savers directly from the site.
-Should have space for google ads.
-should have room for featured screen savers
Be creative :-)


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Pier LaFarge: Profit as Sustainability:The Evolving Role of Social Entrepreneurship on the Landscape of Change
As one person in the room put it on Friday, Pier LaFarge '10 is the "king of social entrepreneurship" — and they weren't far from the truth. During his time at Middlebury and in the short time since he graduated, LaFarge has taken on the role of social entrepreneur in several endeavors. While at Middlebury, he co-founded the Race to Replace campaign, a grassroots movement that sought to raise awareness about Vermont's clean energy future during the election season, bringing the issue to the forefront of the political debate and agenda.
"It all started with a bicycle," LaFarge said of his career in social entrepreneurship. "The Race to Replace campaign, something I got started with through Sunday Night Group with Ben Wessel. Even in a state in liberal as progressive as Vermont, there is change to be made."
After graduation, LaFarge went on to work for ICF International, a consulting firm that specializes in technology solutions in energy and the environment. While at ICF, LaFarge implemented social finance consulting as a new service offering at the firm and co-created ICF's Green Revolving Loan Fund, showcasing his social intrapreneurship skills. "The great thing about being an intrapreneur, as a opposed to an entrepreneur, is that you have this unique chance to innovate, but its from within, so you get all these resources behind you to do incredible things, "said LaFarge.
His work at ICF led him to realize that there was a lack of energy efficiency financing for smaller-scale projects in the market. "I could see that energy efficiency financing had this split structure with big projects on one side that were being really well served by energy finance companies, banks, etc. — but small projects with same risk structure and same returns, no one would finance. The biggest reason wasn't a lack of awareness or demand, it was just a structural misfit."
This realization led LaFarge to leave his job at ICF to found Spark, an online crowd investment platform that connects individual investors to high-quality projects in energy efficiency, giving small organizations the capital they need to improve their energy efficiency.
In reflecting on his new venture, LaFarge gave credit to his Middlebury education. "Never underestimate the power of an education that thinks about systems, about how forces act in those systems, and that brings together these discipline," LaFarge told the students in the room. "Social Entrepreneurship is nothing — in fact, business is nothing —if not about communication, about storytelling, design, critical thinking. It's every discipline all at once. There is nothing more liberal arts-y than social entrepreneurship."
Pier shared his words of wisdom for the students and aspiring social entrepreneurs in the room:
Social entrepreneurship is a spectrum: "Social entrepreneurship can be activism, or it can be a for-profit enterprise. Finding innovative solutions to social problems is the common thread. Social entrepreneurship is identifying negative externalities and building structures to fix them and make them better."
Profit is not a dirty word. "Profit and private sector are not dirty words. They aren't the "other" — they are not other things that those other people do. We are change makers. We want to make change. Profit is one of our most powerful tools to do it."
Find things people hate and build things that solve them. "If you can do this, than you get this cycle of revenue that people give you to solve the problem, and then change being made increases visibility for your business. Profit reinforces change, and change reinforces profit."
Social Entrepreneurship is the new economy: "The old economy was focused on improving society, marketing something as better than what you had. Social entrepreneurship solves a problem no one has tried to solve before, or that unlocks an opportunity that the market has overlooked or failed to solve."
"Surround yourself with people who are smarter than you. Put your ideas through the wringer, and expose it to people with more experience than you. Never stop connecting. Give back, and give back often: give back money, give back time, give back passion. "


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Is the Best Pizza in Italy 2 Hours Outside Naples?
I was a little disappointed by this story in the Guardian headlined "Is This the Best Pizza in Italy?" I first spotted it when @msenese and @mmm_pizza tweeted me the link (thanks, guys!), both saying, "The Guardian dispatches critic to review Anna's, the latest 'best pizza in Italy,' 2hrs south of Naples."
I mean, how could you not be intrigued by the possibility of the best pizza in Italy being outside of Naples? That's like saying the best pizza in the U.S. is in North Dakota. It very well might be, but you'd click on the link to that story, right?
Anyway, here's a snip:
I suppose I was expecting somewhere grand—an old palazzo perhaps, a temple to Italian cuisine—but Pizzeria Anna, in the small town of Agropoli, is a place without pretension. The dining room is brightly lit, none of the chairs or tables match and there are three TVs showing football and game shows. I ordered the pizza a sorpresa, the surprise, which turned out to be divided into eight sections, each representing a different selection from the menu. It arrived like a painting, like a masterpiece you see, smell and eat. The base was light and crisp—not too crisp, but nowhere near soft or spongy. One section was a sample of the remarkable and rare duchessa—a ham and mashed potato pizza, which tasted much better than it sounds, and was not at all stodgy or bland.
Another section held perfectly cooked squid and huge, succulent prawns. Yet another was a triangle of salad, with rocket leaves, slivers of carrot and what I think were pumpkin flowers. Elsewhere there was creamy mozzarella, fragrant basil and a rich, sweet, almost fruity tomato sauce. I travel to Italy regularly and I eat plenty of pizza so believe me when I tell you that this was extraordinary.
Yes, the pizza actually does sound good and sounds like it has some interesting toppings. I'm sure it probably is quite good. But somehow, this snip and the rest of the article do not seem to make a convincing case. I don't know. I don't feel it from the descriptions in the Guardian.
Then again, if it truly is the best in Italy, how could you possibly hope to convey that in words.
Also, another thought: The best pizza in the U.S. might just be in Phoenix. And who would have ever thought that?
All products linked here have been independently selected by our editors. We may earn a commission on purchases, as described in our affiliate policy.


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Bridget Ann Moore and Andreas Fletcher Ewing were united in marriage Oct. 16. She is the daughter of Shirley DeCarlo of Ashburn, Va., formerly of Stamford, and the late Roger R. Moore; and he is the son of Carole Ewing of Selinsgrove, Pa., and the late Dalas C. Ewing.
The ceremony was performed by the Rev. Dr. Robert S. Norris at the Royal Poinciana Chapel in Palm Beach, Fla.
The bride graduated from Westhill High School in Stamford and earned an associate's degree in business administration from the YTI Career Institute in York, Pa.
The bridegroom graduated from Selinsgrove Area High School and earned a bachelor's degree in plastics and polymer engineering technology at the Pennsylvania College of Technology in Williamsport, Pa. He is a senior mechanical engineer at Cross Match Technologies in Palm Beach Gardens, Fla.
The couple resides in Wellington, Fla.


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Tonight ABC News will be airing a story on victims of the 2009 Fort Hood shooting that left 13 victims dead and 32 wounded. Kimberly Munley, a hero on that terrible day who sat next to Michelle Obama at the President's 2010 State of the Union, tells Diane Sawyer that she feels the government has "betrayed" her and fellow victims.
The issue for the shooting victims is that the Pentagon has insisted on treating the episode as an instance of "workplace violence," not terrorism. (As I have written here .) The problem here is: Most workplace shooters were not first in touch with Anwar al-Awlaki.
One shooting victim told ABC the "workplace violence" designation has cost him almost $70,000 in benefits that would have been available if his injuries were classified as "combat related."
"Basically, they're treating us like I was downtown and I got hit by a car," he told ABC News.
The military's position on the shooting is schizophrenic. On the one hand, the Obama adminstration has taken the position that it had the authority to authorizing the targeted killing of Awlaki becuase he was a terrorist and threat to the United States. On the other hand, the government will not recognize the terrorist's role in the horrific bloodletting. And who pays? Men and women whom I believe Nidal Hasan shot because they were serving their country. (Note: In the U.S. legal system, Hasan is innocent until proven guilty. But the military would not allow Hasan to plead guilty.) And so a trial that should have been settled already, drags on.


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NBC Bay Area Expands Investigative Reporting Capabilities
Award-Winning Investigative Reporter Tony Kovaleski To Lead New Investigative Team
Jenna Susko Joins Station As Investigative Reporter
Nov 11, 2011, 06:00 ET
SAN JOSE, Calif., Nov. 11, 2011 /PRNewswire/ -- NBC Bay Area today announced that it has added two investigative reporters to the station's news staff, significantly increasing the station's investigative reporting capabilities in advance of launching a new unit early next year.
Bay Area native Tony Kovaleski joins NBC Bay Area to lead the station's investigative team after working at television stations in Phoenix, Houston and Denver. While in Denver, Kovaleski exposed problems with emergency services at Denver's airport and uncovered inappropriate gifts given to government appointees. Kovaleski's reports resulted in significant changes in airport operations and in tighter regulations governing gifts and travel. As the winner of the prestigious Alfred I. DuPont-Columbia award in 2010, the national Edward R. Murrow Award for Investigative Journalism, the Sigma Delta Chi award, the National Headliner award and more than 26 Emmy Awards including this year's Emmy for Investigative Journalism, he is considered one of the country's premiere investigative reporters. Kovaleski is a graduate of San Jose State University with a degree in Journalism.
Investigative reporter Jenna Susko comes to NBC Bay Area after working at television stations in the southeastern United States. She has built a reputation for quality investigative reporting with stories about poor oversight of FEMA funds across the Gulf Coast, mismanagement in a court system allowing criminals to easily get cases dismissed and security flaws at a local school system. Susko has a degree from Florida State University in Communications and English Literature.
"As we increase our investment in high-quality local journalism, we are very pleased to welcome these two investigative journalists to the Bay Area and into our newsroom," said Richard Cerussi, President and General Manager of NBC Bay Area. "Tony and Jenna are the first of many new team members who will allow us to bring Bay Area viewers more of the kind of in-depth investigations that result in positive change."
About NBC Owned Television Stations
NBC Owned Television Stations is the division of NBCUniversal that includes 10 local television stations and their digital channels and websites, as well as a group of out-of-home properties and a production company. The 10 stations produce and deliver compelling and unique local news, information and entertainment programming to viewers in the communities they serve, which include New York, Los Angeles, Chicago, Philadelphia, San Francisco Bay Area, Dallas-Fort Worth, Washington, D.C., Miami, San Diego and Connecticut, with a goal of connecting to their audiences anytime and anywhere.
SOURCE NBC Bay Area


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WASHINGTON — AAA Mid-Atlantic says drivers made more than 175,000 calls to the D.C. Department of Transportation last year to report broken parking meters.
The calls make up 82 percent of all service requests the agency received all year, but DDOT says at any given time 99 percent of D.C.'s 17,000 meters are working.
AAA says D.C. issued nearly 1.9 million parking tickets — an average of 7.3 citations per minute — and collected more than $92.5 million in parking ticket revenue.
The agency is moving away from old coin -operated meters. It has been installing boxes where parkers can get a ticket to place on their dashboards and using Park Mobile, which lets parkers pay for a spot over the phone or with a smartphone application.
(© Copyright 2013 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed.)


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Well, Lucy actually has LOTS of friends.
Just none that ever come play with only her. The other night, the Parr's came over for dinner and Lucy thought it was all about her. Coco is about 9 months younger than she is, but their age difference is definately becoming less apparent. Being the younger sister, Lucy never has a friend come to just play with her. There is usually a sibling that tags along with Ella's friends, or she plays with her friend Hyatt. But no girls her own age.
While Erik and I enjoyed Donald and Kendra's company, Lucy really had a nice time playing with Coco. Ella kept herself busy pulling EVERY baby toy out of the nursery for Sebastian. (have a mentioned that Ella asks God on a regular basis to put a baby in Mommy's tummy? ahem....that is a different post all together.)
It's funny how when Ella was growing up I made an extraordinary effort to find friends for her to play with. Somehow I convinced myself that she HAD to have someone to play with at such a young age. I am now realizing that I spent so much time growing relationships for her that I have neglected growing friendships for Lucy due to the time I spend maintaining Ella's friendships. I guess there is lesson to learn here and always time for change.
Even our own next door neighbors are exactly my girls' age. But the little girl is Ella's age and the little boy is Lucy's. Does Lucy even stand a chance of having girlfriends? Well, thank goodness for this precious little Coco.


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Moon Calendar Watch
Moon Phase Calendar
Rampura, Dhaka
Rampura, Dhaka
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Moonrise: 00:00
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Moonset: 00:00
Click the Back / Forward button in the Moon Phase Calendar below to see the moon and sun data of the next day or click the Play button to run an animation of the lunar calendar for a quick overview.
Moon Calendar Watch shows the moon phase phase and the precise times of sunrise, sunset, moonrise and moonset for Rampura, Dhaka - Bangladesh and other locations.
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ESPN basketball analyst Jeff Van Gundy has gone on rants about flopping before, but today's (sparked by a third-quarter dive by James Jones in the Heat-Knicks matchup) is one for the ages. Play-by-play man Mike Breen tries his hardest to get Van Gundy off the topic, but fails—JVG even runs over the contractually-obligated "Big Board" with his venom toward "they" (meaning the league office) who "condone" flopping.
He's right, of course, but given the cozy relationship between the NBA and ESPN it's a bit surprising; I wouldn't expect much to come of it, given there's four years left on their contract. Could flopping really be stopped with post facto penalties? Maybe, but the NBA would never enforce them anyway—not against the stars that drive TV ratings, anyway. [ABC]


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It is a hot Tuesday afternoon and sponsored children are gathered at a local CFCA office in Kenya, with their books and pens, keenly following what they are being taught.
The teachers of the day are Vincent, who is pursuing a degree in business administration and accounting, and his colleague, Kevin, who is enrolled at a local university studying for a bachelor of commerce degree.
The two students are both 23 years old and part of the CFCA Scholarship Program.
"As scholars we volunteer hours of community service to the CFCA office helping out in various duties. It is during this period that we noticed that the children in our area were not performing well [in school]," Vincent said. "Looking at the report cards as scholarship students, we felt there was a need to step in and help."
The two scholars decided to create an academic club for sponsored children who needed extra help with their studies.
The club is facilitated by 17 scholars who choose different subjects, in which they excel, to tutor the sponsored children. These subjects include mathematics, business education, science and geography.
"When the scholars shared the idea of forming the academic club with us, we were ready to assist them by buying items to facilitate the tuition," said Crispus Natala, CFCA staff member in Kenya. "We made a budget and got the money to buy a white board, markers and an eraser. This was a great idea to boost the performance of our beneficiaries."
CFCA staffers shared the idea for the academic club with parents of the sponsored children and it was well received.
Each time the schools close for the holidays, the children can now come for tutoring classes that are free of charge.
"We had to find out from each child what his or her weak subject is and took it upon ourselves to help them improve on it," Kelvin said.
The academic club is also like a mentorship club. In addition to tutoring students, the scholars hold counseling sessions where they discuss various issues affecting the children.
Scholars will also hold career talks and select topics to debate.
"It is easier for the children to open up to the scholar students because they feel free to talk to them on various issues they may be facing academically and socially," Natala said.
"The club has also made the children visit the office regularly and it is easier for the staff to follow up on the childís well-being as well as letter writing, photos and other CFCA requirements."
Though the sun is scorching hot, the children are participating actively in each lesson.
"It is encouraging to see the childrenís grades improve," Vincent said.


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Worker recounts parking garage collapse
1 remains missing in rubble of Miami-Dade College West collapse; Classes to resume elsewhere on Monday
DORAL, Fla. – A construction worker recounted the moment when part of a parking garage collapsed at Miami-Dade College West during his first day on the job.
"It sound like somebody put TNT on a building and blew it up," said Anthony Williams.
Williams said he jumped two stories to escape the crumbling structure when it collapsed on Wednesday.
Williams said just before noon, he heard what sounded like an explosion and then screams to get out.
"It was smoking, so we couldn't see where we was running at -- there was so much smoke," said Williams. "So, the only option I had was to jump from the second floor."
Earlier Friday, construction engineers said a crane had hit the structure on Tuesday, but the building was deemed safe. Williams has since hired an attorney as he seeks compensation for his injuries.
"I think it's a terrible tragedy. It sounds like this is something that never should have happened," said attorney Robert Rubenstein.
Williams said he's lucky to be alive.
"It's real crazy. You could just talk to somebody for one minute and then they gone," said Williams.
Family frustrated with search effort
Meantime, the family of Robert Budhoo, an electrical worker from Tamarac, is frustrated by how long the search is taking to find him.
Budhoo, a father of three who moved to South Florida from Jamaica, has been missing since Wednesday. The mission to find him is considered a recovery operation.
"I really just hope he's alive but, if he is, I don't feel like they are giving him a fighting chance to survive," said Britney Budhoo, the victim's niece. "He's been under there and dead or alive they need to get him out."
Rescuers used a crane to move the large concrete slabs left in the pile of the rubble. Rescuers were focused on the western side of the rubble where they believe Budhoo was last working when they searched on Friday.
Carlos Hurtado De Mendoza, 48, and Jose Calderon, 60, were found in the debris on Wednesday. Samuel Perez, 53, had both of his legs amputated when he was pulled from the rubble early Thursday but later died at the hospital.
Classes on Monday moved to other locations
While Miami-Dade College West remains closed after one of its parking garages collapsed, classes will be moved to other locations on Monday.
School officials said daytime classes will be shifted to the MDC north campus. The college was establishing a pick-up/drop-off point at International Mall for students in need of transportation to the north campus.
Nighttime classes will take place at Ronald Reagan Senior High School in Doral.
"The College, our community and many families have suffered a terrible tragedy with the collapse of the garage under construction at the West Campus," MDC President Dr. Eduardo J. Padrón said in a news release. "We send our deepest condolences to the families and loved ones of the workers who lost their lives, and our wishes for speedy recovery to those who have been injured. We have been reaching out to the families to offer our support."
Copyright 2012 by Post Newsweek. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.