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Essential Insights On Addressing Common Wound Dilemmas
Whether it is dealing with recalcitrant wounds, choosing appropriate empiric antibiotics for infected wounds or weighing the benefits of palliative care, our expert panelists offer their perspectives on a wide range of wound care issues.
When would you consider obtaining a wound culture and prescribing antibiotics? What is your empiric oral antibiotic of choice?
If there is any sign of wound infection, such as constant pain, erythema, edema and/or odor, Kazu Suzuki, DPM, CWS, will not hesitate to obtain a wound culture. Guy Pupp, DPM, concurs. He notes that other classic signs of infection include fever and purulence. After obtaining a culture, Dr. Suzuki will prescribe a short course of empiric oral antibiotics for seven to 10 days, and subsequently adjust as the culture and sensitivity results come back.
Lee C. Rogers, DPM, only performs cultures in the presence of an infection.
"Culturing an uninfected wound will cause confusion among clinicians in what to do with the 'positive' culture when it is reported, not to mention the medical/ legal aspects of not treating a 'positive' culture," notes Dr. Rogers.
Dr. Suzuki notes his area's high prevalence of community-acquired methicillin resistant Staphylococcus aureus (CA-MRSA). He acknowledges that his antibiotic recommendations may not be appropriate for other parts of the country as they are based on the antibiogram in his institution.
Therefore, his first choice of oral antibiotics for wound infection (cellulitis) to cover possible MRSA would be trimethoprim/sulfamethoxazole (Bactrim, Roche), doxycycline or levoflaxacin (Levaquin, Ortho-McNeil). Dr. Suzuki may also add cephalexin (Keflex, Middlebrook Pharmaceuticals) if he wants coverage for Staph or Strep. Bactrim DS is "definitely the workhorse" in his institution. He adds that he is seeing more MRSA that is resistant to clindamycin. However, Dr. Suzuki cautions that one should not give Bactrim to patients on warfarin (Coumadin, Bristol Myers-Squibb) and physicians should adjust the dosage carefully based on the creatinine clearance.
For chronic wounds that do not respond to appropriate therapy, Dr. Pupp will consider the wound's bacterial burden, which increases the metabolic load and produces endotoxins and proteases. He notes that bacterial burden also stimulates a prolonged inflammatory wound environment, which does not allow wounds to heal. If the patient's bacterial burden is problematic and the patient is not responding to newer antibacterial dressings, Dr. Pupp uses oral antibiotics. His empiric oral antibiotic of choice is Bactrim due to its coverage of MRSA, which he frequently encounters in patients with diabetes. He also uses ciprofloxacin (Cipro, Bayer) with clindamycin depending on the patient's allergies.
Dr. Rogers will use a polymerase chain reaction (PCR)-based DNA test for MRSA. He says this test can produce results in two hours and allows clinicians to exclude MRSA coverage in the empiric treatment if results are negative. When it comes to empiric therapy, he first determines the class of infection based on the Infectious Diseases Society of America (IDSA) classification. When it comes to IDSA mild infections (less than 2 cm surrounding cellulitis), he uses a penicillin derivative, cephalosporin or clindamycin. If the patient is at risk for MRSA (or if the DNA screen is positive), Dr. Rogers uses linezolid (Zyvox, Pfizer), trimethoprim/sulfamethoxazole or minocycline.
Dr. Rogers will admit patients with moderate or severe infections (greater than 2 cm surrounding cellulitis with/ without systemic signs of infection) as classified by the IDSA. He uses de-escalation therapy with tigecycline (Tygacil, Wyeth) monotherapy or linezolid plus a gram-negative agent.
Dr. Suzuki notes that technically, one should not be prescribing antibiotics for wounds that appear uninfected. However, he notes an incidence in which that was not true. He recalls a young, healthy male in his 20s who presented with a leg wound that was chronic and non-progressing for a few months. Dr. Suzuki tried different dressings on him for several weeks and then says he prescribed cephalexin "in desperation.
"In two weeks, the wound cleared up beautifully," he remembers. "I am not advocating giving out antibiotics randomly but I guess you have to consider the option once in a while based on the risk versus benefit."
When would you consider switching the wound care goals from curative to palliative?
Dr. Rogers primarily defines palliative care in wound healing as the prevention of infection or prevention of wound deterioration. He emphasizes that the patient's goals, situation and prognosis are paramount. For the patient with an ischemic ulcer without viable vascular interventional possibilities, he says palliative care may also be an option.
"I think palliative wound care may be perceived by some people as 'giving up,' but I do believe it is an important concept in this day and age," says Dr. Suzuki. He cites statistics from a hospice that one-third of hospice patients die with wounds rather than from wounds. He agrees, saying that some of his wound patients do die before complete wound closure occurs.
Dr. Suzuki advocates keeping an open communication with the patients and their families. He emphasizes reviewing their expectations, treatment goals (curative versus palliative) and treatment options (aggressive/surgical versus conservative) from time to time.
"Since major leg amputation is very traumatic to our patients, I often recommend palliative wound care instead for the end-of-life patients, unless they have intractable pain or sepsis," adds Dr. Suzuki.
If Dr. Pupp's patients do not respond to curative wound care and they are in the end stages of a terminal disease, he will provide palliative care so as not to impair the quality of the end of life. Dr. Pupp cites the importance of keeping the patient comfortable and preventing further tissue breakdown, which is usually a result of pressure.
In the face of a recalcitrant wound, from whom would you obtain a second opinion?
Citing the importance of a team approach, Dr. Pupp seeks the second opinion of vascular/endovascular specialists if patients need increased blood flow and tissue perfusion for healing. Vascular specialists (vascular surgeons, interventional radiologists and interventional cardiologists) who can help DPMs manage arterial and venous problems are "indispensable," according to Dr. Suzuki. Dr. Rogers also regularly consults vascular surgeons.
For patients with diabetes, Dr. Pupp will always obtain cardiology clearance/ consults. If patients do not respond to antibiotic treatment or have limb-threatening infections, he consults infectious disease specialists. He refers patients with poorly controlled diabetes to an endocrinologist.
Dr. Suzuki works closely with plastic surgeons and can consult them for input. He notes the importance of other physicians (infectious disease, nephrology, rheumatology, cardiology, etc.) in managing the wound patients, who are often older and have more comorbidities than the average population. He also notes another "second opinion" of asking patients what they think and what has worked for them.
"I think consults from multiple practitioners of varying specialties are helpful in achieving a successful outcome," says Dr. Rogers.
Dr. Pupp is a Fellow of the American College of Foot and Ankle Surgeons. He is the Director of the Foot and Ankle Clinic at Oakland Regional Hospital in Southfield, Mich. He is also a member of the Residency Training Committee at Providence Hospital in Southfield, Mich.
Dr. Rogers is the Director of the Amputation Prevention Center at Broadlawns Medical Center in Des Moines, Iowa. He directs research at the center and has been an investigator on over 20 clinical trials.
Dr. Suzuki is the Medical Director of Tower Wound Care Center at the Cedars-Sinai Medical Towers. He is also on the medical staff of the Cedars-Sinai Medical Center in Los Angeles and is a Visiting Professor at the Tokyo Medical and Dental University in Tokyo, Japan.


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Make more design element labels computed
Michael Sobczak2837 - 29 2007 / (0)
I really like that the label for an Action can now be computed with a formula. How about we extend this to hotspot buttons, controlled access section title text, table tabs, etc.
Collapse / Expand section if formula is true
Ondrej Kostruh1369 - 22 2009 / (0)
Similar as Hide when formula is true. Designer can set section as always open/close, but in the case when formula is true (ie. status field) sections is open by default.
collapsible section - use your own images
Patrick Kwinten21314 - 28 2009 / (0)
I would like to see possible to use your own images for collapsible sections. For example a plus / minus image instead of the 'Notes' twisties.

subset: commoncrawl


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I love the performing arts. A perfect first date would include tickets to a play, dance, or orchestral performance followed up by a cup of coffee to get to know each other and share our thoughts on the performance.
Dinner and live theater at the Theater of Western Springs
We could go to a Drag Queen show, I love watching Drag Queens. Or another show, if you think men in dresses is too much...of a drag. I'm easy to please, too. A simple dinner or drinks is good with me.
I love doing different things. we could go grab some sushi, go to poetry or comedy show. I'm down for whatever as long as we can get to know each other while having fun
Movies? Dinner? Sure, those are great, but why not add the performing arts in your life?
A glass of wine or drink and getting to know one another. Maybe go see either a play or a movie and then maybe get a coffee to talk some more.
Just talking
Having fun , im making you laugh and u making me laugh
A comedy club would be cool to check out
I believe that it should be where you have the opportunity to talk and get to kneel each other. Going to the movies I think is the worst place to go
Dinner and a show, (a play, musical, or a movie).
I have no clue it all depends on the situation and our compatible interests.
You can tell a lot about a person by what they find funny.
Go out to a play or a musical. Drinks and conversation afterward.
Leave it for you to choose, a nice meal and drinks and see where we go from there


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Feb. 2, 2012
Dr. Karl Menninger
Former convict and Kansas City Star reporter J.J. Maloney recalls his 17-year association with Dr. Karl Menninger, the avatar of prison reform.
by J.J. Maloney
In December, 1972, I attended a conference on prison reform in Topeka, Kansas, in connection with a prison series another reporter and I were writing for The Kansas City Star.
At lunch I found myself sitting next to Karl Menninger.
I'd seen pictures of him, but he was much more of a presence than I had expected. About 70 at the time, he was developing bags under his eyes, had silver hair, and was getting jowly; but he radiated intelligence, confidence and power.
Menninger remained slightly aloof until I mentioned to him that I had enjoyed a piece he had written for a bulletin published by the W. Clement Stone Foundation in Chicago.
What piece was that? Menninger asked.
The piece on the history of prison literature, I replied.
Menninger looked puzzled and said he didn't remember that piece. When I said I had a copy in my suitcase, he insisted I go to my room and get it.
He read the piece then said to me, "I didn't write this."
I finally told Menninger I had written the piece myself, for Book World, which was published in The Washington Post and The Chicago Tribune. Apparently someone at the foundation had thought it would have more impact with Menninger's name on it.
Menninger appeared deeply embarrassed, but from that moment forward we had a warm relationship. Every time I would cover one of his appearances, or happen to attend some event at the same time he did, he would insist that I sit at his table.
We met frequently in those days. The 1970s was the heyday of prison reform in America, and Menninger bore the torch for the movement.
It wasn't always cordial. On one occasion when I attended a seminar sponsored by the Menninger Foundation in Topeka, Menninger talked on the subject of training prison management personnel.
I asked him if he'd considered the common problem of prison managers using convicts as pawns in office politics – i.e., after one official gives a convict a job, that official's rival determines the convict isn't really "qualified" for that job and has the convict reassigned. The object of the game is to place the first official's judgment in question. The convict is just a pawn.
Menninger tried to ignore the question and became visibly irritated, as I insisted he elaborate on the issue. You can't work effectively with prison managers unless you consider factors such as this, I said.
When the session ended, Menninger was chilly toward me. But the director of the Kansas Reception and Diagnostic Center thanked me. "We've all wanted to do that for years," he said, "but we don't dare." These doctors and psychologists were intimidated by Menninger. If they irritated him, as I had, they felt they would be risking their careers.
The next time I saw Menninger he insisted that I sit at his table. He told me that my comments at the seminar were correct. The issue needed to be considered. "But that wasn't the time or place," he said. "If we had taken up that issue, we would have had to abandon what we were there to talk about."
It was then that I began to wonder if even the people who worked with Menninger really understood him.
* * *
In early 1975, Menninger was approaching his mid-70s, and I suggested to my editors that we do a major piece on him – a piece intended to put him in perspective, to examine his contributions to psychiatry and the world in general.
They agreed. So I contacted Menninger and, on a Monday I drove to Topeka, an hour west of Kansas City, and went to the Neiswanger Building, a quaint building with a steeple, and found Menninger waiting for me.
I had already read a half-dozen of his books and felt I was prepared to spend a few hours with him and produce a meaningful profile for the Sunday paper. Menninger quickly disabused me of that notion. Had I read about the Menninger family? No. Had I read his mother's book? No.
Well, he said, you can't really write anything meaningful about me unless you know my family, my parents. But, he said, if you just want something for the Sunday paper, I'll try to cooperate.
I spent several hours with him that day, and by the time it was over I realized I was into a project that was bigger than the Sunday paper could hold. I told my editors it was turning into a major project. If Menninger will cooperate, they said, so will we.
There were delays. Menninger was always going somewhere: to give a speech, receive an award, something. The next time I saw him was about a month later, and I discovered George Rapaport had gotten there ahead of me.
Rapaport, who'd written for Rolling Stone, was writing a book for Playboy's book division on the 10 most famous doctors in America. Menninger was one of them. However, Rapaport had irritated Menninger right off. Rapaport was in an outer office because Menninger didn't want to be interviewed by him. Rapaport didn't know what to do.
As I was being ushered into Menninger's office, Rapaport asked if he could sit in and listen while I interviewed Menninger. The thought didn't thrill me, but I said it was up to Menninger.
I mentioned Rapaport's request to Menninger, and he rolled his eyes. Menninger's secretary came in to repeat the request, and Menninger said, with exasperation, "All right, if agrees not to say anything."
Rapaport would say something to Menninger, and Menninger would say, "What was that you said?" as though he'd suddenly been struck deaf. (Menninger wore a hearing aid, and was adept at using it as a defensive weapon.)
Fortunately, Rapaport said he had a conflict with his airline schedule, and had to leave soon. At which Menninger looked immensely pleased. As soon as Rapaport was gone, Menninger relaxed, and we spent approximately four hours together that day. He asked if I would drive him to his doctor, since his toe was bothering him. So I took him for a drive in his first Wankel-engined car, something that seemed to please him greatly, and he lectured me on the development of the Wankel engine.
As the visits continued I began to learn the nuances of Menninger's personality. He was a terrible painter, but mentioned more than once that Churchill and Eisenhower had both painted, and I suspected his failure to paint would be perceived, by him, as a failure to be a Renaissance man. I was tactful in discussing his painting with him, and on one occasion he expressed frustration at not being able to get his sky to turn out the way he wanted. I told him to try cerulean blue, and he peered at me.
"I didn't know you painted."
"That's what I did before I became a writer," I explained.
The next time I saw him he raved about the qualities of cerulean blue.
* * *
Menninger had a poodle named Celeste, a dog devoted to him, which obeyed him remarkably. He loved to toss peanuts to Celeste so she could catch them in mid-air. On getting into a car, Menninger would say, "In back, Celeste," and she would hop into the rear seat and rivet herself there. In his office she would curl up out of the way, and become an invisible fixture.
In all the time I spent around Celeste, it was never necessary for anyone to take her outside to relieve herself, and I never saw her do that. Nor, in all the time I had spent with Menninger, was there ever a time when he had to go to the bathroom.
I've often thought it is that very sense of propriety upon which the concept of civilization is constructed.
* * *
Menninger had been a handsome man when younger, and with his charisma and success, I'm sure the opportunities for affairs with fascinating women came his way with some regularity. But I made no effort to discover that.
By more contemporary standards, many journalists would fault me for not delving into that area of his life. They would argue that the private life of a psychiatrist surely illuminates his work and gives it meaning.
But I remember pointing to a print by Pablo Picasso and asking Menninger what he thought of Picasso. Menninger's face lit up. He's great, Menninger said, and I don't want to analyze him.
He understood that analyzing Picasso's work is different from analyzing the man – why he painted what he did, or whether he had an inner ear disorder that caused him to do this or that. Van Gogh, for instance, is one of my favorite painters, and I resent efforts by doctors to explain away his talent by linking it to his mental illness.
Shortly before Menninger's death, a book was published that did reveal Menninger's affairs, or those that the author could uncover. But to what end? There had been brief hints during our conversations. During a discussion of prostitution, Menninger shook his head and bemoaned that sadness of driving around the block and having anonymous sex with someone you'll never see again, and didn't care about in the first place.
"You'd think," he said, "they would at least want a nice, comfortable room, where they could be caring and loving about one another."
* * *
At one point I asked Menninger to tell me about some of the subjects he'd studied. He laughed and called his secretary into the room.
"Take Mister Maloney into the next room and show him my research files," Menninger instructed. "Then bring him back a humbler man."
As I browsed through those files, housed in binders that looked like books, my respect for the man deepened. His interest, over a half century, ranged from the tall grass prairie to the American Indian, homelessness, homosexuality, every imaginable form of mental illness – there wasn't anything I could think of that wasn't contained in those files. More important, he had taken firm stands on controversial issues decades before those issues became chic.
I returned to his office a humbler man.
During a discussion on pornography, I asked him if he'd seen Deep Throat.
"I saw it," he said, looking bored. "It was just another cocksucking movie." Then he explained that a woman's ability to suck a long penis was a matter of throat control, not unlike that needed by a sword swallower in the circus.
"You have to control the gag reflex," Menninger said, picking up a long yellow pencil from his desk. He lowered the pencil into his throat. Then he pulled it out, threw it back on the desk and changed the subject.
* * *
Late one evening we were discussing prisons and Menninger told me of the mines at Lansing prison, in Kansas, and the miserable conditions in which the convicts lived and worked.
"Sometimes I think of some poor convict, lying on his straw mattress late at night, asking himself, 'Why did I do it? Why did I do it?' But I also ask myself, 'Why do we do it? Why do we treat our fellow man that way? Are we any better?'"
It was snowing outside and getting dark. Menninger's chin drooped toward his chest. I couldn't tell if he were dozing or thinking. Celeste was at his feet. After about five minutes he raised his head.
"Would you be kind enough to drive me home? We can have a cocktail there."
* * *
Not long after my articles on Menninger ran in The Kansas City Star, he had several strokes. He underwent surgery at the Mayo Clinic, and most people assumed he was finished. He recovered, however, and I called him to see if he were up to an interview.
He invited me to come see him, and agreed to let me bring a photographer. I took my wife, Chris, along and when we got to Menninger's office he was nowhere around. His grandson, Karl Menninger II (a lawyer) took my wife and me to lunch, since the photographer, after waiting an hour, had to go to another assignment.
After lunch we returned to Menninger's office, but again he was nowhere to be found. Karl II seemed slightly embarrassed, so Chris and I decided to go back to Kansas City. However, I sat in my car for several minutes and decided to go back into the building to try to find out what had happened to Menninger. He was difficult to get in to see, but I'd always found him to be punctual once an appointment was made.
We walked up to the door of his office, and Menninger was seated at his desk. When he looked up and saw me standing there, a look of shame swept across his face. He motioned for me to have a seat.
One side of his face was like melted wax. "It wasn't until today that I realized you were bringing a photographer," he said, adding that he didn't think he was ready for photographers yet. We chatted for about an hour, and I wrote a story to the effect that Menninger was back at work.
That was the last time I met with Menninger in person, although we corresponded, and talked on the telephone, until shortly before his death in 1990.
After his death, I spent considerable time reflecting on why I'd been so impressed by this man. I decided that Menninger was representative of a dying breed: a genuine humanitarian, a true gentleman, who saw the cup as half full rather than half empty. A man who could inspire you to want to be a better person.


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Friday, July 06, 2012
Thank You and Until We Eat Again
Hey everyone! I know it's been awhile. In fact, 3 months is the longest I've ever gone without writing a post. As you can probably tell from the "Thank You" graphic, this post is going to be quite different than the rest.
It all started actually 4 or 5 months ago when I somehow deleted over 300 photos from my Picassa Album. Of course, this was before I used Flickr to store my photos. Slowly, I started adding photos back, but I found myself procrastinating and just kept on putting up new blog posts instead.
However, when I found myself procrastinating even more when it came to writing up new blog articles, I realized that this way of blogging wasn't for me anymore. Don't get me wrong. I still enjoy eating out, but the whole process of doing restaurant critiques just wasn't something I wanted to put any more extra effort into.
After awhile, I decided that I needed to keep things simpler. I still wanted to share info about the restaurants I visit and the delicious meals I experience, so one thing I did was open up an Instagram account. In fact, I have posted over 600 photos there, with the majority being food. Click here to check out my Instagram profile. I'd love it if you follow me there.
Going forward, I decided to move from Blogger to Tumblr. What I like about Tumblr is that it feels more stream of consciousness to me. Posts can be brief and to the point with just text, a photo or both and that definitely suits me at this point in my life. Click here to follow me on Tumblr. I'm still new on Tumblr, so it's still a bit bare, but it won't be for long, so I hope you'll give it a chance.
Anyway, as I make this change in my "blogging" life, I did want to say a big "Thanks" to those of you who have read and commented on my blog posts. I've really appreciated the support. I'm also thankful for the many wonderful people I've met as well as for the unique culinary experiences I had as a direct result of writing this blog. It has been a wonderful 6-1/2 years and while it's an end for my "Blogger" life, my "Tumblr" life is just beginning.
Of course, being as socially media obsessed as I am, you can still:
Like the Pleasure Palate Facebook Page
Like the Show Some Filipino Food Love Facebook Page
Friend Me on Facebook
Follow Me on Twitter
Follow Me on Foursquare
Follow Me on Flickr
Follow Me on Foodspotting
Follow Me on Pinterest
Now you can also:
Follow Me on Instagram
Purchase My Instagram Photos Here
Follow Me on Tumblr
To end, I won't say good-bye. Instead, how about an "Until We Eat Again!" :)
Bookmark this post:blogger tutorials Social Bookmarking Blogger Widget
Posted by pleasurepalate at 10:59 PM 1 comments
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just having a little trouble, I do have pocomail 4 on thumbdrive, when hooking up to another computer.
It's saying it's been installed but none of my emails have actually transported over from home to work, I am just hoping when I do get home and put in the thumbdrive they're all there waiting for me.
If anyone has any thoughts they will be greatly appreciated.
thanks again.


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By Sam Wheeler
for the Mail Tribune
Ashland police are calling on one of the nation's leading forensic specialists of sharp-force trauma wounds to re-examine those inflicted on 23-year-old David Michael Grubbs when he was attacked Nov. 19.
Police Chief Terry Holderness said Steven Symes, a forensic anthropologist based out of Erie, Penn., will arrive in Ashland on Tuesday.
Symes is an assistant professor at Mercyhurst College, where he is part of a master's program for forensic and biological anthropology. He is also part-time faculty member in the Anthropology Department at the University of Tennessee in Knoxville.
Symes specializes in sharp-force trauma, with an expertise in saw and blade marks on bone, and also is renowned for his work with burned bone trauma.
He is one of fewer than 90 forensic anthropologists nationwide who are certified by the American Board of Forensic Anthropology.
"We're getting the best of the best," said Holderness.
Holderness said his department was led to Symes after making inquiries with the Los Angeles County Sheriff's Department, a forensic specialist at the University of Oregon and the FBI.
"They all said this was the guy," he said.
Symes could not immediately be reached for comment Wednesday.
Grubbs was found murdered on the Central Ashland Bike Path near the Hunter Park tennis courts at about 5:35 p.m. Nov. 19. An autopsy showed that he was nearly decapitated from a weapon with a medium to large blade, police said.
Investigators said Grubbs didn't appear to make any defensive moves in the attack, and that his wallet and money were left in his pocket after he was killed.
So far, Holderness said, evidence points toward the attack being random, because police are not finding any reason for Grubbs to have been targeted.
As police broaden their scope of the investigation, however, they are considering the possibility that his attacker or attackers may have been acquainted with him through online video games, Holderness said.
"There have been instances in other communities where someone has retaliated against another person they interacted with online," Holderness said. "We understand that it's probably unlikely, but we're still looking into it just as a possibility."
At a community forum held by Ashland police Tuesday night, one woman asked Holderness whether police could track down people in the area who are known to be affiliated with swords and other martial-arts weapons, since they likely represent a small group of people.
But Holderness said because of the enthusiasm younger generations have with video games such as "Assassin's Creed" and other martial-arts animation games and shows, more people now own swords and other such weapons.
He said it is no longer rare for a person to own a sword, or to be interested in that culture.
"But we are considering all of those subcultures," he said, "because you never know."
There is a reward fund set up for anyone who can provide information that leads to an arrest in the Grubbs case.
The reward is currently $1,000, but likely will grow as community members make contributions to the pool.
Anyone wanting to contribute to the fund can mail a check to the Medford Police Department, 411 W. Eighth St., with attention to Ruth Cox. Checks can be made payable to "Crime Stoppers of Southern Oregon for Grubbs reward," Cox said.
Crime Stoppers of Southern Oregon established the reward fund on Monday.
Sam Wheeler is a reporter for the Ashland Daily Tidings. Reach him at 541-499-1490 or email@example.com.
This story originally appeared in Medford Mail Tribune.


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Have you ever thought about writing your congressman or the President or wanted to send your $.02 in to a newspaper or magazine but you didn't know how to contact them? This is the site for you:
Mr. Smith Emails Washington / The Media
You can click on your state or the Whitehouse or different congressional committees within the Washington side and send your message to them through an online web form.
On the media side there are hundreds (maybe thousands) of publications and media outlets to choose from. They are categorized to make it easier to find what you are looking for. Once you find it you can voice your opinion by writing your message in the online web form and having it delivered to the editor of the publication you choose.
You always hear people say that an individual can't make a difference, and I don't necessarily believe (especially emailing politicians) that it changes anything, but enough voices can. I forget the number but I was told once that each letter sent to a congressman was treated as if it were 2000 or 5000. Basically, they assume that for everybody with the time, energy and balls to send them a letter there are X number of lazy people who feel the same way.
Check it out and let your voice be heard.


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Model numbers can be made up of numbers (1005400, for example) or a combination of letters and numbers (LAT1000AAE). The model number will most likely appear on either a paper sticker or a metal plate. Your appliance's model number tag may look similar to the sample model number plate shown here:
All brand logos are trademarks of their respective owners.
The PartSelect logo is a Registered Trademark of Atlantic Laundry Centres, Ltd.
Copyright © 1999-2020, Eldis Group Partnership. All rights reserved.


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Nefu Da Don Responds To Stack Bundles Cousin? "We Don't Even Know If Thats His Real Cousin. My Cousin Is Stack Bundles Blood Brother"
Cam reports "NEFU DA DON RESPONDS TO STACK BUNDLES COUSIN. ALSO SAYS BOW WOW STUCK HIM WITH TWO UGLY CHICKS! LOL " Shout out to Name Name
Please click the "Report" button below if the video on this page is not working properly.
Comments will only be displayed by verified emails. No Spamming or Racism.


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The University of Nevada men's golf team finished its second tournament of the year in a tie for 10th at the Jim Rivers Intercollegiate on Tuesday.
The Wolf Pack finished with a 33-over 897 for the three-round tournament, and shot a combined 303 on Tuesday. The Wolf Pack started slow on Monday shooting a 304 in the first round, but quickly turned it around in the second round by shooting a 290.
Individually, junior Ryan Mulvany lead the way for the Pack as he tied for 13th with a score of 219, which is three over at the par-72 Squire Creek Country Club.
Sophomore Gustavo Chuang also broke the top 20 with a tie for 16th after a 71 on Tuesday. Sophomore Andrew Cornella shot a 77 and tied for 29th.
Sophomore Taylor Knoll placed 59th, and sophomore Zak Griffiths was tied for 61st.
Louisiana Tech's Travis Wilmore won medalist honors with a nine-under-par 206. Central Arkansas won the tournament with a five-over 869.
Nevada is off until Oct. 15-16 when it travels to Fairfax, Calif., to play in the Alister Mackenzie Invitational, which is hosted by Cal.
"We are looking forward to being back on campus, and preparing for a tough tournament against Cal in two weeks," said head coach Jacob Wilner.


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Humor us for a moment.
Tarik El-Bashir reports that Matt Bradley has been signed to a new, three-year deal with the Caps. We'd have to think this has ramifications for the re-signing of unrestricted free agent Matt Cooke, since Cooke made more than twice as much last year ($1.525 million) as did Matt Bradley ($700,000).
It is not unreasonable to think that for 2008-2009, Cooke's salary on the open market would end up being at least $1.0 million more than what Bradley re-signed for with the Caps.
If one assumes that Mike Green's re-signing is a slam-dunk, will-happen item, you'd have to think there was at least a place-holder in the Caps' budget for him. Ditto for other restricteds like Boyd Gordon or Shaone Morrisonn.
But about whom is there some uncertainty...a player for whom money might need to be freed up to re-sign?
Perhaps the signing of Matt Bradley (and what we now presume will be a lack of overwhelming desire to re-sign Matt Cooke) provides a glimpse into whether Sergei Fedorov will return.
Hey...it's summer, we are entitled to delusions.
photo: The Associated Press


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At NIDA's Drug Facts Chat Day, we get great questions from teens all over the country about drugs. Here's one from "hhentze," representing Junction City High School in Oregon:
"What drug is most often used by teens in the USA?"
Every year since 1975, the Monitoring the Future Study has surveyed teens to better understand their drug use rates, attitudes, and beliefs. Looking over the past 10 years, data show that more and more teens are saying no to drugs, period. They are not even trying them once.
Still, to answer the question, statistics from 2009 (PDF, 362.76KB) show that the drug most often abused by teens in 8th, 10th, and 12th grades is alcohol, followed by marijuana. The third most abused drug varies by grade—for 8th graders, it's inhalants. For 10th and 12th graders, it's Vicodin (a prescription medication for pain). Here's a little more info:
- Alcohol
So, even though alcohol might be the drug most abused by teens, the good news is that the number of teens who report drinking in the last 30 days has gradually declined by as much as 40% over the past 35 years. You go, Gen Y!
- Marijuana
Seems marijuana use is slowly creeping upwards after a steady decline that lasted almost 10 years. What's up with that? The answer may have to do with the fact that young people are seeing marijuana as less risky than before and are more accepting of its use in general.
- Inhalants and Vicodin
With both inhalants and Vicodin, the rates of abuse among teens are about the same as they have been for the past 2-3 years. That's pretty positive, especially since the study only recently started looking at trends in prescription drugs.
Your Turn
Carry out your own mini-study and see what drugs friends, relatives, or teachers think are most often abused by teens. Feel free to share what you found out with us in the comments. Spread the word, and help set the record straight.
Update: For the latest findings from the Monitoring the Future survey, check out this blog post.
I mean Coca Cola and all soda best drug for teens!
what a good job!!
I think 4 drugs are drugs kids do the most, [deleted for privacy concerns] 1 is alc 2 weed 3 stuff you breath in like air duster and last 4 is pills ! (: [deleted for privacy concerns]. i think this is the drugs kids most use!
I admire the valuable information you offer in your articles. I will bookmark your site and have my children check up here often. I am quite sure they will learn lots of new stuff here than anybody else!
i think it's liquors..
i think its probaly pills because there easy to acess
I can say from personal expirience that when I was younger,the most commonly used narcotic was alcohol and marijuana. As I got older,my use grew into a wider variety of substances,and before I knew it,I was using opiods on a daily basis. I was addicted. I think that this article gives everyone a very broad look on what and how these all can be obtainable,and misused. It is a sad sad situation to see anyone,a child especially,falll under the influence of a drug,and not be able to climb out of it,and sadly,they have gotten labled as a dope phiend as many of us have already. but there is help! It's out there,and I am living full proof of that!
i think that it is alchool because almost everyone can get it another ways like from peers and from parents and from just adults.
Started out w pot probly around 15yrs old,occasionally,but slowly increased to everyda,multiple times a day..and would notice I'm irritable if I ran out,couldn't sleep good for a few days.....then I got into rx like xanax and vicodon,tried xtc,shrooms(havnt taken in 6yrs)..got hooked on xanax,and that was a hard fight to win,I had to move but I did it, I'm 25y/o now and been dealing with painkileer addiction for a couple yrs, wish I never cobtinued to take them....I dnt drink at all......I dnt like stimulants....all I know is I wish I had a dif lifestyle
i think its tobaco, alcohol or matuhana
marijuana *
Hi Donna. Tramadol is a prescription opioid pain medication. We don't know how many teens use this drug specifically, but according to the 2014 Monitoring the Future study less than 5% of 12 graders have used Vicodin and OxyContin—which are commonly abused opioid medications. For more information, please check out Drug Facts: Prescription Pain Medications.


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Wow! I was surprised when I looked at the current poll and found it to be my earlier suggestion. Just-wow.
My original reason for the idea was that I had started myself a small project in late January: I wanted to write something to standardize the abbreviations used in a lengthy list of customer addresses where I work. I started with a listing of US Postal Service abbreviations, and began writing expressions to check for common variations and replace them. In doing so, I realized I could use the Test::* framework to generate tests to make sure none of the patterns I had created were too lax or too aggressive, plus it would give me a reason to play with testing, something that I too have not done as much of as I should. When my generated count of tests exceeded 1.0e4, I began to wonder how many tests others had created/generated/written, and thus the question I posted. (As for the project, I ran out of to-its with a full 10+ minute run of the tests (exceeding 5.8e5, including, at that point, 9 failures), probably several dozen expressions left to write, and the eventual intent to try my hand at morphing it into some kind of usable module.)
In reply to Re^2: What is the largest number of tests you have created for a single project you have worked on?
by atcroft


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5 Critical Competencies for Disruptive Innovation and Change
By Soren Kaplan
Disruptive innovation and change have become the norm. Most of us know that if we don't proactively innovate and change the game, someone else will rewrite the rules for us. Just think Blockbuster, Borders, Blackberry, and Kodak.
At the same time, business culture reinforces the idea that uncertainty should be avoided at all costs. Control is the goal. No wonder every management book on Amazon that uses the word "surprise" in its title focuses on preventing the phenomenon from occurring.
But here's the problem. Disruptive innovation and change aren't formulaic. Whether we're intentionally innovating or responding to competitive threats, today's leaders (and most employees) must live with constant uncertainty and continually respond to the unpredictable.
Take Sarah Robb O'Hagan, president of Gatorade, for example. Having learned that many young football players pack bananas in their sport bags only to find them mashed between their cleats before practice, she asked her product development team to create a better solution. The result: a pre-workout drink pouch containing a powerful carbohydrate punch. The ingredients weren't the challenge. It was the container. "We knew drink bottles like the backs of our hands, but pouches were a completely new animal," Sarah said.
Gatorade launched the pouch with lightening speed, hoping to make a big splash in the market by establishing a new product category. But while the pouches had tested well in the lab setting, some of them leaked when sitting on store shelves—a pretty big problem for a product meant to be a cleaner alternative to mushy pre-workout snacks such as bananas. In many organizations, customer complaints and internal grumblings would have stopped the entire program in its tracks. Rather than running for cover and placing blame, Sarah focused on personally managing the fallout while turning the problem into a learning opportunity.
Sarah helped her team "reframe failure" by using the experience to emphasize the importance of trial and error. "We could have waited another six months to 'get it right,'" she told me, "but we would have missed both the summer season and a great learning opportunity. In fact, the leaky pouches caused everyone to revisit their assumptions about the packaging, which led to an even better ergonomic design and superior packaging materials." The pre-workout drink pouch, along with several other products, ultimately became the foundation upon which Gatorade reinvented and re-energized its entire product line and brand.
About the time Gatorade was introducing its new pre-workout pouch, Sarah woke up to a brutal Wall Street Journal headline: "Pepsi Sweats Over Gatorade: CEO Nooyi Concedes Sports Drink's Glory Days Are Over; Redesign Backfires." Most executives (heck, most human beings) would have wilted in the white-hot glare of that kind of media heat. "That was such a rocky year," Sarah recalled. "There was so much nervousness in the company, and we had a lot of negative feedback from the media. But at the same time, we were watching the good things that were starting to be said about our new products online with young athletes on Facebook and Twitter, and we could see that there was real energy building around our focus on performance." She also believed in the pipeline of things to come that hopefully soon would turn the critics into believers. To this day, Sarah keeps a copy of the article on her wall. It serves as a memento of sorts, a symbol of what she and everyone else involved in the project had to overcome as they searched their corporate souls for direction.
Our inherently uncertain environment demands a new set of competencies focused on navigating disruptive change while proactively driving game-changing breakthroughs. Five leadership competencies are essential for success in today's unpredictable world. And these competencies need to be embraced by leaders, role modeled, and instilled into teams and individuals across the organization—just like Sarah did at Gatorade.
- A Leapfrogging Mindset. Leading disruptive innovation and change involves leapfrogging—creating or doing something radically new or different that produces a significant leap forward. People who possess an unyielding desire to create a breakthrough ensure that everything they do focuses on adding a whole new level of value to customers, the market, and the organization.
- Boundary Pushing. Pushing boundaries is important on two levels. On the personal side, people who live abroad, work across multiple functions, and surround themselves with diverse team members continually broaden their mindsets and enhance creative problem solving skills. From a strategic perspective, they push the limits of their colleagues, teams, organizations, and partners.
- Data-Intuition Integration. Most leaders demand hard data when making critical decisions. In times of disruptive change, robust data rarely exist. Leaders must use any information they can obtain from any source inside and outside the company—but then complement that data by using their gut to round out the equation.
- Adaptive Planning. Leading disruptive innovation requires managing unsurpassed levels of uncertainty. Adaptive planning involves taking action to drive results, learning from them, and then modifying assumptions and approaches accordingly. Whether these "results" are good or bad, they bring us closer to our breakthroughs since they result in new insights—just like Gatorade experienced. These new insights shape our future strategies, plans, and actions, which are better aligned to the needs of the market.
- Savoring Surprise. Disruptive innovation and change is a process chock full of surprise—failures, successes, unexpected technological advancements, competitive moves, customer feedback, political and regulatory shifts, and other unforeseen events. Most leaders assume surprises always should be avoided. But those who realize that surprises are an inevitable part of business (just like life) are best equipped to actually use surprise as a strategic tool—which makes them the most agile and fastest to respond to or capitalize on unforeseen events.
In today's turbulent environment, disruptive innovation and transformational change go hand in hand. Companies that want to proactively drive game-changing breakthroughs must give their leaders and employees the requisite mindsets, skills, and tools to actually break through—personally and on behalf of the business.
Excerpt from "Leapfrogging: Harness the Power of Surprise for Business Breakthroughs" by Soren Kaplan (Berrett-Koehler; August 2012). For more information, visit www.leapfrogging.com
Soren Kaplan is the author of "Leapfrogging" and a managing principal at InnovationPoint LLC in San Francisco, where he advises start-ups and consults to companies including Cisco, Colgate, Disney, Medtronic, and Visa.He led the internal strategy and innovation group at HP during the 1990s and is an adjunct professor within the Imagineering Academy at NHTV Breda University of Applied Sciences in The Netherlands.


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The Organisation for Economic Co-operation and Development (OECD) Development Assistance Committee (DAC) and its International Network on Conflict and Fragility (INCAF) do an admirable job bringing together policymakers, collecting and synthesizing information, and helping set the agenda for donors.
But, as exemplified by Emmanuel Letouzé's (lead author) and Juana de Catheu (co-author)'s recent report Fragile States 2013: Resource Flows and Trends in a Shifting World, its analysis of fragile states is flawed in a couple of important ways.
My major complaints are:
1) The report does not have an accurate conceptualization of why states are fragile
Although the OECD has reached a "broad agreement . . . on what constitutes fragility," its definition—"a fragile region or state has weak capacity to carry out basic governance functions, and lacks the ability to develop mutually constructive relations with society" (page 15)—says nothing about the underlying sociopolitical dynamics that play a dominant role in causing states to be fragile.
While the report correctly argues for a shift from a "thin" to a "thick" conceptualization of state fragility, it considers a "thick" conceptualization to encompass "the multiple dimensions of state-society relations" (page 13) and a "substantive understanding centred on the quality of state-society relations and with greater attention to potential stress factors, including economic vulnerability, demographic dynamics, climate change and technological innovation" (page 15). The report is so focused on the nature of the relationship between the state and society that it mentions it 15 times. It refers to social contracts—considered key to fixing these relationships—13 times.
In contrast, it does not mention identity in the whole report, and mentions the word sectarian once. This ignores the most fundamental question determining whether states are fragile or not: do groups of people with different identities, ideologies and interests feel enough solidarity and fraternity with their fellow citizens to work together inclusively? The report thus pays no heed to the fact that "society" as understood in more cohesive nation-states—such as the countries that make up the OECD—does not exist in these deeply divided places. Just look at Syria today. How will this country build any relationship between its future government and society if its various groups are unable to work together with a certain degree of trust? Accepting these political identity divisions as part of the landscape is crucial to determining how to enhance stability and improve governance.
In addition, it assumes that the nature of the state can be determined solely by whether it can "carry out basic governance functions," ignoring the degree of institutionalization—an important factor in determining legitimacy and resilience (even when the state underperforms). Governments such as India's may have "weak capacity to carry out basic governance functions," but they are anything but fragile because of how history has conditioned their peoples to accept common identities, borders, and institutions. In contrast, countries such as the Soviet Union (before 1991) and Syria (before 2011) have relatively robust capacities to carry out basic functions, but do not have the cohesion and legitimacy to survive major changes to how they operate.
The OECD definition depends too much on Western ideological conceptions of how states ought to work, and ignores inconvenient (to Western mindsets) factors such as identity and history—despite ample evidence from across the world that these latter factors are crucial.
These misunderstandings lead the OECD to a wrong assessment of what countries are fragile. Its list of 47 states includes none from the Arab world even though these are now widely recognized as among the most fragile (the list was drawn up based on pre Arab Spring data). On the other hand, it considers Iran and North Korea as fragile even though neither of these have sociopolitical fractures (Iran is diverse but that does not mean Iranians do not have for the most part a common identity). Bad policy and leadership does not necessarily make a country structurally fragile, at least in the short-term. It may lead to poor development outcomes, but then so do the policy choices of some well-developed countries (including members of the OECD). If the governments of these two countries changed, it is likely they both would become dynamic rather soon instead of slipping into the abyss that sectarian divided states such as Syria (a country barely mentioned in the report) finds itself. They are much less likely to implode during any transition than other countries that appear broadly similar precisely because they are not structurally fragile.
The International Dialogue on Peacebuilding and Statebuilding's New Deal shows a much better understanding of what causes fragility, probably because it better reflects the opinions of fragile states and not just the notions of rich donors. Its focus on "legitimate politics (inclusive political settlements and conflict resolution); security; justice; economic foundations (employment and livelihoods); and revenues and services" (page 35) makes much more sense given the challenges fragile states face.
For more on these issues, see: Social Covenants: The Missing Ingredient in State Building Efforts
2) The report fails to differentiate between fragile states and "fragile moments"
Because they have no sound theoretical basis for what denotes fragility, organizations such as the OECD and the Fund for Peace, which annually publishes the Failed States Index, grope about when trying to formulate lists and indicators. As a result, they often act as if every developing country that has weak governance indicators (by the World Bank's standards, which fail to capture important information about states) and experiences turbulence is fragile.
But this masks great differences in underlying dynamics, leading to the inclusion of countries that are structurally sound but in need of substantial change (with, for instance, their social contracts and leadership) as well as those that are structurally fragile, and unlikely to fix their problems using the standard set of remedies.
The former group is likely experiencing a "fragile moment" (which, admittedly, may last a few years) that they will be able to escape relatively easily after a transition period. They need more accountable governments and better economic policies, but are likely to have the cohesion and institutions able to produce them after some short-term turmoil. The latter group, in contrast, are likely to be fragile for a very long time, and are in need of long-lasting measures that strengthen cohesion, take into account ethnic or religious divisions, and increase institutionalization. Elections and economic reforms may exacerbate their conditions if not accompanied and implemented in ways that take into account these deeper issues.
Tunisia, for example, is more akin to an Eastern European country transitioning to democracy than a fragile state because of its level of cohesion and institutionalization. It will likely be the most successful product of the Arab Spring. It does not belong on fragile state lists (just like Eastern European countries such as Poland would not have if such lists existed in 1989); it is experiencing a fragile moment that will pass.
Countries such as Syria and Libya (and Iraq, Lebanon, Yemen, and so forth) are much less cohesive and much less institutionalized. Their peoples identify with a subgroup (religious, ethnic, tribal, or ideological) more than with the central state, and have had little experience working together to govern a country. The governments did not exist before World War I, and have a very limited ability to act capably and independently of the underlying social fabric. Even though they appeared on no fragile states list before the Arab Spring, they were fragile then and will continue to be so for many years to come.
For more on these issues, see: Differentiating Between Fragile States and Transition Countries
3) The report makes too big a deal of the fact that more fragile states are now middle-income countries (MIC) than in the past
Income is a bad determinant of country condition, and can easily mislead when it comes to fragility. This is especially true when strongly influenced by natural resources, which can boost average incomes without improving how a state works (or how most people live). Natural resources may, on the contrary, make states less likely to work well by increasing the chance of elite capture and conflict.
Yet, the report—and analysts such as Laurence Chandy and Geoffrey Gertz—argues that middle-income fragile states deserve to be classified separately than their poorer counterparts.
This may be true in a few select cases, such as Bosnia, because "aid is a small part of the development equation in middle-income economies, more attention needs to be focused on how aid can leverage structural change and catalyse non-aid flows to promote development" (page 11).
But it fails to take into account how natural resources (in places such as Nigeria, Angola, and Sudan, all of which depend on oil for over 88 percent of their exports according to the table on page 19) and debt distort country categorization and how small changes in incomes (from as little as $1005 to $1006, the minimum threshold to reach middle-income status) may push countries (such as Pakistan and Yemen) into the middle-income bracket without substantially changing underlying dynamics. Indeed, it is often wrong to use the World Bank classification system to categorize developing countries precisely because of the great number of false readings it produces. (As Jonathan Glennie has noted, between 1978 and 2003, 25 MICs fell into the low-income country (LIC) category; most of the states that have graduated from LIC to MIC status in the last decade were actually MIC at some point in the past.)
The report acknowledges the deficiencies involved with using income as an indicator in a number of places, such as when it admits that "measuring success through the narrow lens of short-term results, using 'thin' indicators such as GDP growth and food availability without regard to the impact of development programmes on social and political dynamics, can result in spectacular disaster" (page 47) and points out that "graduation to middle-income status is based on income per capita and does not fully represent the level of development in a country" (page 104).
Increases in income without concomitant increases in institutionalization and inclusiveness explain why the report finds that "in spite of this shift in income level, poverty remains concentrated in fragile states" (pages 11, 29, 30, 35) and that "fragile states are almost always well below their trade and investment potential. This is most obvious in the case of fragile states endowed with abundant natural resources" (page 104).
What would happen to these countries' categorization if petroleum returned to its 1999 price of $19 per barrel?
Yet, the report makes wide use of the phrase "nearly half of all fragile states are now classified as middle-income countries" and depends on this categorization for a number of important conclusions (such as when it states that "the share of the global poor living in MIFS has increased 17-fold over the past five years alone" on page 32).
The OECD (and the World Bank and other development players) ought to use a categorization system that is more useful for analysis.
For more on these issues, see: Do World Bank Country Classifications Hurt the Poor?
4) The report misleadingly states that "not one of these countries [fragile states] has achieved a single Millennium Development Goal" (pages 1, 30, 35)
As Paul Harvey of the Secure Livelihoods Research Consortium has pointed out, this type of characterization is "misleading." Based on a similar but subtly different quote in the World Bank's 2011 World Development Report on conflict, security and development (which actually uses a different set of countries and definition than that used in this report), it ignores the fact that some of the states discussed "are on track / very likely to meet at least five of the eight MDGs (See Gates et al 2010 and MDG Monitor)," including Afghanistan, Bosnia, and Ethiopia.
For more on these issues, see: Are Fragile States Really Failing to Meet the MDGs?
SLRC has a nice chart monitoring progress towards the MDGs for the developing countries that they track.
5) The report shows a lack of understanding of what social cohesion is and how inequality affects fragility
Instead of considering how intergroup dynamics create fragility—as people such as Frances Stewart, Jeffrey Herbst, and Joel Barkan have—the OECD believes that poverty and inequality are influential, seeing that "situations of fragility clearly have common elements—including poverty, inequality and vulnerability" (page 11). As a result, it argues that "by weakening social cohesion, poverty is also a cause of fragility" (page 34).
This conceptualization of social cohesion and the factors that determine how well a society holds together through difficult times is rather "thin," only taking into account economic indicators. A "thicker" conceptualization would see social cohesion as a "complex cultural, psychological and social phenomenon," as Duncan Green put it on his blog earlier last year, understanding that how strong the "social glue" and feelings of togetherness that tie people to each other (what I call "horizontal social cohesion") matters much more to resilience.
Although reducing social inequity and inequality are important, they most matter in fragile states when they overlap with ethnic, religious, clan, or class differences, creating "fault lines" that lead to conflict. Elsewhere, large differences in income may hurt the poor but can be sustained for long periods of time without producing fragility (see Brazil, Botswana, Chile, Hong Kong, and so on). Robust growth that helps everyone may, in fact, be accompanied by sharp increases in inequality that pose no threat at all.
The countries most successful at promoting development and reducing poverty have been horizontally social cohesive, not vertically so. Places like China, Vietnam, Indonesia, and the rest of East Asia have improved the lives of over a billion poor people over the past two generations not because they had "good governance" (as defined by the World Bank), progressive taxes, or followed a certain policy playbook, but because they had the social glue that lubricated business and encouraged leaders to focus on inclusive development.
For more on these issues, see: Horizontal Versus Vertical Social Cohesion: Why the Differences Matter
6) The report suggests that aid to fragile states is improving despite the lack of evidence for this
The OECD report states that "some recent evaluations point to progress in the quality of aid provided to fragile states" (page 63), but provides very little evidence to support this claim. In fact, it only mentions three reports, and one of these (Chandy, 2011) is based on the other two, which only evaluate themselves, and are not based on any independent verification. Most donors are not evaluated at all.
It also concludes (on the same page!) that "every fragile state has had at least one aid shock; and all have experienced considerable volatility"—something very hard to reconcile with this claim.
Aid needs to be evaluated on a comprehensive basis for what it does to countries and not on a project-by-project basis to determine its overall effects on state fragility. Donors could run hundreds of successful individual projects yet do little to decrease fragility. They could, in fact, increase fragility—by, for instance, supporting only one area or ethnic group at the expense of others—even though each of their projects worked "successfully."
For more on these issues, see: Brookings: How Not to Evaluate the Effectiveness of Aid
* * *
Despite these many criticisms, I did also find some very useful data and analysis in this report:
1) The financial information is unsurpassable. There is no better source for finding out information on the financial flows to the 47 countries it covers. The charts and graphics are great.
2) Chapter 3 provides a very useful forecast of possible future trouble spots:
Based on aid and growth prospects, countries that are of particular concern in the coming years include those that:
- are considered chronically under-aided: Madagascar, Togo, Niger, Bangladesh, Guinea, Burkina Faso and Nepal notwithstanding the fact that all, except Niger, can expect slight increases in aid between 2012-15;
- combine projections of falling aid and slow growth, such as Sudan, Chad and Kosovo. Among these, Kosovo faces a particularly sharp fall in aid; and
- demonstrate high aid-dependency and projections of falling aid, such as Afghanistan. (page 91)
3) The analysis of the "eight global factors of fragility" (page 18) provided a useful framework to analyze these issues even though I would call them "exacerbaters," not factors. These aggravate underlying structural drivers of fragility but do not cause them. In some countries, however, they may tilt the environment more towards conflict because of how they affect the incentives of major actors.
4) The emphasis on leveraging aid to promote investment, remittances to promote resilience, and domestic sources of revenue to enhance accountability is also welcome. As the report correctly indicates, "in fragile states, there remains significant scope for leveraging ODA and remittances to increase private sector inflows" (page 12). Wherever possible, such countries ought to lessen "their dependence on aid by reforming their tax administration and policies" (page 43). "A large body of literature outlines the importance of remittances as a source of external finance, and their use and impact on development issues such as health and education, nutrition and poverty, productive investment, socio-economic equality, women's empowerment, and even climate change mitigation" (page 73).
5) The macro analysis of foreign aid and financial flows is very welcome, and provides much insight. As mentioned above, the information on aid shocks is particularly troubling.


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Hey guys,
A question about the backroll. I came back two weeks ago from Dakhla where I was practicing backroll, or what I thought were backrolls. I was practicing steering the kite onto 12 whilst edging, and then using my head and shoulder to rotate. Worked well, though I from what I've interpreted in Toby's video, a backroll need not be that complicated. Is it a matter then of just gaining speed and keeping the kite in one position whilst gaining air without edging? Thanks!


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Listen Now and Rate new music from Bob Dylan
Bob Dylan's new album 'The Tempest' is receiving some rave reviews in major music mags. Rolling Stone gave it 5 stars. Â Yet other critics pan the album. Â Here you can listen and rate the first single, Duquesne Whistle and tell us what your critical mind thinks.
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I do hate these hes bleeding our club dry stories when a club offers an average player a big contract, gets relegated and then regrets it. Players are made to be greedy but clubs are just as greedy. No-one put a gun to Sunderlands head, its just poor club management and theyre reaping what the sowed.But yeah, Roswell is shit.
Their website is so clogged with adverts its not even functional. So buggy
It's basically just a Liverpool programe now, pages and pages about them, the amount of shit that paper gives us is ridiculous. Had a article yesterday about Walcott and his bird saying could they become the new power couple of Liverpool, someone actually wrote it and it was printed.
I always remember getting told by a Cab driver that Rodwell was out on the piss on a Friday before a game. Can't recall the game but I remember we got beat by a shite team and we were lifeless (pick from many of those under Moyes)Always stuck with me that.
Rodwell should have been coached as a centre back. He was never nimble-enough for DM/CM
he was ment to be a ball playing CB, was expected he would play a few seasons as a DM then move to CB but for some reason everyone forgot to move him to CB
He wasnt aggressive enough for me, so guessing that was probably the main reason.
He wasn't aggressive enough for me, so guessing that was probably the main reason.
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The Mercedes-Benz Geländewagen, or G-Wagen, has been sold to civilian buyers since 1979. The AMG version debuted 20 years later, pairing the rugged overland vehicle with a 5.4-liter supercharged V8. A decade later, its successor, the 6.2-liter G63, was rumored to be on the chopping block. Nope.
Chris Harris got ahold of the most recent AMG-tweaked G-Wagen, which has the latest 5.5-liter biturbo V8 producing 544 hp, and which he sent storming around the Swabian countryside like a coked-up Heck fighting bull.
Shockingly, it only weighs 5,621 pounds. Sounds like a lot, but for a ladder-chassis military vehicle with a racing engine, it's actually sort of svelte.
As Chris says, The G63 is so bad, it's almost good — for irritating Porsche drivers on the autobahn, primarily.


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Natural Healing …. And Your Spiritual Life RestoredNovember 5, 2011 at 4:16 PM | Posted in A Conscious Life, Hulda Clark, Natural Healing Techniques NOW, Naturally., Prayer, Spirituality, The God in Me, The Zapper, Uncategorized | Leave a comment
Tags: Good Life From Natural Healing, Honor, Natural Healing, Peace and Healing, Prayer, Spirituality in Life, The Hulda Clark Protocol
My conversation with Arthur Doerksen of www.bestzapper.com today on November 5th, 2011, is one of many that I believe will bring an awakening and personal resolve to many people.
No one but you can take responsibility for your well being, despite the many advertisements and the unbelievable pressure that is put upon the consumer to 'submit' to unethical, uncouth authority figures who have put themselves in a position of undeserved superiority over their victims. Yes, and I do mean VICTIMS of allopathic, toxic medicine….
My 20 minute conversation with Arthur Doerksen can be heard on my Archives section, and I highly recommend you check out our conversation for yourself and then check out his web page to both educate and empower yourself.
Take healing into your own hands, as God originally designed for us to do, and take control of your well being naturally. You are entitled to homeostasis in body, mind, and spirit. In fact, it IS your Birthright!
Healing yourself with natural modalities and herbs, vitamins, cleansing [the first thing you should do] along with Organic, sustainable juices, foods, and nutrients can heal your body 100%. It is a LIFESTYLE. Not a "good luck charm" that too many people treat this delicate balance as…. you have to choose to be a Samurai in many ways to re-gain your health AND to maintain your health, well being, honor, and enlightenment.
Remember, many 'forces' will try to overpower you and to discourage you [even manipulate you] when you begin to be a voice for yourself… but be Vigilant. Your life is important, and your Birthright is one of GREATNESS if you just believe in the God who made you to live up to your full potential.
"Any illness is a direct message to you that tells you how you have not been loving who you are, cherishing yourself in order to be who you are. This is the basis of all healing." —- Barbara Brennan
Part II: University Professor and Author Carol Swain: "Be The People: A Call To Reclaim America's Faith and Promise."
Why not be your authentic, truthful, honorable, Godly self? You were made to be a blessing, so why not live this life to its fullest? What is stopping us, as a society, from choosing the GOOD over the omnipresent evil?
We do have a choice. But we are constantly being subjected to "Political Correctness" and other silly social mores that cut the spirituality right out of our daily lives…. subtly, without notice, yet distinctly and directly.
I believe that our lives are greatly rewarded and blessed when we pray. I know my life was changed and restored by God, and Carol Swain has given testimony that her life was also healed and blessed by her great faith in God.
I strongly believe that the Spirit in your life, mind, being, consciousness IS the biggest part of finding self empowerment and physical and mental wellness along with your life purpose in this world for this short, short life on Earth…. Be your Birthright. You were born for a reason.
Let no one, no entity take your connection to God away from you. This is theft of your very own purpose on Earth…. and it has clearly manifested itself with way too many horrifying stories of hatred, bigotry, physical harm, monetary theft, manipulation, robbery, war, underhanded business practices… child abuse…. lack of respect for animals, the environment, each other…. and the list continues…. WHERE does this all come from? The answer is simple. Lack of Spiritual connection.
Take ahold of your life, and be the child of God you are born to be… and live your life to its fullest blessing.
"Faith has to do with things that are not seen, and hope with things that are not in hand." —-Saint Thomas Aquinas
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Recently, while working on something else, my mind wondered over to the topic, should I purchase the new Family Tree Maker (FTM) software? From my readings, I saw that most people were not going to buy it, but I thought, what new thing would it need to have before I bought it? Within seconds, I thought of the utility that would make me jump up and purchase it. It was copying a descendant FTM report onto a Word document, so I can make changes. For more years than I care to remember, I have used their tab File then; Export Family View to Acrobat (PDF) and attached the PDF to an email, then sent it off. The recipient was usually happy. But, that isn't fair! Because all they can do is just print it and view it, and can't make changes. If they want a long paragraph for themselves from my PDF, they needed to retype it, as there was no way for them to insert the PDF into their files when it came from me!
As I was pondering the above, a descendant genealogy report was on the screen and I took a hard look at it, thinking why not see what a Right Click, then copy the report would do. Quickly, while the data was in the clipboard, I went to a Word document and pasted it. Goodness, there it was, and I could make changes. And a friend could make changes on my work. Simple to the end.
I am not quick to try new things; if it works I am happy. Yesterday, I challenged myself on how to copy a personal photo onto a facebook page. Another blogger and I both wondered about trying to figure out how to do it. By the evening, we had both done it and we felt quite proud of ourselves. Gini Webb must have spent a good hour or more with me last winter on trying to teach me how to upload a blog on facebook, I think I gave up way before she did. But now I know how to do it, it is a snap. Sometimes these technical things are far easier than we realize!
HENRY SKERRY was born ABT 1606 in Yarmouth, Co. Norfolk, England, and died 30 DEC 1691 in Salem, Essex Co., Massachusetts. He married ELIZABETH MOULTON ABT 1633 in Ormesby, Norfolk, England, daughter of ROBERT MOULTON and MARY SMYTH. She was born ABT 1610 in Ormesby, Norfolkshire, England, and died 6 MAR 1692/93 in Salem, Essex Co., Massachusetts.
Children of HENRY SKERRY and ELIZABETH MOULTON were:


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Every day that passes without a deficit-cutting deal makes it more likely that the federal government will be forced into its first "sequester" in nearly 30 years, a problem of politicians' own making that could suck billions of dollars out of the economy.
The sequester is Washington jargon for using the threat of automatic spending cuts to force action on reducing the debt. The term doesn't mean much to most people outside the capital, and you could be forgiven for assuming that the president and lawmakers will scramble at the last minute to dodge their deadline and set up a new one. That is, after all, how the current predicament came to be.
But politicians are cutting it awfully close, making the risk very real, scholars and analysts say.
And the stakes have arguably never been higher: the sequester is just one of three looming fiscal deadlines, each with its own potentially calamitous impact on the tenuous economic recovery.
U.S. & World
"This is unprecedented," said Steve Bell, senior director of economic policy at the Washington D.C.-based Bipartisan Policy Center, who served as staff director of the Senate Budget Committee in the early 1980s, when the last sequester showdown occurred. "I'm a historian of this stuff, and this has never happened together, these things. I don't know what the technical term is down here, but where I'm from, New Mexico and Colorado, we call it 'a goat rope'…chaos and confusion, where nobody knows what's going on."
For full politics coverage, visit NBCNews.com.
The sequester is scheduled to go into effect March 1, triggering the opening phase of cuts that will total more than $1 trillion between now and 2021. Most of the reductions would be divided evenly between the defense budget and non-defense spending that isn't already mandated by law (those mandates include Medicaid, Social Security and food stamps). It is up to the president to decide how to apply cuts to those so-called discretionary spending items.
Then, on March 27, comes a temporary appropriations measure that is keeping the federal government running. Without a renewal there will be a shutdown of all non-essential functions.
Finally, in mid-May, a statutory limit on the federal debt, which has been temporarily lifted, will go back into effect and make it difficult for the country to pay its bills.
The chances of all three of those threats becoming reality remain distant. But given the state of partisan discord, it appears "extremely likely" that the sequester will happen, Bell said.
The last time Congress imposed a sequester was 1986 when Ronald Reagan was president -- with limited results.
The current sequester threat has been driven by a darkening crisis surrounding the federal deficit, which is projected to skyrocket in coming decades, primarily because of the rising cost of health care. A couple years ago, Congress settled a fight over raising the country's debt limit by passing the Budget Control Act, which set a Jan. 2, 2013 deadline to find ways to cut $1.5 trillion from the deficit. A bipartisan committee was assigned to come up with a plan, but it failed. Faced with the combination of the sequester, the expiration of Bush-era tax cuts and a scheduled reduction in payroll taxes—a confluence of events known as the "fiscal cliff"—President Barack Obama struck a deal with Congress. It included letting the payroll tax lapse, raising tax rates for households making more than $450,000 and delaying the sequester to the beginning of March. The fiscal cliff deal also allowed taxes on capital gains and dividends to go up and extended jobless benefits.
The new sequester deadline has prompted another showdown between Obama, who has called for a more "balanced" reduction plan that includes eliminating tax breaks for the wealthy, and Congressional Republicans, who say the president already got tax increases out of the fiscal cliff negotiations and should take full responsibility for the sequester. A GOP alternative plan would spare defense cuts and focus on domestic spending.
For 2013, the sequester means more than $85 billion in cuts, including $42 billion from defense, $28 billion from domestic discretionary spending, and nearly $10 billion from Medicare.
With no deal in sight, the White House has prepared a list of deep, wide cuts that it says could costs thousands of jobs, hurt small businesses, damage the government's ability to ensure food safety, diminish the ranks of law enforcement, and reduce school aid and housing assistance—not to mention the massive impact on the military and defense contractors.
Most of the cuts likely won't effect ordinary Americans for weeks, or months, Bell said, because government agencies will first look for ways to cut costs internally, like canceling training and conferences and repairs and slowing down payments on contracts. Furloughing federal workers is always the last resort.
But eventually, the impact will spread across the country, as payments to government contractors and subcontractors and social service agencies dry up. Those employers will have to contemplate cutting their payrolls. The Bipartisan Policy Center estimates that a million or so jobs will be lost under a full-scale sequester in 2013 and 2014. The economy could lose billions of dollars.
"Instead of the lights going out, think about it as a bulb that gets dimmer, bit by bit, as the light gets less and less," Bell said.
The lights-out scenario could come on March 27, the deadline for a government shutdown. If Congress can't avert that crisis, the country could be in for a huge economic blow, Bell said.
But he doesn't see that happening. A more realistic outcome, he said, is after a few weeks of the sequester, the economic turmoil will cause enough blowback in Washington to spur lawmakers to pass another stopgap spending bill and find another temporary fix to the sequester.
"The pain felt by private employers and workers will be made loud and clear to members of the House and Senate, and it's interesting how quickly they react when that happens," Bell said.


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In sixty-four years, a people who were struggling just to survive have become one of the most vibrant and influential nations in the world. A group of people without a home to call their own, a people oppressed in every corner of the world, a people without an army and without elected leadership became a miracle story of incredible success. Leading in the areas of finance, medicine, science, humanitarian endeavors, one can not fail to notice the positive impact Israel has had on our world today. Look around you right now. Chances are that you have something near you that makes your life easier, that was invented by a Jew. Let's start with the computer or device you're using to read this--almost surely a Jewish invention. Do you have a refrigerator in your home? Do you use a ballpoint pen? How about a cell phone? And the list goes on.
Though Jews make up only two-tenths of one percent [.2%] of the world's population, Jews have been awarded twenty percent of the Nobel prizes for accomplishments in the areas of chemistry, literature, medicine, economics, physics and world peace. No single explanation can be given for the success of the Jewish people, except to say that they are God's chosen people, a people blessed by Him and through whom He will bless the rest of the world.
The fact that there is a homeland for the Jewish people tells me that God still keeps His promise. That the Jewish nation has an independent country to return to is an indication that God still loves the sons of the Patriarchs and has a plan for them. Because Israel is independent my family and yours is given the blessing of visiting the only democracy in the Middle East in order to see the sites where our favorite Bible stories took place--something your and my grandparents could not have said when they were our age.
But the Jewish nation has not only become relevant to your and my families since 1948. The sons of Abraham, Isaac and Jacob have been a blessing to the world for four thousand years! You and I have a copy of the Scriptures, written by Jewish scribes, kings, shepherds, prophets, and fishermen. Our Messiah was a Jew. Our family structure was given to us by the Jews, and thankfully not by the descendants of Abraham's other son. The democratic system of justice and governing were given us by the Old Testament writers. The God-given principle of personal accountability was passed on to us by the Jews.
On this Independence Day [Yom Ha'atzmaut], we thank our Israeli friends for what your fathers accomplished sixty-four years ago to become a beacon of hope to a dark world. We congratulate you for the amazing history that is yours, and we look forward to many more years standing as your loyal friends, as brothers should!
What does the miracle of Israel mean to you?
Original article Independence Day in Israel: What does it mean to you? written by my hubby (David) on his blog In Support of Israel.


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It is important for everyone to not lose sight of the Proposition 2 1/2 override and what it means for the Dracut public schools as well as our town. I am a resident of Dracut, no qualifier needed; we are all residents, one and the same.
It comes down to what kind of town and community we want to live in together. I am no politician, and I for one have always believed in community and our ability to rise above the rhetoric and see the facts.
It is a fact that our schools have had their budget decreased year over year for the last several years. It is not a question of spending within the budget anymore; it is a question of being able to provide standard services to our students and not having the funds to do so.
It is a fact that the Dracut public schools have made many cuts, including 21 teaching positions (as well as 18 other positions last year alone), 43 class courses at the high school level, foreign languages, music programs and reading specialists.
It is a fact that the Dracut public schools cannot support online learning, which is the norm for current classrooms. This is why a technology upgrade, which will include a fiber-optic system that the rest of the town can utilize in the future, is essential.
It is also a fact that in 2012 Dracut spent less per pupil than 319 schools out of 327 public schools in Massachusetts.
I for one don't think this is acceptable for the kids or our town. I'm a hardworking Dracut resident just like you who expects what everyone else expects or may have already received from their community — a competitive education.
Everyone in town benefits from a strong school system, from higher property values to well-prepared individuals who will live and work in our community in the future. And this is why I say: Vote yes for Dracut on Sept. 9.


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CPU Guide
CPU Articles
Ivy Bridge: 3rd Gen Intel HD Graphics - Does It Really Matter?
Accounting for about one-third of the total 1.4 billion transistors is the integrated GPU of the Ivy Bridge. This 3rd-gen integrated GPU has been given an upgrade and more computing horsepower. Find out the significance of this upgrade as we put the Intel HD Graphics 4000 through its paces.
Intel Core i7-3770K - A Performance Analysis
Intel's Ivy Bridge processors have arrived and what better way to evaluate them than with its top SKU - the Core i7-3770K processor. We give this chip a good spin and detail you performance and power savings compared to the Sandy Bridge platform.
What's New in Ivy Bridge CPUs and the Z77 Motherboard Platform?
Intel's third generation Core processors are here. Codenamed Ivy Bridge, the new processors are the world's first 22nm processors and promises improved compute and graphics performance. In this article, we explore the new features of Ivy Bridge and tell you what it means for you.
AMD Confidently Shares a Preview of the Upcoming Trinity APU Experience
We were invited to Austin in USA to hear about AMD's most important product of the year - the Trinity APU. While most of the information is still under NDA, we are able to share with you on a 'blind-test' experience on how the new APU performs against the competition. Check it out!
Memory Channel Scaling with Sandy Bridge-E - A Core i7-3960X Experience
The Sandy Bridge-E is the first-ever consumer processor (as well as its platform) to support a quad-channel DDR3 memory architecture. We attempt to find out how much performance impact you would notice if toggling between different memory channel modes (dual, triple and quad) and memory frequency.
Intel Core i7-3960X Extreme Edition - Sandy Bridge-E has Arrived
The 3960X Extreme Edition CPU is the top model of the 2nd generation Intel Core i7 series and is clocked at 3.3GHz with turbo speeds up to 3.9GHz. Features quad-channel memory support, 40-lane PCIe controller and comes unlocked for overclockers. Find out if it delivers!
AMD FX Processors - All You Need to Know of Bulldozers and the FX-8150
Bulldozing down the competition are the AMD FX processors which are targeted at enthusiasts and rig builders who want to customize and push their rigs for maximum performance without breaking the bank. We detail the basics of the new CPUs.
Diablo III Beta - Performance Review
Blizzard's Diablo III beta is finally live! But can your system handle it in all its dark, fantasy glory? We find out with three variously configured machines.
IDF 2011 - X79 Motherboards and Sandy Bridge-E Spotted
The soon to be released Sandy Bridge-E processor (also known as the Extreme Edition) with new X79 motherboards were spotted at IDF 2011's tech showcase.
IDF 2011 - Ivy Bridge More Than Just Die Shrink
Intel's upcoming Ivy Bridge processor based on the world's first tri-gate transistor is going to be more than just a die shrink from 32nm to 22nm.
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With a base clock of 3.4GHz reaching up to 3.8GHz, the Intel Core i5-3570K has an integrated graphics core which goes up to 1150MHz.
With a base clock of 3.3GHz reaching up to 3.7GHz, the Intel Core i5-3550 has an integrated graphics core which goes up to 1150MHz.
With a base clock of 3.1GHz reaching up to 3.5GHz, the Intel Core i5-3450 has an integrated graphics core which goes up to 1100MHz.
The Intel Core i7-3770 starts with 3.4GHz with a maximum clock frequency of 3.9MHz. It has an integrated graphics core that goes up to 1150M...


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Liberty is one of Florida's largest counties in terms of land area, with its 565,320 acres or 864 square miles, but is the smallest population-wise. Florida's most populous counties have more than 300 people per square mile. Liberty has 12. There's good reason for this population sparsity. Most of the lower two-thirds of the county is forest land. The Apalachicola National Forest comprises of 267,298 acres in the county, with state forests and parks along with large corporate land owners taking another disproportionate share.
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Jessye Norman, the renowned international opera star whose passionate soprano voice won her four Grammy Awards, the National Medal of Arts and the Kennedy Center Honor, has died, according to family spokesperson Gwendolyn Quinn. She was 74.
Geraldo Iglesias spent 16 years in prison for a murder he didn't commit. Now he's suing the city of Chicago and a disgraced former police detective who he claims set him up.
Ingeniously conceived and cleverly directed, this immersive show features a not-to-be-missed solo turn by Rebecca Spence, a captivating actress of extraordinary skill, charm and improvisational brilliance.
Illinois residents open up about their experiences with addiction and recovery in a new statewide video campaign that seeks to connect people who use drugs with services.
Watch the Oct. 1, 2019 full episode of "Chicago Tonight."
New "sensory stations" allow visitors to get a more intimate experience of the museum's iconic dinosaur – including the stench of Sue's post-meal breath.
In a report released Tuesday, the Justice Department's inspector general faulted the Drug Enforcement Administration for cutting back use of a key enforcement tool and continuing to raise production quotas even as the number of deaths rose.
The SpaceX founder aims to create a fleet of reusable rockets that will make space travel dramatically cheaper and more accessible. But can he turn what has long been science fiction into science fact?
Troy LaRaviere, the head of the Chicago Principals and Administrators Association, discusses how a teachers strike would impact school administrators.
A key gauge of U.S. manufacturing strength has registered the lowest reading in more than 10 years as exports dove amid the escalating trade war.
Democrats on Monday subpoenaed Rudy Giuliani, President Donald Trump's personal lawyer who was at the heart of Trump's efforts to get Ukraine to investigate political rival Joe Biden's family.
Trading hot charges of intimidation, the Trump administration took a defiant step toward resisting Congress' access to impeachment witnesses Tuesday, and House Democrats warned such efforts themselves could amount to an impeachable offense.
Everything is set in motion for a Chicago teachers strike, but teachers aren't the only ones considering a walkout. The city of Chicago could be facing multiple government employee strikes – all at once.
Nearly two dozen Chicago Public Schools have received free art collections since the beginning of the school year. How a local nonprofit is able to provide these collections with the help of its "art subscription" concept.