Secretary of Health and Human Services.
Secretary of Housing and Urban Development.
Commissioner of Social Security, Social Security Administration.
Director of National Drug Control Policy.
Chairman, Board of Governors of the Federal Reserve System.
5 U.S.C. 2211(a). Aug. 14, 1964, Pub. L. 88–426, §303(a), 78 Stat. 416 .
Paragraph designation for the position added by Pub. L. 96–88 has been omitted in view of the deletion of all paragraph designations in this section by Pub. L. 96–54.
2004-Pub. L. 108–458 inserted item relating to Director of National Intelligence.
2002-Pub. L. 107–296 inserted item relating to Secretary of Homeland Security.
2000-Pub. L. 106–569 inserted item relating to Chairman, Board of Governors of the Federal Reserve System.
1998-Pub. L. 105–277 inserted item relating to Director of National Drug Control Policy.
1994-Pub. L. 103–296 inserted item relating to Commissioner of Social Security, Social Security Administration.
1988-Pub. L. 100–690, §§1003(a)(4)(A), 1009, temporarily inserted item relating to Director of National Drug Control Policy. See Effective and Termination Dates of 1988 Amendments note below.
Pub. L. 100–679 inserted item relating to Director of Office of Management and Budget.
Pub. L. 100–527 inserted item relating to Secretary of Veterans Affairs.
1986-Pub. L. 99–260 struck out item relating to Special Assistant for Agricultural Trade and Food Aid.
1985-Pub. L. 99–198 inserted item relating to Special Assistant for Agricultural Trade and Food Aid.
1983-Pub. L. 97–456, §3(d)(5), substituted "United States Trade Representative" for "Special Representative for Trade Negotiations".
1979-Pub. L. 96–88, §508(g), substituted "Health and Human Services" for "Health, Education, and Welfare" in item relating to the Secretary of Health and Human Services.
Pars. (1) to (14). Pub. L. 96–54 struck out paragraph designations for positions listed herein.
Par. (15). Pub. L. 96–88, §508(c), added par. (15) relating to Secretary of Education. See Codification note set out above.
1977-Par. (14). Pub. L. 95–91 added par. (14) relating to Secretary of Energy.
1975-Pub. L. 94–82 substituted provisions applying level I of Executive Schedule to positions for which annual rate of basic pay shall be rate determined with respect to such level under chapter 11 of title 2, as adjusted by section 5318 of this title for provisions applying such level I to positions for which annual rate of basic pay is $35,000.
Par. (13). Pub. L. 93–618 added par. (13) relating to Special Representative for Trade Negotiations.
1970-Par. (5). Pub. L. 91–375 struck out par. (5) relating to Postmaster General.
1966-Pub. L. 89–670 added par. (11) relating to Secretary of Housing and Urban Development, and par. (12) relating to Secretary of Transportation.
For Determination by President that amendment by Pub. L. 108–458 take effect on Apr. 21, 2005, see Memorandum of President of the United States, Apr. 21, 2005, 70 F.R. 23925, set out as a note under section 3001 of Title 50, War and National Defense.
Amendment by Pub. L. 108–458 effective not later than six months after Dec. 17, 2004, except as otherwise expressly provided, see section 1097(a) of Pub. L. 108–458, set out as an Effective Date of 2004 Amendment; Transition Provisions note under section 3001 of Title 50, War and National Defense.
Pub. L. 106–569, title X, §1002(b), Dec. 27, 2000, 114 Stat. 3028 , provided that: "This section [amending this section and sections 5313 and 5314 of this title] and the amendments made by this section shall take effect on the first day of the first pay period for the Chairman and Members of the Board of Governors of the Federal Reserve System beginning on or after the date of the enactment of this Act [Dec. 27, 2000]."
Amendment by Pub. L. 100–690 effective Jan. 21, 1989, and repealed on Sept. 30, 1997, see sections 1012 and 1009, respectively, of Pub. L. 100–690.
Pub. L. 100–679, §11(e), Nov. 17, 1988, 102 Stat. 4070 , provided that: "The amendments made by this section [amending sections 5312 to 5315 of this title] shall be effective on January 20, 1989."
Amendment by Pub. L. 100–527 effective Mar. 15, 1989, see section 18(a) of Pub. L. 100–527, set out as a Department of Veterans Affairs Act note under section 301 of Title 38, Veterans' Benefits.
Amendment by Pub. L. 96–88 effective May 4, 1980, with specified exceptions, see section 601 of Pub. L. 96–88, set out as an Effective Date note under section 3401 of Title 20, Education.
Pub. L. 96–54, §2(a)(25)(B), Aug. 14, 1979, 93 Stat. 382 , provided that: The amendments made by subparagraph (A) [amending sections 5312 to 5316 of this title] shall take effect January 1, 1980".
Amendment by Pub. L. 91–375 effective within 1 year after Aug. 12, 1970, on date established therefor by Board of Governors of United States Postal Service and published by it in Federal Register, see section 15(a) of Pub. L. 91–375, set out as an Effective Date note preceding section 101 of Title 39, Postal Service.
Amendment by Pub. L. 89–670 effective 90 days after Secretary of Transportation first takes office, or on any earlier date after Oct. 15, 1966, as President prescribes and publishes in Federal Register, see section 16(a), formerly §15(a), of Pub. L. 89–670.
Pub. L. 94–82, title II, §201, Aug. 9, 1975, 89 Stat. 419 , provided that: "This title [see Tables for classification] may be cited as the 'Executive Salary Cost-of-Living Adjustment Act'."
"(a) In General.-The compensation and other emoluments attached to the office of Secretary of the Interior shall be those in effect January 1, 2005, notwithstanding any increase in such compensation or emoluments after that date under any provision of law, or provision which has the force and effect of law, that is enacted or becomes effective during the period beginning at noon of January 3, 2005, and ending at noon of January 3, 2011.
"(1) Jurisdiction.-Any person aggrieved by an action of the Secretary of the Interior may bring a civil action in the United States District Court for the District of Columbia to contest the constitutionality of the appointment and continuance in office of the Secretary of the Interior on the ground that such appointment and continuance in office is in violation of article I, section 6, clause 2, of the Constitution. The United States District Court for the District of Columbia shall have exclusive jurisdiction over such a civil action, without regard to the sum or value of the matter in controversy.
"(2) Three judge panel.-Any claim challenging the constitutionality of the appointment and continuance in office of the Secretary of the Interior on the ground that such appointment and continuance in office is in violation of article I, section 6, clause 2, of the Constitution, in an action brought under paragraph (1) shall be heard and determined by a panel of three judges in accordance with section 2284 of title 28, United States Code. It shall be the duty of the district court to advance on the docket and to expedite the disposition of any matter brought under this subsection.
"(A) Direct appeal to supreme court.-An appeal may be taken directly to the Supreme Court of the United States from any interlocutory or final judgment, decree, or order upon the validity of the appointment and continuance in office of the Secretary of the Interior under article I, section 6, clause 2, of the Constitution, entered in any action brought under this subsection. Any such appeal shall be taken by a notice of appeal filed within 20 days after such judgment, decree, or order is entered.
"(B) Jurisdiction.-The Supreme Court shall, if it has not previously ruled on the question presented by an appeal taken under subparagraph (A), accept jurisdiction over the appeal, advance the appeal on the docket, and expedite the appeal.
"(c) Effective Date.-This joint resolution shall take effect at 12:00 p.m. on January 20, 2009."
"(a) In General.-The compensation and other emoluments attached to the office of Secretary of State shall be those in effect January 1, 2007, notwithstanding any increase in such compensation or emoluments after that date under any provision of law, or provision which has the force and effect of law, that is enacted or becomes effective during the period beginning at noon of January 3, 2007, and ending at noon of January 3, 2013.
"(1) Jurisdiction.-Any person aggrieved by an action of the Secretary of State may bring a civil action in the United States District Court for the District of Columbia to contest the constitutionality of the appointment and continuance in office of the Secretary of State on the ground that such appointment and continuance in office is in violation of article I, section 6, clause 2, of the Constitution. The United States District Court for the District of Columbia shall have exclusive jurisdiction over such a civil action, without regard to the sum or value of the matter in controversy.
"(2) Three judge panel.-Any claim challenging the constitutionality of the appointment and continuance in office of the Secretary of State on the ground that such appointment and continuance in office is in violation of article I, section 6, clause 2, of the Constitution, in an action brought under paragraph (1) shall be heard and determined by a panel of three judges in accordance with section 2284 of title 28, United States Code. It shall be the duty of the district court to advance on the docket and to expedite the disposition of any matter brought under this subsection.
"(A) Direct appeal to supreme court.-An appeal may be taken directly to the Supreme Court of the United States from any interlocutory or final judgment, decree, or order upon the validity of the appointment and continuance in office of the Secretary of State under article I, section 6, clause 2, of the Constitution, entered in any action brought under this subsection. Any such appeal shall be taken by a notice of appeal filed within 20 days after such judgment, decree, or order is entered.
For provisions limiting compensation and emoluments of Secretary of the Treasury at levels in effect on Jan. 1, 1989, see section 1(a) of Pub. L. 103–2, set out as a note under section 301 of Title 31, Money and Finance.
Pub. L. 96–241, §1, May 3, 1980, 94 Stat. 343 , limited the compensation and other emoluments attached to the office of Secretary of State to those in effect Jan. 1, 1977, during the period beginning May 3, 1980, and ending on the date on which the first individual appointed to that office after May 3, 1980, ceases to hold that office.
Provisions of Pub. L. 93–178, §1, Dec. 10, 1973, 87 Stat. 697 , which fixed the compensation and other emoluments attached to the Office of Attorney General at level in effect on Jan. 1, 1969, notwithstanding any other provision of law enacted or becoming effective during period from noon, Jan. 3, 1969, through noon, Jan. 2, 1975, were repealed by Pub. L. 94–2, Feb. 18, 1975, 89 Stat. 4 , effective as of Feb. 4, 1975.
For adjustment of salaries under this section, see the executive order detailing the adjustment of certain rates of pay set out as a note under section 5332 of this title.
For prior year salary increases per the recommendation of the President, see Prior Salary Recommendations notes under section 358 of Title 2, The Congress.
For miscellaneous provisions dealing with adjustments of pay and limitations on use of funds to pay salaries in prior years, see notes under section 5318 of this title.


Was hoping Part I would be enough. This may be a multi-part series ??
California subscribers may have received a letter early in December indicating that their grandfathered Anthem health insurance plan was being cancelled 2/28/18. Apparently some letters were sent in error and those plans are, in fact, not being cancelled.
Correction letters were supposedly sent out 12/8 to notify those subscribers of the error. So be on the lookout if you received a cancellation letter regarding your grandfathered Anthem health plan.
As of today, the only plan I know is being cancelled is the Clear Protection 5000. Some HIPAA plans may also be cancelled.
Anthem is not releasing any information to agents about which plans are being discontinued nor which clients are affected. Nice ??
If you have received a cancellation notice and not the subsequent "we goofed" letter, please comment on which plan you are on. Maybe we can figure out the super secret list of plans.


text:
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East Coast Fever training curriculum and manual for vaccinators
East Coast Fever (ECF) is a serious, often fatal, disease of cattle that causes major economic losses across 11 countries in eastern, central and southern Africa. Caused by single-celled parasite, the disease is transmitted by the brown ear tick, which is found in hay or standing grass. ECF is a significant constraint to livestock farmers in affected countries with one animal being lost every 30 seconds and more than 25 million cattle at risk.
ECF can be prevented by using the Muguga Cocktail vaccine, which is manufactured by the Centre for Ticks and Tick-Borne Diseases in Malawi and distributed by local companies, Ronheim and PharmaVax in Tanzania.
GALVmed – a not-for-profit company that makes livestock vaccines accessible to smallholder farmers – and its partners has launched an initiative to standardise training provided to ECF vaccinators. A standardised training curriculum and manual originally developed by Kenya Agricultural Research Institute, and later with input from the International Livestock Research Institute, GALVmed and Tanzanian stakeholders including the Directorate of Veterinary Services, the Veterinary Council of Tanzania, and Tanzanian distributors is now being used for the training of ECF vaccinators.
View the podcast's script here.
© 2023 GALVmed
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info@galvmed.org
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Registered Charity in England and Wales: 1115606.
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Registered Name: Global Alliance for Livestock Veterinary Medicines.
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redpajama_set_name: RedPajamaCommonCrawl


Due to the design limitations set by Xray/RC America, we can not match the design, so after discussions with Xray/RC America, we have agreed that we will customize the Xray/RC America supplied shirts with additional logos based on the color scheme set forth by Xray/RC America.
After ordering, we will send you the address information on where to send the Xray/RC America supplied shirt(s) to.
Due to the amount of shrinkage that we have noticed with the Xray shirts, we strongly recommend that you wash the shirt(s) prior to sending it to us. We will NOT wash the shirt for you and in case an unwashed shirt is provided, we will not be responsible for the shrinkage and possible wrinkles in the logos applied.


The ALA is making an "effort":http://www.accessatlanta.com/partners/ajc/epaper/editions/today/news_a39d4455f575b07400aa.html to restore the proposed cuts in library funding.
A different kind of digital "protest(Memories of a Movement)":http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2001/04/13/MN12743.DTL is taking place at UC Berkeley.
Funding of a "public(Back to drawing board for library aid)":http://www.lsjxtra.com/news/010412GLLIB1.2.html library (or the lack thereof).
Another "case":http://www.journalnow.com/wsj/news/MGBJCZICFLC.html of a woefully unfunded school library, and while what the people there are doing is great, it is only a first step.
A second "look":http://dailynews.yahoo.com/h/ap/20010414/en/ap_arts__old_newspapers_1.html at the same subject focusing on Nicholson Baker's personal crusade to save old newspapers.
It seems publishers have finally noticed what I always suspected: the initial "market":http://news.excite.com/news/r/010414/17/net-column-pluggedin-dc for e-books is college students.
An "article(Get Your Digital Data Fix)":http://www.fastcompany.com/online/46/clickhere2.html praising "RefDesk":http://www.refdesk.com/.
!http://www.libraryplanet.com/images/morganto.jpg(Morgantown Public Library's Nancy Swanger, a library associate, shows her granddaughter Sarah Stone, 4, how to check out a library book and apply for her very first library card on Wednesday afternoon. Sarah was at the library with a group from Guardian Angel Child Care from Bruceton Mills in Preston County.)!
Need a "laptop":http://www.pressplus.com/cumberland/987049178.html? Check one out @ your library.


Is Moodle The Right Choice For Your e-Learning Business?
Moodle > Is Moodle The Right Choice For Your e-Learning Business?
Well, who doesn't know about Moodle nowadays?
It has made the online education system fast, convenient and fantastic!! But, there lies a huge misconception about this open source learning platform which is nothing but the fact that it is used only for the education sector. But, the scenario is not like that!
Rather, Moodle is used by the people of various types of professions starting from healthcare, government or enterprises. It's because e-learning makes their business a strong and effective one and nothing can be a better way to do that except Moodle. So, if you are someone who is engaged with such kind of e-learning based business but haven't used Moodle yet then just opt for the same without any ado!
If you're using Moodle then the task of creating courses for various type of products or services that you're having through which you can track your learners can become a super-easy one!
Moreover, it will help you to include the specific glossary and keywords that are used in your business so that the viewers can understand the company in a detailed manner. Also, it can help you to give a clear idea to your products to the employees and keep them updated regarding each and every latest modification.
When it's about hiring employees in your organization then Moodle can be a great option to do that! It's because this excellent platform can be set in such a way that the applicants can send their resumes directly to the Moodle file manager. So, the interviewing process becomes easy for you.
You can even select your desired applicants before going for an interview through Moodle while using its various exciting features. Also, this is not the end! You can even evaluate your applicants as per the grade marking through Moodle and finally decide.
You might be an owner of any business where you just don't have enough source to go for full-time compliance officers. But, that doesn't mean that your business will suffer from any kind of loss!
In such a scenario, you can organize the training programs for your employees providing them with a valuable knowledge of generating a better understanding regarding the ways to stay compliant with the industry and various government regulations. And in such kind of a situation, Moodle can help the executives to tackle the compliance training along with the lesson module.
So, after you have hired multiple numbers of people in your company wouldn't you like to make them perfect for the job roles? Well, in such kind of a situation you can go for various competency training through Moodle which can help you to be ensured that the candidates have just become suitable for the designations.
If you use Moodle in your e-learning business then it will allow you to cover up the communication distance between the learners and administrators. Thus, it makes the whole concept very supportive.
The people in both the ends will be able to maintain a steady communication. Also, Moodle lets the learners associate with various activities that they prefer to do when they are free. And thus it becomes a more interesting concept for them!
The CoPs are a group of informal fellows within the business sector who continuously go for working together and make sure that they are learning from each other without any obstruction. So, if you are using Moodle then you can easily assign a moderator for your CoP.
Also, the perks don't end here, it will allow you to create a Wiki incorporating all types of data and useful documents, make a glossary of various important terms in your business and also create a database of all your useful references.
So, just make the right and the smart move soon and include Moodle in your e-learning business. I can assure that this will allow you to continuously add more and more feathers in your business and just take it to the another level!
About the Author: Clara Decker is a free-time writer and full-time internet surfer. She likes to work on making in-home life better, in society. She lives like an entrepreneur and supports her husband at CouponsMonk.


text:
Q: Python double imports wierd behaviour So below is the simplified code. I have two files, main.py and test.py. I declared a  variable called var in main.py after I imported test.py. test.py also imports main.py.
#file: main.py
import test
var = {}
print('main',hex(id(var)))

if __name__ == '__main__':
    print("main2", hex(id(var)))
    test.func()

#file: test.py
import main

print("in test", hex(id(main.var)))

def func():
    print("in test func", hex(id(main.var)))

> python main.py
main 0x7fc4fe76fe80
in test 0x7fc4fe76fe80
main 0x7fc4fe9036c0
main2 0x7fc4fe9036c0
in test func 0x7fc4fe76fe80

I understand that var = {} statement is executed twice, and so var is located at 0x7fc4fe9036c0. However when I call test.func() shouldn't main.var resolve to  0x7fc4fe9036c0? This is not happening, it instead prints old location.

A: Follow the instructions of your program:
When running main.py, you import test. When test is imported (after creating a first reference to var) it creates a new variable (thus new reference) to var. When jumping back to initial main.py, it get backs to the first reference of var. Same name of variable but different objects.

redpajama_set_name: RedPajamaStackExchange


text:
Treatment of acute fractures of the Femoral Shaft with reamed Intramedullary Interlocking AO Nails
M. Umer ( Departments of Orthopedic Surgery Aga Khan University Hospital, Karachi. )
A. K. Niazi ( Departments of Orthopedic Surgery Aga Khan University Hospital, Karachi. )
D. Hussain ( Departments of General Surgery Aga Khan University Hospital, Karachi. )
M. Ahmad ( Departments of Research**. Aga Khan University Hospital, Karachi. )
The art of treating femoral shaft fractures is a delicate balance between restoration of limb length and alignment, and at the same time achieving early mobilization of the limb. This is, however, prevented by strong muscular forces, which become specifically important when the fracture is either proximal or distal.
Various treatment modalities have been used to treat these fractures with Intramedullary (IM) nailing being the gold standard. IM nails are weight sharing implants which allow immediate weight bearing after static locking even in unstable fractures. They have the advantage of providing greater fatigue strength, better stability in all planes specially if locking screws are used and providing reamed bone at the fracture site.1-5
Intramedullary fixation may be categorized biomechanically as dynamic or static. The decision between using static and dynamic nail is dictated by the anatomical level; fracture pattern and the comminution of the fracture. Comminution of the fracture is most commonly categorized by the method of Winquist and Hansen.6 Surgical judgment dictates what type of IM fixation is needed. Intramedullary interlocking nailing is a new surgical technique introduced in our country less than a decade ago. Despite it being a technically simple procedure in expert hands we experienced few difficulties in mastering its technique. This study is an audit of our initial 89 cases where we will analyze our outcome and surgical errors in their treatment.
It is a retrospective study from January 1993 to December 1998 in which charts of all the patients with acute femoral shaft fractures treated with IM nailing at the Aga Khan University Hospital were reviewed. All adult patients with acute femoral shaft fractures were included. The patients having a follow-up of less than six months, with femoral shaft fractures treated by K-nails, ender rods, or conservatively were excluded. Pathological fractures and nailing done for nonunion were also excluded from the study. The initial study population was 117 but 28 patients were excluded because of the above reasons. The final study population was 89 patients. A comprehensive Performa was developed to record the data from the files and all the x-rays of the patient.
The age ranges were from 15 to 70 years. The average age was 36 years and most of them were younger patients. There were 73 males and 16 females. Fifty-three percent of patients had right femoral shaft fractures, while 47% had the left side involved. The mechanism of injury was road traffic accidents in 63 (70.8%) patients; fall in 16 (17.9%) and gun shot wounds in 10 (11.2%) patients. Sixty-six (74%) patients had closed fractures while 23(26%) had open fractures. Among them, 3 (3.3%) had grade I; 5 (6%) had grade II; 9 (10%) had grade IIIA; 4 (4.4%) had grade IIIB; and 2 (2.2%) had grade IIIC open fractures. In our series according to Winquist and Henson classification of fracture6, we had 11.2% type I, 19.1% type II, 16.9% type III and 52.8% type IV fractures. According to fracture geometry there were 4.4% transverse, 6.7% oblique, 7.8% spiral and 80.9% comminuted fractures. Twenty percent patients had associated ipsilateral fractures of the tibia and 3.3% had an associated fracture neck of femur. In our series, 10 (11.2%) fractures were fixed using dynamic locking and rest of fractures (88.8%) by static locking technique, among them 3 were dynamized later. Associated fractures of neck of femur were fixed by AO cannulated screws as we did not have the facility of the reconstruction nail in our institution at that time. All of them healed in due course of time. The associated tibial fractures (18 patients) were fixed by IM nailing in vast majority (77.8%) of the cases, 16.7% (3/18) were treated conservatively, while 5.5% were fixed using AO External Fixator. All of them healed satisfactorily. The mean duration of surgery was 180 minutes (range 120 to 540 minutes)+ SD (76 minutes) and the mean hospital stay were 15.5 days, the range being between 3 to 90 days. The mean follow-up time was 9.2 months; ranging from 14 to 96 months. All the patients were called in a special outpatient clinic at the time of this study for their final clinical evaluation.
Malunion was generally regarded as shortening (>1 cm), malrotation (>10°), angulatory deformity (>15°), or any combination thereof.
In evaluation of nonunion and delayed union group of patients, we found 2 patients with nonunion had initially comminuted fracture while other 2 patients had transverse fracture; in delayed healing group there were 2, 1 and 5 patients who had transverse, oblique and comminuted fracture geometry respectively. All 4 patients with nonunion were treated by exchange intramedullary nailing and all healed in due course of time. No patient required bone grafting as a treatment of nonunion.
The clinical outcome showed that 88% patients had a good early union (Figure 1); 7 (7.8%) had delayed union among them 3 were those which were later dynamized but they healed after an average of five months period; 4.4% had non-union, among them 2 were victims of gunshot and one each of fall and RTA. (Figure 2). The overall success rate was 96%. Mean time for union was 11.5 weeks (SD 3.2 weeks) ranging from 7 to 48 weeks. The average time for union was more in gun shot injuries (mean 14.3 weeks, SD 3.5) and in road traffic accidents (mean 11.1 weeks, SD 2.8) as compared to fractures due to falls (mean 10.5 weeks, SD 3.1). It was also higher in open fractures (mean 11.6 weeks) as compared to closed fractures (mean 10 weeks) (p<0.01).
Clinical follow up at the time of final evaluation showed that four patients (4.4%) had pain on prolonged activity; six (6.7%) had a limp; four (4.4%) had leg length discrepancy of less than 2 centimeters; and four (4.4%) had a decrease in the range of motion at the hip and knee joints.
Complications included bed sores in two (2.2%) patients; pudendal nerve neuropraxia in three (3.3%); a broken nail in three (3.3%); pulmonary embolism in one (1.1%); deep venous thrombosis in two (2.2%); distal fragment valgus in one patient; deep infection in two (2.2%) and proximal migration of the nail in one (1.1%) patient.
A femoral shaft fracture usually occurs as a result of motor vehicle accidents, automobile-pedestrian accidents, gunshot injuries, falls from a height, or plane crashes. They can sometimes be life threatening and frequently occur in multiply- injured patients.1,2 Treatment goals include allowing early mobilization of the patient, restoration and maintenance of normal length and alignment, the ability to consistently achieve union, and to maintain a normal, functional range of motion in the hip and knee. The sum of hip and knee range of motion and flexion should total at least 160° to allow the patient comfortable stair climbing.3,7
These injuries were virtually always treated with closed means until 1940, when Gearheart Kuntcher introduced his rigid nail for early mobilization of the injured German soldiers in World War II. At present, the ideal treatment for skeletally mature patients with a femoral shaft fracture from the level of the lesser trochanter to within 6 to 8 cm of the distal subchondral bone is closed Intramedullary (IM) nailing. Recent orthopedic literature also supports closed IM nailing as the treatment of choice for femoral shaft fractures in adolescents.1
Open fractures of femur are not very uncommon. They have been reported as high as 23% by Brumback5 and 16.5% by Winquist.6 Because of the surrounding large muscle mass of the femur, a significant amount of energy absorption is required to create an open fracture of the femur. Therefore, even a grade I open femoral shaft fracture should be considered a high-energy injury.8 Brumback2 described 469 fractures of the femur treated by IM nailing with 23% open fractures. More than half of these open femoral shaft fractures were grade III open fractures. In the study by Lhowe and Hansen8 there were 42 patients with open fractures, with 36% grade I, 45% grade II and 19% grade III.
One of the major risks in the primary nailing of these open injuries is deep infection causing osteomyelitis and later on requiring implant removal.9 This infection rate in open fractures treated by immediate IM nailing is variable in different studies ranging from 1.5 to 6% depending on the grade of the open fracture.2,5,8,10 All open fractures in our study were managed with a thorough wound debridement and were nailed only if they were able to reach the operating room within the first eight to ten hours. Deep cultures were always taken and prophylactic antibiotics were given for a minimum period of five days. If the patient arrived late, then only wound debridement was performed and they were nailed secondarily once the deep tissue cultures returned negative. There were six (6.7%) patients who developed wound infection. Two (2.2%) patients with grade III injuries developed deep wound infection. These were managed with systemic antibiotics, surgical debridement and early removal of the implants. The implants were removed at an average of 4-6 weeks after the primary surgery. The fractures were subsequently managed by a hip spica cast and eventually healed without any significant malunion. None of them developed osteomyelitis. We also had four (4.4%) cases of superficial wound infection, which were managed conservatively and did not cause any significant morbidity or a change in the final outcome. Three of these presented with grade III open fracture and one presented with grade II fracture. The total number of open fractures in this series was 23. Of these, 35% had grade I and grade II open fractures while the rest of 65% were all Grade III and above. Another related factor for the development of deep infection in these two cases might be their inadequate earlier treatment and wound care at some local private hospital before presenting to our hospital. Different studies have concluded that early IM nailing is effective regardless of the soft tissue injury, but that this treatment is still controversial for type III injuries. Our data also support earlier studies.
Most large series1,4,11 of femoral shaft fractures treated with closed IM nailing report a nonunion rate of less than 1%. Nonunion is probably due to a lack of blood supply at the fracture site caused either by an open fracture or by open reduction and surgical manipulation at the fracture site. Other potential causes of nonunion include inadequate stabilization of the fracture site, wound infection, or distraction at the fracture site.
Delayed union is seen more commonly than nonunion, and is seen more frequently in multiple trauma patients and open fractures.2,3,8 In our study, 8% had delayed union, mostly resulting from open injuries as a result of road traffic accidents and gunshot injuries. Similarly the average time for union was significantly higher in open injuries as compared to closed injuries. The initial energy of trauma was the major factor for these fractures going into delayed union. We recommend that these delayed unions should be dynamized very early in the course of their treatment.
Before the introduction of interlocking nailing, unlocked Kuntshner intramedullary nailing often failed to provide adequate fixation. Sufficient cortical contact between the proximal and distal fragments was needed so that axial and rotational loading could be withstood without loss of length or rotational alignment of the fracture. The healing of fractures were attributed to the physiologic loading with dynamic IM Nailing techniques, but with the advent of statically locked IM nailing more complex fractures of femoral shaft were treated with IM nailing. Rotational and axial control is a potential problem in healing highly comminuted fracture with the old nails. The advent of the statically locked IM nails used in this study has been very useful to overcome this problem. In our study rotational alignment which was measured clinically was found satisfactory in over 90% of the patients. Three patients developed external rotational malalignment (>10°) while 1 patient had internal rotational deformity (>10°) at the time of clinical and radiological union.
Despite the large number of IM nailing of the femur reported in literature, little is known about pudendal nerve palsy, which occurs as a compression neuropathy due to pressure between the perineum and the counter-traction post. In many large series12-15, this complication has not been reported at all or is reported rarely. However when it was specifically looked for, a much higher incidence (as high as 17%) was noted. The current study substantiates that pudendal nerve palsy can occur after IM nailing of the femur. Sensory terminal branches of the pudendal nerve appear to be more susceptible to palsy postoperatively than do the motor branches that control the sexual function. Fortunately most palsies were transient. Because the smaller diameter perineal post of the traction table concentrates the traction forces in a smaller contact area, the narrowest post has been blamed as a causative factor in pudendal nerve palsy after IM nailing. The symptoms generally resolved within 3 months, and there was no permanent deficit.
IM nailing can be categorized biomechanically as dynamic or static. Dynamic stabilization implies that intact cortical bone of the major proximal and distal fragments of the fracture can share a portion of axial and rotational forces across the fracture, thereby preventing shortening and rotation. Static interlocking describes the interlocking construct in which both the proximal and distal interlocking screws have been inserted. Shortening and malrotation are controlled by transferring the axial and rotational stresses through the nail rather that through the site of fracture. Our experience substantiates other reports in literature that dynamic Intramedullary femoral stabilization should be performed only for the transverse or short oblique fractures of the femoral isthmus with Winquist type I or type II comminution.4 Any increase in comminution at the site of fracture that is noted during the procedure is an indication for the static interlocking.5
Malunion after femoral shaft fracture has been discussed extensively in the literature. Shortening of 1 cm is quite acceptable in most femoral shaft fractures, but shortening of more than 2 cm is typically symptomatic. We used static IM nailing in our vast majority of cases (>90%), and our study also proves that with the increased use of locked IM nails, shortening is becoming less of a problem.14 Angulatory deformity after IM nailing has also been reported for femoral fractures. This was noted to occur in approximately 1.5% of patients after an IM nailing in Winquist6 and co-workers' series.
We had one case of segmental femoral fracture in which the distal fragment was quite small. Despite static nailing there was a residual valgus angulation of about 15°. We recommend open reduction in such cases to avoid malunion.
The patient with proximal migration of the nail highlighted the need for static locking. He ended up with a 2 cm shortening because of dynamic locking in an unstable fracture.
All three cases of nail breakage had nonunion. These patients were walking full weight bearing despite nonunion. All of them had been statically locked at the time of initial fixation. Analyzing their x-rays retrospectively we think that these were strong cases for dynamization during the course of treatment, with possible bone grafting. This intervention could have avoided the final outcome of nail breakage and nonunion. We recommend dynamization of a statically locked fracture as early as three months if it not showing signs of periosteal callus and bridging.
All the 4 cases were treated by over reaming and bigger sized nails were used to fix them without bone grafting. Good healing was achieved in all of them after this revision procedure. In a local study15,36 comminuted fractures (20 close and 16 open) were treated by IM nailing, all united in mean time of 34 weeks with 5 patients requiring additional procedure in the form of bone grafting.
Our review of the initial 89 cases performed at our institution has shown it to be a successful experience. The overall healing rate was 96%. We certainly think that interlocking intramedullary nailing is the treatment of choice for unstable femoral shaft fractures. The technique is simple to learn and once mastered it is associated with very few complications. Orthopedic centers in Pakistan can learn a lot from our initial experience and avoid some of the potential complications as highlighted in the discussion.
1. Beaty JH, Austin SM, Warner WC, et al. Interlocking intramedullary nailing of femoral-shaft fractures in adolescents: preliminary results and complications. J Pediatr Orthop 1994;14:178-83.
2. Brumback RJ, Ellison PS, Poka A, et al. Intramedullary nailing of open fractures of femoral shaft. J Bone Joint Surg 1989;71A:1324-30.
3. Brumback RJ, Handal JA, Poka A, et al. Radiograph analysis of the Brooker-Wills interlocking nail in the treatment of comminuted femoral fractures. J Orthop Trauma 1987;1:120-9.
4. Brumback RJ, Reilly JP, Poka A, et al. Intramedullary nailing of femoral shaft fractures. Part I: Decision-making errors with interlocking fixation. J Bone Joint Surg 1988;70A:1441-52.
5. Brumback RJ, Uwagie-Ero S, Lakatos RP, et al. Intramedullary nailing of femoral shaft fractures. Part II: Fracture-healing with static interlocking fixation. J Bone Joint Surg 1988;70A:1453-62.
6. Winquist RA, Hansen ST, Jr, Clawson DK. Closed intramedullary nailing of femoral fractures: a report of five hundred and twenty cases. J Bone Joint Surg1984;66A:529-39.
7. Galpin RD, Willis RB, Sabano N. Intramedullary nailing of pediatric femoral fractures. J Pediatr Orthop 1994;14:184-9.
8. Lhowe DW, Hansen ST. Immediate nailing of open fractures of the femoral shaft. J Bone Joint Surg 1988;70A:812-20.
9. Oestern HJ, Tscherne H. Pathophysiology and classification of soft-tissue injuries associated with fractures. In: Tscherne H, Gotzen L, eds. Fractures with soft tissue injuries. New York: Springer-Verlag, 1984, pp. 1-9.
10. Templeman D, Sweeney C, Chapman MW, et al. Critical analysis of the management of open femur fractures at two regional trauma centers. Orthop Trans 1990;14:675.
11. Wiss DA, Brien WW, Becker V. Interlocking nailing for the treatment of femoral fractures due to gunshot wounds. J Bone Joint Surg 1991;73A:598-606.
12. Brumback RJ, Ellison TS, Molligan H, et al. Pudendal nerve palsy complicating intramedullary nailing of the femur. J Bone Joint Surg 1992;74A:1450-5.
13. Kao JT, Burton D, Comstock C, et al. Pudendal nerve palsy after femoral intramedullary nailing. J Orthop Trauma 1993;7:58-63.
14. Johnson KD, Greenberg M. Comminuted femoral shaft fractures. Orthop Clin North Am 1987;18:133-47.
15. Sultan S. Interlocking nailing of comminuted fractures shaft of femur. J Ayub Med Coll 2001;13:14-15.
Objective: To review and audit our experience with closed intramedullary interlocking nailing for acute femoral shaft fractures.
Methods: All patients admitted to The Aga Khan University Hospital, over the last six years and with a minimum follow-up of twelve months, with acute fractures of the femoral shaft were included in the study. All patients treated for established non-unions and infections or with pathological fractures were excluded from the study.
Results: There were 89 fractures, 74% of whom were closed and 50% were associated with other orthopedic injuries. Most of these were younger patients involved in high velocity road traffic accidents.The union rate was 88% with 4.4% of fractures going into non-union. The remaining 8% of the fractures went into a phase of delayed union, but ultimately united, making the overall success rate to be 95.6%. The mean time for union was 11.5 weeks. At the final clinical follow-up, 4% of the patients had minor pain, 7% had limp, 4% had leg length discrepancy of more than 2cm and 4% had decreased range of motion at the hip or knee joints. We had a 4% rate of superficial infection. There were 3 cases of pudendal nerve neuropraxia and 2 cases of deep vein thrombosis.
Conclusion: Intramedullary Interlocking nailing is a safe and effective treatment modality for acute fractures of the femoral shaft. Proper surgical decision making regarding static versus dynamic mode of locking can avoid problems of delayed union (JPMA 54:423;2004).


The 1999 San Diego Padres season was the 31st season in franchise history. They finished fourth in the National League West. They had lost several key players after their 1998 pennant-winning season, most notably pitching ace Kevin Brown.
August 6, 1999: Tony Gwynn of the San Diego Padres got the 3,000th Hit of his career. After the hit, first base umpire Kerwin Danley personally congratulated Tony Gwynn after the hit because they were teammates at San Diego State. Gwynn had four singles in the game. Gwynn became the twenty-second member of the three-thousand hit club and accomplished the feat on his mother's birthday.
^ a b c d Fleming, David (March 29, 1999). "San Diego Padres: After heavy losses the league champs face a fate sadder than a Garth Brooks ballad". Sports Illustrated. pp. 152–3. Archived from the original on February 22, 2011. Retrieved December 10, 2017.


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Beauty Tip:The eyeshadow palette can be used to set radiant highlights – preferably on top of smooth foundation - on the cheekbones, underneath the eyebrows or on the tip of the nose. Keep the rest of the make-up subtle and use a matt lipstick. If the finished look is too glossy, the face can be mattified with a little powder.
"12 Gorgeous Summer Eyeshadow Palettes Under $20"


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Orhan Mustafi, né le  à Kumanovo (Macédoine), est un footballeur suisse d'origine macédonienne évoluant au poste d'attaquant.

Biographie

En , il signe au FC Le Mont.

Palmarès
  FC Bâle
 Champion de Suisse en 2010.
  Kitchee SC
 Champion de Hong Kong en 2017

Références

Liens externes

Footballeur suisse
Footballeur macédonien
Joueur du FC Zurich
Joueur du FC Bâle
Joueur du FC Aarau
Joueur de l'Arminia Bielefeld
Joueur du FC Le Mont-sur-Lausanne
Joueur du Ross County FC
Joueur du Grasshopper Club Zurich
Joueur du FC Lugano
Joueur du FC Rapperswil-Jona
Joueur du Kitchee SC
Naissance en avril 1990
Naissance à Kumanovo

redpajama_set_name: RedPajamaWikipedia


New Orleans monuments to Confederate heroes and the White League will remain part of the cityscape for a while longer. In the most recent turn of the protracted battle, the U.S. 5th Circuit Court of Appeal forbade removal until a lawsuit is resolved.
The long running debate about the fate of four Confederate monuments entered an endgame on Thursday (1.14) morning. U.S. District Judge Carl Barbier (of Deepwater Horizon fame) heard arguments in a case challenging the Council's 6-1 vote to declare New Orleans' monuments to Robert E. Lee, Jefferson Davis, P.T. Beauregard, and the Crescent City White Leage a nuisance meriting removal.
The protracted Big Oozy saga is one step closer to a legal resolution. On Thursday (7.02), the Justice Department announced that BP will pay 18.7 billion dollars to settle civil claims related to the 2010 Deepwater Horizon disaster including over 6.8 billion dollars to Louisiana.


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Tag Archives: Diane Walton
Copper Cylinder Award Will Take 2019 Off
Posted on November 6, 2019 by Mike Glyer
There will be no Copper Cylinder Award in 2019 per this announcement on the official website:
Please note that, for the time being, the members of the Sunburst Award Society have suspended honouring distinguished works with the Copper Cylinder Award. Inquiries can be sent to [email protected]
Diane Walton, Chair of the Sunburst Award Committee, says, "We are taking a year off to re-evaluate the award."
The Copper Cylinder is an annual members' choice award for Canadian literature of the fantastic.
Its name is derived from what is considered the first Canadian scientific romance, A Strange Manuscript Found in a Copper Cylinder, by James De Mille (1833-1880). All winners of the Copper Cylinder receive a unique, handcrafted copper cylinder trophy.
Copper Cylinder Award
Posted in Awards | Tagged Copper Cylinder Award, Diane Walton
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Why I'm Not An Architect
What is the role of the architect in the software development process? Manager? Coder? Or both?
"I haven't been doing much coding lately" says the former-developer with a wry grin in a strange tone of voice. Or perhaps he says "I haven't had time to code lately." However he says, whatever he says, the implication is clear: This guy has better things to do than to muck about coding.
I heard this yesterday, and something struck me: I've heard this before. Many times, in fact. The wry smile and the tone of voice is not unique. Something was definitely going on.
In this particular case, the former-developer was acting as an architect/project lead. As he saw it, his role was to give input into the business specification, write the technical specification, create a bunch of UML diagrams that defined the system architecture, create the project schedule, brief the developers, and move on to the next project, keeping his hands free of the implementation details [1].
Listening to him describe his role, something really bugged me. He pointed out that he was just separating design from implementation, something done in construction for centuries. In fact, his title was taken directly from construction.
So I asked if he'd ever built a house or worked with an actual architect, and the answer was "no." I mentioned to him that if you want an analogy to borrow, construction is a terribly inefficient choice. I used to work in the McGraw-Hill Construction division, writing software for designers and architects. The finger pointing, needless delays, and confusion between architects and implementers is systemic. In fact, the newest trend in construction is called "Design/Build," where a single construction company is hired to perform both tasks--McGraw-Hill Construction actually launched a magazine a few years back called Design/Build Magazine (http://www.designbuildmag.com/). Design/Builders claim incredible increases in speed, decreases in cost, and improved client satisfaction.
Next I pointed him to the article "Who Needs An Architect?", by Martin Fowler (http://www.martinfowler.com/ieeeSoftware/whoNeedsArchitect.pdf). In it, Fowler points out that most "architecture" is about having a single, very senior, very smart person who makes key decisions early in the project, because those key decisions are so hard to change and can make life so hard if they are done wrong. Fowler suggests that the whole analogy is wrong, and that if we have an architect, the role should be mentoring programmers to make there own good decisions and decreasing the cost-of-change curve to make changes later in the project less scary, thus not forcing us to get it perfect up front.
Now, don't get me wrong, I'm not saying the architecture idea is bad--hiring a seasoned professional to "mind the store" on a project is a definite improvement for a shop with a few self-trained coders and no unity of vision. My assertion was that the having the architect make technical contributions could make the team better. That there is room for improvement over the "pure architect" analogy.
On the drive home, I thought more about the problem. There was something more to that whole "I won't be writing much code" wink/grin thing that concerned me. Yes, I was concerned that it separates authority from responsibility. If the project turned out bad, or the estimates turned out bad, instead of a feedback loop (to get better estimates next time) it would turn into a finger-pointing game. The architect could always say "Those dumb implementers we hired were too dumb. Next time, we need to hire implementers who are slightly less dumb."
The next morning, I discussed the problem with a co-worker who pointed me to the C2 Wiki article "Architects Don't Code" (http://c2.com/cgi/wiki?ArchitectsDontCode) which claims ArhitectsDontCode is an Anti-Pattern: An idea that seems seductive, but is actually a worst practice or a bad pattern of thinking. The main theme seemed to be that architects who don't code don't have to live with the decisions they've made, so they don't get feedback and a means to improve. Furthermore, architects that aren't contributing technically can lose touch with the problems developers encounter, thus creating designs with painful flaws. As one poster to the wiki wrote: "orchestra directors can (and do) play a lot of the instruments. I agree that the players may be better, but they HAVE to know in order to be able to direct. A person that has a degree in music (like the director) must be able to play chord, wind and percussion instruments (and sing). Let's hope that one day architects on software projects get to the same level."
Looking back on my career, it wasn't just architects that use that expression. People who are looking to move into, or recently moved into, Project Management, People Management, Quality Engineering, Systems Analysis ... the list goes on. In fact, the statement "I won't be doing much coding anymore ..." can be used by almost anyone to assert superiority and boss-man-ship. Often, the assertion "I'm above/beyond/better than that" hides behind the statement. Generally, it is delivered to someone who is coding, so that statement is more subtly "I am above/beyond/better than you."
Now, for purposes of organizational structure, sometimes that has to happen. The supervisor and leader need to be able to lead. Typically, though, the org chart and actual reality match that, so leaders don't feel a need to make sly, slick assertions designed to infer authority. They already are in a position of authority, and secure in that authority, to boot.
The culture problem comes in when every promotion is away from code. The thing is, the work of coding is the work of making the thing that impacts the customer. If everyone is trying to get promoted "away" from coding, then who is actually doing the coding? Anyone? Bueller? The guy who's too dumb to know that he's at the bottom of the caste?
Let me expand on that idea that "the work of coding is the work of making the thing that impacts the customer." UML diagrams don't actually do anything. Neither do specifications, requirements, test cases, methodologies, or procedure documents. In fact, the Agile Manifesto goes so far as to say:
"We are uncovering better ways of developing software by doing it and helping others do it. Through this work we have come to value:
Customer collaboration over contract negotiation
That is to say, while we value the items on the right, we value the items on the left more."
-- http://www.agilemanifesto.org
In other words, if you develop a wonderful, complete set of documentation, and your company goes under, the customer is going to do what? Hire someone else who will look at your documentation, claim that it's poor, and start over. The same goes for architecture diagrams, test cases, and methodologies. They don't actually do anything. Only the coder is doing the work of production [2].
I remember a wonderful feeling when I read Ron Jeffries'Extreme Programming: Installed (Addison-Wesley, 2000), in which coding is viewed as central to the role of development: Everything else is support. In that worldview, coding is noble, creative work. Developers can add values through both technical contributions ("hey cool, I found a way to do that in 12 lines of code!") but also through business contributions ("You know, if we knew zip code, we could...") through intense collaboration. In Extreme Programming: Explained (Addison-Wesley, 1999), Kent Beck went so far as to end his preface with something to the effect of "I could write more, but if you'll excuse me, I gotta go code ..." He went on to say that "You can't expect to carry a lot of baggage and move fast. The artifacts we maintain should be Few, Simple, and Valuable ... Like the nomads, the XP team gets used to traveling light. They don't carry much in the way of baggage except what they must have to keep producing value for the customer--tests and code."
An alternative to making every promotion away from code is to create a technical career ladder. Priority Health, Microsoft, Fog Creek Software (http://www.joelonsoftware.com/articles/fog0000000038.html), and Construx (http://www.construx.com/professionaldev/organization/pdl/version1/pyramid.htm) all have technical career ladders. All of them involve incenting developers to get better at coding, resulting in better code developed faster. The alternative involves incenting developers to learn things that have nothing to do with coding, and quite frankly rather scares me.
The problem is that all this so-called architecture really isn't architecture at all. It's some person's vision of world with authority and no responsibility. At Priority Health, our architects are project participants throughout the life of the project. They have "day" jobs where they make actual technical contributions. When they aren't making technical contributions on a project but are assigned to "mind the store", we define the role very similar to the way Martin Fowler does: The Architect is a guide who mentors the developer to make good design decisions, not a boss. As a Technical Project Manager, I feel honored to be invited to code review sessions, to pair on a complex bit of code, or when asked by folks in a crunch to jump in and contribute through code or testing. It's an opportunity for me to keep my technical skills up as well as to actually put real working software in the hands of customers.
Sean McMillan contributed to this article.
[1] "Programmers shift from design to coding when the problem is decomposed to a level of 'primitives' that the designer has mastered. If the coder is not the same person as the designer, the designer's primitives are unlikely to match the coder's primitives, and trouble will result."
-- Robert Glass, Facts and Fallacies of Software Engineering, "Fact #29" (Addison-Wesley, 2002)
[2] Please don't take that statement too far; testing and requirements gathering are also key. Extreme Programming pushes many of the responsibilities of testing and requirements gathering back onto the software developer. What I am trying to express is that artifacts like activity diagrams do not stand on their own; they only have value along with working software. It is the software that the customer wants, not the UML.
Matthew Heusser is Technical Project Manager at Priority Health, where he manages in-house, integration, and outsourced software projects. He can be contacted at [email protected].
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Home Basketball Boys' basketball stumbles against Temple City
BasketballBoys BasketballFeatured
Boys' basketball stumbles against Temple City
written by Alex Betts February 7, 2018
Senior Noah Umura draws contact while driving through two defender. His tenacious presence in the paint helped South Pasadena compete in the second half. South Pasadena's record fell to 3-6 in league.
Photos by Richard Gomez
Staff Photographer
A second-half surge by the Temple City Rams eliminated hopes of a CIF berth for boys' basketball on Tuesday, February 6, as the Tigers' penultimate league matchup on Senior Night ended with a 51-40 loss. Lackluster offensive efforts defined the vast majority of the first two quarters, as both teams combined for a measly 28 points. Halftime adjustments resulted in resurgence for South Pas and Temple City, but the Rams' superior attack in the final moments enabled them to climb out on top. The disappointing loss drops the Tigers' overall and league records to 11-15 and 3-6, respectively.
Senior Jaylen Park turns the corner on a defender while hurdling down court.
Numerous South Pas stops on defense in the first quarter stemmed from quality communication and quick switches, as cohesive movement forced two Ram turnovers on two possessions. The Tigers were dominant in the paint, a refreshing change from past league matchups. Seniors Reno Goudeau, Noah Uemura, and Ben Kent were incredible near the basket, constantly grabbing rebounds and starting/extending possessions. Despite these advantages, South Pas was unable to gain command of the game, as it took the first half of the opening period for three baskets to be scored. As a result, each basket held major significance and ignited the crowd; senior co-captain Nick Corvino nailed a fade, before fellow senior co-captain Danny Rios finished in transition to give South Pas a 6-4 lead. The period ended with a 8-4 score, and closed the window of opportunity for the Tigers to grab an early, commanding advantage.
Defenses loosened their grip on the game in the second quarter, but several offensive opportunities were still missed by both sides. Baskets continued to be few and far between, as several shots by Corvino and South Pas players rattled in and out. The shooting performance by the Tigers was incredibly unfamiliar, and allowed Temple City to stay in the matchup. The Rams nearly grabbed a lead in the waning seconds of the half, as a Temple City player threw up a full-court shot that miraculously found its way through the hoop. Unfortunately for the Rams, the basket was disallowed, as officials ruled the shot was released after the buzzer. The half finalized with a 14-14 tally.
The opening possessions of the second half foreshadowed an offensive explosion, as Corvino knocked down a pair of triples and Rios swished a three. As the pace increased, the audience grew more involved, frequently shouting "Go go go" as players sprinted down the court. The physicality also intensified, with the animosity between the two squads reaching a climax as senior Jaylen Park exchanged words with a Ram after a hard foul. Tempers flared and shoving ensued, and senior Ben Kent came to the defense of his teammate. Coach Ryan Lee and the South Pas bench pulled players away from the scrap with hope of avoiding technicals and ejections. This effort was ultimately fruitless, as Park was assigned a technical and Kent was ejected. Uemura replaced Kent, and showcased his prowess as he gathered the rebound of his own shot and powerfully finished the play. However, Temple City utilized a last-second three to grab a 30-28 lead at the end of the quarter, leaving a single, eight-minute quarter to decide whether South Pas' CIF hopes would be extinguished.
Temple City entered the final period with a vengeance, as the Rams built a seven-point lead in the opening minute. South Pas substituted, looking to disrupt the Rams' rhythm, but that attempt was unsuccessful. Temple City utilized a three to extend its lead to 45-32 with 3:15 remaining, prompting a desperate South Pas onslaught. Unfortunately, the Rams were able to hold the Tigers at bay, and close out the game with the 51-40 score.
Boys' basketball will travel to Blair on Thursday, February 8, for its final league game at 7:00.
Boys' basketball stumbles against Temple City was last modified: February 13th, 2018 by Alex Betts
Alex Betts
Alex Betts looks forward to his first year in student journalism, where he hopes to express his interest in politics and sports as a staff writer. In addition to Tiger Newspaper, Alex enjoys participating in Youth and Government, tennis, and Virtual Business. Outside of school, he can be seen playing a variety of sports or hanging out with friends and family.
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Succumbing to an avalanche of criticism, Sen. Barack Obama's campaign has apparently decided to back away from its trial balloon of a new presidential seal.
Newsmax's lead story Monday morning reported on Obama's new version of the presidential seal, but a campaign spokesman now says it won't be used again.
"That was a one-time thing for a one-time event," Robert Gibbs asserted to CNN about the rather intricately designed seal that made its debut last Friday.
The new seal was unveiled on Obama's podium when he spoke to a group of Democratic governors.
The Obama seal did include the American bald eagle clutching arrows and an olive branch, but the resemblance ended there.
The Latin phrase "E Pluribus Unum," which translates to "Out of many, one," was replaced with "Vero Possumus," which translates to "Truly, we are able" — a rough translation of the Obama campaign slogan "Yes we can."
As Newsmax reported, the deletion of "E Pluribus Unum," long considered the de-facto motto of the United States, is not accidental for multiculturalists, who have long denigrated the concept that immigrants must strip away their old culture in favor of the "oneness" of American civilization.
In the 1990s, such activists promoted the alternative concept of the nation's ethnic "mosaic," rather than a single, overarching metaphor to describe American society. For example, Nation of Islam leader Louis Farrakhan has pointedly criticized the "E Pluribus Unum" motto as not reflecting the nation's diversity.
And CNN reported that Obama was not simply facing critics from the right, but also from some left-wing supporters who did not like his new and improved seal.
"Many wondered whether a seal — with Latin phrasing no less — was the best idea for a candidate fighting for the working-class vote and trying to fend off allegations of elitism," CNN reported.


When planning her kitchen, F&W's Tina Ujlaki picked materials that would look—and feel—great.
"There's so much about working with food that's tactilely pleasant, and I wanted all the surfaces in the kitchen itself to be pleasing to the touch," says Tina Ujlaki, F&W's executive food editor, explaining why she used only natural materials in her new Manhattan kitchen. For example, the burnt-cork floor feels good under her feet, is easy to wipe down and has a subtle smoky smell—"like a campfire," Tina says. She also wanted every knob and pull to feel comfortable in her hand: She chose the KitchenAid refrigerator and dishwasher in part because of their round, curved handles.
Tina wanted to paint the kitchen red, but friends cautioned her against using such a strong color. The leather "Cliff" chairs from Bizhan Home were the perfect compromise. DETAILS $750 each; 212-982-6969.
Her apartment doesn't have a gas line, so Tina chose a Bosch flattop, which is easy to clean and has manual controls ("I'm a Luddite," she says). DETAILS $1,149; 800-944-2904.
"I have the Jaguar of sinks," Tina says of her Franke PSX-110-30-9, which she thinks is an ergonomic marvel. Because her husband is 6-foot-6, she bought a shallow, 9-inch-deep model so he wouldn't have to stoop when he washes the dishes. DETAILS $1,435; 800-626-5771 or frankeksd.com.
Franke's ATO-480 satin-nickel gooseneck faucet includes a sprayer, which Tina uses both to clean the sink and to wash produce. DETAILS $900; 800-626-5771 or frankeksd.com.
For the backsplash, Tina picked "China Multicolor" slate tiles with a natural cleft finish, which has a rough-hewn look and feel; she also chose gray grout that would blend in with the stone. The polished Absolute Black granite countertop complements the backsplash. DETAILS Available to the trade at Stone Source; stonesource.com.
The cherry "Locarno" cabinets from Allmilmö include a lazy Susan with a metal rim to keep things from falling out. Tina stores cereal, crackers and chips above the oven; the dry heat keeps them crisp. DETAILS 800-276-1239.
Tina chose drawers of different depths so things are easily accessible. All of them have magnets in the back that prevent them from slamming.


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Arab world opinion of the U.S. and President Obama … has dropped to an all time low.
This has to be understood for what it is: With the election of Barack Hussein Obama, the Arabs had every reason to believe he would put the screws to Israel. But the Arabs (and Obama) don't (didn't) understand how our system operates. Obama's preferred plan for a diplomatic blitzkrieg against Israel was frustrated, thanks to his tacky, ham-fisted public mistreatment of Israel, the pro-Israel Christian Congress and misgivings by big-money givers in the Jewish community. With their man in The White House in check, the Arab's were left deeply disappointed and their expectations to be handed Israel's head on a plate were shattered. Still, Obama could yet win back their affection if he wins a second term and doesn't have to worry about winning a third.


You can reach Marina di Cannigione by calling VHF11.
Marina di Cannigione known as Port of Cannigione is located in Lu Canniscioni or Cannigione, an Italian coastal town that is situated in the province of Olbia-Tempio in Sardinia. This is the most populous town in the sub-region of Gallura, offering tourists unforgettable experiences and many attractions. It is also known as Port of Cannigione and it specializes in tourism and recreational activities. Architecture enthusiasts will encounter a wide variety of historical sites of a great importance where a mix of architectural styles can be observed. The Church of Santa Maria Maggiore, the Church of Santa Lucia, etc., are religious structures that are worth visiting. Also, there are archaeological sites that can be visited, such as the Mushroom Rock which is a symbol of Arzachena, the Dolmen Albucciu, the nuragic Malchittu, etc. Nature lovers will be pleased with the complexity of this area where the Gulf of Arzachena has created numerous wetlands that are home to impressive birds like the pink flamingos.
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text:
"No one walks alone on The Magic Line" "No one walks alone on The Magic Line" "No one walks alone on The Magic Line" "No one walks alone on The Magic Line" + "No one walks alone on The Magic Line" E-mail
Oriol Bota
DIR. OF SANT JOAN DE DÉU WELFARE ORGANISATION
"No one walks alone on The Magic Line"
Oriol Bota. EPA.
"No one walks alone on The Magic Line" "No one walks alone on The Magic Line" "No one walks alone on The Magic Line" "No one walks alone on The Magic Line" "No one walks alone on The Magic Line" E-mail
"In eight editions of Magic Line we've raised more than two million euros" "Our duty is to care for and help people who live in fragile situations"
Clara Ribas / cribas@elpuntavui.cat
The Magic Line is the annual fundraising walk of the Sant Joan de Déu welfare organisation, the Catalan wing of the Brothers Hospitallers of Saint John of God. This year's walk takes place on June 13 and as always aims to promote social commitment and the conviction that a better world is possible. The walk sees teams of people walking together to achieve a solidarity challenge they have previously set themselves. "In the Magic Line no one walks alone!" declare the organisers. The Magic Line is not about competing, it is about sharing, and all of the money raised goes to Sant Joan de Déu's welfare projects. These projects focus on caring for the people who need it most and those in a vulnerable situation.
This initiative is now eight years old.
We are amazed at how much The Magic Line has grown. In the eight editions we've raised more than two million euros and have funded 200 of Sant Joan de Déu's welfare projects. This shows that, step by step and with collective commitment and teamwork, we can make the world a more just and supportive place. The Magic Line is a route up K2 mountain. I'm no mountaineer, but we all know that to do such a climb you need to do it as a team, you know it will take a lot because it's hard, but when you finally get there you realise that there are no obstacles that can stop you. I give you this example because I think we all have a Magic Line to achieve inside us. For some it's a mountain, while for others it's a solidarity walk.
This year's motto is "More Than Ever".
This has been a hard year for everyone. We've had to lock ourselves at home and adapt to teleworking, video calling, curfews. But what about all those people who did not have a house to quarantine in, or all the families with few resources who are living in a tiny home? And those who were hospitalised and could not receive any visits? Or all those who suffer from some kind of mental health problem? These are some of the groups we serve in Sant Joan de Déu, and all those people who were already vulnerable before Covid are now more so. For all of them we have to do "more than ever".
It's not a race, but participants are encouraged to do it in company.
We love these values. The Magic Line was born out of teamwork and with the idea that great challenges can only be overcome by cooperating with other people. Deep down this is a value for walking through life, too. The idea that together we can make it possible. Every year we have hundreds of teams made up of families, friends, co-workers or schoolmates who get involved, but it's always together. And if you have no one to walk with, we'll find you walking companions.
The format has changed this year.
We've adapted the format to the health situation, so instead of walking established routes with many other people, we propose walking wherever you want. This means you won't only walk around Barcelona, but anywhere in the world. From Barcelona to Australia, Empordà to Terres de l'Ebre, or your garden. We have representation in many municipalities in Catalonia. In addition, Valencia and Mallorca will walk their Magic Lines on the same day, and other cities in Spain, such as Sevilla, have also joined. But there are some places in the world that will be there too. We have teams in Japan, Canada, New Zealand, the Netherlands, Morocco...
You say that vulnerable people are now more vulnerable than ever.
A crisis like this is first seen with fear and uncertainty. But our duty is to care for and help people who live in fragile situations. And so we faced this crisis by focusing on the most vulnerable and trying to put care and solidarity at the centre. If this pandemic has highlighted anything, it's the importance of solidarity, and we're all responsible for that.
Volunteering has experienced the crisis in a very direct way. Has this weakened or strengthened it?
Volunteering is a pillar of our institution and the time that all these people selflessly give us is invaluable. Volunteers haven't been able to do their usual activities in person, but from the start there have been new initiatives, such as sending letters, doing video calls, or making masks. Yet, despite having to stop face-to-face volunteer work in our centres, I'd say that the number of volunteers has gone up. The pandemic has shown us that volunteering is essential, and that has made it stronger. They say we'll come out of this pandemic stronger, but also that the pandemic has shown us how fragile we are. I think we'll have learned that we're all vulnerable and that we all need help. The pandemic has put mental health on the table, for example, and with Covid everyone's mental health has been affected. Perhaps the pandemic will have shown us we're all fragile, but that doesn't make us weak. In this sense of acknowledging our fragility, I believe that the pandemic has made us stronger.
What next? What are the priorities?
At Sant Joan de Déu our priority remains working alongside the people who need it most and raising awareness in society to increase everyone's commitment towards building a fairer and more hospitable world. We'll continue to be there for the most vulnerable because it's our job and because caring for and supporting all these groups is our raison d'être. In a post-pandemic scenario, as we said at the beginning of the interview about The Magic Line, we will do it "More Than Ever", because that's the only way we can do it. We're needed more than ever and that's why we're calling for everyone to go further than ever on the path of solidarity. That's why we hope that everyone will join The Magic Line on June 13 and that we will make this edition the most supportive ever.
interview welfare
55 countries in the world
The Brothers Hospitallers of Saint John of God is a religious institution that was founded to care for the poor and sick over 500 years ago, and which today has 400 centres in 55 countries around the world. Founded by John of God, a Portuguese soldier turned health-care worker in Spain, the organisation's priorities remain the same today: helping vulnerable people and those excluded from society. Although they are supported by thousands of individuals, companies and organisations, Oriol Bota says "you never get enough help when you want to do a lot more than you do. Having clowns bring joy to children with serious illnesses is as important as having the latest technology." In addition, he points out that models of care are changing: "If before a hostel for 100 people in communal rooms was a good model for homeless people, today that's no longer valid, and we need individual housing. In the short term it may be more expensive, but in the medium and long term, we achieve better results," he concludes.


Christakis and his colleagues studied more than half a million couples over the age of 65 who were enrolled in Medicare from 1993 through 2001. During a one year period, they found that having a sick spouse "is about one fourth as bad for a partner's health as having a spouse actually die." The period of greatest risk is 30 days after the spouse's hospitalization or death, and the mortality risk is higher with ones age. Also, women were at greater risk if their husband was hospitalized, compared to a man if the wife were hospitalized. Poverty increased the mortality risk as well.
The type of illness mattered. The researchers found that if the wife was hospitalized with colon cancer there was almost no effect on the husband's mortality. But if the wife was hospitalized with heart disease the risk shot up to 12%, and for a psychiatric disease it rose 19%. Dementia increased the risk of a husband's death 22%. The result was "similar" if the roles were reversed and the husband was sick.
Interference of the spouse's mental and physical ability had more of an impact than the extent of the illness. Christakis said "The study suggests that diseases that are more disabling are more likely to result in disease and death in the care-giving spouse." It may also drain the partner of emotional, economic or other practical support.
Christakis would like doctors to realize that if they are taking care of a patient, they are also taking care of the patient's spouse. "So helping one person might help others," the report said.


2012 WBC EVENT PREVIEWS AVAILABLE: The individual event previews for all WBC tournaments are now posted at http://www.boardgamers.org/yearbkex/ as only WBC does them. View the details of your favorite events and then plan your schedule using Steve Okonski's Personal Scheduler which will soon appear at http://www.boardgamers.org/wbc/sviewer/ in an improved format. You will soon be able to find additional scheduling aids by Steve at http://www.boardgamers.org/wbc/schedule.htm - for the ultimate in planning your week at WBC.
WBC 2012 PRE-REGISTRATION OPEN: The registration form for the 2012 World Boardgaming Championships is now available at http://www.boardgamers.org/downloads/WBC12prereg.pdf. Those who have already purchased Sustaining or Tribune memberships for 2012 are reminded that they do not have to do anything else to register for WBC unless they wish to order souvenirs, enter a team in the Team Tournament, or purchase pre-con admissions to add to their Sustaining level memberships. Check the May newsletter for details on other scheduling aids and the on-line version of the 2011-2012 yearbook which is coming next. We will also add a WBC status page next month where you can check your registration status and advertise for roommates, rides, and gaming opportunities at WBC.
WBC VENDORS: The WBC Vendor's Room is again a sellout, assuring attendees a wide selection of new and hard-to-find games to purchase in 2012. See the vendor links on our home page for a complete list. If the Vendor's Room is an important part of your convention experience, be sure to visit during the last three days of the conference because it does not open until Friday, August 3.
YEARBOOK & FREEBIES DEADLINE: The opportunity for free souvenir shirts, hats and yearbooks is just about over. Those purchasing Tribune memberships by the end of April can still qualify for the free goodies - including a cool new style souvenir shirt. After May 1, those wanting these items need to order them separately before July 21 for delivery at WBC. Programs with the 2012 schedule will be available later, both on line and at WBC.
GUTFREUND WINS BREAKOUT NORMANDY: Mike Kaye and Mark Gutfreund were the last of 36 players left standing in the 7th BPA PBeM tournament. Neither had won a BPA BKN tournament and the outcome was in doubt until the very end when an Allied assault on St Lo fell short on the 6th impulse of June 12 leaving Mark's Germans triumphant. Other laurelists included Tom Dworschak, Kevin Hammond, Marvin Birnbaum and Scott Fenn who finished third through sixth. More details and current laurel totals can be found at http://www.boardgamers.org/yearbook/bknpge.htm#pbem.
NEXT BREAKOUT NORMANDY PBeM: The 8th rendition of the tournament will begin May 1st and will accommodate either the original AH version or the recent L2 deluxe edition with the former serving as the default. Rounds have a 5-month time limit although the later rounds tend to play faster. Check out the details at https://sites.google.com/site/breakoutnormandytournament/.
PEI WINS WASHINGTON'S WAR: "Master" James Pei bested a field of 70 players to win the first BPA Washington's War PBEM Tournament, a six round swiss competition which began in May 2010. Pei ran the table, going 6-0 to add to his legendary championship total, including his recent win in the WAM X Washington's War tournament. He defeated (in order) Andre Heller, Kirk Harris, Kent Tieman, Paul Gaberson (the 2004 We the People PBEM champ), George Young (a three time WBC We the People champ) and Jay Meyers. He won as the Brits twice and as the Americans 4 times. In the unofficial championship game against the previously undefeated Meyers in Round 6 he won as the Americans despite having Washington captured mid way through the game. Other laurelists, all of whom went 5-1, were Kent Tieman, Ron Jacobsen, Phillip Burgin-Young and Marvin Birnbaum. More details and updated laurel totals can be found at http://boardgamers.org/yearbook/wwrpge.htm#pbem.
SPEED CIRCUIT: The first of three heats in our first PBeM Speed Circuit tournament is now in the books with three 12-car races complete. Turyko Suky and John Shaheen qualified out of Race A, Bert Schoose and Giuseppe Incorpora emerged from Race B, while Jeff Cornett and Tim Mossman qualified in Race C. There were seven DNFs altogether with Race B proving the toughest with three cars knocked out of the competition. The average starting place of a driver to qualify was 6 in Heat A, 1.5 in Heat B, and 6.5 in Heat C. For more details see http://lucidphoenix.com/sc/wbce/.
MARCH MADNESS: The ninth annual BPA March Madness tournament is moving at the most deliberate pace in its history. Two teams, Bill Edward's Wichita State 2006 and Bruce Monnin's Washington 2005, have reached the Final Four. They await their opponents who will come from the matchups of Bob Menzel's Miami (Ohio) 1999 vs Sean McCulloch's Villanova 1971 and Jeff Martin's Indiana 1953 vs Robert Rund's Louisville 2011. The average seed of these six teams is 25.3, and seed #8A Washington 2005 is the only single digit seed remaining. Follow the details at http://www.nktelco.net/bdmonnin/mm-brack-2012.htm.
PRO GOLF PROGRESS: Is it possible to use the word "progress" and Pro Golf in the same sentence? The first round of the Third BPA Pro Golf PBeM tournament is finished. The cut line was at Even par, and the 33 duffers who finished at even par or better will move on to the second round. The lucky 11 who didn't make the cut may now return to normalcy - or whatever passes for normal for people who play Pro Golf. Mark Yoshikawa dominated the Lancaster Host course, as his John Daly completed the round at 9 under par, four strokes ahead of nearest competitor Chris Kizer (one of Lisa Gutermuth's Duke posse). They go to Duke to learn how to play Pro Golf? The second round will be played on the Muirfield Village course used in the WBC Skins game. The combined score of the two rounds will be used to determine the top one third (rounded up – 15 players) and ties who will make the second cut and play the third round on the Arrowhead Park course. The combined score of the three rounds will be used to determine the Champion and other Laurelists. Any ties will be resolved using a 3-hole playoff on the 2002 Augusta National course. If still tied, another three holes will be played. For details, see the event webpage at: http://www.nktelco.net/bdmonnin/pro_golf_PBeM_2012.html and the current scoresheet at http://www.nktelco.net/bdmonnin/PBeM_Scoresheet.htm.


Welcome to Adrenaline Gymnastics Academy Adrenaline Gymnastics is committed to excellence in all areas of gymnastics training. From the smallest tumblers to elite athletes we offer a wide variety of programs suited for children of all ages and abilities. Our mission is to provide your child the highest quality gymnastics programs, training, and education aimed at allowing them to reach their own maximum potential.