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Home Expo News Transatlantic trade opportunities available at Med-Tech Innovation Expo
Transatlantic trade opportunities available at Med-Tech Innovation Expo
Life science companies looking to explore the possibility of doing business in Northeast Ohio can meet leaders from the City of Mentor from May 14-16.
An international trade delegation is visiting Nottingham Trent University and the Med-Tech Innovation Expo and Conference, at the National Exhibition Centre in Birmingham.
The Mentor Delegation will visit Nottingham Trent University on Tuesday 14 May and the Med-Tech Innovation Expo and Conference on 15-16 May, to explore the international trade and collaboration opportunities available for life science companies in the East and West Midlands.
In August of last year, Medilink Midlands and the City of Mentor announced a strategic partnership to promote trade and investment between the two regions. In October of last year, this led to a successful Medilink Midlands trade mission to the City of Mentor and the Cleveland Clinic Innovation Summit. As part of the growing relationship between the two regions, a reciprocal offer was made for a delegation from Mentor to visit the UK.
The City of Mentor, in Northeast Ohio, is a 20-minute drive from downtown Cleveland. Mentor is becoming a focal point for the Northeast Ohio cluster of over 700 biomedical companies, including over 400 medical device manufacturers specialising in imaging, neuro-stimulation, orthopaedics, cardiovascular, and sterilisation. Among these are world leaders such as General Electric Healthcare, Siemens, Toshiba, Hitachi, Philips Healthcare, and STERIS. STERIS Corporation was founded in Mentor in 1985. Other Mentor biomedical companies include Volk Optical, Frantz Medical Group, SourceOne Merry X-Ray Corporation, and Integrated Medical Solutions.
Northeast Ohio is also home to internationally recognised clinical research institutions, including the prestigious Cleveland Clinic, University Hospitals and Case Western Reserve University, providing Mentor biomedical and medtech companies with a platform for research, design, and innovation.
Mentor has a number of key benefits for life science companies looking to set up a base for operations in the USA. Manufacturing costs are low, the region has a stable and experienced workforce and the local government is pro-business and committed to ensuring the continued economic success of the city. Kenneth Filipiak, City Manager of Mentor, will speak further on the collaboration and trade opportunities open to Midlands Life Science companies, at the Med-Tech Innovation Expo and Conference on 16 May.
The Mentor team will be able to assist companies who are interested in doing business in Northeast Ohio and establishing a business in the region. There is also the opportunity for companies to join a trade mission to Mentor in October this year, in collaboration with Medilink Midlands.
There will be opportunities for companies to meet with delegation from Mentor at the following times:
Tuesday 14 May at Nottingham Trent University (12:00-1:00pm); Over a light lunch at the Nottingham Conference Centre (NG1 4BU).
Wednesday 15 May at Med-Tech Innovation Expo and Conference at the NEC, Birmingham (2:00pm-4:00pm); one-on-one meetings can be booked in the afternoon. The City of Mentor will also be attending the Medilink UK Awards dinner that evening.
Thursday 16 May at Med-Tech Innovation Expo and Conference at the NEC, Birmingham (10:00am-12:00pm); one-on-one meetings can be booked in the morning.
Medilink Midlands and Mentor are also looking to set up a biosciences trade mission to Northeast Ohio, from 21 – 23 October 2019. Highlights will include attendance at the Cleveland Clinic's Innovation Summit and visits to regional biomedical innovation, R&D and business development agencies and institutions, including the Global Centre for Health Innovation and Case Western Reserve University. There will also be networking opportunities with American biomedical and medtech companies.
To register your interest in meeting with the Mentor delegation, email info@medilinkem.com, indicating when you would like to meet with the Mentor delegation and what you would like to discuss with them.
Register for Med-Tech Innovation Expo
life sciences City of Mentor Medilink Midlands Nottingham Trent University Med-Tech Innovation Expo


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Q: SQLite: Selecting the maximum corresponding value I have a table with three columns as follows:
id INTEGER    name TEXT    value REAL

How can I select the value at the maximum id?

A: Just like the mysql, you can use MAX()
e.g.    SELECT MAX(id) AS member_id, name, value FROM YOUR_TABLE_NAME

A: Get the records with the largest IDs first, then stop after the first record:
SELECT * FROM MyTable ORDER BY id DESC LIMIT 1

A: Try this:
    SELECT value FROM table WHERE id==(SELECT max(id) FROM table));

A: If you want to know the query syntax :
String query = "SELECT MAX(id) AS max_id FROM mytable";

redpajama_set_name: RedPajamaStackExchange


What to do in the cycling off season…..
Home/Training/What to do in the cycling off season…..
Well at this time of the year most of the races are now over and the thought now moves to next year, however this phase is an important part of the year calendar so it needs to be structured like you would with any training block. Try not to fall into the trap of thinking I must keep training or I will loose my fitness as that will not happen with a short break.
Use the time at the end of your season to take some time off the bike and have that well earned rest. This is not only important physically but mentally too. Have a good couple of weeks doing no structured training and just ride for fun while catching up with friends/family and do all those jobs that you have been putting off.
It is important to write down what went right and what you feel was a limiter on achieving your targets so then put in place plans to achieve your goals for next season.
This is a great time to get your bike fitted so your muscles can adapt to the new position while your training load is lighter. It is also a chance to make changes to the front end of your bike especially TT bikes to become more aero. You can then start to build up to time in that new position.
During this phase and as you start to lightly increase your training again over the winter months then try to loose those few extra kilo's that you may have which will help your cycling in the coming season. While you are racing and training at a high intensity then it is hard reduce calorie intake but during the transition phase and base training then you will find you don't need as much food as you may think.
Enjoy the rest and you will come back stronger next season!!
By James Walsgrove|2019-01-16T21:50:13+00:00September 26th, 2017|Training|Comments Off on What to do in the cycling off season…..


Conveyancing is the legal transfer of a property from one person to another. The majority of people choose to use a conveyancing solicitor or a licensed conveyancer to do this and if you are getting a mortgage your lender will insist you have a professional handle the paper work.
Stage 1 – You have chosen the house/apartment you wish to purchase.
Stage 2 – You make an offer (subject to survey) and it is accepted by the seller.
Stage 3 – The Estate Agent confirms (by way of a Memorandum of Sale) the details of the sale and sends those to both the Buyers and Sellers Legal Representative.
Stage 4 – You make your mortgage application.
Stage 5 –The property is valued/surveyed by the Lenders Valuer (and possibly your own independent Surveyor).
Stage 6 – Subject to the valuation/survey not revealing any adverse matters you instruct your Legal Representative to proceed. In practice you may well have already spoken to your Legal Representative and appointed them. The preliminaries of the transaction, namely they having sent to you their terms of business and sought from you your proof of identification and proof of address, may have already been undertaken.
Stage 7 – Your Conveyancer applies for the searches against the property and also receives the Contract paperwork from the sellers Solicitors. The Solicitor then starts to investigate the Title to the property and investigating the information which the Seller has provided about the property.
Stage 8 – Your Lender issues a written offer of mortgage to you.
Stage 9 – Provided that all the searches have been completed and they are satisfactory and that all enquiries as to Title and other matters have been satisfactorily concluded you are in a position to sign your Contract, pay your deposit and agree a date for the change of ownership with the Seller (known as the completion date).
Stage 10 – The parties having agreed a completion date and having confirmed that they are ready to bind themselves to each other, Contracts become binding. This process is known as 'exchange of Contracts' and is undertaken between the Sellers and Buyers Solicitors.
Stage 11 – On the day of completion (that being the date already agreed in the Contract) your Conveyancers pays over to the sellers Conveyancer the monies to complete the transaction. Those monies are derived from your Lender and any balance monies that you have to pay bearing in mind that you will have already paid normally a 10% deposit when exchange of Contracts took place.
Stage 12 – You open a bottle of champagne to celebrate your newest acquisition whilst your legal representative quietly gets on with registering your Title to the property at the Land Registry.
For a free no obligation quote please contact on 0151 735 1000 or fill out an enquiry form. We look forward to getting you moving. Although EAD Solicitors are based in Liverpool, and Huddersfield we can act for the sale of your property throughout England and Wales.


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SEEING BOTH SIDES
VC Perspectives from a Former Entrepreneur – Jeff Bussgang
Why Is Four The Magic Number?
Posted on May 26, 2010 by Jeff Bussgang
No, this post isn't about achieving four wins in the NBA Playoffs. It's about a historical anomaly in start-up compensation that I'm struggling with. Although I know this risks being an unpopular post with entrepreneurs, I confess that I no longer get why we have four year vesting schedules for stock option grants at start-ups. Let me explain.
Vesting is known as the time period during which you unconditionally own the stock options that are issued to you by your company. Until you vest the stock options, you forfeit them if you were to leave the company. Typically, that time period is four years. There is typically a one year "cliff", which means that you don't vest for a year and then "catch up" by vesting 25% of the stock options on the one year anniversary. Subsequent vesting happens monthly or quarterly, depending on the stock option plan your company has put in place.
I was explaining to a friend the typical vesting at venture capital firms is 8-10 years. That is, if you leave a fund before 8-10 years from the start of the fund, you risk forfeiting some of your unvested profit interest in the fund, or carry. I explained to my friend that this vesting schedule made sense given venture capital funds take 8-10 years from managing initial investments through to exits.
Then I realized that vesting at start-ups should also logically match the time it takes from inception to exit. In looking at the data, it appears that the average time to exit in start-ups during the 1990s was 4-5 years, so the traditional 4 year vesting period made sense. But since then, the average time to exit has creeped up meaningfully from 4-5 years to 6-8 years. So why shouldn't vesting schedules reflect this reality? Why shouldn't the vesting schedule for stock options be 6 years? Boards are finding that they have to reissue options every 3-4 years because once an employee is fully vested, they naturally come back to the table with their hand outstretched asking for more incentive options to stick around.
In fact, why can't vesting schedules be flexible and simply a part of the overall compensation negotiation? A CEO would benefit from having the tools at their disposal to adjust vesting dates alongside share amounts and other compensation levers. In the very early days, you might have six year vesting on stock options. After a few years, that date might be reduced to four or five, depending on the situation. Some form of accelerated vesting upon change of control (i.e., a sale) is often a part of the package for senior executives, so if a quick exit were navigated, there wouldn't be a meaningful penalty.
So maybe you can explain it to me, but I just don't get why our industry clings to a historical magic figure of four years.
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25 thoughts on "Why Is Four The Magic Number?"
Bruce@mystockoptions.com says:
Maybe in a private equity controlled firm for senior managers this could work. In a competitive job market for top performers, unless many pre-IPO companies start doing it, the companies that move to longer schedule will be at disadvantage. For many employees, four years is a long time and monthly vesting after the first year has more meaning.
In addition, If these are stock options that can be exercised right away, then subject to vesting schedule on the purchased shares, then for employees that exercise them early, they are taking a bigger risk and putting money at stake. Extending the schedule is not needed. For more on this type of early exercise stock options, see the pre-IPO section on http://www.myStockOptions.com .
John Rice says:
Employees aren't in any way exempt from the 8yr exit timeline. They only cash in when the VC's cash in, at exit. The vesting schedule is just a shorthand way of quoting the rate at which employees are paid equity.
Even if you lower "equity wages" by extending the vesting schedule, you'll still have the same problem that, in year 5, the employee can either (a) stay, and increase his now-smaller equity stake by 25%, or (b) leave, and vastly diversify his finances and his experience. The company needs to be on a tear to make (a) appealing.
Jeff Finkle says:
The fundemantal difference is that the appropriate tenure for vp's and director level execs in a start-up is only 3 to 4 years. This is due to the rapid change in complexity a company experiences from start-up to exit. Execs with different skill sets will be needed and hired as the company expands. The original execs will either have a different role, or will have left. Unlike venture capital firms, where partners are not replaced with more expereinced partners. The investing partner is expected to be the same partner at exit. There is no notion of a partner that has the skill set to diligence, close, nurture for a bit, then be replaced with one that has the skill set to expand and usher the comany through a trade sale or IPO. 3 to 4 year vesting still feels right for start-ups
bussgang says:
TypePad HTML Email
Interesting suggestion. I'm a fan of
restricted stock for the earliest folks to help them lock-in long-term capital gains
tax, which is sort of related.
Andy Idsinga says:
Crud – I screwed up the link in my comment above. It should be:
http://www.feld.com/wp/archives/2010/05/does-more-money-motivate-higher-performance.html
Here's some more crazy talk 🙂
Make many more employees in the startup feel (and actually be) founders by letting all of their options vest *immediately*.
The purpose is to take the money (and stock) issues off the table in order to get more motivated and loyal employees ala Dan Pink's thoughts on motivation.( see Brad Feld's recent post & comments here : http://www.feld.com/wp/archives/2010/05/does-more-money-motivate-higher-performance.html) .
Pick the the larger number of employees that will be founders based on some company specific criteria and planned exit strategy – maybe the first 20 employees.
At least one reason this might work:
If the startup runs in to hard times and can no longer pay employees it may be more successful at scaling back operations while keeping the larger group of founders motivated to continue building the company while it falls back into garage mode. They're founders after all, their motivation is not stock as much as building a successful company.
This raises the real issue of should VC equity and Employee equity be completly aligned. If the answer is yes than you have to put senority of the security, dilution and a host of other issues on the table.
Employees get paid salaries to deliver
results and cash or stock bonuses help focus on milestones. Stock options are
really about earning into equity ownership over time. That equity value is
only really realized at exit.
dave broadwin says:
I did not read all the comments, but, as a conceptual matter, shouldn't vesting be tied to the "deliverable" of the particular employee rather than the ultimate deliverable of all employees in the aggregate (i.e. and exit). Take and easy example (and I admit not every example is easy), I need to get my beta out the door in 12 months. Why not vest my coders on the milestone of getting beta out the door? If I fire everyone of them after they deliver beta and hire all new people, they earned their keep. What does the exit have to do with it?
Good points. I think this plays into my
point about flexibility – if you're a founder who is the "starter" founder, you
can argue for 2-3 year vesting. If you aspire to be an "end to end" founder,
you should have longer vesting. By not having any variability in the vesting schedule,
we are missing the opportunity for clarify on alignment.
I think it's important that the entrepreneur be on the same side of the table as the investor with respect to future needs for their own replacement. That may mean that they've made an important contribution to the business in the first couple of years, but might need to plan for their own obsolescence. Shouldn't this be reflected in a shorter vesting schedule, and if so, be better than motivating the founder/CEOs from trying to entrench and make themselves irreplaceable? I would think the entrepreneur should be focused on adding maximum value, yet also making themselves dispensible (as every member of a team should be, in my opinion; team > individual). Founders should be focused on maximizing their contribution and enterprise value, not institutionalizing their role.
Most boards/investors typically don't like
to do 100% acceleration on a "single trigger" (an acquisition) because it's a
turn off for the acquirers but executives will often get 100% or 50% on a "double
trigger" (first trigger: acquisition; second trigger: fired or asked to move).
Jasonoliver says:
jeff, awesome thought-provoking post on vesting schedule. what are your thoughts on accelerated vesting? as someone who led a couple of startups to exits, and is now a GP at a VC fund, would love to hear your thoughts.
I think on the contrary, we should encourage shorter vesting periods, and make it more commonplace to issue new shares as needed.
* Incentivize new talent; there's too much entitlement to early employees, some who are often mediocre… they deserve reward for their risk, but only to the point that's commiserate with their value added.
* Keep the overall ecosystem nimble with a healthy 3 or 4-year turnover – if it's worth staying around, they will… if it's not, set them free.
* Talented employees should get new shares every year as a bonus/incentive than wait out 4 yrs and see where they are, waiting on broken promises… maybe annual issuance with 2 yr vesting.
* The system is flexible – any stakeholder can have their % fully preserved at every issuance of new shares.
Maybe it's naive to think shares can be so easily created (legal and financial overhead) – but maybe that's what needs correcting?
Fair points, but it's the slow and steady climb case that's the issue, which is happening more often than it used to.
Matthias_us says:
One good regulating mechanism that already is baked in is the risk of dilution if it takes longer/more capital to reach an exit, or the company hits some bumps on the road. In the case of significant dilution, those still with the venture generally get a "refresh" with a brand new vesting schedule.
Conversely, in the "up, up and away" case, few will begrudge the founders their early vesting.
Kevin Parker says:
Interesting thoughts and arguments for a chance to the schedule.
Of course, the best way to properly align incentives would be to allow boards to have more flexibility to alter schedules if that would be supported by practice and custom.
However, the problem with greater flexibility is that you will quickly start to have 409A issues that you don't have when you have a set plan. Not to say that you couldn't structure things in a way to avoid 409A, but it is certainly something that will muck up any attempt to bring more flexibility to the system.
Two questions come to mind. One, is vesting schedule meaningful enough to spend time and effort negotiating it instead of or in addition to other terms? Two, does opening it up make a VC less competitive in getting deals done? My best guess is that the answers are no and yes, which would explain why no one really bothers with this.
All very good points, Michael. Yes, I think
you'd need to have larger option grants to elongate the vesting. I think
founders are there for the long haul, so I do expect them to stick around 5, 6
even 7 years if that's what it takes to create value and see it through. I had
one investor/board member tell me in a reference call about a CEO/founder that
he was annoyed that, despite navigating a 10x exit, he had left just before the
1 year escrow was released. Investors want entrepreneurs to be stewards of
their capital from end to end!
Great points, Gary. Vesting schedules should a customizable tool, not a rigid after-thought.
Michael Bayer says:
You raise some good points…but I think you'll find that the type of person you attract to a risky startup has a shorter attention span than the 6 years you suggest.
For rank-and-file, as much as you want to tie the compensation timeframe to your (owner's) liquidity schedule, you'll also need to consider the employee's perspective, where the type of person who thrives in the startup world probably looks at the engagement as a 3-4 year one at most.
For executives, who you want to have a meaningful amount of compensation tied to liquidity timing and value, the argument may make more sense…except that you also have to recongize that another reason why "boards are finding that they have to reissue options every 3-4 years" is that the initial grants are diluted through additional investments and thus much less meaningful by the time they are fully vested. And at the same time…as much as you suggest (probably correctly) that the average time-to-liquidity has lengthened to 6 years – has the average executive tenure been extended as well?
And I assume that if you are proposing increasing the vesting schedule by 50%, you are also proposing to increase the percentage by 50% as well? Or are you just suggesting a reduction in compensation through a lengthening of the schedule?
A few questions related to that:
1) If you increase the time, does that inherently mean you need to increase the equity offered? You're talking about a 50% (or more) increase in time required to be at the company.
2) Is every early stage employee really suited for the later stages of a growth venture? Are you better suited having some of those scrappy, "athlete" early stage employees moving on before Year 8 anyways?
3) What would happen to non-founding employees after an early acquisition? If a company was bought in 4 years, would you be tied to the acquiring company (which would likely be a totally new environment, potentially in another city) for 4 more years?
4) If you're at a venture for a full 8 years, doesn't additional equity later make sense given the dilution the employee may have very well faced during subsequent investment rounds?
All of this still leaves the question of "why 4?" It seems like maybe it's just one of those numbers that just became a standard because it was a compromise between short and long term.
Freerobby says:
If a company went with a 6-8 year vesting schedule, what would happen to non-founders in the event of an early exit? For instance, if I join a startup and it gets acquired in two years, am I now expected to work for the parent company for 4-6 more years in order to fully vest? Is acceleration typical for non-founders in these circumstances? (Or philosophically speaking, should it be)?
Gary Ambrosiino says:
I agree, why does it have to be four ! I think you cover the issues around four or MORE years. But there's also a STRONG argument for doing shorter total vesting intervals.
Seems to me the average tenure of a lot of executives at startups, particularly CEO's seems to be less than 4 years. Why ? Because early stage companies move through maturation stages sometimes VERY FAST. It's unusual to find people to staff key areas in the company that have skillsets and experience that span a 4 year interval from inception to, say, $30 million or more.
The rub (and major headache for a VC) seems to be when someone (the founder or other key member) runs past their maximum contribution point. Then there's always a big discussion around "what do we do with the options".
Why not address that up front. For example, the FIRST CEO will probably be there 12 to 24 months. Make a package that vests over that period and ASSUME all around the table that if the company is having any kind of success there will be a new era of management and staff. Shouldn't the original team be able to support and take full advantage of the change ? Seems to me this is the way it really goes anyway.
Healy Jones says:
Jeff, this is crazy talk! Keep your hands off my vesting schedule; it seems really long to me as is. 😉
Jeff Bussgang
Co-founder and general partner at Flybridge. Teach at Harvard Business School. 2x founder.
Flybridge Capital Partners
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Actual damages refer to the financial amount that is paid to a victim that suffered loss that can be calculated. Actual damages are often known as real damages or, legally, as compensatory damages. These are damages that arose from the neglect or mistake of another party.
It can be difficult to prove actual damages in a family law case. Although some states do allow for actual damages to be recouped when one parent is the cause of measurable loss to the other, specific proof of documentation is required in these cases. The actual damages are only paid out if the judge deems the costs payable by the person who is responsible for the loss. The payout amount will usually not be the requested amount, but instead, the judge will also determine the exact amount of the actual damages occurred.
Every damage case is unique, so it is important that the plaintiff provide the type of measurable documentation that best supports their individual legal case. Documentation that works for one case may not be ideal for another one.
Pain and suffering damages are often based on a person's difficult to adapt to everyday life after a serious injury. Actual damages in terms of pain and suffering might also include damages paid to the plaintiff's family members.
Loss of consortium: This occurs when the spouse also suffers from the injury of the plaintiff. This might include emotional and physical intimacy, loss of assistance around the house and with childcare duties, and a loss of emotional guidance.
Loss of guidance and care: This occurs when children suffer from the injury or death of a parent or their primary caregiver. This might include the emotional loss of losing the care of a parent or caregiver or the actual parenting duties the parent can no longer perform.
It is important to keep in mind that actual damages are not punitive, nominal, or statutory damages. It is possible that a legal case could include compensation from all components of these payable areas.
Punitive damages: Punitive damages, in comparison to actual damages, are a form of a legal consequence. They are damages that are ordered to the defendant in an attempt to punish them for their damaging behavior and to prevent it from occurring again in the future.
Statutory damages: Statutory damages are set by law and are standard payments set for injury, loss, or a civil violation. These pre-set damage amounts can speed up the legal process and are a great option when a plaintiff does not have a ton of provable documentation. They are common in cases of intellectual or copyright law, violations of public policy, and in cases of tax evasion.
Nominal damages: Nominal damages are minimal compensatory payments that are paid when there were no significant injuries sustained. Nominal damages place the legal blame on the defendant and recognize that although no real harm was done, property damage or injury was possible.
If you need help with recovering actual damages, you can post your legal need on UpCounsel's marketplace. UpCounsel accepts only the top 5 percent of lawyers to its site. Lawyers on UpCounsel come from law schools such as Harvard Law and Yale Law and average 14 years of legal experience, including work with or on behalf of companies like Google, Menlo Ventures, and Airbnb.


To create an independent fund for nutrition to catalyse new resources and support high impact programmes to improve children's nutrition at scale.
The Power of Nutrition will aim to protect 10 million children from stunting, and save at least 100,000 children's lives.
The Power of Nutrition is a partnership of investors and implementers committed to helping children grow to their full potential, ending the cycle of undernutrition, and enabling countries to build strong and prosperous communities.
They are working together to unlock $1 billion in new financing to accelerate the fight against child undernutrition faster and on a scale that few can achieve alone.
The Power of Nutrition multiplies contributions from each new investor by a guaranteed four times. The full amount is directed to nutrition interventions on the ground – not to overheads or operating expenses.
For the first time, a combination of private and public finances will support country-led programmes that target child undernutrition at scale. Every one dollar donated by private funders will be multiplied four times with new financing secured from other funders.
The Power of Nutrition was launched in April 2015, supported by CIFF, UBS Optimus Foundation, the UK's Department for International Development, UNICEF and the World Bank.
In July 2015, the Power of Nutrition announced its first investment - a $20 million investment in Tanzania to co-finance a major new nutrition initiative intended to help 20 million children and 5 million women by 2020. You can read more about the Tanzania investment here.
In June 2016, the Power of Nutrition announced an investment to tackle child under-nutrition in post-Ebola Liberia. You can read more about the Liberia investment here.
In November 2016, CIFF contracted Mathematica Policy Research to conduct an external evaluation of The Power of Nutrition's activities and impact. The baseline report documented the Power of Nutrition's early vision, the evolution of its model, its approach to fundraising and investments, as well as the progress to date on their activities. The report is now available to download in CIFF's Document Library as well as on Mathematica's website.
In May 2017, Mathematica also produced a report on indicators for key nutrition interventions, this document can be viewed here.


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Brown Pediatrics Residency
Clinical Curriculum
Unique Opportunities
Applying to Our Program
Meet Our Program
Resident Page
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welcome from our diversity officer
I am thrilled that you are considering the Brown University Pediatric Residency Program at Hasbro Children's Hospital for your residency training. The program has a long history of fostering an inclusive and supportive environment for residents. We understand that diversity gives all healthcare providers the opportunity to explore different cultures, which enriches the educational experience and, more importantly, provides a framework for each resident physician to better understand their patients and provide excellent patient care.
The Department of Pediatrics at Alpert Medical School is committed to building a diverse and inclusive Residency Program. We are excited to announce the expansion of our diversity initiative in the upcoming academic year. Our overarching goal is to increase the number of residents from diverse backgrounds. As you research residency programs, I invite you to learn about the culture of Providence and greater Rhode Island. Rhode Island is much more than the home of outstanding universities and wonderful beaches. The City of Providence is racially, ethnically, socioeconomically, and spiritually diverse. Please check out our guidebook for more information.
The Brown Pediatric Residency Program is proud to partner with the Brown Minority Housestaff Association (BMHA) and the Brown University Office of Diversity and Multicultural Affairs.
BMHA is a resident and fellow run organization committed to promoting the advancement of underrepresented housestaff through mentorship, networking and advocacy. They schedule curricula throughout the year to promote culturally competent care among the healthcare community at Brown University. Additionally, the BMHA and the Gold Foundation sponsor the Medical Education through Diversity (MED) Talks. Lastly, BMHA supports the GME to help recruit residents, fellows and faculty members from diverse backgrounds.
The Brown University Office of Diversity and Multicultural Affairs' mission is to help create and foster a diverse, inclusive and culturally competent learning and training environment for students, faculty and trainees within the Division of Biology and Medicine including The Warren Alpert Medical School, and Program in Biology. They sponsor the Department of Pediatrics Diversity Visiting Student Elective and Second Look Dinner.
Please feel free to contact me with any questions you may have about Providence or our residency program.
Sabina D. Holland, M.D.
Diversity Officer for the Department of Pediatrics
Sabina_Holland@brown.edu
http://www.brownminorityhousestaffassociation.com
The Alpert Medical School of Brown University and Hasbro Children's Hospital are committed to serving a community that includes a diverse cultural and socioeconomic mix. Our institutions are committed to advancing diversity and inclusion within the healthcare field by supporting our faculty and housestaff and training them to provide care for the specific needs of these community groups. The Brown Minority Housestaff Association and the Office of Diversity and Multicultural Affairs are devoted to providing a supportive space to all housestaff and learning opportunities to improve culturally competent patient care.
BMHA
The Brown Minority Housestaff Association is a resident/fellow run organization that helps promote diversity and inclusion within the hospital and graduate medical education communities. Every year, the organization sponsors lectureships and community outreach opportunities that housestaff can participate in. BMHA also works closely with the Brown University Office of Diversity and Multicultural Affairs. Furthermore, residents can serve as mentors to rising medical students as they navigate choosing a specialty and applying for the match.
Please visit http://www.brownminorityhousestaffassociation.com for more information
bsgma
The Brown Sexual and Gender Minority Alliance (BSGMA) was created to ensure LGBTQ+ representation within the residency programs and institution, to enhance mentoring opportunities with the medical school and to improve the LGBTQ+ educational content within residency training. By increasing provider knowledge, we hope to better address the healthcare disparities that afflict our community. Co-Directors: Drs. Erin Baroni and Kenzie Daniels, MedPeds PGY3s. Supported by a GME Wellness grant.
Committee on Anti-Racism and Health Equity
The Brown Pediatric Residency and Lifespan leadership recognize racism as a public health emergency that threatens our ability to achieve health equity. Our shared values – Compassion, Accountability, Respect, Excellence – leave no room for racism or injustice. We must continue to have zero tolerance for any acts that are not in keeping with our values. In the words of Angela Davis, "it is not enough to be non-racist; we must be anti-racist."
Lifespan formed an advisory committee, charged with advising executive leadership on anti-racism and health equity strategies to implement across our system. This standing committee is made up of about 30 members, with representation from across affiliates, job roles, and demographics. Our two current resident representatives are Alexis Thompson (Chief Resident) and Vanessa Ogueri ('21).
med talks
Medical Education through Diversity (MED) Talks is a speaker series initiated in 2015 as a means of creating and facilitating dialogue between patients and the medical community that cares for them. Representatives from minority populations are invited as panelists and asked to share their cultural values and reflect on how such perspectives influence their interface with the medical system and their healthcare providers. Audience members are encouraged to ask difficult ethical questions aimed at increasing provider understanding of the most culturally competent and humble care. This project is supported by grants from the Gold Foundation and funds from the Brown Minority Housestaff Association. Past panels have explored bias and disparity amongst the following groups and communities: refugees, LGBTQ youth, Jehovah's Witnesses, incarcerated patients, homeless patients, veterans, patients suffering from obesity, victims of sexual assault and trafficking, and those with histories of trauma.
second look for underrepresented students
Every year, URM students are invited to participate in the annual Brown Minority Housestaff Association Second Look Dinner in February after interview season is over. Students will be notified of the date during their interview and will be invited to participate in a dinner provided by the BMHA and the Brown University ODMA. This is a great time to network and meet up with other medical students, residents and faculty at Brown. Applicants who are interested in visiting the hospital and shadowing on rounds should contact the program coordinators to arrange for your visit.
Due to COVID-19, the visiting medical student scholarship is currently on hold.
visiting medical student scholarship
Brown University and Hasbro Children's Hospital is proud to sponsor the Diversity in Medicine Visiting Student Scholarship. Every year, qualified underrepresented students (URM) are selected from a competitive applicant pool to receive this scholarship to help pay for costs associated with doing away rotations at Brown. Med students who are interested in applying for pediatric residency at Brown are encouraged to apply. Those students will be paired up with resident and faculty members of the Brown Minority Housestaff Association (BMHA) for mentorship. Students can choose from a variety of visiting electives listed here. We strongly encourage students interested in this scholarship to apply for away rotations early. Questions about this scholarship should be directed to diversity-visiting-scholarship@brown.edu
BROWN PEDIATRICS
Program Coordinators:
Dennisse Reyes
dreyes@lifespan.org
Deborah Pratas
dpratas@lifespan.org
Hasbro Children's Hospital, Brown University Pediatric Residency Program, 593 Eddy Street, Providence, RI 02903


Adriana was born in Italy in 2009 after an in vitro fertilization and her parents were finally achieving the dream of their lives. Everything appeared to be fine with the pregnancy until the last moment when the mother started to feel contractions and ran to the clinic. She had forgotten to bring the kit for storing cord blood stem cells, but luckily Francesco from SmartBank reached them at the clinic right on time.
The clinical status of Adriana before birth kept getting worse and worse. She was suffering and the gynecologist was busy with another delivery. It took a while before a C-section was performed. Later, Adriana was diagnosed with a cerebral lesion caused by hypoxia at birth. Hypoxia is a medical term for when a region of the body does not get adequate oxygen supply.
Adriana's symptoms of cerebral palsy were not evident at the beginning and it took a while before her parents decided to seek therapy. They began seeing neurologists in Italy. Again and again they asked the neurologists if the stem cells in Adriana's cord blood might have therapeutic potential for her brain lesion, but all of the neurologists dismissed the cord blood stem cells as useless. Finally, three years after Adriana's birth, her parents called back SmartBank.
As the scientific director at SmartBank, I immediately suggested that the parents should get in touch with Duke Medical Center, where a clinical trial was enrolling children from all over the world for therapy of brain injury with their own cord blood stem cells.
Adriana's stem cells were identified in the SmartBank storage facility at BioVault Ltd in the UK. Then BioVault sent the cord blood unit to Duke Medical center for further testing according to the UK and US regulations. Adriana had enough stem cells for at least two therapies.
Adriana and her family traveled to the United States for the cord blood therapy. She was infused the first time in May 2013 and the second time in December 2013. Prior to this therapy, Adriana was not able to speak. She also suffered from muscle contractions called dystonia, such that she was not able to walk or even to sit without a support.
One evening before Adriana left for the second infusion in North Carolina, I received a phone call. A little voice was whispering at the other end, saying that she was happy to go and see Dr. Kurtzberg once again after 6 months. Adriana could talk!! This was one of the few moments in my life when I felt that so many efforts and battles to advocate for stem cell therapy were rewarded.
Adriana had a repeat MRI one year after the first infusion and her cerebral lesion had disappeared. She still needs to train herself like a little soldier every day in order to recover competely from dystonia, and she requires an exoskeleton in order to walk. However she can now speak fluently.
Irene Martini, PhD, is the co-founder and Scientific Director of SmartBank s.r.l., a family cord blood bank based in Rome, Italy, which uses laboratory storage facilities at BioVault in the UK. She has more than fifteen years experience as a researcher, and has written several scientific publications as well as patent documents. As part of her work with SmartBank, Dr. Martini has appeared frequently on national television and radio to explain the benefits of cord blood storage. She also runs monthly courses for prospective parents on the potential benefits of storage, including the latest research developments, as well as courses for gynaecologists and mid-wives. SmartBank advocates storage of cord blood both for the family and for the public via donation. Their lab, BioVault, is the only bank in the UK which offers both kinds of storage. She has three children herself, and was able to save cord blood for the youngest.


"(I Can't) Forget About You" was released in December 2013 as the third single from R5's debut studio album, Louder. The band performed the song live in several TV shows, including Good Morning America. It reached #47 on the US Pop Digital Songs Chart.
heart made up on you!!!!!!!!!!!!!!!!!!! please!!!!!!!!!!


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January 02, 2003 Screens » Screens Etc.
STILL PLAYING
"One of the better ones"
Dir. Lee Tamahori; writ. Neal Purvis & Robert Wade; feat. Pierce Brosnan, Halle Berry, Toby Stephens, Rosamund Pike, Rick Yune, John Cleese, Judi Dench, Michael Madsen (PG-13)
From the credits sequence, which mixes fear with the expected T&A, onward, this is a Bond flick willing to tweak our expectations just enough to make it better than most recent installments. Among the joys: one of the craziest go-for-broke swordfights ever, a palace made of ice, and a beautifully disfigured baddie. Too bad the filmmakers didn't trim the boringly bombastic final action sequence in half. JD
"The band plays on, predictably"
Dir. Charles Stone III; writ. Shawn Schepps, Tina Gordon Chism; feat.
Nick Cannon, Zoe Saldana, Orlando Jones. (PG-13) Though its characters are stereotypes and its story predictable (down to the final, triumphal freeze frame), the film — which focuses on the hard-working marching musicians who are routinely ignored by football fans — is a work of lively ethnography, immersing us in an odd subculture of portable tubas and volatile passions.SGK
With over $100,000 at stake, the drumline of a university show-style marching band struts its stuff during the heralded Big Southern Classic.Photo by Zade Rosenthal
"Declined, then fell"
Writ. & dir. Franc Reyes; feat. John Leguizamo, Sonia Braga, Delilah Cotto, Fat Joe, Vincent Laresca, Denise Richards, Isabella Rossellini, Peter Sarsgaard, Treach (R)
This kind of story, in which the protagonist consistently fails to do or say things we know he should, only works if the surrounding acts and words provide some contrast by bearing the mark of cleverness, if not of genius. Empire never hits that mark. JM
"Astounding feat of time travel"
Dir. and writ. Todd Haynes; feat. Julianne Moore, Dennis Quaid, Dennis Haysbert, Patricia Clarkson, Viola Davis, James Rebhorn (PG-13)
Writer/director Todd Haynes has lovingly resurrected the '50s melodrama of Douglas Sirk for this film, in which Julianne Moore plays a perfect housewife coping with a secretly-gay husband and a newfound attraction to her black gardener. Formally, Heaven is an astonishing recreation of the films it echoes; but the real accomplishment is the way Haynes involves us emotionally, avoiding camp entirely in order to wrap us up in a world of manners and mores almost as removed from ours as Jane Austen's. JD
"Conventional look at an unconventional life"
Dir. Julie Taymor; writ. Hayden Herrera (book), Clancy Sigal, et al; feat. Salma Hayek, Alfred Molina, Geoffrey Rush, Edward Norton, Ashley Judd, Mía Maestro, Roger Rees (R)
Though director Julie Taymor has a gift for surprising imagery — paintings come to life here and vice-versa — Frida's screenplay is too conventional to bring its unorthodox characters to life. Depicting a woman whose physical pain was legendary, Salma Hayek is as lithe as a dancer, with only occasional gestures thrown in to remind us she is supposed to be crippled. As her husband Diego Rivera, the charismatic Alfred Molina overshadows the actress, which is just as well — despite the movie's name, the filmmakers don't seem very interested in Frida's life except as it relates to Diego. JD
"Bloody and bruised, but not broken"
Dir. Martin Scorsese; writ. Jay Cocks, Steven Zaillian, Kenneth Lonergan; feat. Leonardo DiCaprio, Daniel Day-Lewis, Cameron Diaz, Jim Broadbent, John C.
Reilly, Henry Thomas, Brendan Gleeson (R) Scorsese at his worst is still an event, and although this compromised film hardly shows the director at his best, it is at least enormously personal: Catholic immigrants, viciousness, and the Big Apple make for a heady Scorsese stew. There are wonders here, such as two extended street fights and an over-the-top Daniel Day-Lewis, but the characters will mean little to most viewers, and the story seems to have been lost somewhere in the gritty grandeur. JD
Leonardo DiCaprio as Amsterdam Vallon in Gangs of New York
"A joyless bore"
Dir. Chris Columbus; writ. J.K. Rowling (novel), Steven Kloves; feat. Daniel Radcliffe, Emma Watson, Rupert Grint, Richard Harris, Maggie Smith, Kenneth Branagh, Robbie Coltrane, Alan Rickman, Tom Felton, Jason Isaacs (PG)
For a film set at an academy of witchcraft, the latest entry in the Harry Potter fanbase-milking campaign is remarkably devoid of magic. Even the charm of its adult cast is squandered here, a mistake the first film didn't make. Chamber of Secrets is a big, bloated bore, full of tedious exposition and lifeless computer graphics. JD
THE HOT CHICK
"Offensively unfunny"
Dir. Tom Brady; writ. Rob Schneider, Brady; feat. Schneider, Rachel
Adams, Anna Faris (PG-13) You've seen one body-swapping movie, you've seen them all — The Hot Chick is only remarkable for its utter lack of effort in retelling a trite tale, and for the number of pot shots it takes at ethnic stereotypes. WK
"Thrilling as fantasy and as a film"
Dir. Peter Jackson; writ. J.R.R. Tolkien (novel), Fran Walsh; feat. Elijah Wood, Ian McKellen, Viggo Mortensen, Sean Astin, Liv Tyler, John Rhys-Davies, Christopher Lee, Orlando Bloom (PG-13)
The second installment in what is shaping up to be the greatest fantasy film of our age jumps right in, skipping the exposition that bothered some in the first film, and emphasizing the slow-motion icons it has created. The battle of Helms Deep is stunning, the CGI Gollum is (at moments, anyway) the absolute state of the art, and Jackson has made the most expensive, most effective movie trailer (advertising the trilogy's conclusion, due next year) of all time. JD
MAID IN MANHATTAN
"Cinderella in a grand hotel"
Dir. Wayne Wang; writ. Kevin Wade; feat. Jennifer Lopez, Falph Fiennes, Tyler Posey, Marissa Matrone, Natasha Richardson, Stanley Tucci, Bob Hoskins (PG-13)
A contemporary fairy tale devoid of surprise or substance, Maid in Manhattan would have us admire a heroine who aspires to better herself through a career but instead sleeps her way out of the Bronx. The characters surrounding Lopez' Puerto Rican Cinderella are entirely too cute and charming, with the exception of Bob Hoskins, whose dignified approach to serving pampered hotel guests is far superior to the pandering attitudes of these filmmakers. SGK
"Sweet Greek comedy, not Aristophanes"
Dir. Joel Zwick; writ. Nia Vardalos; feat. Vardalos, John Corbett, Michael Constantine, Lainie Kazan, Joey Fatone (PG)
My Big Fat Greek Wedding is the story of how a 30-year-old spinster both defied and confirmed her tribal expectations. But it is not this ordinary story as much as the details that keep a viewer chuckling. SGK
STANDING IN THE SHADOWS OF MOTOWN
"Must-see for music fans"
Dir. Paul Justman; writ. Alan Slutsky (book), Walter Dallas, Ntozake Shange; feat. Jack Ashford, Bob Babbitt, Johnny Griffith, Joe Hunter, Uriel Jones, Joe Messina, Eddie Willis (PG)
The Funk Brothers, a group of nearly anonymous session musicians who supported Motown's star singers, made more number one records than the Rolling Stones, the Beach Boys, the Beatles, and Elvis Presley combined. Through interviews and newly-shot performances with contemporary stars, this extremely entertaining doc aims to convince casual music fans of what the record geeks already know: These unknown guys are as integral to our culture as the stars — Marvin, Smokey, Stevie, etc. — they backed up. JD
"Can Patrick Stewart move on now?"
Dir. Stuart Baird; writ. John Logan; feat. Patrick Stewart, Brent Spiner, Tom Hardy (PG-13)
In this dull installment of the series, Romulans have cloned Picard and set him on the path of galactic evil; who knew you needed to spend millions on CGI to continue the "nature vs. nurture" debate? Only rarely has the Trek franchise turned so much philosophy into so little entertainment. This script suffers from a serious lack of drama, and doesn't fill that void with comic relief...somewhere out there, Gene Roddenberry is snoring in his grave. JD
TWO WEEKS NOTICE
"Charming in spite of itself"
Dir. & writ. Marc Lawrence; feat. Sandra Bullock, Hugh Grant, Mark Feuerstein, Dorian Missick, Robert Klein, Dana Ivey (PG-13)
It's a good thing that Grant and Bullock are such well-established screen personalities; we have been programmed to want to see them hook up in the end, despite the fact that Marc Lawrence's script gives them no reason to be together. The film provides plenty of nit-picking opportunity, but more or less succeeds thanks to the personal magnetism of its stars. JD
Films reviewed by:
JD: John DeFore
JM: Jonathan Marcus
SGK: Steven G. Kellman
WK: Wendi Kimura
Tags: Screens Etc., Screens & Tech, screens
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Home > How to Clean > Chemical Safety Info > Dangerous Chemicals?
Dangerous Chemicals?
Bleach, acids and alkaline-based products can injure as they clean.
Most commercial cleaning products, if used as directed by the manufacturer's labels, should not produce any significant health effects. However, a number of these products have the potential to produce a variety of adverse health effects if used improperly (incorrect dilution or application) or if mixed with other cleaning agents.
One of the most common is bleach. The active ingredient in most products containing bleach is sodium hypochlorite in concentrations ranging from 3-6% (with a pH level up to 11.0).
Some bleach solutions may also contain silicate (15-17%) and sodium carbonate (60%) and have a pH of 10.5. Bleaching agents are effective because they react with atmospheric carbon dioxide to produce hypochlorous acid, which chemically decomposes to produce oxygen free radicals.
Oxygen free radicals are believed to be responsible for the bleaching and disinfecting activity as well as the toxic effects associated with these compounds.
Symptoms following exposure to bleach will depend on the volume, viscosity, pH, concentration, and duration of contact. As an oxidizing agent, sodium hypochlorite is corrosive to tissue. Solutions containing less than 6% sodium hypochlorite will cause significant injury only after prolonged or extensive exposure.
However, concentrated solutions can produce more severe tissue injury with less extensive exposure. Skin or eye exposure produces local burning and irritation. Inhaling sodium hypochlorite fumes may lead to sore throat, cough, wheezing, shortness of breath, and pulmonary edema (fluid in the lungs).
Ingesting household bleach can cause oral, esophageal, and gastric burns as well as produce nausea, vomiting, diarrhea, and abdominal pain.
Acid-Containing Products
Toilet bowl cleaners contain various concentrations of corrosive agents, including such compounds as sulfuric acid (80%), hydrochloric acid (10-25%), oxalic acid (2%) or sodium bisulfate (70-100%).
Other acid-containing products which are corrosive in nature include drain cleaners (sulfuric acid or sodium hydroxide), metal cleaners, and anti-rust compounds (hydrofluoric, phosphoric, oxalic, hydrochloric, sulfuric or chromic acids). The cleaning properties associated with these products are thought to stem from the corrosive nature of these compounds.
Symptoms following exposure to any of them will depend on the route, concentration and duration of contact. Acids produce their corrosive effects by directly damaging the surface layers of tissues. Except for hydrofluoric acid, the surface injury produced by acids prevents further penetration of the skin, limiting the extent of injury.
Effects to the skin, following exposure, can range from reddening and swelling to blister formation and overt skin destruction. Eye exposure may result in burning, pain, redness, and corneal damage.
Inhaling acid fumes can cause sore throat, coughing, wheezing, and shortness of breath. Severe exposure can lead to pulmonary edema, although this is not likely to occur with most household cleaning products.
Ingestion can lead to severe oral, esophageal and/or gastric burns, nausea, vomiting, and abdominal pain.
Ammoniated Products
Ammonia-based cleaning products are also frequently used in commercial settings. These products are classified as alkaline (caustic) and contain from 3-10% ammonium hydroxide.
Other alkaline cleaning products include drain cleaners (sodium hydroxide), automatic dishwashing detergents (sodium tripolyphosphate, sodium metasilicate, sodium silicate, sodium carbonate), and oven cleaners (sodium hydroxide). The caustic nature of these compounds is thought to account for their cleaning properties.
The clinical effects from exposure to caustic compounds will depend on the concentration and the amount of contact. Alkaline agents directly damage tissues.
But unlike acid solutions, alkaline solutions have the potential for more serious tissue damage because their ability to solubilize skin fats and proteins lets them penetrate more deeply.
Skin contact with an alkaline solution will produce a soapy feel and result in severe pain, blister formation, and tissue destruction. Eye exposure may bring burning, pain, redness, and severe corneal injury.
Inhaling ammonia or other alkaline fumes will produce burning pain in the nose, mouth, throat, and chest. More severe exposure can cause hoarseness, coughing, and difficulty in breathing. Ingestion can lead to severe oral, esophageal and/or gastric burns, nausea, vomiting, and abdominal pain.
Mixing Cleaning Products
While casual exposure to any of these products can be dangerous, exposure to a combination of them can be deadly. In an attempt to make cleaning products work better and faster, workers have been known to mix multiple cleaning agents, but indiscriminate mixing of products can lead to the release of toxic gases.
For example, if bleach is mixed with an acid-containing toilet bowl cleaner, the result will be the release of deadly chlorine gas. If bleach is mixed with an ammonia-based cleaning agent, harmful chloramine gas — both monochloramine and dichloramine — will be generated.
The amount of damage depends on how much was inhaled and for how long. Chlorine gas reacts with water-containing tissues (eyes, mouth, and lungs) to produce hypochlorous acid and oxygen free radicals.
Exposure to low concentrations of chlorine - 1 to 10 parts per million (ppm) - may cause burning of the eyes, sore throat, and cough. Higher concentrations (30 to 50 ppm) can lead to more severe coughing, shortness of breath, wheezing and pulmonary edema. If chlorine vapors become trapped in clothes, they can cause skin injury.
Anyone exposed to chlorine gas should be moved quickly to fresh air. This must be done cautiously to avoid exposing rescuers to the fumes.
Individuals with significant skin exposure should have their clothes removed and skin washed thoroughly. In most instances, symptoms will disappear once the exposure ends. Persistent symptoms need to be further evaluated.
Chloramine Exposure
Similarly, when chloramine gas contacts the mucous membranes, it forms hypochlorous acid and oxygen free radicals — potent oxidizing agents — that produce direct injury to whatever tissue they contact. Because chloramine cannot be washed away as easily as chlorine, it can cause more serious damage.
Cleaning in confined spaces such as restrooms in the presence of chloramine gas can result in cough, sore throat, wheezing, and pulmonary edema. Those exposed to the gas should be removed and treated like victims of chlorine gas exposure.
Most commercial cleaning products contain low concentrations of bleach, corrosives, or caustic substances and are not likely to be health hazards if used properly. However, the mixing of bleach with acid or ammonia-containing cleaning products can be fatal. Workers should be warned and discouraged from mixing any cleaning products.
When in doubt, you are always better off purchasing premixed cleaners from a reputable source.


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On Sunday evening, Tunisian President Kais Saied suspended the parliament and lifted the immunity of all its members. In addition, Saeed dismissed Prime Minister Hisham
NYCFPA: Pegasus Spyware Is A Crime Against Privacy And Democracy
New York Center for Foreign Policy Affairs vigorously condemns cyberattacks on journalists, human rights activists and opposition politicians. Made by an Israel-based surveillance company named
NYCFPA Launches "Foreign Policy Review" Series
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NYCFPA Welcomes Saudi Arabia's Release of Prominent Women's Rights Activists.
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The New York Center for Foreign Policy Affairs (NYCFPA) is deeply troubled by the U.S. Government's declassified report implicating the Saudi government, the Saudi Crown


These days are bitter with anticipation. Things are not quite falling apart…but their disintegration is imminent. And, of course, the simplest things are fraught. Time to change the oil in my car? Time, indeed. Note that the Dodge Grand Caravan does not have much grandeur by way of mileage. We're talking 9600 miles, or slightly less. And, if you want to know, the oil has been changed once already. Why a second time? Why, if the oil-change cycle is 10,000 miles?
Because paranoia, wanting a better intelligence-gathering network, will have to do. Especially since Jane and I are on the brink of an extremely rare, not to mention unprecedented, road trip. And road trips are all the rage. Road rage is also all the rage, But never mind. We are headed for Carson Pass. Kit Carson headed there a long time ago. Then having made his fortune, retired and developed boutique mustards. He named a city after himself, and Nevada thought it would make a good capitol. So there you have it.
So how to celebrate our journey on Highway 88 except with an oil change? With several days to go, off I went. My helper Dennis road shotgun. The idea was that at the Valencia-and-24th Shell station Dennis would hop out and deal with the pump. No need, for as soon as I pulled in the station manager appeared with a promise to not only fuel my car himself, but dispatch his Shell minions to clean my van windows.
After careful web research, I had planned to drive on, deeper into the Mission District, turning right into Shotwell Street and then into the A-1 Oil Change. I eyeballed the latter on screen. An old garage with new signage. A narrow doorway. And then what? Cars up on lifts getting their lubricants drained and infused? Probably. And then the imagined story grew murky. What if they thought they would drive my van (sans driver's seat) onto a lift? Impossible, of course. At which point I would have to reverse out of the garage and into Shotwell Street. Doubtless blocking traffic, cars honking. And my oil unchanged.
But I wasn't anywhere near Shotwell Street, I was right where I had expected to be, Valencia Street, and with the proprietor's welcome so warm, damned if I didn't seize the vehicular moment. Could these guys change my oil? Right then and there. No appointment. Some internal garage chitchat ensued while I paid for my 10 gallons of regular. And the answer was yes.
I get by with a little help from my friends. And Ringo was right, for my friends at Shell Valencia were already motioning me up the hill. Up what hill, you ask. The hill that led to the garage, of course. This is San Francisco. Trust me. You cannot get from A to B without a hill. So, okay, a little incline, then a narrow door…but this Mexican-American guy inspired so much confidence that I did as he said, turning the wheel this way, then that. He seemed a little confused when I stopped.
I was a little confused myself. Thing is, I wasn't confident of my ability to control the car's speed in an even way. Erring on the side of caution, I let myself slip slightly backwards. Then tried again. Eventually starting up the steel incline and onto the lift. Where much the same thing repeated itself. I would get the front tires up the incline. Then to control speed, stop…and slide back. The garage guy pointed out the large parabolic mirror hanging in front of me. It was a help. But he was more of a help. Especially after I muttered that my reactions were slow. No problem, he said. While I was saying to myself hey, big problem but no matter.
And there I was, ascending on this whooshing hydraulic platform, soon getting a view of the garage's upper storage shelves. To fly my Dodge this high and find nothing but antifreeze and paper towels…it seemed a little anticlimactic. Whatever. Soon I was descending.
Back on the ground a lot was happening. Much of which had to do with help, vulnerability and danger. So why not up the ante…up the hill, the steepest part of 24th Street? I avoid this run, but not now. In fact I was barreling uphill until a UPS truck threw on its emergency flashers at the most vertical section of the street, which would force me to stop…but not quite, because the driver pulled hard to the right, I steered to the left, and damned if I wasn't through the crossing at the top of the hill, right through Dolores Street. And into my past. Noe Valley where I lived during graduate school. And where I return to get the occasional cappuccino. With a little help from my friends, Including the strangers.


History Stone fabricates Crema Marfil Marble Countertops for Kitchen and Bathroom. As one of the most specialized manufacturers in providing granite fabrications and designs for commercial, we can make countertops customied and delivered to your jobsite anywhere in the United States, Canada,and more .History Stone carrys on hispitality and Multi-family projects with an excellent reputation backed by our customers and years of experience. We hope to not only earn your business, but your trust.
There are currently several variations of Crema Marfil marble available in the market, which makes choices complicated and hard to understand. Crema Marfil is a light-beige yellowish marble, with uniform background. It presents some occasional irregular vein and very few signs of fossils. This is a high grade Crema Marfil with considerable supply capacity. Crema Marfil is an incredibly beautiful marble, with an extremelly attractive and warm colour. It does an amazing job in different applications. Due to its large reserves and wide market availability, this marble can be easily found and used in projects from small to large dimension. Because of its neutral appearance, the Crema Marfil is a very versatile marble for decoration. But it can be recommended for basically all kinds of applications.


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Explore henry
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Pirate themed personalized birthday party hat and t-shirt combo, perfect to complete your Little Pirate Matey themed birthday celebration or cake smash. Available in any size with any birthday number!
The adorable party hat is designed in gorgeous red, aqua, black and charcoal gray, has a thin elastic cord and is adorned with an awesome pirate hat on top of any number for any birthday. The t-shirt/onesie is available in long- or short-sleeve, is artfully embroidered with the birthday number of your choice with a pirate hat to match the party hat. Name personalization is available on both the party hat and t-shirt at no additional charge.
Check out the matching shabby rag garlands, flag banners, and highchair banners in our shop. The complete cake smash set is also available in this shop.


The entire Charlotte Chem Dry team was extremely meticulous. Excellent service from initial quote right up to completion! Thank you!
Charlotte Chemdry is the best carpet cleaning company I've ever used. I've see stains come out from kids' spills and pet accidents that I did not think would ever come out. The technicians are professional and friendly. The family-owned small business has been so easy to work with. And the "icing on the cake" is the process they use dries so quickly, so life can get back to normal faster than other cleaning processes. I highly recommend THE Charlotte Chemdry.
Have used Charlotte ChemDry for a few years now and always very professional and do a great job cleaning home! Have two dogs and two kids and every spot they leave comes right up with the work these guys do. Will recommend to anyone!!
Some of the nicest people in the business! They were so friendly! Right on time and my 12 year old carpets look brand new!! Would highly recommend!
Friendly, fast, and great service.
I have used Charlotte Chem Dry on several occasions! They are quick to arrive answering questions and offering suggestions to better meet my household needs. The technitions are very knowledgeable, dependable, and friendly while leaving my home clean and fresh. I recommend Chem Dry to all who are in need of grout and carpet cleaning services as well as other services they offer. Thanks Chem Dry!!
I've used them twice now and LOVE how my carpets look after they clean!


In my heart of hearts, I know I was meant to play a stringed instrument. I love my piano, and I wouldn't give it up. But almost every day that I play, I wish I could vibrate, or crescendo on a single note. Or stretch my pitch that one little micro-tone that would give just the right flavor of soul-burn. And all of these other nuances that make stringed instruments so expressive. I feel like I could phrase very well with a bow.
I play my friends' instruments almost every chance I get. Because, of course, I'd rather play a Strad than the student violin I've got sitting in the closet. Honestly, I sound REALLY GOOD on a Strad. I know, because I've played one, as well as a Guarneri and a handful of other very fine instruments. I can play a mean scale, WITH good intonation. AND I can bang out some simple beginning violin tunes con mucho gusto.
Some days I think,"If I played violin, I would be able to do XYZ just like so. And it would be freaking awesome." And right after I think that, I think, "Well, why the hell am I not doing that on piano??? Stupid."
Anyway, so the last couple of quartets that I've been enamored with are the Schubert 'Death and the Maiden' Quartet, which is so fricking amazing, I don't even know how to use words to talk about it. And Ligeti's String Quartets. Good Lord. How? HOW? These pieces make me crazy with jealousy, pathos, heartbreak, heaven, hell, and raised blood pressure.
And the improv today? Meh. I'm sort of frustrated.


We are so grateful for the kind donations of food from the families of our SJR community.
We are looking forward to the special celebration assembly on the 16th October, when we will sing Harvest songs and celebrate the food that has been donated.
After the assembly, the food will be delivered to the SMART Prebend Centre - a local charity that supports the homeless in Bedford.
If you have any tins or other non-perishable food goods that you would like to donate, there is still time and we would be incredibly thankful for your support.


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'We're all human beings': Community works to move beyond vandalized landmark
By Eric Plummer and James Paracy / October 3, 2022
Image of
The newly painted orange bridge was vandalized with a racist slur in Port Alberni during the evening of Sept. 30, after the city saw an outpouring of support on the second annual National Day for Truth and Reconciliation. The vandalism was soon cleaned up, but leaders are taking the incident as a sign that more work is still needed to improve intolerance in the community. (Port Alberni RCMP photo)
Port Alberni, BC
In a small city that can be seen as a microcosm of Canada's movement towards reconciliation with Indigenous peoples, Port Alberni's residents poured onto its streets Sept. 30, clad in orange to mark the day of recognition.
But during the evening of the second annual National Day for Truth and Reconciliation, a collective spirit of understanding and support became tainted when an "Every Child Matters" slogan painted on a Port Alberni landmark was vandalized with a racist slur.
Just days earlier former students from the Alberni Indian Residential School and children currently attending Haahuupayak Elementary painted parts of the bridge across the Somass River, leading to the Tseshaht First Nation's reserve. Sections of the structure are now orange, recognizing the colour worn to honour survivors of the assimilationist practices of the residential school system, complete with the slogan across the bridge's roadside barrier.
Coincidentally, many locals still refer to the structure as "The Orange Bridge", recalling its colour for decades before being painted grey in 1990.
Hundreds crossed the newly painted Orange Bridge on Sept. 30, reaching the nearby former site of the Alberni Indian Residential School for a gathering to complete the cross-city walk for reconciliation. But by 10 p.m. that evening Tseshaht Chief Councillor Ken Watts began hearing reports that the bridge slogan had been vandalized.
"Although this type of act does not come as a surprise to many, it is a sad reminder of the depth of work we, as a community and broader society, have in front of us to eliminate racism," reads a statement released by the First Nation the following day. "Our Nuu-chah-nulth teaching of ḥačatakin c̓awaak reminds us that everything is one and all is connected."
As a child, Wally Samuel attended AIRS. The Ahousaht elder took part in painting the bridge orange before the national day of recognition.
"It's sad that somebody vandalized that, we're not blaming any race or anything, it's just some idiot individuals," said Samuel, noting that Port Alberni has become a more accepting community than it was in the 1950s and '60s. "There's still some idiots out there, but it's up to us to educate them and still act respectfully."
The Port Alberni RCMP are investigating the vandalism and ask the public for any information about the culprits.
"Senseless acts such as this are unacceptable and troubling to our community, and revert the efforts towards truth and reconciliation," stated Const. Richard Johns, RCMP media relations officer. "Although this crime was not reported to our detachment officers are actively investigating any available leads."
Over the weekend the incident made national news, giving bad publicity to a city that has worked in recent years to overcome an intolerant past. A.W. Neill was Alberni's MLA around the turn of the century, followed by being elected mayor in 1916 and serving as member of parliament for Comox-Alberni from 1921-1945. The long-time federal representative also served as an Indian Agent, enforcing the assimilationist laws of the Indian Act in the region, and advocated for the internment of Japanese-Canadians during the Second World War. Meanwhile on the west side of the Somass River, a residential school took in First Nations children from across coastal and central B.C. for nearly a century.
In a statement on her Facebook account, Port Alberni Mayor Sharie Minions condemned the vandal's racist actions, emphasizing a need for the community to stick together.
"While we have made great strides, this act shows how much work there still is to do within our community. Reconciliation, relationships, learning and understanding have never been more important," wrote Minions.
Community members, both Indigenous and non-Indigenous, came to the site to clean up the vandalism, and by the time the sun hit the Orange Bridge on Saturday the slogan was restored to its original state.
"Survivors felt it would be fitting to paint the bridge orange to symbolize resilience, hope for the future and to raise awareness of the impacts of residential schools so that the pain they've endured never happens again," stated the Tseshaht.
"We've got to be ready to share our story," said Samuel, noting that some of his schoolmates are still unable to cross the bridge. "They knew crossing that bridge meant heading to the residential school."
Following a wave of investigations into burials at former residential school sites, the Tseshaht undertook radar scanning this summer for unmarked graves where AIRS once stood, the first phase being completed Sept. 23. Meanwhile the First Nation brought forward the idea of painting the bridge to their working group of residential school survivors, in an effort to ensure the children who attended the institution won't soon be forgotten.
Costs for the project seemed quite high at first according to Watts, but things came together after some discussion and planning with the B.C. Ministry of Transportation and Infrastructure. Initially the idea was to paint the entire bridge, but with the Somass being a salmon bearing river, painting the bases around the bridge emerged as the safer compromise.
The ministry took their support a step further and donated the orange paint and roadside flaggers for the day.
"The ministry is grateful to have had the opportunity to partner with the Tseshaht First Nation and Mainroad Mid Island to add orange to the Orange Bridge as a way of honouring residential school survivors and all those who did not survive," said Public Affairs Officer Gene Law on behalf of the Ministry of Transportation and Infrastructure.
With a little help from Tseshaht and the custom print shop Billybeauty to make the "Every Child Matters" sign, the job was done. This gives the community and tourists passing through a lasting reminder to remember the children taken from their families and sent to residential schools.
"Seeing survivors and children paint was amazing, it was a day that I'll never forget," said Watts.
For Wally Samuel, reconciliation means people from different backgrounds learning how to better understand each other and live together.
"It's getting better because our kids are growing up with other nations," he said, adding that reconciliation amongst First Nations is part of the movement as well. "We have to reconcile with everybody. We had a lot of tension between our own nations before, between families."
"No matter what race you're from, we're all human beings and we've got to work together to make a better safer place for everybody," added Samuel.
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Karly Blats


Fall is the best time of year here in Northwestern Ontario with hunting seasons open and fat fall fish to be caught. We've had weather that's all over the charts - from snow and howling cold wind to sunny, hot and calm. Overall things have been going well in the woods and on the water.
Last month I snuck out with my photographer friend Suzie Hughdie for a photo shoot for an upcoming Ontario OUT OF DOORS article. We fished hard all day for muskie and had half-a-dozen follows but no takers. Suzie still captured some great images that will surely run in the magazine. Here's a peek at one of my favourites.
Tossing big rubber baits and trolling big cranks for muskies on Lac Seul is a staple in the fall. It's never easy to catch a muskie, but the rewards are huge.
Two nice fish on the same day that couldn't resist big bulldawgs.
My good buddy Graham got it done trolling a 10-inch Jake for this Lac Seul 'lunge.
Although my walleye fishing effort slows down in the fall while I chase muskies, I still do manage to get out a bit. The fish are so chunky this time of year. We even caught one trolling for muskie on a 10" plug. Everything's strapping on the feed-bag in the fall!
Hunting season got off to a good start with ruffed grouse. Numbers are decent this year. Here's my buddy Graham with a limit of mature ruffies.
Our group didn't get an adult moose tag this year. Tag numbers were cut by 87% in our area. We still hunted a few days for a calf but came up empty handed. Finding fresh sign - or much sign at all - was a chore. We looked around at our usual go-to areas and it's pretty evident moose numbers are hurting here. Lets hope for an easier winter than we've had the last 2 years. Less hunting pressure should help as well.
Still some more muskie fishing and deer hunting coming up this fall. I'm pretty sure the next walleye picture you see on here will be when I'm standing on the ice. Not too far off now.
Due to this fact, a Submariner is a personal choice of recreational plus leisurely divers as opposed to qualified divers go with a Sea-Dweller.


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fast feed
Microsoft's New Outlook App Isn't Safe For Government Email
The EU parliament today barred its members from using the app due to "serious security issues."
[Photo: Flickr user Mike Mozart]
By Luke Dormehl 2 minute Read
Microsoft may have finally released a great Outlook app for iOS and Android–but good luck using it if you happen to be a member of the European parliament.
Following concerns over "serious security issues," members of parliament are barred from using the app to access their official email. The reason is that the app sends password information back to Microsoft, while also storing emails on a third-party cloud server. Given the number of high-profile computing hacks that have taken place over the last year (Sony hack, anyone?), it seems that European officials didn't want to take the risk.
In a circulated email, obtained by the IDG News Service, it was noted that parliamentary members should "not install this application, and in case you have already done so for your EP corporate mail, please uninstall it immediately and change your password."
It's not just the European parliament that has taken issue with the security—or lack thereof—of Microsoft's new app. In a much-circulated blog post, security expert René Winkelmeyer described the app as a "data security nightmare" and referred to the scope of the problem as "breathtaking." The University of Wisconsin has also announced that it is blocking the app from accessing campus emails for the same reason.
This isn't the first time that the European parliament has chosen to opt on the safe side when it comes to the security of tech products. Fears over NSA eavesdropping have seen non-encrypted phones banished from the German parliament, while President Obama has had to stick with his BlackBerry over an iPhone due to security fears.
We'd make a comment about governments slamming tech companies for security lapses, while simultaneously requesting troves of user data, but it would likely fall on deaf ears. From Microsoft's perspective, if it plans to push for its Outlook app to become the de facto enterprise email app for smartphones and tablets, it may want to consider revising its own security policy.
Update 2/12/2015: We received the following statement from a Microsoft spokesman:
Microsoft values the privacy and security of our customers and we are committed to making Outlook for iOS and Android both loved by users and trusted by IT. That means putting customers in control of their data, both through the design of our products and through transparency on how data is used. We are delivering additional security and management features in the coming months. In the meantime, we've provided detailed guidance for IT administrators seeking to restrict use of this app at this time in their organizations and the OWA for iPhone/iPad/Android apps will remain in market for customers requiring the advanced Office 365 and Exchange Server features that these apps offer.
[via PCWorld]
I am a UK-based journalist and author, with a background working in documentary film for Channel 4 and the BBC. I'm the author of The Formula: How Algorithms Solve All Our Problems -- And Create More. Drop me a line on Twitter to chat about the digital humanities, innovative start-ups, and video games
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A wonderful thing happened on BBC iPlayer on June the 1st: six comedy shorts were released exclusively online with input from many of the most brilliant people in comedy right now. This kind of thing is so vital for keeping comedy on television and online alive as we need to keep pushing the boundaries of comedy in order to keep it successful and influential.
Each comedy short is around five minutes long and they are all completely stand alone episodes (though it would be great if someone could pick them up for series in the future). My favourites were Micky Flanagan's Foxageddon, Matt Berry in Lone Wolf and Bob Mortimer and Frankie Boyle's Cookery Show mainly because of the comedians they involved, but I also thought Morgana Robinson's impressions Channel M were wonderful, as always (her Amy Child impression is spot on).
I can imagine Micky Flanagan's episode evolving into some kind of Lead Balloon–esque series in the near future as Flanagan's comic delivery is very unique, which you'll know if you've seen any of his stand up. His character here has the same comic voice as his stand up which I thought really aided the episode because there was less ground work that needed to be done to set the scene. The episode was funny because it is entirely stupid, which I guess is just refreshing for an audience who are used to satire etc. Also, the fact it featured Kerry Godliman (Derek) was a brilliant thing as I think she is very talented.
I can picture Frankie working on some kind of childrens' show in the future and before watching this, I would never have thought so (for obvious reasons). I think Boyle and Mortimer are both incredible comedic talents, with an interesting partnership on screen and really hope something comes from this comedy short, as with many of the other episodes, but especially the cookery show.
I also love every show Matt Berry is involved with as the man is undeniably a fabulous comedic actor. Lone Wolf is an extremely funny mini-documentary that follows a wolf pack as they hunt their next meal but the voiceover is Berry-style: foulmouthed and hilarious. Again, I can see this making a fantastic feature in a sketch show or even a show on its own.
You can watch all the comedy shorts on BBC iPlayer here and I definitely recommend you do!
Due to Ricky Gervais having such a broad following, he inevitably gets a lot of unnecessary abuse from people who disapprove of his comedy but it's obvious that this show puts him more at risk than ever. Derek (Gervais) is a man with learning difficulties who works in an old peoples home with his friend, Hannah (Kerry Godliman) who runs the establishment.
Derek has moments where it is incredibly funny, but I don't think that was Gervais' main aim. The messages this show leaves behind are way more important, though the laughs keep it ticking along nicely. There was no plateau in this series despite my fears because series one was so beautiful.
I was a bit upset that Karl Pilkington's character, Dougie, left early in the first episode and didn't come back but there was a guest appearance from Joe Wilkinson, as Kev's brother, that kind of made up for it. Kev has been an interesting character for me because through know fault of David Earl himself, I didn't really like the character of Kev, I didn't think he really added anything to the show. However the last couple of episodes of series two completely turned that on its head for me as Derek taught us that everyone has good in them and everyone is worthy of your time. The arrival of sarcastic and arrogant Geoff (Colin Hoult) really showed Kev in a new light, especially the fight scene in episode six.
The whole feel of the old peoples home is wonderful, inclusive and warm. For example, in episode four, a deaf lady called Pat comes to visit the home in the hope staying there. The whole group already knew sign language and welcomed her with open arms; it made my heart melt. This is the episode where the group visit the zoo and the wonderful actress that is Holli Dempsey (Vicky) meets a man she fancies and it's all she talks about all day. However, when something more serious pops up, Vicky drops all of her girl talk and is willing to help and I think that's such an important lesson to teach. Kindness is scattered all over this show, even in the little joke about the man who lost his hair and it 'grew back' straight away, though it was clearly a wig. Everyone stuck up for him though, because that's what good people do.
Kerry Godliman is an absolutely brilliant actress and I have thoroughly enjoyed watching her blossom in the role of Hannah. She is a beautifully stable character for the more erratic ones to bounce off and her importance shouldn't be underestimated.
Everyone should watch this show, and I think criticisms of it are lazy and unfounded, Gervais has truly created something wonderful.