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By: Susannah Rosenblatt
An Update From UNHCR on Refugee Camps in South Sudan
Dr. Paul Spiegel with our partner United Nations Refugee Agency (UNHCR) visited the UN Foundation last week to brief the Nothing But Nets team on the current difficulties facing refugees in South Sudan.
UNHCR aims to provide two life-saving bed nets for every family of five. One hurdle is that many people come from areas where malaria is not a major threat, so they do not have natural immunities to malaria or familiarity with using bed nets. Dr. Spiegel described these refugee camps as hyper-endemic for malaria. "Nets are incredibly important," he said.
The mosquitoes that cause malaria only bite at night, so malaria is easily preventable with nets. With just $10, you can protect a family in a refugee camp from malaria with a life-saving bed net.
"We know that deaths due to malaria are going to dramatically increase now due to the rainy season," Spiegel said, adding that cholera, diarrhea, and measles also pose serious health risks. The remoteness of these encampments and South Sudan's lack of infrastructure such as paved roads make providing food, water, shelter, sanitation, bed nets, and other life-saving aid extremely challenging.
Dr. Spiegel explained how nearly 160,000 refugees live in three to four camps in South Sudan. Some have fled violence in neighboring Sudan, and others are returning to their homeland. Thousands more continue to stream into the country exhausted and weak. They must grapple with malnutrition, severe water shortages and a dangerous rainy season that causes flooding and creates prime breeding conditions for the mosquitoes that spread malaria. This July, 400 cases of malaria were reported in Doro and Yusuf Batil camps in South Sudan near the border with Sudan.
Help protect the refugees in South Sudan by joining Nothing But Nets and UNHCR in the fight against malaria.


Anástasi Children's Trust is involved in raising awareness for and supporting children in the Eastern Cape who suffer from serious, rare or complicated childhood illnesses. Anástasi wants to raise funds to reduce the suffering of seriously ill children and their families during their trying times both in and outside of the hospital during treatment. With your help we can make a difference.
For more information or ways and means you can assist us, please contact us via email: info@anastasitrust.com or fill out the form on the right and we will contact you back.


What's Joseph like when he's angry?
I think that's why Lindsay doesn't have any friends.
Klaudia is going to make us very happy.
Ian never wanted to try it.
Joseph was a little disoriented.
Since I cannot speak about Vincent's entire life, I will speak about my own experiences with him.
Merril always stays at school as late as the teachers allow him to.
Can you tell if this is Sherman's?
Mat didn't run the red light.
Sundaresan likes talking about the weather.
Jingbai said he wanted to improve his French.
Elliot fell for the oldest trick in the book.
Neil laughed at some of Vishal's jokes, but he thought some of them weren't very funny.
The doctors can't even say what's wrong with Hitoshi.
Stephe isn't going to take a vacation this year.
I think Theodore knows something the rest of us don't.
I've been trying to figure out who Dimitry might have given the money to.
Are you talking about Peggy or yourself?
Mick is absent from school.
Shean lost his car keys.
Luc is a graduate student.


Rienzzie Kern is a development professional with over 30 years' experience operating at local, regional and global levels in the areas of program development, implementation, monitoring, evaluation and learning. Rienzzie joined Heifer in February 2001. In his role as Senior Director of Evaluation, Research and Learning he provides leadership in global evaluation practice, promoting and managing strategic research and evaluation projects, promoting learning for continuous improvement. Additionally Rienzzie manages a portfolio of academic and professional partners, the Heifer Fellowship program, the Scholar in Residence Program and works with interns to prepare them for a career in international development. Rienzzie has worked for over three decades in the field of sustainable development locally and internationally and worked in over 20 countries.
Rienzzie previously worked as a consultant, training and building the capacity of government and non-government agencies in the use of participatory approaches to develop national agricultural plans using a farming systems approach. He worked for CARE International for ten years in varying capacities ranging from a field staff position working with ethnic minorities, agriculture and livestock farmers, enterprise development to senior management. Prior to his work with CARE, Rienzzie worked on a micro-enterprise project with GTZ. He began his career in research as a Research Officer on a research project with the Wageningen University and Marga Institute a leading research institution and think tank.
Rienzzie holds a master's degree in Sustainable International Development from The Heller School for Social Policy and Management, Brandeis University, a diploma in Personnel Management and Industrial Relations, and a bachelor's degree in English. Rienzzie is a PMD Pro Certified Professional. Rienzzie is a member of the American Evaluation Association, the InterAction Round Table for Program Effectiveness and the Active Learning Network for Accountability and Performance in Humanitarian Action. Rienzzie has represented Heifer at the American Evaluation Association, the Sustainable Food Lab, the World Interdisciplinary Network for Institutional Research, the Clinton School of Public service and InterAction.
Rienzzie believes that the true character of a learning organization lies in its openness to constantly test its model for relevance in the ever changing context of the development environment, so that the poor are not the victims of obsolete development models.


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Catherine Olier, Policy Advisor at Oxfam's EU Office, reflects on a hard-fought victory that will force oil, gas, mining and logging companies to come clean on their finances in the developing world. The European Parliament and EU member states are expected to give their final green light to the agreement in the coming months, bringing EU legislation in line with the US Dodd-Frank Act.
John F. Kennedy could not have been more right when he said, "Victory has a thousand fathers, but defeat is an orphan."
Last week's victory – the political deal agreed between EU Member States, the European Parliament and the European Commission to guarantee greater transparency on the activities of extractive and forestry companies – has countless mothers and fathers.
Just over a year ago, when I personally started working on so-called "country-by-country reporting" (the transparency obligation for extractive and forestry companies to disclose in their financial accounts their payments to governments on a country-by-country basis), I had no idea how much impact it could have on poor countries.
Then I listened to voices from Mali, Niger, Ghana, the Democratic Republic of Congo, Zambia, Tanzania, and many other countries, all of whom told us that bigger transparency in the extractive sector is crucial because:
We will finally know if companies pay the right amount for the resources they extract, thus contributing to the development of Southern countries and helping to lift people from poverty;
Citizens and civil society organisations will be able to play their watchdog role and hold their governments to account to ensure funds are properly used;
Communities affected by extraction projects will be able to claim part of the benefits to increase funding for essential rights like universal access to health and education, and the right to food.
I am proud that Oxfam has engaged in this battle from the early days along with other members of the Publish What You Pay coalition, participating in a more than ten-year old movement for greater transparency. Dedicated decision-makers also carried the project through and helped make it a life-changing reality for many. It is in that sense that this is "a victory of a thousand mothers and fathers".
By ensuring that the proposal allows no exemption for any company and obliges them to disclose information regarding payments above €100,000 – a sufficiently low threshold for communities affected by extractive projects – this proposal is sending a strong signal that it is time to end the "resource curse" from which developing countries suffer. Of course, the proposal could have gone further by requiring companies to also disclose information about the profits they make in the country and the number of people they employ – to detect possible shifts of profit to tax havens in order to pay less tax. But new debates on tax avoidance against the background of growing public anger against tax dodgers show that this is the obvious next step – one we hope will be made soon.
"Defeat is an orphan" because some extractive companies, such as Shell, which have been fighting hard against this EU legislation, are now publicly welcoming more transparency and are making a commitment to play the game by disclosing requested information. It's difficult to believe them when you read that several of these oil companies belong to the American Petroleum Institute (API), which is currently suing the US government to block a similar transparency obligation under the Dodd-Frank Act. But I have high hopes that companies will eventually change their mind and drop the suit because as JFK – him again – also said, "change is the law of life. And those who look only to the past or present are certain to miss the future."
Author : Oxfam International EU Advocacy
eusebio manuel vestias pecurto says:
É preciso que todos os estados da UE aos acordos da UE e que haja mais transparência das empresas nos ramos florestais e extrativistas e também a sustentabilidade dentro dessas empresas e do espaço europeu é preciso conservar o meio ambiemte

redpajama_set_name: RedPajamaCommonCrawl


Yoga is a challenging discipline for the beginning to the advanced person. The asanas, or postures are slow and steady and are not meant to be painful, but this does not mean that they are not challenging. Never extend yourself too much to cause discomfort. With practice, you should see yourself relaxing into the stretches with ease.
Nevertheless, for beginners there are a few tips when practicing yoga. Release all thoughts, good or bad before you begin. Turn off your phone and don't answer the door, you need peace and quiet. Make sure you take a warm, relaxing shower and that you wear comfortable clothes that will allow you to stretch easily. You can use aromatherapy that will relax and help to clear you thoughts. You will want to purchase a yoga mat so you can rest on the pad and not slip and slide on the floor. Make sure your shoes and socks are off and that your hair is either comfortable pulled back or no, whatever feels better. Turn the lights low (or you can do it in the sunlight), whatever suits you. You may want to turn some relaxing music of nature, perhaps the beach. Belts or ropes are used to grab your legs and pull them into a better stretch, which should feel delicious. Blocks are used to prop yourself up and sit better or for standing postures.
Without the prop support, you may not be able to attain some postures. Just remember that although the postures are important, performing them absolutely perfectly is not the goal. Yoga is not just an exercise; it includes the mind and intelligence and the reflection in action. These tools make it easier for you as a beginner in yoga, but you will find that eventually you will not need them. Some people prefer taking a yoga class so they are guided properly. There is nothing wrong with this, but keep in mind that only you can take your mind and spirit as far as it was meant to go, alone.


Add the milk and lower the heat. Put the lid on and cook until the milk is absorbed.
Turn off the heat and leave aside for an hour.
You can either serve it as it is (like pilav rice style) or you can put it into a cup to form a shape.


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Emperor of the universe (Emperor of the universe)
Author: Lubar, David
Publisher: Starscape (2019)
Physical Description: 368 p., ill., 20 cm
Ages: 10-14 Grades: 5-9
Gerbils -- Fiction
Space ships -- Fiction
Extraterrestrial beings -- Fiction
Kings and rulers -- Fiction
Hamburger -- Fiction
Beef -- Fiction
When seventh grader Nicholas V. Landrew, his beloved pet gerbil Henrietta, and a package of ground beef are beamed aboard an alien space ship, they soon find themselves on the run in a madcap chase across the universe.
School Library Journal - 06/01/2019 Gr 4–7–On the day that 12-year-old Nicholas V. Landrew gets a two-week suspension for bringing a toy lightsaber to school, a teleportation portal opens up in his gerbil Henrietta's cage, transporting him, Henrietta, and a newly self-aware package of hamburger meat named Jeef into outer space. This madcap journey, an homage to Douglas Adams and The Hitchhiker's Guide to the Galaxy, features all the random probability, unlikely heroes, and intergalactic viral videos that readers could want. Lubar's quick-moving satire skewers consumerism, war, and Internet culture, while still centering Nicholas's experience as he realizes that the universe is much larger than he ever imagined. VERDICT Fans of Dav Pilkey, Jon Scieszka, and Tom Angleberger will race to read this smart and silly space adventure.—Molly Saunders, Homewood Public Library, AL - Copyright 2019 Publishers Weekly, Library Journal and/or School Library Journal used with permission.


Data are means ± SE unless otherwise indicated. For calculations of the various β-cell parameters, see research design and methods.
↵§ Parameter calculated at 5 and 7 mmol/l glucose for nondiabetic and type 2 diabetic subjects, respectively.
↵‖ Not comparable with control subjects because of different reference glucose level. NA, not applicable because of different reference glucose level; NS, not significant; R, Pearson's correlation coefficient.


A large shorebird of coastal beaches, the Black-bellied Plover is striking in its black-and-white breeding plumage. It is the largest plover in North America and can be found along the coasts in winter northward to Massachusetts and British Columbia.
Wary and quick to give alarm calls, the Black-bellied Plover functions worldwide as a sentinel for mixed groups of shorebirds. These qualities allowed it to resist market hunters, and it remained common when populations of other species of similar size were devastated.
The Black-bellied Plover may be more sensitive to disturbance than many other birds because it is especially wary, flushing from the nest or feeding and roosing sites when potential predators are still far away. Nevertheless, no evidence exists for desertion of the nest or roost sites because of disturbance.
The oldest recorded Black-bellied Plover was at least 12 years, 8 months old when it was found in California.


Illegal trade of NTFPs from the landscape often includes some of the CITES Appendix listed species such as Sunakhari (Orchids) and Lauth salla (Taxus wallichiana).
The online version of the original article can be found under doi:10.1186/s13002-016-0089-8.
Uprety Y, Poudel RC, Gurung J, Chettri N, Chaudhary RP. Traditional use and management of NTFPs in Kangchenjunga Landscape: implications for conservation and livelihoods. Journal of Ethnobiology and Ethnomedicine. 2016;12:19. doi:10.1186/s13002-016-0089-8.


Achievement should be recognized with something innovative and special, so consider one of these crystal plaques the next time you observe an exceptional performance. A crystal plaque can honor outstanding students or workplace success on a project. There is enough room for a 3D engraved picture of your company or school's logo, a description of the achievement and the individual's name. The laser etched glass is unique and eye-catching, and the event being commemorated will always be remembered.


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The Fair Tax idea is worthy of debate
Lanny Davis Former Special Counsel to President Bill Clinton
OK, everyone — time to take a breath and consider a new idea. Well, not really a new idea. It is called the Fair Tax plan and was conceived in 1998 by a nonpartisan group out of Houston called Americans for Fair Taxation.
The simple proposal: Apply a 23 percent consumption tax paid once at the point of purchase of all new retail goods and services, while eliminating all other taxes in America — that's right, all. That means no more income tax, personal or corporate; Social Security or Medicare payroll tax; dividends or capital gains tax; gift taxes; the estate tax or the Alternative Minimum Tax.
The Fair Tax plan reduces some of the regressive effect of a consumption tax by paying those who live at or below the poverty level a Family Consumption Allowance, or "pre-bate," on purchases of "basic necessities." One expert on the Fair Tax wrote me that a family of four at or below the poverty level would receive a $565 pre-bate payment the first of each month.
The 23 percent consumption tax level is set in order to keep federal revenues neutral — meaning the revenues estimated to be generated by a 23 percent consumption tax would be about equal to current revenues generated by the income tax and all other taxes. That's the theory, anyway. Proponents also argue that the prices of goods and services will not go up because the 23 percent consumption tax is about the same as the 22 percent tax "embedded" in all goods and services as a result of current taxes.
Proponents claim a national consumption tax would:
— Encourage saving and investment (since income is not taxed);
— Eliminate an estimated $300-450 billion per year spent by Americans on tax compliance;
— Cause the repatriation of an estimated $12-15 trillion that is hidden in offshore accounts in order to avoid or escape U.S. taxation. Once returned home, that money would cause interest rates to fall as more capital became available for investments;
— Result in increased job creation — given the higher levels of investment from the greater available capital;
— Provide a sustainable and stable source of revenue for Social Security and Medicare, since there will always be 300 million-plus consumers purchasing at least necessities every month; and
— Have positive environmental effects because it leaves untaxed old and used goods, encouraging people to use and re-use things rather than consume natural resources to create new things.
Critics cite such disadvantages as the loss of the hundreds of thousands of tax-related jobs (such as IRS employees, income tax preparers, tax software vendors and — yes! — tax-break lobbyists). Eliminating the popular mortgage interest deduction will also be controversial (i.e., no income tax, thus, no need to deduct anything). But some economists claim reduced interest rates under the Fair Tax will more than offset the loss of mortgage interest deductibility.
Look, I'm skeptical — especially with the notion that retail prices will drop 23 percent dollar-for-dollar due to the absence of the "embedded" taxes, so that prices won't go up when a 23 percent consumption tax is added; or that interest rates will drop enough to offset the loss of the mortgage interest deductibility. I am also skeptical because — full disclosure — I have relied for much of this column on the often unreliable Wikipedia Fair Tax write-up and material found on the not-objective Fair Tax website.
My biggest problem with the Fair Tax idea is the fact that it is revenue-neutral. Yes, it's interesting to examine the possible positive social and economic effects of eliminating all taxation based on income. But my focus remains on the need for liberals and conservatives to join hands and raise taxes and cut spending at the same time — as Bill Clinton bravely did in 1994 — and begin to balance our budgets and pay down the more than $13 trillion national debt.
Next week I will begin a series of columns on the Bowles-Simpson Commission proposal — and why I believe it represents the best, and only, hope for stopping the credit card addiction that immorally, in my judgment, leaves our children and grandchildren to pay for our lack of fiscal discipline.
Lanny Davis is the principal in the Washington, D.C., law firm of Lanny J. Davis & Associates, which specializes in strategic crisis management and is a partner with Josh Block in the strategic communications and public affairs company Davis-Block. He served as President Clinton's Special Counsel in 1996-98 and as a member of President Bush's Privacy and Civil Liberties Oversight Board in 2006-07. He is the author of "Scandal: How 'Gotcha' Politics Is Destroying America" (Palgrave Macmillan, 2006).
Tags : bill clinton income tax in the united states political economy tax
Lanny Davis


At Humanscale, we're all about inspiring people. And our people create our culture, which is fast-paced, innovative and inclusive. We are committed to maintaining a diverse workforce and we seek out people with unique skills and perspectives.
When you come onboard, one of the first benefits you'll experience is the comfort of a complete ergonomic workstation. Equipped with a range of our products, our workspaces are top notch, promoting healthy postures, movement and productivity.
We focus on simplicity and performance in everything we do, and our award-winning products put this philosophy above all else. As a team member, you would be realising this ethos, whichever facet of our organisation you work in.
We ensure our employees participate in professional development opportunities to hone their skills and build new ones. Our training division, Humanscale University, offers a wide variety of classes that are dedicated to enhancing performance.
We're a global company, which means you could have the opportunity to work in Dubai, New York City or Beijing—and everywhere in between. With team members on every continent, our company has endless options for growth.


Greetings, fair listeners! Many thanks to Ashleigh for sponsoring this episode! I'm getting into the second half of the book, and I was so deeply hoping that Sonea was going to finally be free of Regin's harassment at this point. I know that's a foolish wish, and that there's no way one of the main conflicts was going to be wrapped this early, but I just hate reading it.
Because here's the thing; everything that I thought would protect Sonea has turned out to be ... See More essentially worthless because Regin can tell that Sonea won't tell Akkarin about her tormentors. I'm not totally sure why she doesn't tell him, to be honest. The only think I understand is not wanting to share anything about her life with the man who is holding her hostage, but you'd think that she'd be eager to at least eradicate one of the miseries in her life.
Meanwhile, Dannyl is continuing to explore ancient magic despite Lorlen telling him to lay off. Rothen's note doesn't seem to raise the questions in him that I would expect, and I am not sure why. Wouldn't you be suspicious about this?
Anyway, thank you all for listening, and I will see you soon with a new episode!


TJ began serving on HGF in 2014. Serving as a board member for the first two years before becoming the Chairman of the board in 2016. TJ is an Elder at Capstone Church and has been to Hope Vision multiple times including a short term trip with his wife for 5 weeks in 2013.
Steve began serving on HGF as a board member in 2016. Since his election onto the board, Steve has overseen all construction that has taken place at HVM. Steve is a member at Mauldin First Baptist Church and serves on their missions board.
Cindy has been a part of HGF from the beginning. She has served on the board as the secretary since 2012. Cindy is a member of Capstone Church and has seen her husband and daughters visit HVM multiple times over the last few years.
Mike began serving on HGF as a board member in 2017. He is the Lead Pastor at Oak Pointe Church and has lead many of their teams down to HVM. Even before his time on HGF, Mike has been an advocate for Pastor Andy and the children of HVM.
Chris is new to the board, joining in 2018. However, he has been involved with Hope Vision since 2010. Chris serves as the treasurer for HGF. Chris is the executive Pastor at Capstone Church. Chris and his family have all spent time at Hope Vision over the years.
Brian is new to HGF, beginning his tenure on the board in 2018. Even before his time on HGF, Brian has served as a resource for creating and sustaining power at HVM. Brian is a member at Capstone Church and has spent many trips on creating reliable power at HVM.
TY is a new board member of HGF, beginning his tenure in November 2018. He is a member of Oak Pointe Church and serves as their associate pastor. Ty is passionate about the children of HVM and has led multiple trips to Hope Vision.


Only 25 signed limited edition prints will be produced on art paper retaining the colour and detail of the original painting. A mount surround is provided making the overall size 8" x 8" and ready to fit a standard frame. The frame in the image is available for a small fee on request.


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Gurmeet Ram Rahim Singh (* 15. August 1967 in Sri Gurusar Modia, Rajasthan) ist ein indischer Guru. Seit 1990 leitet er die spirituelle Bewegung Dera Sacha Sauda, der nach seinen Angaben rund 60 Millionen Menschen anhängen.
Rund um seine Bewegung und seine Ansichten hat Singh außerdem einige Filme veröffentlicht, bei denen er sich unter anderem als Schauspieler, Regisseur, Drehbuchautor und Komponist der Filmmusik betätigt. Kritiker bezeichnen diese Filme als qualitativ minderwertige Propaganda.

Nachdem er im Verdacht des Mordes und der Zwangskastrierung stand, wurde er am 25. August 2017 der Vergewaltigung schuldig gesprochen. Am 28. August 2017 wurde das Urteil von zwanzig Jahren Haft verkündet. Der Prozess war von großen Unruhen begleitet.

Familie
Singh gehört der Bewegung Dera Sacha Sauda an, seitdem er sieben Jahre alt ist. Mit seiner Frau Harjeet Kaur hat er vier Kinder. Seine Adoptivtochter Priyanka Taneja wirkte in seinen Filmen mit.

Wirken
Singh setzt sich für den Kampf gegen diverse Krankheiten wie zum Beispiel Diabetes oder Bluthochdruck ein. Er engagiert sich außerdem für Sauberkeit und Hygiene. Sein Einsatz gegen Drogen, Alkohol und Prostitution werden in einem Bericht des CBIs, das gegen ihn ermittelte, als "Kreuzzüge" bezeichnet. Nach Katastrophen hat er im Rahmen seiner Bewegung eine speziell darauf ausgerichtete Hilfsbehörde eingerichtet.

Bei Veranstaltungen mit seinen Anhängern hat er mit einigen davon dem Guinness-Buch zufolge mehrere Weltrekorde aufgestellt.

Singhs Dera gibt im Allgemeinen Wahlempfehlungen. Während Singh anfänglich die Kongress-Partei unterstütze, spricht er sich aktuell für die regierende Partei Bharatiya Janata Party (BJP) aus.
Immer wieder kam es zu Konflikten und gegenseitigen Anschuldigungen mit der Sikh-Religion.

Diskografie (Studioalben)
 Thank You For That (2012)
 Network Tere Love Ka (2012)
 Chashma Yaar Ka (2012)
 Insan (2012)
 Lov Rab Se (2013)
 Highway Love Charger (2014)

Filme
 MSG: The Messenger (2015)
 MSG-2 The Messenger (2015)
 MSG: The Warrior Lion Heart (2016)
 Hind Ka Napak ko Jawab - MSG Lion Heart - 2 (2017)
 Jattu Engineer (2017)

Weblinks

 Kurzinformationen über Gurmeet Ram Rahim Singh und das Gerichtsverfahren von 2017
 Weitere Informationen über Gurmeet Ram Rahim Singh (englisch, Al Jazeera)

Einzelnachweise

Inder
Geboren 1967
Mann

redpajama_set_name: RedPajamaWikipedia


text:
Home Uncategorized Not easy to establish a museum
Not easy to establish a museum
thecjnadmin
In the article "Cash shortfall delays human rights museum" (Jan. 5), you note that the private sector's fundraising goal for the Canadian Museum for Human Rights was $150 million. When the federal government first expressed interest in making the museum a Crown corporation, it entered into an agreement in 2007 with the various stakeholders, including the Friends of the Canadian Museum for Human Rights. The Friends agreed to raise $105 million toward the construction and development costs. The commitment of the Friends was to deliver a cheque for $105 million by April 1, 2011. This is what the Friends did, so in fact, we met our goal of raising $105 million. Recently, when costs increased to $310 million, the museum asked the Friends to increase their goal from $105 million to $150 million. We have been steadily working on raising this amount and have raised an additional $25 million over our original goal, which in and of itself was viewed as quite ambitious.
We will continue to seek support from the private sector so that this federal Crown corporation can open as soon as possible. Happily, our donors continue to show unwavering support and are rising to the challenge. As we have said to our supporters, no one said this would be easy, and it probably explains why this is the only new national museum established in more than 45 years. While it is definitely not for the faint of heart, the good that this museum can do definitely makes it worth the effort.
Gail Asper
National Campaign Chair
The Friends of the Canadian Museum for Human Rights
Pfefferkorn's Holocaust memoir (1)
Eli Pfefferkorn's powerful new Holocaust memoir, The Muselmann at the Water Cooler, tells the story of a life impacted by the Holocaust, a worldview shaped by its trauma, beyond detailing the horrors that have been painfully shared by others ("Memoir as literature," Dec. 22). Reading it, I often felt that he concealed the terrible details of his experience, even as he openly shared his reflections on them and their relationship to our lives.
Some years ago, students at Or Chaim-Ulpanat Orot visited public and Catholic schools in Toronto and presented on the Holocaust. I asked Pfefferkorn to help guide us in creating the curriculum. Looking back, I see that the same themes that animate his writings were the very notions he encouraged the students to think about and confront – and which you raise in your column – as they thought about presenting to a non-Jewish audience. This vision added to the power and impact this program had.
Rafi Cashman
You are to be commended for your extremely positive review of Eli Pfefferkorn's book The Muselmann at the Watercooler ("Memoir as literature," Dec. 22). However, at the end of your review, you left readers with the impression that the book is "hard reading." Yes, the Holocaust is a difficult subject, but how can such a riveting account, one that draws in the reader from the very first page, be "hard reading"? After having read Pfefferkorn's book, I would agree only insofar as it is a hard book to put down.
Vivian Felsen
Misplaced nostalgia for BJCC
Although the new JCC will not be opening until 2016, it's important to remember that the UJA Federation of Greater Toronto waited until a new, contemporary exercise facility was built before the old Bathurst Jewish Community Centre was demolished. It is currently operating on the same site ("Federation says new JCC to open in 2016," Jan. 5). The article seems to make light of the fact that this facility is already operating at 80 per cent capacity. There seems to be a lot of misplaced nostalgia about the BJCC. The truth is that when I was using the facility as a member on numerous occasions, we never knew the temperature of the shower to expect, and we were often appalled by the rundown nature of the building. What is now available is a vast improvement over what was.
Ed Rosenberg
What is a Jew? (1)
Laurence M. Tanny, in his letter (Jan. 12), graciously comments on my letter, "What is a Jewish state?" (Dec. 15). This leads him to the question of "what is a Jew?" in the context of a Jewish state being subjected to the "restrictive views of the fundamentalists." I would posit the following reply: a Jewish state should accept the definition of a Jew as anyone who has so been recognized by any one of the major streams of the Jewish religion – Orthodox, Conservative, Reform or Reconstructionist.
Sam Mitnick
Cote St. Luc, Que.
A Jew is someone who says "I am a Jew" and whose aim in life is to make the world a better place.
J. Wm. Corber
Westmount, Que.
You flushed it all away Harvey Weinstein
GUEST VOICE: TanenbaumCHAT tuition cut important first step


Ed Note: I have still not seen Get On Up. I hear Chadwick Boseman did a great job.
Sorry for the delay between posts – the last two weeks have been particularly hectic. After almost seven years, I left my job for a promising new gig at Yale as a representative of the University's Equal Opportunity Office, where I'll help further their mission to develop and maintain a diverse workforce and investigate claims of harassment/discrimination. I've had about four weeks to wrap up everything related to my job while preparing for a whole new adventure. It's been pretty amazing and frightening. In other news, I've met my fundraising goal for the Wildlife Conservation Society's Run for the Wild 5k at the Bronx Zoo (in support of their 96 Elephants initiative). Much thanks to all the friends and family who donated (particularly my brother, who put me over the top)! There's still time to register and support!
I've read some interesting comics (Afterlife with Archie, the Crew, the Dark Horse Catalyst book), but haven't had the time to write anything about them. So, in the meantime, here's a brief rant about an annoying film trailer.


text:
Во́лка — річка у Дзержинському та Столбцовському районах Мінської області, ліва притока річки Сула (басейн Німана). Довжина 16 км. Площа басейну 98 км². Середній нахил водної поверхні 1,8‰. Починається біля села Андриевшчина Дзержинського району, впадає в Сулу біля села Новосілля. Біля села Паланевічи на річці створений ставок.

Річки Білорусі


text:
Bologna look for a quick change in fortunes as Bisoli is dismissed
7th October 2011 Eurotips
Pierpaolo Bisoli's sacking on Tuesday was hardly surprising given Bologna's start to the season. The Rossoblu are rock bottom going into the international break with just one point secured from five games, scoring twice and conceding 10 in the process. Bisoli's homecoming to his native province has not been a happy one and marks the culmination of a bad 12 months as the former Cagliari coach. He was axed by Sardinian side only last November following a string of results at a club where he spent six years as a player.
The Rossoblu were handed a tough start to the season when the fixtures were released back in July. Local rivals Fiorentina, Juventus, Inter and Udinese all within the first six rounds would be classed as tricky for any side in Serie A and this is without the cancellation of the opening rounds fixture against Roma. Defeats away at la Viola and to the Friuliani were perhaps to be expected, but a home defeat to lowly Lecce, in which the Felsinei were comprehensively outplayed, will have been particularly galling for the Bologna faithful.
The highlight of Bisoli's tenure was a creditable 1-1 draw away at Juventus during which they had to withstand waves of Bianconeri pressure and they were then unlucky to run into a revitalised Inter under Claudio Ranieri, who despite this still left it late to secure victory having been aided by a Bologna red card and subsequent penalty.
Nevertheless, Bologna have decided that the results were unacceptable and they have now turned to another locally raised coach in the shape of Stefano Pioli. Already sacked once this season after a now famous 91 day spell as Coach of Palermo, the Emilian coach will be looking to implement his skills to get the best out of a squad that has so far struggled to recapture the dogged form that ensured their survival last season.
Known for his meticulous planning and experimental methods, Pioli is relatively inexperienced as a Coach in Serie A, completing just one full season with Chievo, but he has shown impressive ability in Serie B with Grosseto, Modena and Sassuolo and his favoured formation of 4-3-1-2 should in theory work well with the new group of players at his disposal. However while to be experimental might be in Pioli's nature, basics are what the Bologna side is in most need of currently. At the back, conceding an average of two goals a game needs to be identified as priority while at the other end of the field, one goal in open play, from defender Daniele Portanova, simply isn't good enough for a squad which contains strikers such as Capocannoniere contender Marco Di Vaio and Robert Acquafresca to be coupled with creativity from Alessandro Diamanti and Gaston Ramirez.
Pioli, a European Cup winner with Juventus, has the international break to regroup the Bologna squad, start afresh and instil part of his own winning mentality into a new determined confidence from his players. The first six games he faces are away impressive Novara and then trips to former clubs Chievo and Palermo while Lazio, Atalanta and local rivals Cesena are the visitors to the Emilia Romagna capital, with the latter looking to be an early relegation six-pointer.
Those six games will take Pioli into the middle of November, by which time the direction of Bologna's season is likely to be clearer. Bologna will certainly be hoping that a quick revival in fortunes following a change of Coach will occur in a similar style to that of Palermo following Pioli's own departure from the Sicilian club.
It has been a turbulent and unstable period in the history of one of Italy's most illustrious clubs and the start has heaped more woes onto a club which has faced a great deal over recent campaigns. Last season they surprised many by battling against all obstacles for survival so admirably and it is essential the fresh start for the Rossoblu captures this old spirit of survival if Pioli is going to attain a successful turnaround.
Maggio, Abate and Cassani: The state of the full-back in Italy
Is Osvaldo the right man for the Azzurri?


The Sheridan Center worked closely with Professor Kathleen Hess to create an online exercise to develop students' understanding of the processes occurring at the molecular level during a laboratory procedure. The exercise focused on the procedure for recrystallization, a technique commonly used to purify a contaminated compound. In the exercise, the procedure was interspersed with questions asking students to provide conceptual explanations for certain steps and possible outcomes. Students received feedback on their exercise responses and Professor Hess used these responses to identify concepts to review during her lecture.
Brief narrated animations created by Professor Hess and the Sheridan Center during the summer of 2015 provided a visual explanation of key concepts in the context of the laboratory procedure. These animations appeared as part of the feedback that students received on their exercise responses.
Online exercises can prepare students for in-class activities, help students gauge their own understanding, and highlight concepts for instructors to address during class. A successful learning exercise is low-stakes, interactive, provides immediate feedback, and carefully integrated with class meetings. Creating online exercises can involve identifying challenging concepts and learning goals, planning and development of learning exercise structure and content, planning and creating videos or animations, collecting feedback from students and teaching assistants, and revising components based on feedback. For the instructor, the average time for a similar project is two to six months, depending on the scope and number of exercises.


text:
As most Americans know, the United States is experiencing a opioid epidemic. Last year, over 70,000 Americans died due to drug overdoses—more than all those who died in the Afghanistan, Iraq and Vietnam wars combined.
Graph Source: The Guardian
"The growing drugs crisis sweeping across the US is deadlier than gun violence, car crashes or AIDS," the Guardian reports, "none of which have killed as many Americans in a single year as overdoses did in 2017."
This is one of the main reasons that Americans' life expectancies has declined, according to the Wall Street Journal.
The drug epidemic is impacting the 50 different states differently–with some being impacted much more than others.
For example, according to CDC data, West Virginia which has the most drug overdose deaths (per 100,000 residents) in the U.S. has more than eight times the amount of deaths than Nebraska, which has the least.
However, in terms of sheer numbers of deaths from drug overdoses, Florida tops the list (at 4,728), with California not far behind (at 4,654).
Here are the top 10 states with highest number of deaths due to drug overdoses.
Image Source: Center for Disease Control
Here is the ranking by state:
West Virginia — 52.0 deaths per 100,000 residents
Ohio — 39.1 deaths per 100,000 residents
New Hampshire — 39.0 deaths per 100,000 residents
Pennsylvania — 37.9 deaths per 100,000 residents
Kentucky — 33.5 deaths per 100,000 residents
Maryland — 33.2 deaths per 100,000 residents
Massachusetts — 33.0 deaths per 100,000 residents
Rhode Island (tie) — 30.8 deaths per 100,000 residents
Delaware (tie) — 30.8 deaths per 100,000 residents
Maine — 28.7 deaths per 100,000 residents
Connecticut — 27.4 deaths per 100,000 residents
New Mexico — 25.2 deaths per 100,000 residents
Tennessee — 24.5 deaths per 100,000 residents
Michigan — 24.4 deaths per 100,000 residents
Indiana — 24.0 deaths per 100,000 residents
Florida — 23.7 deaths per 100,000 residents
Missouri — 23.6 deaths per 100,000 residents
New Jersey — 23.2 deaths per 100,000 residents
Utah — 22.4 deaths per 100,000 residents
Vermont — 22.2 deaths per 100,000 residents
Lousiana — 21.8 deaths per 100,000 residents
Nevada — 21.7 deaths per 100,000 residents
Oklahoma — 21.5 deaths per 100,000 residents
Arizona — 20.3 deaths per 100,000 residents
North Carolina — 19.7 deaths per 100,00 residents
Wisconsin — 19.3 deaths per 100,000 residents
Illinois — 18.9 deaths per 100,000 residents
South Carolina — 18.1 deaths per 100,000 residents
New York — 18.0 deaths per 100,000 residents
Wyoming — 17.6 deaths per 100,000 residents
Alaska — 16.8 deaths per 100,000 residents
Virginia — 16.7 deaths per 100,000 residents
Colorado — 16.6 deaths per 100,000 residents
Alabama — 16.2 deaths per 100,000 residents
Idaho — 15.2 deaths per 100,000 residents
Washington — 14.5 deaths per 100,000 residents
Arkansas — 14.0 deaths per 100,000 residents
Georgia — 13.3 deaths per 100,000 residents
Hawaii — 12.8 deaths per 100,000 residents
Minnesota — 12.5 deaths per 100,000 residents
Mississippi — 12.1 deaths per 100,000 residents
Oregon — 11.9 deaths per 100,000 residents
Montana — 11.7 deaths per 100,000 residents
California — 11.2 deaths per 100,000 residents
Kansas — 11.1 deaths per 100,000 residents
North Dakota (tie) — 10.6 deaths per 100,000 residents
Iowa (tie) — 10.6 deaths per 100,000 residents
Texas — 10.1 deaths per 100,000 residents
South Dakota — 8.4 deaths per 100,000 residents
Nebraska — 6.4 per 100,000 residents
Image Source: The Guardian
— This City's Overdose Deaths Have Plunged. Can Others Learn From It?
CDC Drug Overdoses
People are on the move in the U.S. and the top states people fled are not all that surprising. As it has for more than four decades, United Van Lines has released its annual National Movers Study on where people are moving from and to in the United...
A security guard who was fired for refusing to shave his beard has filed a religious discrimination complaint with the EEOC. His religion? He is a Norse Pagan—aka a Heathen. Brian Whitsel worked for Premier Health for 12 years. Mr. Whitsel...
The National Labor Relations Board under President Trump has been somewhat of a disappointment to many employers who were hoping for relief from the pro-union Obama-era NLRB. For those employers who hoped the National Labor Relations Board (NLRB)...
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text:
379 Marlborough is located on the north side of Marlborough, between Hereford and Massachusetts Avenue, with 377 Marlborough to the east and 381 Marlborough to the west.
379 Marlborough was built in 1880 by Vinal & Dodge, masons, for building contractor George Wheatland, Jr., for speculative sale. It was one of three contiguous houses (375-377-379 Marlborough) built at the same time and one of twelve contiguous houses (369-371-373-375-377-379-381-383-385-387-389-391 Marlborough) built for George Wheatland, Jr., in 1879-1881. He is shown as the owner of 375-377-379 Marlborough on the original building permit application for the three houses, dated April 9, 1880 (one application for three houses).
The houses were built in three groups: three at 369-371-373 Marlborough in 1879-1880, three at 375-377-379 Marlborough in 1880, and six at 381-383-385-387-389-391 Marlborough in 1880-1881. The six at 369-379 Marlborough are of the same design, and the six at 381-391 Marlborough also are of the same design as each other and quite similar to the six at 369-379 Marlborough.
The two applications for the six houses at 369-379 Marlborough do not identify the architect. However, the application for the six houses at 381-391 Marlborough indicates that the architect was Obed F. Smith and, given the similar style, it appears likely that he also was the architect for the earlier houses. In addition, the application for 369-373 Marlborough indicates that the plans are the same as for 358–360 Marlborough, two of a group of eight houses at 348-362 Marlborough built for George Wheatland, Jr., at about the same time. The applications for those houses also do not name the architect, but are attributed to Obed F. Smith based on the final building inspection reports for 354-356 Marlborough.
George Wheatland, Jr., purchased the land for the twelve houses at 369-391 Marlborough through two transactions. He purchased the eastern 200 feet on May 10, 1872, from Daniel Davies, part of a larger parcel Daniel Davies had purchased from the Boston Water Power Company on June 12, 1868. George Wheatland, Jr., subsequently transferred two-thirds interest to William Dudley Pickman and William Pickering Fay under a trust agreement and the remaining one-third to his father, George Wheatland, Sr., of Salem. The land remained vacant for the next seven years.
On October 9, 1879, George Wheatland, Jr., purchased the land to the west, with a 80.58 foot frontage, from Grenville T. W. Braman, and subsequently transferred the lot to his father. The 80.58 foot parcel originally had been intersected by Parker Street, a 60 foot wide street located on top of the Cross Dam, which ran southwest from Beacon at approximately a 45 degree angle, intersecting the north side of Marlborough at a point about 355 feet west of Hereford. Grenville Braman had purchased the eastern portion of the lot from Daniel Davies on October 1, 1872, a triangular lot bounded on the west by Parker Street. In the late 1870s, Parker Street was abandoned and, through a series of transactions, Grenville Braman purchased the land under the roadway, another triangular parcel which he combined with the first to create the rectangular lot he then sold to George Wheatland, Jr.
Click here for an index to the deeds for 379 Marlborough, and click here for further information on the land on the north side of Marlborough between Hereford and Massachusetts Avenue.
George Wheatland, Jr., subsequently built the twelve houses at 369-391 Marlborough on 276 feet of the combined 280.58 foot parcel (the 4 feet to the east and the 0.58 feet to the west were sold by his father to others). As the houses were completed, William D. Pickman and the estate of William P. Fay (who had died in March of 1879) transferred their two-thirds interest to George Wheatland, Sr. He subsequently sold the houses to individual purchasers.
On June 15, 1881, 379 Marlborough was purchased from George Wheatland, Sr., by Sydney Augustus Williams, an insurance broker. He and his wife, Charlotte Sullivan (Blood) Richardson Williams, made it their home. They previously had lived at 10 Chestnut.
Living with them were their son, Sydney Messer Williams, and Charlotte Williams's two children by her first marriage, to John Richardson, John Richardson and Ellen B. Richardson. Also living with them in 1890, and possibly before and after, was her mother, Ellen W. (Blake) Blood, the widow of Dr. Oliver Hunter Blood.
John Richardson married in October of 1883 to Louisa Storrow Cabot. After their marriage, they lived in Chestnut Hill.
On March 30, 1887, Sydney Williams transferred 379 Marlborough to John Richardson as trustee on his behalf and on behalf of his wife, Charlotte.
Charlotte Williams died in May of 1896. In her will, made soon after her marriage to Sydney Williams in April of 1871, she left all of her property to her two children by her first marriage. The will had not been changed after the birth of Sydney Messer Williams in February of 1873, and therefore John Richardson and Ellen Richardson inherited the interest in 379 Marlborough that Charlotte Williams held as a beneficiary of the trust established in 1887.
After her death, Sydney Williams and their son, Sydney, moved to 20 Mt. Vernon. Ellen Richardson may have moved with them; by June of 1900, at the time of the 1900 US Census, she was living at The Abbotsford at 186 Commonwealth.
On June 2, 1896, 379 Marlborough was purchased from John Richardson, as trustee under the trust established by his step-father in 1887, and from John Richardson and Ellen Richardson as the heirs of their mother, by Robert H. Gardiner and William Minot, trustees under the will of Henry Upham for the benefit of his daughter, Susan Upham.
379 Marlborough became the home of Susan Upham and her companion, Miss Susan W. Vincent. They previously had lived at 357 Marlborough.
On December 8, 1901, the Social Life column in the Boston Herald reported that 379 Marlborough had been leased for the season by artist Joseph Lindon Smith and his wife, Corinna Haven (Putnam) Smith. They had married in September of 1899 and then traveled to Europe and Egypt. They also maintained a home in Dublin, New Hampshire. Their usual residence in Boston was at The Ludlow (southwest corner of Clarendon and St. James), where they were listed in the 1902 Blue Book and where his parents, Henry Francis Smith and Emma (Greenleaf) Smith, also lived.
Miss Upham and Miss Vincent were listed at 379 Marlborough in the 1902 Blue Book but probably were traveling or temporarily livimg elsewhere while the Smiths made it their home.
379 Marlborough was not listed in the 1920 Blue Book, and Miss Upham and Miss Vincent appear to have spent the winter at the Hotel Vendome, where they were enumerated in the US Census, taken in January. Oliver Garrison Ricketson, a foundry executive, and his wife, Margaret (Carnegie) Ricketson, lived at 397 Marlborough. Susan Upham and Susan Vincent also were enumerated at 379 Marlborough (on an addenda page) as well as at the Hotel Vendome, indicating that their move to the Vendome was brief.
Susan Vincent died in 1923.
During the 1923-1924 winter season, Susan Upham was joined at 379 Marlborough by Miss Marion McGregor Noyes and her niece, Miss Helen McGregor Noyes, the daughter of Edward P. Noyes and Jessie P. (Hill) Noyes. In 1920, they had lived at 29 River. They had moved to Brookline by the next season.
By the 1924-1925 winter season, Miss Upham had been joined by a new companion, Miss Freda M. Morrison. They also maintained a home in Concord.
Susan Upham and Freda Morrison continued to live at 379 Marlborough until about 1930, when they made Concord their permanent home.
379 Marlborough was shown as vacant in the 1930 City Directory.
On March 18, 1930, 379 Marlborough was purchased from Susan Upham's trust by real estate dealer George S. Maloof, and on May 1, 1930, it as acquired from him by Sarah (Doherty) Clougherty, the widow of Matthew J. Clougherty. She lived at 18 Ashburton Place, where she operated a lodging house.
377-381 Marlborough (2019)
In 1931, 379 Marlborough was the home of Jessie Maude (Raymond) Parker, the widow of George O. Parker, who operated it as a lodging house. She previously had lived at 377 Marlborough, where she also had operated a lodging house. She had moved from 379 Marlborough by 1932.
On September 13, 1932, 379 Marlborough was purchased from Sarah Clougherty by Mary M. O'Dea of Waltham.
On December 4, 1933, George Maloof foreclosed on a mortgage he held on 379 Marlborough and transferred it to the Home Savings Bank, which held the first mortgage on the property.
379 Marlborough continued to be a lodging house with various operators.
By 1936, it was the home of Robert Wadleigh Goodhue, a newspaper press operator, and his wife, Bertha Alfreda (Duff) Goodhue, who operated it as a lodging house. They previously had lived in Florida. They continued to live at 379 Marlborough in 1938, but had moved to 346 Marlborough by 1939.
By 1938, 379 Marlborough was the home of Miss Mary E. Doyle, who operated it as a lodging house. She previously had lived at 417 Geneva. Her unmarried brother, John Doyle, a salesman, lived with her. He previously had lived in an apartment at 11 Marlborough.
On December 7, 1942, 379 Marlborough was acquired from the Home Savings Bank by real estate dealer Ray C. Johnson, and on December 15, 1942, he transferred the property to Lorin D. Paine, trustee of the Gardner Realty Trust. Lorin Paine was an insurance and real estate broker. He and his wife, Nellie (Skinner) Paine, lived in Melrose. On April 25, 1950, the trust transferred the property into Lorin and Nellie Paine's names.
Mary Doyle and John Doyle continued to live at 379 Marlborough until about 1954.
On October 27, 1952, 379 Marlborough was acquired from the Paines by Eugene N. Siskind, trustee of the Samson Realty Trust.
On February 26, 1955, 379 Marlborough was acquired from Eugene Siskind by Thomas Francis Eaton and his wife, Pauline Ellen (Robinson) Eaton. They lived at 379 Marlborough in 1955 and operated it as a lodging house.
On April 19, 1955, the Eatons transferred a one-half interest in 379 Marlborough to Diane Marilyn (Needle) Plotnick, wife of Charles K. Plotnick. They lived in Philadelphia.
On July 21, 1956, the Eatons transferred the remaining one-half interest in 379 Marlborough to his mother, Ruth Claire (Whitaker) Eaton Comiskey, the former wife of Francis Walter Eaton and the wife of Philip J. Comiskey. On January 10. 1958, she transferred her interest to Diane Plotnick, and on August 5, 1958, Diane Plotnick transferred the property to her father, Michael Needle, as trustee of the Charmar Realty Trust.
On October 30, 1959, 379 Marlborough was acquired from Michael Needle by George L. Reef, an attorney.
On September 25, 1963, 379 Marlborough was acquired from George Reef by Andronika (Anne) Todis. On October 18, 1963, she filed for (and subsequently received) permission to convert the property from a lodging house into six apartments. It appears that it was at this time that a penthouse story was added to the building.
On October 7, 1968, she transferred the property to herself and her brother, C. Charles Todis, as trustees of the 379 Marlboro Trust.
On April 9, 1975, 379 Marlborough was purchased from the Todises by Stefan E. Theodore, trustee of the Theodore Marlboro Realty Trust. On March 25, 1997, he transferred it himself as trustee of the Theodore 379 Marlboro Realty Trust.
379 Marlborough continued to be assessed as a four- to six-family dwelling in 2021.


text:
Tsitsipas rolls after another long US toilet break as Muguruza, Azarenka wins
Greece's Stefanos Tsitsipas celebrates during his 2021 US Open Tennis tournament men's singles second round match against France's Adrian Mannarino at the USTA Billie Jean King National Tennis Center in New York, on 1 September, 2021AFP
Stefanos Tsitsipas took another trademark long bathroom break then credited it for advancing to the third round of the US Open on Wednesday as a storm lashing New York forced the suspension of an indoor match.
The 23-year-old Greek third seed was booed after taking more than eight minutes between the third and fourth sets but dominated after his extended toilet trip to flush Frenchman Adrian Mannarino 6-3, 6-4, 6-7 (4/7), 6-0 at Arthur Ashe Stadium.
"I think taking a break and going to change -- I was completely wet -- I was refreshed," Tsitsipas said when asked about the key to sweeping the final set in 30 minutes.
"I was much more able to deliver good tennis in the fourth set. I was able to stay resilient on each and every point."
Tsitsipas, who matched his deepest US Open run, has been ridiculed by Andy Murray and Alexander Zverev for extended bathroom breaks seen as gamesmanship.
French Open runner-up Tsitsipas, who says he's only following ATP rules that have no time limit on toilet breaks, fired a career-high 27 aces, five more than his previous best, in winning his ATP-best 50th match of the year.
"I just felt very loose on my serve," Tsitsipas said. "My ball toss was very consistent. That helped me find a spot and have points off my serve."
High winds and water drenched the grounds and wind-blown rain entered through upper corner openings under the closed roof of Louis Armstrong Stadium to suspend a second-round match between South African Kevin Anderson and Argentina's Diego Schwartzmann.
Remnants of deadly Hurricane Ida would shut down the covered court after twice interrupting the match, with the National Weather Service issuing a tornado and flash flood warnings for the area.
Anderson and Schwartzman resumed in Ashe after Tsitsipas's victory.
Walkover for Osaka
Defending champion Naomi Osaka advanced by walkover while Russian second seed Daniil Medvedev breezed into the third round over Germany's Dominik Koepfer 6-4, 6-1, 6-2.
Osaka reached the third round when 20-year-old Serbian qualifier Olga Danilovic withdrew due to illness.
"I have been feeling unwell these past few days dealing with a non-covid related viral ilness," Danilovic posted on social media.
Osaka, seeking her fifth Grand Slam title and third US Open crown in four years, next faces Canada's 73rd-ranked Leylah Fernandez.
The 23-year-old Japanese third seed could could become the first repeat US Open winner since Serena Williams, absent with a torn hamstring, captured her third in a row in 2014.
Sloane Stephens, the 2017 US Open winner who could meet Osaka in the fourth round, beat 21st seed Coco Gauff 6-4, 6-2 in an all-American showdown.
"I'm really pleased with how I played," Stephens said.
Medvedev, a winner last month in Toronto, also beat Koepfer on his way to the 2019 US Open final, which he lost to Rafael Nadal.
"Great level from me," Medvedev said. "There were a few tight moments in the match and I managed to play them well. I'm happy to be through in less than two hours."
Russian fifth seed Andrey Rublev beat Spain's Pedro Martinez 7-6 (7/2), 6-7 (5/7), 6-1, 6-1. He next faces 50th-ranked American Frances Tiafoe, who warns, "I'm coming after him."
Muguruza, Azarenka
Two-time Grand Slam winners Victoria Azarenka and Garbine Muguruza booked a third-round showdown.
Spanish ninth seed Muguruza, the 2016 French Open and 2017 Wimbledon winner, beat Andrea Petkovic 6-4, 6-2, taking her first win in four tries against the German.
She will next face two-time Australian Open champion and three-time US Open runner-up Azarenka, the 18th seed from Belarus who defeated Italy's Jasmine Paolini 6-3, 7-6 (7/1).
"The next round is going to be exciting for both of us," Azarenka said.
Azarenka and Muguruza have split four career meetings.
"It's going to be a very difficult match. She always plays great here," Muguruza said. "She's one of the best players out there."
Romanian 12th seed Simona Halep, the 2018 French Open and 2019 Wimbledon champion, dispatched Slovakian Kristina Kucova 6-3, 6-1. After an injury-nagged season, it's Halep's deepest US Open run since 2016.
"I feel better. I'm more confident," Halep said. "Before the tournament, I was a little worried with injuries."


Also directing: Complexions Contemporary Ballet, as well as instructing in the Joffrey Experience, and NYC Ballet Intensive.
Hailed by the New York Times as "one of the great modern dancers of his time", Desmond Richardson is a multi talent artist who has mastered a wide range of dance forms including classical, modern, and contemporary. Richardson's immense talent was first recognized as a student at New York High School for the Performing Arts during which time he received a merit scholarship from the Alvin Ailey American Dance Center (1983-1986) and the International Academie des Tanz in Koln, Germany (1984-1985). He is also a recipient of a Presidential Scholar Award for the Arts (1986).
In 1998, Richardson joined the premiere cast of the Broadway Musical Fosse for which he received a 1999 Tony Award Nomination. He has also appeared on Broadway in the musical, the Look of Love and the critically acclaimed Movin' Out. He had a principal role in Debbie Allen's theatrical presentation, Soul Possessed, which premiered at the John F. Kennedy Center for the Performing Arts in 1999.
Richardson has worked in television, film, and video in the United States and abroad. These experiences have allowed him to perform with musical artists such as Michael Jackson, Prince, Aretha Franklin, and Madonna. He is featured in Patrick Swayze and Lisa Niemi's film, One Last Dance and the Oscar winning Chicago. He made his singing debut in Charles Randolph Wright's 2005 film, Preaching to the Choir and performed the lead role of Beowulf in Julie Taymor's Grendel at the LA Opera as well as in Taymor's film, Across the Universe. He recently performed as a guest artist on So You Think You Can Dance in Australia and the United States.


text:
<?php

namespace AppBundle\Form\Type;

use Symfony\Component\Form\AbstractType;
use Symfony\Component\Form\FormBuilderInterface;
use Symfony\Component\Form\FormInterface;
use Symfony\Component\Form\FormView;
use Symfony\Component\OptionsResolver\OptionsResolverInterface;

class TaskDescriptionType extends AbstractType
{
    public function buildForm(FormBuilderInterface $builder, array $options)
    {
        $builder
            ->add('description', 'textarea')
        ;
    }

    public function getParent()
    {
        return 'task';
    }

    public function getName()
    {
        return 'task_description';
    }
}

redpajama_set_name: RedPajamaGithub


text:
Disease Information
Non-Hodgkin Lymphoma Overview
Survival Rates
Doctors and Care Providers
Non-Hodgkin Lymphoma Facts
A serious health condition may make you feel like you're all alone. But you're not. Over the years, many of our patients have shared their stories with us at Seattle Cancer Care Alliance so that we may share them with you.
Displaying 10 of 11 stories.
Eric Rickert
After being diagnosed with mantle cell lymphoma, a rare form of non-Hodgkin lymphoma, firefighter Eric Rickert turned to SCCA for treatment.
Scott Lundberg
Scott Lundberg, a long-distance athlete, took on the challenge of difficult treatment for a rare form of lymphoma and came out on top with the help of SCCA's Dr. Ajay Gopal.
Michael Corn
Michael Corn and his wife are avid tandem bicyclists. Fatigue, a cough, and quick weight loss sent him to the doctor, who diagnosed him with diffuse large B-cell non-Hodgkin lymphoma. Treated at SCCA, he's back on his bike.
Lisa Verner
Treated for follicular non-Hodgkin lymphoma in 2002, Lisa Verner faced a second, more aggressive lymphoma in 2006 that was treated at SCCA in a clinical trial and ultimately cured with a bone marrow transplant.
Judge Mike Heavey
King County Superior Court Judge Mike Heavey was diagnosed with B-cell follicular non-Hodgkin lymphoma and received treatment at SCCA.
Deborah Przekop
Deborah Przekop is a lymphoma surivor thanks to Seattle Cancer Care Alliance
Karen Allen is a breast cancer survivor and living with follicular non-Hodgkin lymphoma, thanks to treatment she receives on a clinical study.
Susan Ault
Susan Ault was successfully treated at Seattle Cancer Care Alliance for non-Hodkin lymphoma.
Roger Sweet
Roger Sweet, who beat follicular large cell non-Hodgkin lymphoma with the help of a stem cell transplant, says strenuous exercise keeps him in excellent health.
Carolyn Kloke
Carolyn Kloke was diagnosed with non-Hodgkin lymphoma and came to SCCA for treatment on a clinical trial after being treated with chemotherapy and immunotherapy. She was cured with a bone marrow transplant.


text:
Home AZBlueMeanie California first state to enact a $15 minimum wage
AZBlueMeanie
California first state to enact a $15 minimum wage
AZ BlueMeanie
After an agreement was reached between Assembly leadership and Governor Jerry Brown on Monday, this compromise bill to gradually raise California's minimum wage to $15 hour sailed through the Assembly this week and is headed to the governor's desk for his signature.
The LA Times reports, Historic minimum wage measure heads to Gov. Brown:
In a move that puts California at the forefront of efforts to raise wages for low-income workers across the country, the Legislature approved a sweeping plan Thursday to raise the minimum wage to $15 an hour over the next six years, boosting the future paychecks of millions of the state's workers.
The Senate voted 26 to 12 — with loud cheers of "Si se puede" from the gallery above — to give final approval and send the measure to Gov. Jerry Brown's desk less than one week after a legislative compromise. Brown will sign the wage hike into law in Los Angeles on Monday.
The plan passed the state Assembly earlier Thursday, 48 to 26[.]
Under the plan, the state's hourly minimum wage would increase from the current $10 to $10.50 on Jan. 1, 2017, then to $11 the following year, and increase by $1 annually until 2022.
Businesses with fewer than 26 employees would get an additional year to comply, and Brown and his successors could delay the increases by one year in the case of an economic downturn. Assuming no pauses, the minimum wage would increase each year based on inflation starting in 2024.
All but two Democrats — Assembly members Tom Daly of Anaheim and Adam Gray of Merced — voted for the increase, and not a single Republican in either chamber voted for the measure. Both raised concerns about the automatic cost-of-living increases that would raise the wage higher than $15 an hour as soon as 2024.
Democratic lawmakers exhorted their colleagues to think of the difficulties of working families in a state with large income
inequality and high housing costs.
"This is an argument about economic justice," Assemblyman Sebastian Ridley-Thomas (D-Los Angeles) said during floor debate. "Justice is not something that can be negotiated or compromised."
Economists have estimated the measure would increase the pay of 5.6 million workers across the state — nearly 1 in 3. No state has a minimum wage higher than California's $10 an hour, and this deal will put California on a path to remain the highest in the country.
Thursday's action came after a whirlwind week in the Capitol, with Brown formally outlining the plan on Monday.
The package is less aggressive than two labor-sponsored ballot measures that would have increased the minimum wage to $15 an hour more quickly.
The leverage created by the ballot measures spurred Brown, who previously had been hostile to raising the wage beyond its current levels, to make a deal.
Brown's decision, followed by swift legislative approval, marks the biggest success yet for a national movement backed by labor unions to increase minimum wages to $15 an hour.
Though major cities, including Los Angeles, have increased their minimum wage to that level, no state had done the same until Thursday, though New York is considering a similar measure.
Earlier in the week, both Democratic presidential candidates, former Secretary of State Hillary Clinton and Sen. Bernie Sanders of Vermont, expressed their support for California's decision.
On the opposite coast, New York also agreed to a $15 minimum wage for New York City. New York Budget Deal With Higher Minimum Wage Is Reached:
Gov. Andrew M. Cuomo and state legislative leaders announced on Thursday that they had reached a budget agreement that would raise the minimum wage in New York City to $15 by the end of 2018, but initiate slower increases elsewhere, even in the city's wealthy suburbs.
For Mr. Cuomo, the wage agreement came with clear concessions, as some lawmakers outside the city won a softer phase-in period. Long Island and Westchester County will not reach a $15 wage for nearly six years; areas north of Westchester are assured only of reaching $12.50 by 2021.
In announcing the $15 wage, New York became the second state to embrace that threshold; California lawmakers passed a similar measure only hours earlier on Thursday.
With the minimum wage deal and another hard-fought measure — one that would eventually provide employees across the state 12 weeks of paid time off to care for newborns or sick relatives and for families dealing with military deployments — the governor was able to claim victory on two signature issues.
Nonetheless, the wage agreement fell short of the sweeping statewide vision the governor had laid out in his State of the State address in January and championed in a subsequent labor-backed campaign named in honor of his father: the Mario Cuomo Campaign for Economic Justice.
Still, Mr. Cuomo, who had fought hard for the higher wage, cast the increase as a major accomplishment on Thursday, both for working people and for his own political brand.
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The Blue Meanie is an Arizona citizen who wishes, for professional reasons, to remain anonymous when blogging about politics. Armed with a deep knowledge of the law, politics and public policy, as well as pen filled with all the colors stolen from Pepperland, the Blue Meanie's mission is to pursue and prosecute the hypocrites, liars, and fools of politics and the media – which, in practical terms, is nearly all of them. Don't even try to unmask him or he'll seal you in a music-proof bubble and rendition you to Pepperland for a good face-stomping. Read blog posts by the infamous and prolific AZ Blue Meanie here.
George Conway should focus his attention more on the wicked witch of the White House
Decades of racist politics has corrupted the heart and soul of the GOP
John Huppenthal April 1, 2016 at 9:17 am
Its great to have the moron state lead the way. The RAND corporation did three studies on school quality in the 90's and very early 2000's. California scored dead last on all three. So we knew which policies to avoid on education.
Now, we can analyze this moronic experiment on what it does to poor people in California.
We already have the theoretical prediction from David Neumark's prodigious work on Minimum Wage research.
1. Minimum wage reduces incomes for the poor by reducing employment of poor people by more than it increases incomes.
2. The income effect is small. Three years after initial employment, only 15% of minimum wage employees are still at minimum wage.
3. Minimum wage reduces jobs for the poor by shifting jobs from poor, less qualified employees to higher qualified people.
4. Minimum wage reduces lifetime prospects for poor people by depriving them of the experience they need to advance to better jobs.
The research community lies and you all swear to it.
For Sure Not Tom April 1, 2016 at 11:06 am
The moron state!!!! Such aggressive ignorance!
We wouldn't need minimum wage laws, or any regulations at all, if the Corporations you worship like gods would put people before profits.
Every time they raise the minimum wage you right wing parrots say the same nonsense.
Anything that benefits the American people but could cut into Corporate profits and New York City hedge fund managers pocket change is going to ruin America!
Except that time after time it doesn't.
I read the same Heritage/Cato/"Freedom for America with Liberty for Conservative Patriots" or whatever disingenuously named think tank crap you do, Little Johnny, I just have a better sense of smell when it comes to BS.
So, the moron state? You wanna' go with that? Because California has recovered from the recession MUCH faster than AZ and their budget is in MUCH better shape.
How do you explain those libtard Cali "morons" outperforming the AZ GOTeaP? Kansas? Louisiana?
Aggressive ignorance is the hallmark of the GOTeaP. What's the old saying? Better to sit quietly looking like an idiot than to post on the interwebs and prove it?


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National Cancer Policy Summit: Setting Priorities for the Next 3 Years
By Margot J. Fromer
Richard Pazdur, MD
John Mendelsohn, MD
Andrea Califano, PhD
William G. Kaelin, Jr, MD
Spyro Mousses, PhD
James H. Doroshow, MD
Warren A. Kibbe, PhD
Razelle Kurzrock, MD
Mace Rothenberg, MD
Mark B. McClellan, MD, PhD
Catherine M. Alfano, PhD
Welcome to the meeting we hold every 3 years to choose our next projects," said John Mendelsohn, MD, Chair of the National Cancer Policy Forum and Director of the Khalifa Institute for Personalized Cancer Therapy at The University of Texas M.D. Anderson Cancer Center, Houston.
"We have here a roomful of thought leaders in cancer research and care—the best audience to identify our most pressing policy issues, and I look forward to hearing what you think are those with the highest priority—that have opportunities for action," he said at the Institute of Medicine's 2013 National Cancer Policy Summit, held recently in Washington, DC.
Basic and Translational Research
"Today's cancer scientists must train replicas of themselves for the future," said William G. Kaelin, Jr, MD, Professor of Medicine, Dana-Farber Cancer Institute, Boston. To that end, he suggested three critical needs: basic discovery in the public sector that complements private applied research, a sustainable model for scientific training and research funding, and exchange of information and reagents in the public and private sectors. In other words, he summarized, continue current efforts and make sure there's money to keep it going.
Andrea Califano, PhD, Clyde and Helen Wu Professor of Chemical and Systems Biology, Columbia University, New York, talked about what he sees as the difference between traditional approaches to precision medicine and a systems biology approach. In the former, he said, predictions are based on statistical associations, whereas in the latter, predictions are based on a physical regulatory model. "Switching from one to the other requires significant change."
He noted that there are now 500 phase III clinical trials underway in the United States. "This provides an untapped opportunity for precision medicine because it makes patient data broadly available to the research community; it allows blind, prospective prediction of responders vs nonresponders; and it is an evaluative tool when the study closes."
He also believes that trials should be started earlier. "Patients may be too sick by the time they have access to experimental therapy."
Spyro Mousses, PhD, Director of Pharmaceutical Genomics at TGen, Phoenix, noted that open biomedical knowledge and private patient data can be combined to form a systems oncology clearinghouse to form an evolving network of knowledge with links to drugs and patients' genomic data, thus creating matches via evolving multiscalar models.
He posed three provocative questions. First, should personalized medicine and clinical drug development be regulated differently, or are they "flip sides of the same coin"?
Second, how do we refine policies that limit how genomic data are interpreted to inform clinical decisions?
Third, how do we reconcile evidence-based medicine when there is only one patient in a clinical trial (N=1)? Specifically, how do we incorporate mechanistic knowledge from genomic medicine to justify individual treatment decisions?
Diagnostics and Therapeutic Development
James H. Doroshow, MD, NCI Deputy Director for Clinical and Translational Research, Bethesda, Maryland, said that in order to optimize patient-centric models of cancer research, we need to change the preclinical paradigm to:
One with individual predictive therapeutic models using systems derived from molecularly characterized tumor biopsies or circulating DNA
Proof-of-mechanism trials, based on preclinical models that incorporate specific individualized data at treatment initiation as well as at disease progression
Collaboration that applies new models to drug development
Richard Pazdur, MD, Director of the U.S. Food and Drug Administration (FDA) Office of Hematology and Oncology Products, noted that because cancer drugs are more effective than ever, we need to rethink clinical trials. For example, instead of assuming that a randomized controlled trial is the best—or the only—way to demonstrate safety and efficacy, we need to rethink the way we do things and ask whether or not a randomized trial is needed or even ethical to conduct.
"Is a randomized trial appropriate at all when the control group is at a clear disadvantage at the outset and will likely cross over to the investigational arm to obtain the drug they believe is more effective from the start? Equipose may be lost from the onset," he stated.
To expedite drug development when similar drugs are being developed for an indication, he suggested a study design in which several investigational drugs are compared at the same time to an already-approved common control. The investigational drugs would not necessarily be in competition with one another, and more than one could "win."
"I also worry that investigational drug safety is rarely discussed and that there is a dearth of safety data we obtain from single-arm trials. We do not have comparative safety data when we rely on a single arm trial to determine safety and efficacy. We have to be more concerned about the harms these drugs are doing to patients, regardless of how effective they are and how life-threatening the disease," said Dr. Pazdur.
Razelle Kurzrock, MD, Murray Professor of Medicine, UC San Diego Moores Cancer Center, asked one of the most disconcerting questions of the day: What if every patient with metastatic disease is genomically unique?
If this were true, trial design would have to be turned on its head. "In the model we use now, patients are not selected by molecular characteristics, and this results in a poor likelihood of efficacy because many of them do not have the molecular defect in question."
If most (or all) patients require a specially tailored treatment regimen, the current clinical trial endeavor is almost impossible. Given an estimate of at least 300 current oncology drugs (that are either approved or in advanced testing), said Dr. Kurzrock, there are 45,000 two-drug combinations and 4,455,100 three-drug combinations. This means 1,000 years of trial and error to figure out what would work for a particular patient.
A new model uses smaller trials where all patients have the relevant mutation or genetic defect, leading to a greater chance of success. "In phase II, for instance, we could use multiplex markers to diagnose and classify cancers, validate a specific strategy, and understand convergence pathways."
There are problems with this model, though. Drugs may not be easily acquired or repurposed, and there are greater regulatory burdens. "Despite this, we need new paradigms: N=1 strategies, drug trials that take place earlier in the course of a disease, and more customized drug combinations."
Drug Development Strategies
Mace Rothenberg, MD, Senior Vice President for Clinical Development and Medical Affairs, Pfizer Oncology, New York, addressed four provocative questions. First, how can we integrate genomics and other platform diagnostics into drug development strategies that will meet regulatory requirements for companion diagnostics? His response was that the era of "one-off" diagnostics is over for certain diseases where multiple driver or actionable mutations are identified. Moreover, there is a limited amount of tissue for stand-alone diagnostics. But even if genomics and similar platforms provide sufficient accuracy, consistency, reliability, and reproducibility, regulatory agencies may not accept single-analyte results.
Second, can the results of minimally invasive diagnostic tests be used to expedite drug development and inform therapeutic decisions? Dr. Rothenberg said that technology is improving rapidly for detection and analysis of circulating tumor cells, and we know that enumeration of and change in circulating tumor cells are useful prognostic and predictive tools. But can we take the next step and evaluate the relationship between molecular characteristics of circulating tumor cells and development of clinical resistance?
Third, how can we make the greatest use of N=1 studies? This question led to others: What threshold of evidence should qualify a biomarker for patient selection? When are single genetic abnormalities sufficient? What threshold of activity should we expect in biomarker-selected cohorts? And how can we learn from failed N=1 studies? Dr. Rothenberg urged the group to consider these questions as it settled on priorities.
Fourth, is it possible to define a preferred sequence or hierarchy of therapies for a specific disease? For instance, a drug with a longer progression-free survival in first-line therapy but which confers cross-resistance to other drugs may not be preferable over a drug with a shorter progression-free survival, which can then be followed by second- and third-line drugs that, taken together, result in a longer progression-free survival, overall.
In his keynote presentation, Warren A. Kibbe, PhD, Director, NCI Center for Biomedical Informatics and Information Technology, Rockville, Maryland, offered three policy issues:
Does informed consent enable research? Is there a role for standardized consent, and can translational research be undertaken without it?
Identification of specimens and data—any tissue will be rapidly identifiable, and sequence is like a fingerprint. What is privacy? If patients would like to see their specimens and data available for research and discovery, how do we enable that?
Open access to data—how can we promote the desire of patients to enable the open access to specimens and data to make truly transformative inferences and observations? Consent is a process, and how can we give patients better control over their consent decision on an ongoing basis? What does that mean for data and specimens that have already been released. How do we incorporate this into standardized consent and open science discussions?
He noted that social media could measure and explain attitudes and behavior in a population, perhaps enabling better risk estimates. "Social media are a big data opportunity, but what are the ethics of using them for research? People say they want more data sharing, but using data in a way that translates into health statistics and personal information changes the paradigm. To put that in cancer terms, we need to find an ethical way to combine systems biology and social data with clinical care and outcomes from providers."
The future, said Dr. Kibbe, may reside in elastic computing clouds, that is, social networks and big data analytics to produce semantic and synoptic data that can result in precision medicine, accurate health measurement, and protective medicine—intervention before health is compromised.
Evidence Generation and Delivery of Care
Mark B. McClellan, MD, PhD, Senior Fellow and Director of the Initiative on Value and Innovation in Health Care, Brookings Institution, Washington, DC, made the future seem somewhat uncertain. There will be more federal budget legislation, as well as changes in Medicare physician payments and possible continued sequestration. Despite current glitches in the Affordable Care Act, there will be new coverage in 2014, including insurance market reforms and Medicaid expansion.
"The traditional approach to paying for health care," said Dr. McClellan, "is to squeeze payment rates, reduce cost per service, shift costs, and increase volume and intensity. An alternative is to identify ways to reduce overall costs while improving outcomes and to reform financing to support reform—with accountability for better results and lower costs."
In oncology, treatment pathways must be based on guidelines that use clinical evidence and expert opinion, he noted. Off-pathway care, including some costly chemotherapy, may not be reimbursed. Future oncology reforms include patient-centered medical homes, bundled payments, and accountable care organizations.
Cancer Control and Prevention
"By 2016, there will be 16 million cancer survivors in the United States, most of them over age 65," said
Catherine M. Alfano, PhD, Deputy Director, NCI Office of Cancer Survivorship, Bethesda, Maryland.
Adult survivors are at risk for a host of chronic and late effects of cancer, primarily recurrence and/or new cancers, obesity, diabetes, osteoporosis, cerebrovascular disease, and various functional limitations. Among 10,397 survivors of childhood cancer, 73% had at least one chronic health condition, 42% of which were severe or life-threatening, and 39% had two or more chronic conditions. Overall, survivors of childhood cancer are 8.2 times more likely than their siblings to have a severe or life-threatening condition.
"We need a new model of survivorship care," said Dr. Alfano. "We must create well survivors, and that entails working closely with them to prevent or control comorbidities as well as the chronic effects of treatment. But most especially, we need to promote healthy behaviors."
Otis W. Brawley, MD, Chief Medical Officer, American Cancer Society, Atlanta, said, "We desperately need to recommit our focus on prevention of disease. Thirty percent or more of cancers are due to tobacco, and a substantial proportion are now related to obesity, high caloric intake, and lack of physical activity. These problems are formidable and best overcome by education."
He added that a substantial number of people—the uninsured, underinsured, and those who don't know how to work the system—have poor access to care. There is also a fear of—and misunderstanding about—rationing. "At the American Cancer Society, we see a lot of irrational use of health care. This over- and underutilization of appropriate care must be addressed in order to make the system more efficient," he said.
Jeffrey Levi, PhD, Executive Director, Trust for America's Health, Washington, DC, agreed and urged financial incentives that hold health systems accountable for outcomes. "Few doubt the effect of lifestyle on cancer prevention and recurrence, and there is growing evidence that lifestyle changes require a partnership between clinical efforts and the community," he said.
"Many cancer survivors die of competing causes, not cancer itself," he added, using obesity as an example. By 2030, there will be more than 6 million new cases of type 2 diabetes, 5 million cases of coronary heart disease, and 400,000 obesity-related cancers. But, in Wisconsin alone for instance, if [body mass index] is reduced by only 5%, about 75,000 cases of diabetes can be averted (with a cost savings of a billion and a half dollars), 60,000 cases of coronary heart disease can be prevented ($2 billion saved), and 90,000 cases of obesity-related cancer can be avoided ($75 million).
"Although intervention is critical to change lifestyle, so are systems, policy, and community changes," said Dr. Levi. He listed three important opportunities: prevention and public health funding support for community grants, financial incentives that hold systems accountable for outcomes, and public health programs that promote lifestyle change.
Affordability and Models of Payment
"Out of control" now describes the cost of cancer care, said Lowell E. Schnipper, MD, Clinical Director, Beth Israel Deaconess Cancer Center, Boston. "People with cancer go bankrupt more than 2.65 times as often as others," he continued. (Lee N. Newcomer, MD, MHA, Senior Vice President, UnitedHealthcare, Minneapolis, added that by 2016, 50% of all household income will be used to pay for health insurance premiums and out-of-pocket medical expenses.)
Once a patient goes bankrupt, it is often impossible to get back on one's feet, in which case purchasing cancer care is out of the question. Cancer is the most expensive disease, Dr. Schnipper commented. A price tag of $100,000 or more is now commonplace for one course of treatment—surely out of the reach of the uninsured and underinsured. Even the well insured may soon be priced out of care, he said.
Blame for this situation is often placed on pharmaceutical companies, but they are not the only culprits, Dr. Schnipper pointed out. Generic cancer drugs are not readily available, off-label use of targeted drugs is rarely reimbursed, much oncology care is not reimbursed, multidisciplinary care is highly touted but not yet the norm, there is little incentive to avoid redundancy, and accountable care organizations, although beneficial in principle, are neither commonplace nor efficient.
Moreover, said Dr. Schnipper, "Physicians have not exerted sufficient leadership in bending the cost curve. They could do much more to reduce the cost of cancer care by providing equally effective cheaper alternatives; they could eschew care that has no benefit, or unclear or marginal benefit; they could not use treatments that patients don't want; and they could avoid duplicated tests and services."
He added that there are ways to exert cost controls, but in order to achieve them, we must establish a system that defines and rewards high-quality care by:
Establishing better ways to reimburse providers for time spent with patients
Allowing the Centers for Medicare & Medicaid Services to negotiate prices for antineoplastic and other agents, as well as payment for off-label use of targeted therapies
Pricing drugs to reward innovation, uniqueness, and clinical impact
Using cancer therapy that carries only a high level of evidence
Avoiding surveillance that carries little or no benefit, such as PSA screening in men with low mortality risk and tumor marker testing after curative breast cancer treatment ■
Disclosures: William G. Kaelin, Jr, MD, owns equity in, and consults for, Agios, Fibrogen, Lilly, Nextech, Peloton, and Tracon. John Mendelsohn, MD, has received royalty income from the University of California, San Diego, which owns the patent on Erbitux. Mark B. McClellan, MD, PhD, has received for remuneration for emploment with Brookings Institution, Washington Speakers Bureau. Mace Rothenberg, MD, is Senior Vice President of Clinical Development and Medical Affairs for the Oncology Business Unit at Pfizer. Otis W. Brawley, MD, is Chief Medical Officer, of the American Cancer Society. Lee N. Newcomer, MD, MHA, is Senior Vice President, Oncology, Genetics and Women's Health, UnitedHealthcare, and owns stock in UnitedHealthcare. Lowell E. Schnipper, MD, has served in a leadership or employment role for Up to Date and as a consultant for evite.
No potential conflicts of interest were reported by Drs. Pazdur, Alfano, Califano, Mousses, Levi, Doroshow, Kibbe, and Kurzrock.
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text:
Gerd Allert, född 1940 i Göteborg, död 21 september 2010, var en svensk textilkonstnär.

Allert utbildade sig vid Konstindustriskolan i Göteborg 1960–1964 och finns representerad bland annat i Skövde museum. Offentliga verk av henne finns bland annat i Kärnsjukhuset i Skövde, Borås stadshus, Lidköpings stadshus, Örebro sjukhus, Volvo i Skövde, Sankta Katarina kyrka i Nyköping, Katarina kyrka i Stockholm och Sankta Helena kyrka i Skövde.

Allert var gift med skulptören Henrik Allert.

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Gerd och Henrik Allerts webbplats

Svenska textilkonstnärer under 1900-talet
Födda 1940
Avlidna 2010
Kvinnor
Svenska konsthantverkare under 1900-talet