Friday, November 30, 2012

White House, Congress talk as 'fiscal cliff' nears

WASHINGTON (AP) ? Amid increasing anxiety that the White House and top Republicans are wasting time as the government slides toward an economy-rattling "fiscal cliff," administration officials are heading to Capitol Hill for talks with congressional leaders.

Treasury Secretary Tim Geithner and senior White House aide Rob Nabors were to visit separately Thursday with the four leaders of the House and Senate to discuss how to avert a series of tax increases and spending cuts due to begin in January. Republicans complain that the White House is slow-walking the talks and has yet to provide specifics on how President Barack Obama would curb the rapid growth of benefit programs like Medicare and Medicaid.

Obama and House Speaker John Boehner of Ohio, the lead GOP negotiator, spoke on the phone Wednesday, their first conversation in five days. But there's been little evident progress in negotiations between the two sides.

Boehner's lieutenants say the White House has been slow to engage.

"We have not seen any good-faith effort on the part of this administration to talk about the real problem that we're trying to fix," said House Majority Leader Eric Cantor, R-Va.

Obama is mounting a public campaign to build support and leverage in the negotiations, appearing at the White House with middle-class taxpayers and launching a campaign on Twitter to bolster his position.

"Right now, as we speak, Congress can pass a law that would prevent a tax hike on the first $250,000 of everybody's income," Obama said. "And that means that 98 percent of Americans and 97 percent of small businesses wouldn't see their income taxes go up by a single dime."

Obama is insisting that tax rates go up on family income exceeding $250,000; Boehner is adamant that any new tax revenues come from overhauling the tax code, clearing out tax breaks and lowering rates for all.

Republicans are also demanding significant cuts to so-called entitlement programs like Medicare, such as an increase in the eligibility age for the program from 65 to perhaps 67.

"It's time for the president and Democrats to get serious about the spending problem that our country has," Boehner said at a news conference Wednesday in the Capitol. Boehner, like Obama, expressed optimism that a deal could be reached.

At issue are steep, across-the-board cuts to the Pentagon and domestic programs set to strike the economy in January as well as the expiration of Bush-era tax cuts on income, investments, married couples and families with children. That combination of tax increases and spending cuts would wring more than half a trillion dollars from the economy in the first nine months of next year, according to the Congressional Budget Office.

No one anticipates a stalemate lasting that long, but many experts worry that even allowing the spending cuts and tax increases for a relatively brief period could rattle financial markets.

From their public statements, Obama and Boehner appear at an impasse over raising the two top tax rates from 33 percent and 35 percent to 36 percent and 39.6 percent. Democrats seem confident that Boehner ultimately will have to crumble, but Obama has a lot at stake as well, including a clear agenda for priorities like an overhaul of the nation's immigration laws.


football schedule jo paterno dead south carolina tuskegee airmen mike james red tails red tails

Visa Super Sizes Its PayPal Competitor V.Me, Adds Bank Of America And RBS In The UK

V.MeVisa is picking up steam quickly on its PayPal competitor, the digital wallet service. Today it is adding another major U.S. bank, the Bank of America, to its existing list of 50 partners; and it has signed its second international deal, with the Royal Bank of Scotland in the UK, which also includes National Westminster bank.


undercover boss barbara walters tupelo honey limp bizkit stations of the cross nike foamposite galaxy bill maher

Is Your Business Using Professional Video Editing ... - muvee Blog

Do you view video content online? I know I sure do. I watch everything from funny YouTube videos, to favorite TV shows to video tutorials and even advertisements. At the tail end of 2012, it?s agreed that using?professional video editing software?is a great way to reach potential customers, build your brand image and increase your profits.

Nearly everyone watches video online

You and I are not alone in our love for online video.

It is estimated that 90% of consumers watch videos online. If you want to reach consumers, take your advertising where they are and create video marketing content using professional video editing software like muvee Reveal X.

A recent report by the Content Marketing Institute indicated that one of the primary concerns for markers in 2012 was producing enough content.

Consumers are hungry for informative and engaging video, and businesses are struggling to fulfill this demand. The powerful and easy to use editing tools of muvee Reveal X can help. Our lightning fast video editor can create a professional quality marketing video in minutes and easily share it across various media channels including YouTube, Facebook and more. If you have an idea, we?ll help you turn it into a muvee.

Videos rank high for effective marketing

Videos rank high on the list of effective tactics for content marketing. Videos ranked #5 on the list of most effective tactics in the Content Marketing Institute study. Webinars and webcasts, which could also be created using muvee Reveal X, ranked #3.

Another recent trend is the move to creating more content in-house, rather than through outsourcing. In 2012 56% of those surveyed indicated that marketing content would be created solely in-house. This is up from 38% only a year before.

This could mean that companies are looking to have greater control of their marketing messages. ?This is great news for those with a limited advertising budget. Do-it-yourself, save money and still produce amazing content.

Don?t get left behind!

This year is the year for video marketing, so create your plan, capture your footage and make your muvee. If 90% of consumers watch video online, you miss out on a valuable marketing opportunity by not creating internet marketing videos of your own.

For inspiration check out this funny commercial and get a few ideas of your own:


Hurricane Sandy new jersey atlantic city ocean city maryland Nexus 7 KDKA Pumpkin Carving Ideas

Peter Parkour: London's Real-Life Spider-Man!


divine mercy cabin in the woods the legend of korra three stooges the three stooges the bee gees woodward

Tagliabue holds Saints bounties hearing in DC

WASHINGTON (AP) ? Former NFL Commissioner Paul Tagliabue and lawyers for the league and the players' union have wrapped up a hearing in the Saints bounties case.

Tagliabue is overseeing the latest round of player appeals in Washington.

Former Saints assistant Mike Cerullo, a key witness in the NFL's investigation, was scheduled to speak Thursday. Former New Orleans defensive coordinator Gregg Williams is to participate in Friday's session.

Two Saints players who were suspended, linebacker Jonathan Vilma and defensive end Will Smith, have said they plan to attend when Williams is there.

Vilma's lawyer attended Thursday's day-long hearing at an office building. Tagliabue and lawyers who attended Thursday declined comment when they left.


asante samuel salton sea arizona immigration law aubrey huff the killers julianne hough brandy

Thursday, November 29, 2012

Photos: Monster storm raging on Saturn

DEAR ABBY: My wife and I have been married for five years. I recently discovered that she made between 10 and 20 porn videos when she was 19. We got married when she was 27. We have four kids from two previous marriages.I am devastated. When I confronted her about it, she cried harder than I had ever seen. She said she was lost, and it's the biggest regret of her entire life.I understand how hard it can be to tell someone you have done something like this. I haven't led a perfect life either, and I have my own skeletons and things that I would never mention. But still, I can't get over this. ...


texas tornados seattle seahawks new uniforms wisconsin recall wisconsin recall doris day buffalo sabres texas news

Verizon Xperia Play Bootloader unlock now available by Sony

Posted on November 28, 2012 in News by Madhav

Verizon has always been infamous for locking up the bootloaders for its phones before releasing them out of public consumption. Of course, with the development community in the Android world being as it is, they don?t stay unlocked for too long as someone eventually finds a way in, albeit we must admit that Verizon locked bootloaders have been?particularly?nasty to crack.

It now appears that the Verizon Xperia Play, a device which has been around for some time, and has had its bootloader unlocked through unofficial methods in the past, is now officially supported on the Sony Mobile bootloader unlock section of its website. Looks like Verizon doesn?t really care about locking this fella up any more. Sony has now added MEID support for the Verizon Xperia Play?R800x. An unlocked bootloader is a must in the series of steps that one needs to take to enter the world of custom ROMs like CyanogenMod, AOKP and other AOSP based variants.

If you still have the Verizon Xperia Play and haven?t unlocked the bootloader yet, you can head over right away to the Sony Mobile Website, link given below, and set your device free.

Unlock the bootloader on the Verizon Xperia Play




born free walking dead finale nascar bristol narwhal st louis university mario manningham mario manningham

Gene linked to respiratory distress in babies

ScienceDaily (Nov. 27, 2012) ? Some infants are more susceptible to potentially life-threatening breathing problems after birth, and rare, inherited DNA differences may explain why, according to research at Washington University School of Medicine in St. Louis.

The study is the first to identify a single gene -- ABCA3 -- that is associated with a significant number of cases of respiratory distress syndrome (RDS) in babies born at or near full term. RDS is the most common respiratory problem in newborns and the most common lung-related cause of death and disease among U.S. infants less than a year old.

Their findings will be published in the December 2012 issue of Pediatrics and are available online.

The research may lead to new diagnostic and therapeutic strategies for prevention and treatment to improve respiratory outcomes for babies.

"We found that mutations in ABCA3 account for about 10 percent of respiratory disease in babies born near their due dates," said Jennifer A. Wambach, MD, assistant professor of pediatrics and the study's lead author. "These are babies who we typically think should have mature lungs and breathe normally. While we have known for a while that RDS is a heritable disease, this is the first gene to account for a significant proportion of disease among infants that are full-term or nearly full-term."

RDS occurs when an infant's lungs don't produce enough surfactant, a liquid that coats the inside of the lungs and helps keep them open so the baby can breathe. If there isn't enough surfactant, an infant has to work hard to breathe and may suffer from a lack of oxygen. Premature infants are at especially high risk of RDS, as surfactant production increases as babies near term. However, 2 percent to 3 percent of term and near-term babies also develop RDS.

The researchers' findings suggest a range of possibilities, Wambach said. These include using the genetic knowledge to plan affected infants' births near hospitals with neonatal intensive-care units and developing medical therapies to target the abnormal protein resulting from these mutations.

Wambach said the researchers hope to identify additional genes that cause neonatal RDS and better identify babies at risk.

"But right now we're studying how these mutations function in the laboratory," Wambach said. "Statistical associations help guide us, but we also need to understand the biology of these mutations."

The research team -- including Aaron Hamvas, MD, and F. Sessions Cole, MD -- evaluated five genes known to be important for normal breathing immediately after birth. Hamvas is the James Keating Professor of Pediatrics and medical director of the newborn intensive care unit at St. Louis Children's Hospital. Cole is the Park J. White, MD, Professor of Pediatrics.

The team looked at five genes involved in the metabolism of lung surfactant by taking DNA samples from more than 500 infants of African and European descent, with and without respiratory distress, who were carried to term or near term. They evaluated the same genes in an additional 48 babies with especially severe respiratory distress to see if their findings applied to that group, and in a third group of 1,066 Missouri babies, to determine the frequency of the mutations in a general population.

In comparing babies with and without respiratory distress, they found that babies of European descent with respiratory distress were more likely to have a single mutation in ABCA3, one of the five genes tested, than the infants with no breathing problems. Babies of African descent with respiratory distress also were more likely to have single ABCA3 mutations, but this difference did not reach statistical significance.

More than one-quarter of the babies with especially severe respiratory distress had a single mutation in ABCA3. Infants who inherit two defective copies of the ABCA3 gene usually require lung transplantation for survival. However, this is the first study to show that a single mutation in ABCA3 predisposes infants to respiratory distress that can usually be treated with neonatal intensive care.

The researchers also found that 1.5 percent to 3.6 percent of babies born in Missouri carry a single ABCA3 mutation, leading the researchers to estimate that about 10 percent of RDS cases among term and near-term infants may be attributable to mutations in ABCA3.

"We picked five candidate genes and thought we would find rare mutations in all of the genes," Wambach said. "However, we found very few mutations in the other genes, and they were not associated with RDS. Our findings were really isolated to this one gene, ABCA3."

Share this story on Facebook, Twitter, and Google:

Other social bookmarking and sharing tools:

Story Source:

The above story is reprinted from materials provided by Washington University School of Medicine. The original article was written by Elizabethe Holland Durando.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

Journal Reference:

  1. J. A. Wambach, D. J. Wegner, K. DePass, H. Heins, T. E. Druley, R. D. Mitra, P. An, Q. Zhang, L. M. Nogee, F. S. Cole, A. Hamvas. Single ABCA3 Mutations Increase Risk for Neonatal Respiratory Distress Syndrome. Pediatrics, 2012; 130 (6): e1575 DOI: 10.1542/peds.2012-0918

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.


James Holmes court Rupert Sanders bachelorette penn state Ernie Els Teen Choice Awards 2012 Aurora victims

Musical Escapades Blog ? Latest Music Industry News ? Twisted ...

Twisted Sister And Friends To Play Sandy Relief Concert At The Emporium
Hall of Fame Band of Native Long Islanders and Guests Offering Support for Local Charities and Families

Patchogue, NY (November 27, 2012) ? On Sunday December 16th at 6pm, The Emporium in Patchogue presents a very special 90 minute concert with TWISTED SISTER (big hits ?I Wanna Rock?, ?We?re Not Gonna Take It?) and more acts TBA in support of Long Islanders affected by the worst storm to ever hit the area. The Emporium is donating $10,000 immediately to help the people on the ground right now, and we encourage you to come down and help them achieve their goal of raising $100,000.00 for the families affected by Hurricane Sandy. The Emporium will donate 100% of the net proceeds from ticket and bar revenue to worthy Sandy recovery causes and charities: Long Island Cares,Inc. ? The Harry Chapin Food Bank (25%), the Island Park Music Program whose musical instruments were lost in the flood waters (25%) and the remaining 50% to local families in need.

?Twisted Sister is a world renowned superstar hard rock band who grew up on Long Island and proves time and time again that they have never forgotten their roots? said The Emporium Owner Tim Lorito, ?We are thrilled to be able to partner with them to lend a hand to their fellow Long Islanders in need?. In an effort to raise more money, The Emporium is pleased to announce SPECIAL TICKET PACKAGES where you can meet and greet the artists performing, and receive all kinds of cool stuff. See below for all the info. More acts to be announced.

Tickets are available to the public for purchase right now at $40 each in advance at the venue or through The Emporium is located at 9 Railroad Avenue in Patchogue, NY 11772. Call (631) 627-8787 for more details.

?We are excited to be able to show our love to the people of Long Island who have been impacted by this storm and bring them a rock show for the ages? said JJ French of Twisted Sister, who now lives in Manhattan ? another one of the areas hit heavily by the Hurricane ?this is certainly going to be a night to remember?.

$200 Gold Ticket (Only 50 Available)
-Commemorative Poster pre-signed by the artists + VIP Table.

$500 Platinum Ticket (Only 50 Available)
-Meet and Greet the artists performing, mingle and take pics + receive a Commemorative poster signed by all the artists + Twisted Sister Live in Vegas CD signed by the band + VIP Table.

$900 Diamond Ticket (Only 10 Available)
-Meet and Greet the artists performing, mingle and take pics + Receive a Signed Guitar by all the artists performing (Guitars donated by ALL MUSIC + Commemorative Signed Poster signed by all the artists + Twisted Christmas and Live in Vegas DVD & CD Both Signed by the band + A Twisted Sister holiday card personally signed to you from the band + VIP table + Dinner that night at The Emporium made special by world famous Chef Piers.

For more info on The Emporium please visit
For more information on Twisted Sister, please visit
For more information on LI Cares, The Harry Chapin Food Bank ? please visit

In 2012, The Emporium owners Tim Lorito and Matt Dill fulfilled their vision of creating a unique multi-purpose venue. Their goal is to present high quality live entertainment with great genre diversity, offering excellence in restaurant services which are highlighted by an outdoor beer garden, all blending into an exciting and fun event space. The Emporium has been designed solely by Matt Dill. It was developed and built to provide a world-class musical entertainment experience for both the audience and the performing arts. Tim Lorito has vast experience in marketing, promoting and building brands. He has been on the forefront of creating new concepts that have flourished nationally. Tim was raised in a music business environment by his father, Phil, who managed and developed a number of talented artists and bands including Cyndi Lauper, Michael Bolton, Zebra, Frank Carillo, Bob Mayo with Peter Frampton, Bruce Kulick and Alan St. Jon with Billy Squier. Phil Lorito has lent his decades of music industry experience as a special consultant in the creation of The Emporium.

Check out the list of Popular Music Festivals, India & International | Music Museums | Famous International Music Awards | Choirs & Orchestras Around the World | Budding Music Artists, India | Institutes & Courses In Music | Artist Biographies ? Artists In Focus | Promote Your Upcoming Music Performances | Indian Classical Music | Genres of Music | Contribute Music Related Articles | Glossary Of Musical Terms | Share Your Musical Escapades


sopa bill sopa and pipa piracy sopa marg helgenberger censorship wikipedia

HIStalk Interviews Kobi Margolin, Founder and CEO, Clinigence ...

Jacob ?Kobi? Margolin is founder and CEO of Clinigence of Atlanta, GA.

11-28-2012 4-02-40 PM

Tell me about yourself and about the company.

I?m the CEO and founder Clinigence, my third venture in healthcare IT. I am semi-Americanized, an Israeli originally. In the mid-1990s after seven years in an intelligence branch of the Israeli Defense Forces with a group of colleagues that I met in the military, we started Algotec, a medical imaging company. With Algotec, I came to Atlanta in 1999 to start US operations.?

We sold the company to Kodak in 2004. I then joined a startup at Georgia Tech that focused on the Software-as-a-Service (SaaS) model in medical imaging.

At my first company, Algotec, we were pioneers of bridging web technologies into the PACS market. These were days when medical imaging went through the electronic revolution. Our technology was all about distributing clinical images across the enterprise and beyond. My second company, Nurostar Solutions, capitalized on this electronic revolution and the SaaS model to facilitate new business models for imaging services. In those days, teleradiology was exploding and we became the leading technology platform for these services.

In 2008, I started on a path that led me to Clinigence today. 2008 was an election year. In the days leading to that election, I looked at what was going on in the market and thought that there might be new opportunities opening up around electronic medical records. I had followed the EMR market since my first HIMSS in 1997 in San Diego. The market was advancing, as one of the analysts put it, at glacial speed. Then in 2008 or 2009, suddenly an explosion of funds was allocated for this market. I started thinking about what was coming next. Let?s assume that the market is already on electronic medical records. What impact is that going to have?

That led me to the concept of clinical business intelligence, which in essence is, how do we make sense of the data in electronic medical records from both the clinical and business or financial standpoint for the benefit of healthcare providers, for the benefit of medical practices and their patients? This is when we started Clinigence.

Officially started in 2010, we had our first beta in February 2011 and our first commercial installation in October 2011. Today we are in over 70 medical practices with about 400,000 patients on the platform, with two EMR companies as channel partners. We just signed our second partner a few weeks ago and our first ACO customer just a few days ago.


How do you position yourself in the market and who do you compete most closely with?

In the clinical analytics industry, we are unique in that we are entirely provider centric. We jumped into clinical analytics with the vision that everything is going to be inside clinical operations and everything is going to be electronic. We have created a technology foundation that uses electronic medical record data as its primary source.

If you look at clinical analytics, that is a multi-billion dollar industry. Pretty much all of that industry has focused on healthcare payers or health plans. The technologies are based on administrative or claims data. There are specific benefits ,we believe, in the use of EMR data as your primary source. The number one differentiator for us is in the use of EMR data, which allows us to do three things.

Number one, our reports are real time. We create a real-time feedback loop that takes the data from the provider system and goes back to the providers and helps them change the way they deliver care to their patients in more proactive ways.

Number two, our reports are very rich in outcomes. We all know that the ultimate goal of everything we?re doing in health reform today and healthcare transformation is patient outcomes. Yet a lot of the reports you look at today in the market don?t give you any outcomes in them, because the data that?s used to generate them is data for billing purposes that doesn?t include clinical outcomes.

Number three, because we focus on the system that comes from the healthcare provider organization itself, we give providers the ability to break the report all the way down to individual patients and individual clinical data elements. The reports are not anonymous for them. The reports are something that they can trust, something they can work with. With that, we have the power to change the behavior of providers and affect behavior change in their patients, which improves outcomes.


If a physician is receiving reports from your system, what kind of improvements might they suggest?

The reports from our system drive a process, the process of improvement. It?s like peeling layers of an onion. We focus today almost exclusively on primary care. When we go to a primary care practice, we first have the physicians look at how they document clinical encounters today.?

Oftentimes the outer layer of the onion is helping the practice or the individual physicians with their documentation practices ? making sure that they?re documenting everything that needs to be documented. We often find that physicians say, ?Oh, we do these things,? but when you look down at their report, it doesn?t show it. It turns out that they?re doing things, but they?re not always documenting them or not documenting them correctly.

Then the second layer is we help the practices compare their performance, the compliance of their staff, with medical guidelines, recommended care, and sometimes their own protocols within the organization or the practice. You go into a practice and you ask the doctors, ?Do you follow these protocols??

For example, in family medicine, diabetes is chronic disease number one. The recommended guidelines, recommended care protocols for diabetes are pretty well established. We know the things we need to do. You go in and ask the physicians and they always say, ?Of course we follow medical guidelines. Of course we do all the things that we?re supposed to.?

Then you start breaking the data down to reports across the organization, across the staff within the practice. Almost inevitably you find that there are variations in care, differences among providers and their compliance with these protocols which lead to gaps in individual patient care. We help them find these variations in process compliance, close these gaps, and improve their compliance with those medical guidelines and protocols.

The deepest layer of the onion, which only a few of the practices we?re working with are at that level ? certainly in the ACO market we think that there?s going to be more of that ? is about going into the effectiveness of your protocols within the practice in driving outcomes and that goes both to patient outcomes and eventually to business or financial outcomes for the practice. In this context, we give the customer the power, essentially, to do things like comparative effectiveness, look at various protocols that they use and see which ones are driving the outcomes or the results that they want.


The ACO concept is new enough that I?m not sure anybody really understands how they?re going to operate. Does anybody know how to use the data that you?re providing to manage risk, specifically within an ACO model? Or is it just overall quality and that?s what ACO should encourage?

I think that the ACO market is indeed still a baby. OK, it?s a newborn. Everybody is at the beginning of a journey. Even some of the organizations that have been doing this for the longest, like the pioneer ACOs, are still in very early stages.

We are focusing in the ACO market on finding organizations that we think have the best shot of going through this journey and being successful in going through this journey. We come to them and offer them a partnership in the journey, where we become somewhat of a navigation system for them with the kind of reports I mentioned earlier. Then really all that our technology can do ? empower them with those navigation tools to find the roads that lead to the holy grail of accountable care, to find the roads to the triple aim of health reform.

As I?ve said, we?ve just closed our first ACO customer, so it?s going to be presumptuous of me to say, ?Yes, the answers are already there.? But with the three things that I mentioned earlier, specifically, primary care driven and physician-led ACOs have unique potential of identifying, figuring out the ways to get to that holy grail. We think that our technology is a critical piece that can help them and then accelerate them in their path towards that holy grail.


Describe the patient-centered medical home model and the data capabilities physicians need to operate under that.

In primary care, we are doing much more work on medical homes than ACOs because ACOs are still few and far between. There is great interest in the patient-centered medical home model.

The patient-centered medical home model in itself is only a care delivery model. It does not come with a payment model attached to it, but there are certain markets where payers actually offer incentives to those practices that go to the patient-centered medical home model.

To become a patient-centered medical home, there are specific areas that the practice needs to address. NCQA offers a certification process that has become the de facto standard in certification as a medical home. They don?t necessarily force you to have an electronic medical record, so you can potentially become a patient centered medical home even without one. But what we would say is, as you look at your goals in the patient-centered medical home ? specifically goals around continuous quality improvement, goals around population health management ? using electronic medical records becomes necessary, a prerequisite to your ability to engage seriously in those kinds of efforts.?

We typically come in with our technology after the practice implements or adopts electronic medical record technology and help them take the data in their electronic medical record and translate that into a clear path towards quality improvement.


Is it hard to get physicians to follow your recommendations?

Most physicians are independent. They don?t like to be told what to do. Before I started Clinigence, I looked at clinical decision support and decided not to jump into it, basically because I didn?t want to be in a position to tell physicians what to do. Instead, I selected clinical business intelligence. It was more around telling physicians how well they?re doing and how well their patients are doing.?

One of the unique aspects of what we?ve built is that we created a ?declarative classification engine,? which in essence means that the physicians can ask the system whatever question they want about their operations, about their patients, about their quality. We give them flexibility to go around the medical guidelines that come from the outside sources, build their own protocols, and then look at compliance and look at their performance relative to the protocols that they have set up for themselves.

You have to be somewhat careful when you do that. If you?re looking for success under a specific pay-for-performance program, then you have to abide by whatever the payer or some outside authority has set for you, and it is not uncommon for us to have variations or flavors of the same guideline. One that measures performance for the outside reporting purpose, and then a second one or even a number of them that give the practice the ability to create their own flavor of protocols.?

Then it?s no longer somebody telling you ? Big Brother telling you ? what to do. You have the power to determine what to do. I think the ACO model ? and to some degree, also the patient-centered medical home as a step towards the ACO model ? puts the physicians within those ACOs in the driver?s seat. Nobody is telling them where to go or what road to try in order to drive the success of the ACO.

There are 33 quality metrics for an ACO that are defined by Medicare. We say, ?Is this sufficient?? Clearly these metrics are necessary; you have to report on those to Medicare. But are these sufficient? Will these guarantee your success??

It is clear to everybody in the ACO market that the answer is no. These may provide a starting point, but nothing more than that. You have to carve your own way to achieve the outcomes. We know what outcomes are desired, but as far as how to get there, much is still unknown. There?s great need for innovation in fact in the market to figure it out.


A number of Israel-based medical technology companies have come in to the U.S. market, a disproportionate number based on what you might expect. Why are companies from Israel so successful in succeeding here?

My personal story may be a bit of a reflection of the success story of Israeli medical technology. Israel has become a Silicon Valley, an incubator of technology. Israel has more technology companies on Nasdaq, I think, than all of Europe combined. A lot of it is around the medical field.

Why has Israel has become that? I can speak from my own personal experience. There?s a book called Start-up Nation that was written by Dan Senor that looked more generally at this same question. His thesis in the book is that the military in Israel is the real incubator, the real catalyst for innovation.

I can say from my experience it really was like that. In my first company, Algotec, we started fresh out of the military. We were a group of engineers in the military. We knew very little about healthcare, certainly not healthcare in the US.

What we knew ? and what the military instilled in us ? was the desire to do something, to innovate, to create something. Beyond the desire, also the confidence to think that at the early age and early in our careers as we were back then, that we could do something like that. We could go and make a difference like that.?

There?s a lot of that going on in the medical field. I joke around that every Jewish mother wants her kid to be a doctor. Certainly there?s a lot of that here in the States. When I was growing up, somehow I was never really attracted to that. I was more on the exact scientific side. For my undergrad, I chose math and physics. In grad school, medical physics for me was a way to bridge the gap, to fulfill at least a portion of the wishes of my mother.


Any concluding thoughts?

You asked me about the process that we go with practices and I said it?s like peeling layers of an onion. Today, mostly with our clients we focus with them on some of the outer layers. We help them comply with pay-for-performance or create a patient-centered medical home.?

But where I think all of this gets really exciting and interesting is when you start getting to the deeper layers. We took great efforts to build a platform that?s very flexible. The unique piece I mentioned earlier in this context was the declarative classification engine. We also built what we believe is the first commercial clinical data repository that?s based on semantic technologies. Now this may sound to some folks like technology mumbo jumbo, but what?s important here is the ability to get data ? any type of data ? and make sense of it, so the system can understand the data even if it has never seen data like that before.

We think that over time, as our healthcare system goes through this journey of figuring out how to deliver more effective and efficient care, we can with technologies like that drive or create a bridge in between medical practice and medical science or medical research. Imagine that all of medical research ? pharmaceuticals that go to the market or new devices that go through clinical trials ? where they test the devices on hundreds or thousands of patients. We are building a system that can collect data from many millions of patients. Already today we are collecting data on hundreds of thousands of patients every day in medical practices.

Imagine what kind of insights we can get out of the data that we?re collecting, and then how this can then accelerate medical knowledge. Not just in the context of the holy grail of accountable care ? helping deliver care that?s more efficient and effective ? but really advancing medical science, identifying new things, new treatment protocols that otherwise we would never know about or would take us generations potentially to find.


tornado in dallas texas the island president the maldives harper lee mega millions numbers the fray seahawks new uniforms 2012

PHOTOS: Jennifer Lawrence Films 'Catching Fire' in Hawaii

Jennifer Lawrence are Josh Hutcherson are making a splash on the set of the Hunger Games sequel! The actors were photographed on the Hawaiian coast on Monday, shooting scenes for the 2013 film Catching Fire.


unc asheville stephen jackson nba trade deadline ncaa tournament marchmadness mike d antoni nba trade rumors

Wednesday, November 28, 2012

Ceton releases Windows 8 drivers, Echo set-top box is getting Android inside for the holidays

Ceton releases Windows 8 drivers, Echo settop box is getting Android inside for the holidays

Ceton will have something unexpected under the tree for early adopters of its $179 Echo Windows Media Center Extender -- Android. Updates are on the way that will bring not only finalized Extender software, but also beta support for the Android platform and apps. Detailed in a message sent to testers this evening, there's also an update rolling out in the next 24 hours that upgrades video output to 1080p and exposes settings for the Echo like optical audio out, bitstreaming over HDMI or optical and diagnostics. Even if you're not in that beta test but just like running the latest software, Ceton has also pushed out beta InfiniTV drivers for Windows 8 users (note: tuner bridging is not supported if the card is installed in a Windows 8 PC.) There's even a beta version of the Ceton Companion services that connect Media Center PCs to its mobile Companion apps -- which coincidentally are on sale for $2.99 at the moment -- for Windows 8 users to try out as well. Hit the source links for all of the details and expect more info on how the Echo puts Android on your HDTV soon.

Update: The Echo is also now available and shipping from Amazon, as well as the previously announced NewEgg.

Filed under: ,


Source: Ceton (1), (2)


kobayashi margaret sanger paul george eddie long ufc 143 weigh ins micron ceo glenn miller

The Chemistry of the Suppression of Desire

Bill Clinton, Gen. David Petraeus and Arnold Schwarzenegger. Bill Clinton, David Petraeus, and Arnold Schwarzenegger

Photographs by Mario Tama/Getty Images; Karen Bleier/AFP/Getty Images; Ben Pruchnie/Getty Images.

America does love a good sex scandal, almost as much as the British do, and the Petraeus, um, affair has been an especially juicy one. It?s been so complicated, in that reality-show kind of way, that we need charts depicting who?s connected to whom.

As always happens when a powerful married man is revealed to have been hiking the Appalachian Trail, finding Freudian uses for cigars, or supporting his maid?s child, there?s been a lot of speculation about the psychology of honcho guys. What is it about the powerful?

This noodling is off-base on several counts. First, it neglects the fact that roughly one-quarter of married people?approximately equal numbers of men and women?report having had an extramarital affair. They aren?t all powerful. It?s true that the successful may indeed be more likely to commit adultery, but not for the reasons usually cited, such as their supposed sense of entitlement.

It also conflates social monogamy with sexual monogamy, assuming that these complicated sets of behaviors are one and the same. But Petraeus? experience shows that?s not necessarily true. By all accounts, Petraeus highly values his relationship with his wife. Yet he was not sexually monogamous, and because he wasn?t, he placed his social relationship with his wife, not to mention his job and reputation, at risk.

The difference between social and sexual monogamy is partly chemical, as was illustrated recently in a fascinating experiment. You may have missed it while being steeped in Jill Kelley news, but the Journal of Neuroscience released a study earlier this month about the effects of the neurochemical oxytocin on the behavior of monogamous males.

Oxytocin has gotten a lot of publicity over the past few years, not all of it entirely accurate. It?s been called the ?cuddle? hormone, a ?love drug,? even ?the moral molecule.? But it turns out that the effects of oxytocin depend on social context.

In the study, the scientists squirted oxytocin (or an inert spray) up the noses of male test subjects, some of whom were involved in a monogamous relationship with a woman and some of whom were not. Then they introduced the men to an attractive woman.

Rather than approach the attractive woman, as one might anticipate given oxytocin?s reputation, the men in monogamous relationships who received oxytocin tended to keep her at a distance compared to men who received placebo squirts. Oxytocin had no effect on single guys. ????????? ?

In other words, giving a shot of oxytocin up the nose of bonded men tended to reinforce monogamy. This finding supports work by a Dutch scientist named Carsten de Dreu who has shown that oxytocin tends to increase trust toward members of a group, but not toward outsiders. In this case, the pretty woman is the outsider.

This is an interesting finding, but not so much because it tells us that oxytocin will forever prevent a man from stepping out. Rather, it shows us that chemicals in our heads can influence our social behavior just as they influence the behavior of animals, to the point that we do not have complete rational control over our actions.

A large body of evidence gathered over the past 15 years or so shows how chemical communication between neurons can bias our behavior. Oxytocin is only one of the chemicals involved. Stress hormones, dopamine, vasopressin, opioids (the brain?s heroin) all have their say. And the science tells us that ?monogamous? individuals?whether birds, rodents, or people?can be driven to have sex with those outside their socially-exclusive pair bond.


proposition 8 ricky martin larry bird chauncey billups caucus results exton kurt warner

Syria launches air strikes as combat rages in Damascus

BEIRUT (Reuters) - Syrian aircraft attacked towns in the country's north and east and killed at least five people in a strike on an olive oil press as fighting raged in the capital Damascus on Tuesday, opposition activists said.

Rebels battled government forces in the Damascus suburb of Kfar Souseh, on the edge of the center of the capital housing the government of President Bashar al-Assad, said the Syrian Observatory for Human Rights, a British-based monitoring group.

There was also combat in the Baba Amr district of Homs city, an area that was overrun by government troops in February, said the Observatory, as well as fighting in Aleppo, Deir al-Zor, Deraa, Idlib province and Hama province.

A government jet fired barrel bombs -- cylinders packed with explosives and petrol -- at the Abu Hilal olive oil press, 2 km (1.2 miles) west of Idlib city, activist Tareq Abdelhaq said.

At least five people were killed and five wounded in the attack, the Observatory said. Abdelhaq said at least 20 were killed and 50 wounded.

The victims were civilians, according to activists, who acknowledged rebel fighters were in the area.

Such reports are difficult to verify as the government restricts access to foreign media.

An estimated 40,000 people have been killed in Syria since March last year when protests inspired by the Arab Spring broke out against Assad, whose family has ruled autocratically for four decades. Assad has relied on fighter jets, helicopters and artillery to subdue the revolt, which started peacefully but has become a full-scale civil war.

Rebels have captured at least five army and air force installations in the past 10 days, putting pressure on Assad's forces in the northern provinces of Aleppo and Idlib and the eastern oil region of Deir al-Zor.

The opposition are calling for international military aid, particularly against air attacks, but Western powers who support the uprising are wary of radical Islamist units among the rebels.


The government also launched air strikes on the eastern city of Deir al-Zor and on the strategic town of Maraat al-Numan in Idlib province on Tuesday.

The rebel takeover of Maarat al-Numan last month effectively cut the main north-south highway, a key route for Assad to move troops from the capital Damascus to Aleppo, Syria's largest city where rebels have taken a foothold.

Most foreign powers have condemned Assad, and Britain, France and Gulf countries have recognised an umbrella opposition group, the Syrian National Coalition, as the sole representative of the Syrian people.

But Assad has been able to rely on his allies, especially regional powerhouse Iran, to withstand the international assault. Russia and China have also vetoed three United Nations Security Council resolutions that condemn Assad.

Nonprofit news website ProPublica reported yesterday that Russia sent 240 tonnes of banks notes to Damascus this summer. U.S. and European sanctions include a ban on minting Syrian banknotes.

(Writing by Oliver Holmes; Editing by Jason Webb)


wrestlemania results womens final four josh hutcherson google april fools office space shell houston open mega millions winners

Reminder about Course Evaluations - Business Risk Management

Here?s a reminder about electronic course evaluations for the Fall 2012 semester from Dr. Wesley Null, who is Vice Provost for Undergraduate Education at Baylor University. I previously announced (on November 15) that course evaluations for virtually all courses offered by the Department of Finance, Insurance, and Real Estate were to be done online; see my blog posting entitled ?Electronic Course Evaluations, Fall 2012?.

??Original Message??
From: Null, Wesley
Sent: Monday, November 26, 2012 8:19 PM
To: IRT-Fac-Eval-Faculty; IRT-Fac-Eval-GTA
Subject: Reminder about Course Evaluations

Dear Instructors:

I am writing to remind you that the window is currently open for students to complete electronic course evaluations.? As soon as you possibly can, please remind your students to complete the evaluations.? They have received instructions about how to do so.? Your encouragement to students during class is very important to us achieving the response rates that we desire.

If you have specific questions about the process, please contact Rebecca Fortson in the IRT office at or 254 710-2061.

Thanks very much for your help in this matter.


Wes Null

Wesley Null, Ph.D.
Vice Provost for Undergraduate Education
Professor of Curriculum & Foundations of Education
School of Education and the Honors College
Baylor University
One Bear Place #97014
Waco, Texas? 76798-7014


vanderbilt evan mathis staff sgt. robert bales jason russell norfolk state st patrick s day parade duke

Simple Affiliate Marketing Tips That Get Big Results! - Zurvita Zeal ...

TIP! Email is a very important tool for marketing via marketing. Protect your emails as much as possible as you may need these in the future.

Do you own your own company and are looking to broaden your demographics and profits? Internet promotion can be the way to achieve these goals efficiently. Web marketing allows you to get the word out about your products by computer-based advertising. Continue reading for tips on how to optimize your experience with web marketing.

TIP! A blog will attract more traffic to your site. Regularly posting fresh content is a great thing for attracting viewers.

Try submitting your freebie material to online directories that list these services at no charge to you. You could also send out your best articles to online magazines or newspapers your target audience is likely to read. The same can be done with e-books, e-newsletters, articles and more.

TIP! Recruit experts and authorities in your field to interview with you. Always ensure you have them sign off to prevent any legal issues from occurring.

Pay attention to what the competition is doing and use their ideas as a learning experience and guide. If you can easily picture yourself as a prospective customer for your competitors? products, this means that they are successful in at least one area. Use that information to improve your company?s approach.

TIP! It is helpful to have real-time leads when you are trying to sell something online. Obtaining leads in real-time is useful, as it allows you to respond to interested customers immediately.

Giving yourself a title will show your importance. For example, if you own your business consider making yourself the CEO. If you are not a business owner, still see if there is a title that you can create that gives a sense of presence and strength. Make sure you sign all announcements and emails with name and title included.

Make your banner ads look unlike what a typical banner ad looks like. Try to create an interesting and unique banner ad to entice potential visitors.

TIP! Take time to learn web design basics. Read about HTML, CSS and all of the other things that go into creating an effective site.

Split your website into sections, and have a map from which people can choose the products they?d like to see. Balance the need for variety on your site with the need to keep it structured.

TIP! Your emails to customers should all contain a command to act. The call to action should be something like purchasing your product, joining your subscriber list, or visiting your site.

Successful Internet marketers know that they must utilize every bit of new technology. If you fall behind, your customers will notice it and start to doubt you. Impress your clients by proving that you are up-to-date with technology and software.

TIP! Sure, it sounds great to have a Twitter, Facebook, MySpace, and 10 other profiles on 10 other sites, but each profile needs your full attention in order to keep it vibrant. Inactive profiles that are not updated regularly are useless.

Utilize email as a way to keep your customers interested in what you have to offer. Put together compelling newsletter that will engage your customers while providing them with useful information. Your subscribers should not feel as if they are being spammed, but rather as if they are receiving something of value. Sending something to your customers on a regular basis ensures that you are kept in their minds, just be sure to not over-do it.

TIP! Your website should incorporate lots of descriptive and rich keywords. Adjectives, used intelligently, will improve the item descriptions featured on your site.

When you are just starting out in Affiliate marketing, remember that it is best to be prepared with a backup income source and plan. This is particularly important for this business type due to the fact the you won?t get a steady income stream until you?re a bit more established. Make sure you keep a consistent source of regular income until you see success sprouting up.

TIP! Know about 500 error pages and how to use them. This happens when your code does not work properly.

Increasing the number of subscribers will increase your income. Use a split test to determine which version of a website is the most attractive. Offer two different approaches to two different groups. Make your decision based on which version resulted in attracting the most subscribers.

TIP! Create a FAQ page to advertise products. Think of the common questions or problems you see often, and provide helpful solutions that utilize your products or services.

Find original ways to give out prizes. One simple contest idea is to hide an image or word in various places throughout your website, and then ask your customers to locate them. When your readers find the words, offer them a reward. If your customers feel they are a part of your site, they will trust you more.

TIP! The best way to market online is to make sure you?re fully abreast of all the goings-on within the industry. The Internet is always changing quickly, so it is important to keep up with the popular sites and new innovations.

Use the signature line in forums and email to promote your business. Your signature and link should appear in every post you make on any message board. Also link to your website at the end of every email you send. This is a way to subtly advertise your website and could increase your ratings in search engines too. As well as the URL, include a short call-to-action phrase.

TIP! Offering free gifts or promotions will make your customers feel valued. Many marketing methods ignore the importance of respect and pampering customers.

With these simple tips, your business will see an enormous improvement in profits, sales and productivity. Clearly, these days if you want to attract more business and sell more products, you need to know about Internet promotion. Customers will flock to you, like moths around a flame, if you follow these tips.



Powered by Facebook Comments


close encounters of the third kind norovirus beyonce and jay z baby droid 4 tom brady sister dad shoots daughters laptop brandon jennings

Tuesday, November 27, 2012

Salary growth lagging for primary care doctors

NEW YORK (Reuters Health) - Despite rising spending on health care in the United States, primary care doctors don't seem to be reaping the rewards on their paychecks, a new study suggests.

The findings could have implications for what some predictions say will be a primary care shortage in some parts of the country in the coming years.

Researchers found that since the late 1980s, the average doctor's earnings have grown more slowly than the salaries of other health professionals, such as pharmacists, dentists and registered nurses.

"It is possible that there are some specialties that have done extremely well in the past 10 or 15 years," said health policy researcher Amitabh Chandra from Harvard University in Cambridge, Massachusetts, who worked on the study.

But, "In terms of the experience of the median doctor, the median doctor is not at the heart of all the cost growth we're seeing in America." And that may have implications for the primary care field in the future, he noted.

For their study, Chandra and his colleagues analyzed data from a nationally-representative survey of Americans' occupations and earnings conducted every year between 1987 and 2010. Each round included people older than 35 from 60,000 different households.

Over the 14-year study, 30,556 health professionals were surveyed, including 6,258 doctors.

The researchers found that between 1987-1990 and 2006-2010, the median doctor's annual earnings grew from $143,963 to $157,751 - a difference of 9.6 percent. That was after taking into account any salary differences based on gender, age and location.

In comparison, the average pharmacist's earnings increased by 44 percent, from $70,341 to $101,279, and the average dentist's by 23 percent, from $105,511 to $129,795, the researchers reported Tuesday in the Journal of the American Medical Association.

Looking closer, the study team found that doctors' salaries grew between 1987-1990 and 1996-2000, but then were stagnant over the next decade - a time when other health professionals continued to get bigger paychecks.

Because the earnings reflect pay for doctors in the middle of the salary pack, Chandra said the slow growth probably represents patterns for primary care doctors rather than specialists - and earnings for some "procedure-driven specialties," such as cardiology, may have grown a lot.

Medicare payment cuts, as well as tougher bargaining by insurance companies, may be partly to blame for the "sluggish" growth in the primary care field, he added.


In addition, more women and minorities are becoming doctors - and research has suggested they make less money than white, male physicians, said Bob Konrad from the University of North Carolina at Chapel Hill, who has studied doctor salaries.

He said the new findings may also not tell the whole economic story for primary care doctors.

Recently employers have started offering to pay off more of new doctors' college and medical school debt as a way of luring top candidates, he said - but such financial benefits wouldn't show up on their paychecks.

"Going forward, thinking about physician incomes, you have to think about the whole package," Konrad, who wasn't involved in the new study, told Reuters Health.

But Chandra said the study may have implications for some parts of the U.S. that are already facing a shortage of primary care doctors.

"If as a country we want more people to go into primary care, this anemic, jaundiced earnings growth is not going to be a motivator to get people to join primary care," he told Reuters Health.

One profession not covered by the new research, Konrad pointed out, is wage workers such as home health aides.

"That's a big part of the healthcare workforce and growing much faster than many other occupations," he said. What's more, "The hourly wage of a home health aide has been going down every year for the last 10 years? Half the people in the health sector are in the bottom half (of American workers) - they're making less than $40,000 a year."

SOURCE: Journal of the American Medical Association, online November 27, 2012.


RG3 Espn Fantasy Football Grandparents Day 2012 army wives 60 minutes go daddy tim tebow

Nude AIDS activists arrested in Boehner's office

Naked AIDS activists, with painted slogans on their bodies, protest inside the lobby of the Capitol Hill office of House Speaker John Boehner of Ohio, Tuesday, Nov. 27, 2012, prior to World AIDS Day, Dec. 1. Three women AIDS activists saying they wanted to highlight the ?naked truth? about potential spending cuts in HIV programs were arrested after taking their clothes off in the lobby Boehner's office. (AP Photo/Susan Walsh)

Naked AIDS activists, with painted slogans on their bodies, protest inside the lobby of the Capitol Hill office of House Speaker John Boehner of Ohio, Tuesday, Nov. 27, 2012, prior to World AIDS Day, Dec. 1. Three women AIDS activists saying they wanted to highlight the ?naked truth? about potential spending cuts in HIV programs were arrested after taking their clothes off in the lobby Boehner's office. (AP Photo/Susan Walsh)

(AP) ? Three women AIDS activists saying they wanted to highlight the "naked truth" about potential spending cuts in HIV programs were arrested Tuesday after taking their clothes off in the lobby of House Speaker John Boehner's office.

The trio had the words "AIDS cuts kill" painted on their bodies and had linked arms with four men who also disrobed as part of the protest. The nude protesters, along with dozens of other clothed demonstrators chanted slogans, including: "People with AIDS are under attack. What do we do? Fight back."

The three women were arrested by Capitol Police as they mingled with other protesters in the hall outside Boehner's district office after putting their clothes back on. The naked male protesters appeared to have left.

"People with AIDS are sick and tired of being pushed over the cliff," said Jennifer Flynn, 40, of New York City, who was among those arrested. "We need to make sure they stop going after people with AIDS."

Michael Tikili, 26, of New York City, said he is HIV-positive and depends on Medicaid for treatment.

"Just the idea of these programs being cut is horrible," Tikili said.

The three nude female protesters were charged with lewd and indecent acts under the District of Columbia's disorderly conduct law, a Capitol Police spokesman said.

The protest occurred as congressional leaders and President Barack Obama seek a deal to avert automatic spending cuts and tax increases in January. A coalition of AIDS activist groups gathering in Washington for Saturday's World AIDS Day organized the protest.

Associated Press


Dick Morris Daily Show provisional ballot npr rush limbaugh rush limbaugh msnbc

Monday, November 26, 2012

Price and buyer trends lead to upswing in Johor Bahru condo market

The condo market in Johor Bahru has grown in recent times as demand from buyers has increased.

The rapid development of condominiums and apartments in Johor Bahru is based upon the increase in land prices and changing trends of buyers in the region, the Malaysia Chronicle reported.

Chairman of Real Estate and Housing Developers? Association (Rehda) Johor Branch, Koh Moo Hing said the young generation is now more interested to live in condominiums and apartments due to trend and security factors.

?Property buyers, particularly amongst the young generation now choose the gated and guarded concept such as condominiums and apartments as they place more importance on the security factor,? Koh said.

He added property development companies in Johor Bahru were not really interested to build condominiums and apartments in the past and use to focus on terraced houses and bungalows.

The scenario has changed over the last few years with developers racing to build condominiums and apartments in this city following high demand from buyers, Koh said.

SP Setia Bhd launched a 55-storey high-end condominium, the tallest in Iskandar Malaysia, known as Sky 88, which is expected for completion within four years, the newspaper reported.

Other developers following suit include Kumpulan JoLand?s ne development the Paragon Residences@Straits View comprising 32-storey and Dijaya?s Tropez Residences at Danga Bay.

Both Paragon Residences and Tropez Residences are fronting the Johor Straits, which is very popular amongst the foreign buyers. Locations considered as hot spots include Danga Bay, Nusajaya and Medini.

According to the Johor Bahru City Council and Johor Bahru Tengah Municipal Council, there are more than 25,000 condominium and apartment units in the city that are under construction or in the process of getting building approvals.

Filed Under: Country News ? Malaysia ? News

Tags: buyer trends ? condo market ? johor bahru ? Malaysia ? new developments johor bahru


brandon weeden felicia day nfl 2012 draft st louis rams miami dolphins buffalo bills minnesota vikings

Welcoming Your New Baby: Planning an Adoptive Baby Shower ...

by Kelley Schaefer-Levi

baby feet in adoptive mother's hands


When my husband and I were in the middle of adoption planning, we knew we wanted to have a celebration of some kind to commemorate the birth of our first child. We also wanted to experience some of the baby preparation process during our wait to become parents, so we registered at the usual baby stores, had our daughter?s car seat installed, attended baby care classes and asked our friends and families for help with having a shower.

There are so many types of adoption and adoption stories out there; some couples are able to plan ahead for the birth of their child, and some couples don?t have time before placement occurs. Some families adopt toddlers and older children where a baby shower may not be necessary. Others may choose to wait to begin planning and celebrating until the day their child comes home. In our case of private, open adoption, our daughter?s birthmother chose us early on in her pregnancy, so we had ample time to prepare.

There are two camps, it seems, when it comes to celebrating, mentally preparing, readying your home and the adopted child?s room beforehand. Some say, don?t?do it pending an interruption in placement. And some say, prepare as if you are welcoming a bio kid. We were advised to be cautious and while we did prepare?our daughter?s room in advance, we didn?t go too far over the top. We were given?a crib that we set up, stocked a changing table, and readied some other basics without emotionally attaching too much. We took the risk and I?m glad we did.


By the time shower planning began, we knew we were having a girl and had chosen a name for our daughter with the help of her birthmother, but everything?we requested and bought was pretty gender neutral, and that would have been the case if we weren?t adopting. The shower was a family friendly event where guests could stop by to merely wish us well on our path to parenthood. We ate lots of food, had a few drinks, played a game or two and formally said goodbye to our lives as married people with a dog. More than anything our shower was a means to celebrate the pending birth of our child who we had not yet met, and to mark an extremely important diaper change ahead.

There are many ways to create a beautiful shower or homecoming celebration for an adopted child. One way is to create a book for the unborn baby, if the adoption is of an infant and there is time to prepare, have guests write a note to the child with a wish attached. We still have our guest book and our daughter asks us to read it to her from time to time. My husband and I also wrote letters in the book of our hopes and dreams for her before she was born. Again, this was a risk, but I?m glad we went for it.

Those who choose to have a traditional shower before the baby is born for mama only, can do many of the same things you would do at a non-adoptive baby shower, save for measuring bellies. Adoptive mamas, depending on their sensitivity to the subject may not want to focus on the aspects of birth as much as the celebration of life and parenting. However, mamahood, adoptive and not is still challenging for first-timers, and showers and preparation can help ease the transition into the world of babies.


If you choose to celebrate in advance, showers should reflect who you are and the gravity of the situation. There is the possibility that an interruption in adoption planning may occur and because of this, being honest from the get go is ideal. My advice would be to choose carefully who you ask to help you plan. Those involved need to keep the details from becoming too specific and really focus on honoring the monumental event of parenthood and starting a family, and less about the heaviness or difficulty that potentially lies ahead. Finally, a note on gifts for the adopted child. We received so many beautiful gifts for our unborn daughter. Some very useful and practical and others adorable or meaningful. Guests should be informed of the age of the child being placed with the adoptive family on the invitation, so they can take it into consideration when buying a gift. Most importantly, when planning your celebration?have fun! Your baby?s on their way, and you will be sleep deprived and parenting soon.

Tags: Adoption & Related Services, adoptive baby shower, featured

Category: Blog, Family Health


stanford oklahoma state university badgers badgers nbc sports network mendenhall demarcus cousins

louisyeszhMJ | Activity | NJTB - vetapabon's posterous


10 Simple Suggestions to Improve Your Ezine

Creating and publishing an ezine is a very important part of your online company so you want to make it the very best possible ezine you can. I have produced errors and changed and re-altered my ezine many occasions to make mbt kisumu it the very best it can be. I am nonetheless usually looking for methods to enhance MOE. Over the many years I have discovered a couple of simple methods to improve my ezine. You can easily implement these tips into your ezine.1. Always, Always have your email, alongside with your name and url correct at the leading of your ezine. Incredibly, I have read ezines where I could NOT discover the e-mail or even the name of the publisher!!! Also at the finish of your ezine have name, deal with, phone quantity, and email and url once more for easy access. Nothing is worse than attempting to discover get in touch with information that for some reason is invisible!two. Make sure you also always provide your subscribe and unsubscribe information as well. I would recommend putting this information at the bottom of the ezine. If you post your unsubscribe url right at the leading of your ezine it is like you are ????????????????? inviting your subscribers to unsubscribe.three. Provide a discussion board for your readers to interact with you ?????? ??? and your other visitors. A area entitled, Reader?s Corner or Reader?s Comments, where they can send in their comments, questions, suggestions or what ever. This gives them a opportunity to become a component of the ezine. This also helps construct the reader- publisher connection that is very essential!4. Keep your ezine clear and sharp searching. Don?t include too many of the squiggles and decorations. They might look *cute* but they occasionally make it difficult to read your ezine, therefore prompting the ole? delete finger to become activated! 5. Always provide some original content. ?????? ?????? Creating articles is a great way of performing this. If you are not yet comfortable writing articles, (Yes, you can), write an editorial in every problem. Speak a bit about yourself, the newest happenings in the company, what is going on about the internet, and so on., things of that mother nature. This is a opportunity to deliver out your character, the main thing that tends to make your ezine distinctive!!six. Having too numerous advertisements in every problem is a great way of bringing down the value of your ezine. I ?????? ?? would recommend no much more than four or 5 per problem. Reading an ezine that has twenty or thirty ads (oh yeah, I have noticed them) is not extremely interesting or practical. Most people would not even go through the entire factor. Here comes that delete finger again!! You want your advertisers to get more worth for their ??? mbt cash and having a restricted number of advertisements is 1 of the best ways of doing I believe including a small area for this ?n that is a good idea also. Some humor, a small enjoyable, fascinating tidbits, jokes, stories, and so on. We are company men and ladies, but we do not have to be 100% business, 100% of the time!!8. Privateness Coverage ? Place a privateness coverage towards the ?????? ??? leading of ???????? the ezine. Allow your visitors know their privateness is secure with you and your ezine.9. Proofread ? Always proofread and double-examine your text. You do not want your ezine to appear like it was written by a 10 yr outdated. Right all spelling and grammatical errors.ten. Give your ezine an fascinating and pulling title. I marc by marc jacobs have subscribed to most ezines just by the title on your own. If the title gets my focus, I subscribe.Names like: Power Promotion EzineMarketing Mania EzineWeb Success Ezine are short and to the point. They also make me want to read more.Names like:Web Marketing NewsJohn Doe?s EzineHome Business News are much more generic and do not get my attention! They lack the ?oomf? that make me want to subscribe.I hope some of these tips give you an concept of how you can improve your ezine and make it the very best it can be. Remember that ezine publishing is one of the most important aspects of your online achievement. If you are in this business, you should be in a position to say, ?I have My Own Ezine! ? -) Good luck and success to you all!!
??????|??UGG ??????`??????` Bailey Button Short ????å?

?????? ???
?????? ???
?????? ???
?????? ?
ugg ???


san francisco 49ers san francisco 49ers sf 49ers joe paterno died 49ers game ravens steven tyler national anthem


national wear red day gunner kiel gunner kiel groundhog soulja boy did the groundhog see his shadow punxsutawney phil