text:
[Frameworks] Robert Nelson

David Baker dbaker1 at hvc.rr.com
Wed Jan 11 11:30:56 CST 2012

typo gremlin in transmission:
please substitute
the plural, artists (not artist),
the artists who worked for Mad Magazine.

On Jan 11, 2012, at 12:11 PM, David Baker wrote:

> Robert Nelson's work is an abiding source of inspiration
> that never quits!
> I was sixteen; OH DEM WATERMELONS was the first
> underground/experimental/avant-garde
> film I ever saw. Many years later WATERMELONS still stands as a
> benchmark
> of achievement I may never equal but will always strive for.
>  I knew about Duchamp, I knew about James Ensor,
> I knew about the artist who worked for Mad Magazine,
> but when I discovered Robert Nelson he sent me on my way.
> He was an architect of sublime mirth and pure pleasures I had not
> imagined.
> Off the wall or underwear,
> Robert Nelson carries in his art all that the
> counter culture should have been and then some.
> Mark, your shining words properly testify.
> Please bring his work to us on the god forsaken East Coast
> so that we may know and verily celebrate
> his vision.
> I  am with the highest regard for he and you,
> David Baker
> On Jan 10, 2012, at 8:27 PM, Mark Toscano wrote:
>> Can't really express at all how very sad I am to report that Robert
>> Nelson has died.  He was 81.  He had been diagnosed with terminal
>> cancer about a year ago, and had decided to not receive treatment,
>> to go out in his own way, as he could only do, as Chick Strand had
>> decided to do before him.
>> All things considered, Bob was doing pretty well all year,
>> actually.  He had moments, sometimes days, of fatigue and feeling
>> kind of lousy, but had plenty of good days too.  I last spoke to
>> him about a week ago and we talked about meeting up soon.  He
>> sounded great, and was as sharp as ever.  So when I got the call
>> from Wiley today, the news was a bit of a shock to me, as Bob had
>> still seemed so vital and alive a week before.
>> He hadn’t been taking any medication or treatment beyond the herbal
>> kind, and had continued to live on his own in the mountains in the
>> small house he built in gorgeous Mendocino County.  An inimitably
>> homespun and offhand philosopher, he would say things to me like,
>> “what the hell, I’ve had a good run.”  I made him some CDs to check
>> out a few months ago, and after he’d listened to and enjoyed them a
>> few times he unexpectedly sent them back, saying “they were really
>> good, I just don’t want to accumulate any more shit.”
>> Bob has easily been one of the most important people in my life, a
>> massive source of influence, inspiration, support, friendship, and
>> good company for the past ten years.  His films are still huge for
>> me. and will be til I die.
>> I sought him out in 2001 when I worked at Canyon Cinema.  I had
>> seen Bleu Shut and Hot Leatherette, and they had both knocked me
>> out, especially Bleu Shut.  At the time, my friend Martha was a
>> preservationist at the Academy Film Archive in L.A., and she and I
>> concocted a proposal for Bob and the Academy to start getting his
>> filmography preserved, film by film.  After he answered my initial
>> letter, Bob and I had exchanged a few more letters (he was a great
>> letter-writer) without yet meeting.  One day without warning, he
>> just strolled into the Canyon office on Third.  Dominic hadn’t seen
>> him in a few years at least, and said, almost in shock, “…Well hi,
>> Bob!”  Bob and I met, had lunch and talked about the archiving
>> thing, and a deal was hatched.  He was still very skeptical about
>> the value of his work and his own desire for people to even see the
>> films, but a project at the Academy was worked out, and Martha
>> preserved The Off-Handed Jape and Deep Westurn right away, with Bob
>> still not really wanting the films to see the light of day.  I took
>> over when I was hired to replace her in ’03, when she left to work
>> in Tanzania, and have worked on a bunch of ‘em since then.
>> Over the years, a certain visceral block about his films, a desire
>> to destroy many of them or at least keep them withdrawn from view,
>> loosened and relented, in some cases title by title.  I worked on
>> him to do screenings, and though he wouldn’t initially appear in
>> person, he approved the occasional showing of individual films
>> starting in late 2003.  In 2004, with Craig Baldwin’s help, we were
>> able to do a 3-day retrospective at Other Cinema, with Bob in
>> person, which marked a big change in his attitude about the work.
>> The voluminous positive feedback from audiences I was able to pass
>> on encouraged him more and more to lighten up about it all.  He
>> started making appearances, including some brilliant ones at
>> Oberhausen, Vienna, and elsewhere.  He even started working on
>> several new films (left uncompleted) in 2007 or so, one of which
>> was a collaboration we discussed at length, and which I hope I can
>> actually complete now.
>> I was always thrilled to pass word along to him about how much one
>> or more of his films had influenced someone I’d met, because by the
>> 1990s, he had gotten really apathetic about a lot of them.  But the
>> interest in his films over the past ten years was something he
>> really enjoyed, and he came around to re-embracing many of his own
>> films.  (Some of them remained to him nausea-inducing failures,
>> though.  Mention What Do You Talk About? or The Beard, and he would
>> groan.)  He was thrilled his work still resonated with people, or
>> just made them laugh.  Sometimes younger filmmakers would track him
>> down and send him their work, and he always looked at it with a
>> fresh, critical gaze, responding with his genuine and thoughtful
>> reactions, which sometimes led to extended correspondences.
>> I always found him incredibly open, curious, wise, attentive,
>> interested.  He was just so fucking great to hang out with.  How
>> many people over 30 (let alone 80)  still approach life,
>> conversation, questions, EVERYTHING, with a completely open,
>> curious mind, capable of considering and reconsidering, changing,
>> reorienting…?  Even in screening Q&As, when asked a question about
>> Bleu Shut or Blondino that he’d probably been asked dozens of times
>> before, he would seriously consider the question and try to give a
>> unique, thoughtful answer.  He was so full of consideration and
>> wisdom, always gave me (and others) great advice.
>> So many filmmakers are filmmakers in some way or other because of
>> Bob (among them Peter Hutton, Fred Worden, Chris Langdon, Curt
>> McDowell, Mike Henderson, numerous others).  Peter once told me
>> that when he saw Bob’s films for the first time, his reaction was
>> “wait, you can make movies like that?”, and started making films
>> himself.  David Wilson (of Museum of Jurassic Technology fame) was
>> deeply inspired by The Awful Backlash, and wasn’t the only one to
>> have that reaction.  Bob named the classic film Near the Big
>> Chakra, with his gift for evocative titles.  Bob could also be
>> burtally honest about someone’s work, because he felt a friend was
>> due that honesty and respect, even if it cost him a few
>> friendships.  Bob was the person I was most nervous and yet most
>> eager to show my own films, and his positive, thoughtful reactions
>> meant something immeasurable to me, as did the criticism of one
>> film of mine he thought was a stinker.
>> When an artist dies, the inevitable retrospectives follow.  But
>> that’s OK.  Bob was happy to have his work rediscovered, and
>> thrilled that anybody still found it entertaining, funny,
>> enlightening, whatever.  I already miss him deeply, but am excited
>> that his films (and his spirit, a very palpable, inextricable part
>> of them) are, and will continue to be, very much with us.
>> If anyone would like to send any thoughts, reminiscences,
>> testimonials, etc. about Bob or his work to me, I’d be happy to
>> share them with his family and friends.
>> I'm posting this text up at my blog too, with some photos of Bob
>> and images from his films:
>> http://preservationinsanity.blogspot.com/
>> All the best,
>> Mark Toscano
>> _______________________________________________
>> FrameWorks mailing list
>> FrameWorks at jonasmekasfilms.com
>> https://mailman-mail5.webfaction.com/listinfo/frameworks
> _______________________________________________
> FrameWorks mailing list
> FrameWorks at jonasmekasfilms.com
> https://mailman-mail5.webfaction.com/listinfo/frameworks

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New York style pizza

First Gamecock Game of the Season

For all of you die hard Gamecock fans, the time has arrived.  The long summer stretch where we all patiently wait for college football to start back up.  That time has arrived this Thursday where our Gamecocks face off with Vanderbilt University in Tennessee at 8 PM.  Don’t miss your chance to watch your Gamecocks play while you grab a good bite to eat. Look no further than Main Street Public House located on Taylor and Main Street.

Where to Eat in Columbia SC?

Sure, there are plenty of choices for you to grab a bite to eat for the big game. What makes us unique is an open warm floorplan within a casual setting where you can enjoy quality food and pizza.  We have just the right amount HD TV’s throughout the restaurant where you can enjoy the game but not get lost in a sea of too many screens.  Coupled with food and drink specials all evening, Main Street Public House will be the place to watch your Gamecocks take it to Vande.

Pizza Columbia SC

In addition to our menu offerings, we have quality New York Style pizza cooked in our custom brick oven all night long.  All Pizza’s are 10 inches in size for 10 dollars apiece.  Join us this Thursday night along with your fellow Gamecock faithful to enjoy some great food and drinks and watch our Gamecocks start the season strong.  Kickoff is at 8 PM.  We look forward to seeing you!

Main Street Public House – Grand Opening on August 4th

Main Street Public House

Are you located in Downtown Columbia SC?

Do you know of the latest buzz in town for refined casual cuisine?

August 4th is the date you will need to remember.

Friday, August 5th is the grand opening of Main Street Public House, a casual restaurant in Columbia SC.  If you  have not heard of us you soon will!

Located on the corner of Taylor and Main Street our restaurant specializes in refined casual cuisine and quality New York style pizza. The restaurant is open seven days a week serving lunch, dinner and brunch on Saturday and Sunday.  Regardless of the day of week Main Street Public House offers some of the best casual cuisine in town.

Russell Eckley is the head chef and master mind behind the menu.  Chef Eckley creates each menu entirely in-house delivered with the freshest local and seasonal ingredients available.  Utilizing a combination of contemporary and traditional cooking techniques Chef Eckley puts his spin on classic favorites while adding a new flare to each and every dish that he prepares.   In between lunch and dinner service, Columbia residents can treat themselves to premium New York style pizza fresh from our brick oven served all day long.   When you are craving a good pizza, join us and you will not be disappointed.

When you are ready to relax with a cocktail or two, the Main Street Public House offers numerous unique wines by the glass and bottle.  A full list of specialty cocktails and a wide variety of quality beers on tap to choose from.   Our downtown restaurant has something  for everyone!

Save the Date

Mark your calendar and join us this upcoming Thursday, August 4th for the official grand opening of Main Street Public House! Come experience delectable food in a warm, rustic atmosphere with true Southern hospitality.

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text:
So we're just a week before the Christmas.
Due to some serious technical issues I couldn't share all my seasonal ideas with you this year ;(
Therefor in today's post (via husband's laptop) I share free printable for those who can and like to print stuff.
I drawn some simple graphics a while ago and luckily managed to save it on my blog's draft folder ;)

There's Christmas gift tags, wrapping paper sheets perfect for the small objects...

...or be use as a origami paper too ;)

Two posters which can be framed for the season :)

Click on the link below images to print.

                                 print 2
You can even cut out the quote tag and hang it somewhere ;)

wrap 1
wrap 2
wrap 3
wrap 4

I also added a Christmas TO DO list if you would like to organize yourself on paper ;)
*Set "fit to page" when printing this one.

TO DO list

Wishing everyone a wonderful family time this Christmas!


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MargaretAnn Cross
Contributing Editor

The two dozen medical professionals who make up the pharmacy and therapeutics committee for the Hawaii Medical Service Association are striving to make formulary decisions based on the best evidence available. And like all health plans, the Blue Cross & Blue Shield affiliate is doing everything it can to supply its committee with information on new drugs and others that are scheduled for review.

Today, that means contracting with an outside organization for comprehensive summaries of the research that has been done on specific drugs, says Kris Tsutomi, chair of the P&T committee and a clinical pharmacist employed by the Hawaii Medical Service Association. Earlier this year, the three pharmacists at the 600,000-member health plan had been compiling their own reports, but they found the effort overwhelming, especially as the P&T committee became more focused on evidence, Tsutomi explains.

The insurer decided to purchase research summary reports from the Regence Group, a Blue Cross & Blue Shield company based in Portland, Ore. Buying the reports makes the P&T process easier and enables the committee to review a greater number of drugs more efficiently, Tsutomi says.

Regence has assembled a team of pharmacists who specialize in evaluating pharmaceutical research. It supplies Regence's own P&T committee and a growing list of additional health plans with summaries of its findings.

"The materials we get from Regence take us to a higher level of appraisal, and that is where we want to be," Tsutomi says.

A decade ago, P&T committees simply reviewed formulary kits — packages of information sent by pharmaceutical manufacturers that include the results of the clinical studies that helped the drug win approval from the FDA. Now, however, higher pharmacy costs mean that health plans want to know more about what they are buying, experts say.

Health plans are searching out more detailed information, including safety and effectiveness data from published and unpublished studies, information on the use of drugs in specialty populations and for off-label treatments, outcomes studies from real-world rather than academic settings, and economic models that health plans can use to gauge the impact of putting a drug on their formulary.

More work

Yet as health plans seek an ever-greater amount of knowledge about pharmaceuticals, they are creating more work for themselves and for drug manufacturers. To overcome that hurdle, health plans are devising new ways to pull together the data they need to give to P&T committees. They are purchasing summary reports of evidence from other health plans, PBMs, and vendors as well as taking advantage of free access to the online reports of national and international organizations intent on making the drug evaluation process open and transparent.

"Health plans should be aware of where they can access clinical data on drugs, and they should be willing to collaborate with other health plans," says Atheer Kaddis, director of clinical program development at Blue Cross Blue Shield of Michigan. "This is not competitive information; it is clinical information and not something that will give one plan an advantage over another. Health plans and their patients will benefit if payers work together to make sure they are looking at all of the appropriate information on a drug in order to make the right decisions from the beginning."

Pharmacists getting ready for a P&T meeting at Blue Cross Blue Shield of Michigan review summaries of research and synopses of decisions from three private companies: Regence (a fellow Blues plan); Medco, which handles a portion of the insurer's pharmacy business; and MedImpact Healthcare Systems, a PBM that processes pharmacy claims for the Michigan Blues plan.

"We're getting a wealth of information," Kaddis says. "We get the perspective of practitioners across the country on how they view a certain drug and how they have viewed the clinical information that is available on that drug. It lessens the administrative costs for us; we do not have to accumulate all of this information on our own."

The insurer's pharmacists also read reports from the Cochrane Collaboration, an international organization that reviews new medications and treatments, and they check online resources such as the National Institutes of Health's clinical trials Web site. Culling highlights from all of these sources enables the pharmacists to write effective reports for their P&T committee, Kaddis says.

"We have seen a tremendous evolution over the past 10 years in the level of information that is available on drugs," he says. "I'm getting information not just on the major trials that have been conducted on a drug but also some of the smaller trials. We have become much more concerned about the safety of the drug and which patient populations these drugs have had their best effect in and which patient populations we should limit access to these drugs. We are also seeing more pharmacoeconomic data."

Health plans are purchasing reports as well as obtaining free data. On the public side, government agencies in the United States and other countries are stepping up efforts to review evidence on pharmaceuticals, and they are making their findings available on the Internet.

"Hundreds of billions of dollars are being spent on pharmaceuticals internationally, so there's a growing interest in what science says about the outcomes that are being purchased with these drugs," says Steve Morgan, PhD, an assistant professor at the Centre for Health Services and Policy Research at the University of British Columbia in Vancouver. Morgan and his colleagues have studied how governments around the world collect, review, and disseminate research on pharmaceuticals.

Governments in countries with national health care systems are increasingly reviewing evidence on the effectiveness of pharmaceuticals in the open, publishing draft and final reports online, and asking pharmaceutical manufacturers and the public for feedback, Morgan says.

While different organizations take different approaches to their reviews — some, for instance, consider cost effectiveness while others consider only clinical data — and make varying degrees of information available, the reports can be valuable to health plans in the United States, he says. "Great stuff is being done internationally. The summary information from the various drug review processes is useful to anyone trying to get a sense of the relative therapeutic value and, in some cases, the economic merits of new products. Government and private purchasers all face the same pharmaceutical cost pressures and the challenges of keeping up with an increase in health technology assessments."

In England, the National Institute for Clinical Excellence, NICE, only reviews about a dozen new products or classes of products per year, but it has a highly developed "Cadillac process for engaging the public and getting feedback," Morgan says. The agency is at the heart of the national health system's evaluations of pharmaceuticals, and final appraisal determinations are posted on the NICE Web site (see "Online Resources" below).

Online resources

Source: International Web sites described in Health Affairs, March/April 2006

Australia's Pharmaceutical Benefits Advisory Committee also puts its reports online, including final coverage decisions, the rationale behind the decisions, and summaries of clinical and cost-effectiveness data, Morgan reports. Canada's Common Drug Review Program posts one-page summaries of its decisions on the Internet, and the minutes of New Zealand's Pharmacology and Therapeutics Advisory Committee are available online.

Though these resources can be useful, it is important to look at a wide range of data from the United States. WellPoint, for instance, has launched a program to encourage pharmaceutical manufacturers to provide health plans with more relevant, real-life data on drugs (see "How Much Information? How Useful?" below).

How much information? How useful?

How deep is deep enough?

It's a question that David L. Clark, vice president for pharmacy benefits and president of RegenceRx at the Regence Group has been asking about his team's search for evidence to use in the evaluation of pharmaceuticals.

"It's like going for gold," he says. "We do the digging, we get all of the ore and we put it through a refining process. We have a team of clinical pharmacists who are trained in how to review and critique clinical studies."

Regence and WellPoint are two insurers striving to expand the boundaries of the kind of clinical evidence that pharmaceutical companies provide health plans. They are seeking more data and information than ever before. WellPoint, for example, is phasing in new requirements over the next several years.

"We are looking for naturalistic and observational studies to show real-world effectiveness data," says Brian Sweet, WellPoint's vice president for clinical services in pharmacy. "We are asking, What happens when a drug is released to the general population? It is more of a focus on health outcomes, on productivity, and on issues that really mean something to our employer groups regarding employee functionality at work." WellPoint is also looking for information on models that will help it evaluate whether a drug meets a manufacturer's product claims once it has been introduced to the formulary.

Regence is searching the medical literature for smaller studies as well as scanning abstracts presented at professional conferences and then going back and asking for the data, if unpublished, that are behind the study. Pharmacists then rate the research, with grades from "very useful in making clinical decisions" to "so poorly done that it can be misleading."

Both WellPoint and Regence accept data on drugs from pharmaceutical companies in the Academy of Managed Care Pharmacy's Format for Formulary Submissions, an industry standard. They are just beginning to take those requests to the next level, they say.

WellPoint has developed a series of health technology assessment guidelines it would like the pharmaceutical industry to follow when submitting information and economic models.

"About 10 percent of the responses we are getting from pharmaceutical companies are in our format, and 90 percent come in the AMCP format," Sweet says. "Then we go back and request additional information. Sometimes that information is available, and sometimes not."

WellPoint introduced the new guidelines this year and next year will begin to request that pharmaceutical companies follow them. By 2008, the company will set minimum requirements that will have to be met before a drug is reviewed, Sweet says.

Launched in 2000, the AMCP's Format for Formulary Submission helped raise the bar for the type of information health plans would receive from pharmaceutical companies, says Peter Neumann, ScD, director of the Center for the Evaluation of Value and Risk in Health at Tufts-New England Medical Center. "Before the format, a lot of health plans were passive recipients of information from drug companies. The AMCP guidelines said for the first time, 'You, the health plan, should take control and formally request clinical and economic information from drug companies and ask for off-label information and economic modeling tools.'"

The AMCP continues to educate health plans on how to evaluate the clinical and economic studies and the economic models that result from using the format, says Richard N. Fry, RPh, director of programs at the Foundation for Managed Care Pharmacy. "The creation of the format was driven by the knowledge that P&T committees were largely working with very incomplete data to make their decisions. The impetus was to move to a process that would give health plans more information so that they could make evidence-based decisions."

DERP's influence

Back at home, the Drug Effectiveness Review Project has been helping state Medicaid programs stay on top of the research on pharmaceutical products. Known as DERP, the project is supported by a coalition of 15 states, a Canadian drug review organization, and the California Health Care Foundation.

DERP is "fast-becoming a global leader in the evaluation of new therapies," Morgan says. "But it is different from the reviews you would find at a national level in Canada or elsewhere, in that DERP does not make a final appraisal as to which products should or should not be covered. It only evaluates the science."

The project began in Oregon as a way to help the state look at research to determine whether drugs within certain classes were similar or different. "That's important, because if they are similar, we could expect the manufacturers to compete on price," says John Santa, MD, MPH, former DERP medical director and a grant administrator at the Center for Evidence-Based Policy, which runs DERP. Other states soon began asking to share the DERP information, he says. The project broke from the state and signed on the 17 partners that share equally in its cost, which was $4.2 million for the first three years.

DERP contracts with the independent Evidence-Based Practice Center at Oregon Health and Science University to evaluate classes of drugs. The center, one of 13 around the country that are affiliated with the national Agency for Healthcare Research and Quality, has reviewed 27 classes of drugs so far. The entire process has been open to comment from pharmaceutical manufacturers and the public. DERP reports, which some experts criticize because they do not contain any economic information, are distributed to the partners and are available on the project's Web site.

"States with just a few pharmacists managing hundreds of millions of dollars in drugs could not do reviews of the same quality on their own," Santa says. "It doesn't make sense for Wyoming and Arkansas and Michigan all to be doing a review of the evidence on cholesterol-lowering drugs. If you do it once and do it really well, it's very efficient." Because DERP does not make recommendations, each state does make its own decisions about preferred drug lists, Santa points out.

Other health plans are increasingly referring to DERP as a starting point for how they view drugs in a category, says Stephen Schondelmeyer, PharmD, PhD, a professor at the University of Minnesota College of Pharmacy. "This information has not existed before in a compiled way. This project demonstrates what can be accomplished when multiple payers get together to fund this kind of work."

Getting more health plans to become paying members of the project is something DERP participants have considered, though no one is sure that the project would be able to satisfy for-profit plans and Medicaid programs at the same time, Santa says. DERP, though, would welcome the chance to talk about how private parties, including HMOs and other insurers, could participate, Santa says. As full partners, they would have a say in what drugs were reviewed and what key questions were asked by the reviewers.

"But it's our public radio problem — you can tune in and get all of our information without paying anything," he says. "When it comes to private companies, that's a big hurdle." Plus, not every company wants to be a part of an open process, because if a drug is identified as better than others, manufacturers will have more leverage when it comes to price, he adds.

It is important that the project stay open so that the public trusts the decisions being made based on the findings, Santa says. In 2002, Washington and Oregon began to withdraw support of Vioxx because evidence of a cardiovascular risk appeared in a summary report of research.

"Given that Vioxx was not withdrawn from the market until 2004, some significant morbidity and mortality was avoided in those states because Vioxx was not included in the preferred drug list," Santa says. "Vioxx was one of the most popular drugs in both states in terms of treatment of arthritis. That popularity declined because of those decisions."

Getting information out to the public — and to health care providers, insurers, and manufacturers — is also the goal of the national Effective Health Care Program, which is part of the Agency for Healthcare Research and Quality. The program has several components, but the overall mandate is to disseminate evidence as to what treatments work best for certain conditions as broadly as possible. The program has issued three reports since December 2005, the first titled "Comparative Effectiveness of Management Strategies for Gastroesophageal Reflux Disease." Several additional reports are due out this fall, and the project expects to issue about a dozen per year.

"We have had good feedback from insurers," says Jean R. Slutsky, director of the Center for Outcomes and Evidence at the Agency for Healthcare Research and Quality. "This type of information is very difficult to put together. It takes painstaking effort to make sure that you have the available evidence, both published and unpublished, and then to use the appropriate scientific methodology to look across studies. Anytime someone else does that work, it makes it easier for a decision-making body, which can use that information as a platform."

The growth in the availability of information and the use of data to make formulary decisions has been a clear trend, says David L. Clark, vice president for pharmacy benefits and president of RegenceRx at the Regence Group. "Evidence-based review is gaining momentum. Everyone has always used some form of evidence, but now we are all digging deeper. The challenge, though, is learning to refine what we dig up." Regence's effort to distribute its summary reports is a response to that need, he says.

Local influence

Regardless of where P&T committees get their information, their decisions will remain local, pharmacy directors say. The P&T committee at Blue Cross Blue Shield of Michigan agrees with the recommendations from outside sources for most new drugs, but it will make the opposite decision about placing a pharmaceutical on their formulary if local physicians have had different experiences with established drugs, Kaddis says. And with Hawaii's high number of diabetics, keeping all diabetic medications in an affordable place on the formulary is seen as a key priority, overriding some evidence-based reviews, Tsutomi says.

Projects such as DERP are one effort to evaluate the evidence, and local decision makers need to figure out if that effort works for them, says Peter Neumann, ScD, director of the Center for the Evaluation of Value and Risk in Health at Tufts-New England Medical Center. "Local decision makers may face different relative prices and have different populations. They may have conflicting views of the evidence. A P&T committee needs to decide whether it will reimburse for a drug in certain populations, for example, or for off-label uses. Those are difficult judgments. Often there is no right answer."

Using summary reports does not replace a health plan's formulary development process, Schondelmeyer says. "Each plan stills need to do its own review, add additional considerations, or take into account the nature of its own group.

"For example, if a health plan is developing a formulary for an elderly population, the P&T committee would likely make different decisions than if it had a working-age population. Drugs affect different populations in different ways.

"This kind of information doesn't eliminate the need for a health plan to have a staff to help with its formulary, but it does give it a great starting point."

Drug makers face wide range of data requests

The efforts of health plans in the United States and governments around the world to collect and summarize information on pharmaceuticals is creating a "health outcomes perfect storm" for drug manufacturers, says Don Buesching, PhD, a research adviser for Indianapolis-based Eli Lilly and Co. "There are a lot of different requirements, and each player wants something slightly customized. It is very difficult for us to be able to assemble all of that in a way that perfectly meets the expectations and requirements of each customer."

The search for more information about pharmaceuticals in the U.S. parallels international efforts in many ways, though the kind of evidence being sought varies, Buesching says. "Outside of the U.S., cost-effectiveness analyses and cost per quality-adjusted life year are the gold standard. In the U.S., there is still a broader view of what value is. It's not always just economic value."

Some experts believe that all of the activity will converge into a homogenized approach to doing health technology assessment, and that would make his job easier, Buesching says. "But these are not simple decisions, and I really think that because these are complex decisions, an array of data is necessary. It would be a great loss if we got too much of a cookbook approach to all of this."

What the pharmaceutical industry would appreciate, Buesching says, is better insight into how health plans are using the data and tools that drug manufacturers are providing them.

"This is an exciting time," he says. "There is a lot going on, and our industry is the greatest funder of these kinds of economic analyses of new drug technologies. The real question is the degree to which health plans will transparently be making decisions based on this information. If it becomes clear that they are not using this information to any great degree, the investment that our industry puts into it will probably start to wane.

"What we are looking for is a signal that health plans are serious about using this information to make decisions, and if that's the case, then we'll certainly continue to invest. If that's not the case, probably the opposite will be true."

For further reading

"Centralized Drug Review Processes in Australia, Canada, New Zealand, and the United Kingdom," by Steven G. Morgan, et al. Published in Health Affairs, March/April 2006.

"Emerging Lessons From the Drug Effectiveness Review Project," by Peter Neumann, et al. Published in Health Affairs online, June 6, 2006.


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            EspoCRM integration Add-on

            When it comes to real estate, efficiency and accuracy of information processing are essential. To be successful realtor, you need to be fully aware of the current sales transactions, appointments and all other vital information that will ensure the company’s success.

            espoCRM system is specifically developed to aid you and your business by providing you with an intuitive and simple software that you can use to monitor data. Fully secure and with premium accuracy, this CRM software is built specifically for residential and commercial agents and brokers to help them manage and expand their business.

            The main benefit of CRM program is that it allows you to collect all the information you need in a single database. This enables not only higher accuracy, but also greater ease of access and can be applied both for ready-to-sell and previously implemented projects, as well as properties that will be available in the future. You can provide access to the database to every single employee of your choice within just a few seconds.

            To help you improve your customer service, espoCRM program enables you to store customer information, including emails, phone calls and even requests made in person, by entering them into the database. Exploring your previous communication and having access to the real estate history of your customers enables you to provide better results upon request and deliver useful information and proposals.

            With espoCRM software, all of your planned transactions and agent meetings will be automatically recorded in your personal calendar. Alert system will ensure that you’ll be reminded of all your appointments and items on your to-do list throughout the working day. As a manager of your company, you will also have access to your employees’ calendars, so you can monitor their work, current tasks and work transactions.

            The CRM software is suitable for large and small corporations, as well as independent real estate agents. By registering in the system, you’ll receive data automation renewal. Mobile-friendly web app will ensure that you always stay on top of your game and have constant access to the most vital information for your company.

            Software License


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Meridian Software Fundamental Company Report Including Financial, SWOT, Competitors and Industry Analysis

Date: April 15, 2017
Pages: 50
US$ 499.00
Meridian Software Fundamental Company Report Including Financial, SWOT, Competitors and Industry Analysis
Publisher: BAC Reports
Report type: Strategic Report
Delivery: E-mail Delivery - PDF (on default),
Hard Copy Mail Delivery (+US$ 190.00)

Download PDF Leaflet

Meridian Software Fundamental Company Report Including Financial, SWOT, Competitors and Industry Analysis
Meridian Software Fundamental Company Report provides a complete overview of the company’s affairs. All available data is presented in a comprehensive and easily accessed format. The report includes financial and SWOT information, industry analysis, opinions, estimates, plus annual and quarterly forecasts made by stock market experts. The report also enables direct comparison to be made between Meridian Software and its competitors. This provides our Clients with a clear understanding of Meridian Software position in the Software and Technology Services Industry.

  • The report contains detailed information about Meridian Software that gives an unrivalled in-depth knowledge about internal business-environment of the company: data about the owners, senior executives, locations, subsidiaries, markets, products, and company history.
  • Another part of the report is a SWOT-analysis carried out for Meridian Software. It involves specifying the objective of the company's business and identifies the different factors that are favorable and unfavorable to achieving that objective. SWOT-analysis helps to understand company’s strengths, weaknesses, opportunities, and possible threats against it.
  • The Meridian Software financial analysis covers the income statement and ratio trend-charts with balance sheets and cash flows presented on an annual and quarterly basis. The report outlines the main financial ratios pertaining to profitability, margin analysis, asset turnover, credit ratios, and company’s long-term solvency. This sort of company's information will assist and strengthen your company’s decision-making processes.
  • In the part that describes Meridian Software competitors and the industry in whole, the information about company's financial ratios is compared to those of its competitors and to the industry. The unique analysis of the market and company’s competitors along with detailed information about the internal and external factors affecting the relevant industry will help to manage your business environment. Your company’s business and sales activities will be boosted by gaining an insight into your competitors’ businesses.
  • Also the report provides relevant news, an analysis of PR-activity, and stock price movements. The latter are correlated with pertinent news and press releases, and annual and quarterly forecasts are given by a variety of experts and market research firms. Such information creates your awareness about principal trends of Meridian Software business.

About Meridian Software

Meridian Software develops products to aid software programmers who work with the Ada computer language, which the Department of Defense has designated as the standard for most military computer applications. The company makes an Ada compiler, a programming tool that allows software written in the Ada computer language to be used in personal
computers. The company is based in Irvine, California.

The above Company Fundamental Report is a half-ready report and contents are subject to change.
It means that we have all necessary data in our database to prepare the report but need 2-3 days to complete it. During this time we are also updating the report with respect to the current moment. So, you can get all the most recent data available for the same price. Please note that preparation of additional types of analyses requires extra time.

1.1. Key facts
1.2. Financial Performance
1.3. Key Executives
1.4. Ownership and Major Holders
1.5. Company History

2.1. Business Description
2.2. Major Products and Services
2.3. Markets and Sales Activities
2.4. Locations, Subsidiaries, Operating Units

3.1. Overview
3.2. Strengths
3.3. Weaknesses
3.4. Opportunities
3.5. Threats

4.1. Financial Statements
  4.1.1. Income Statement
  4.1.2. Balance Sheet
  4.1.3. Cash Flow
4.2. Financial Ratios
  4.2.1. Profitability
  4.2.2. Margin Analysis
  4.2.3. Asset Turnover
  4.2.4. Credit Ratios
  4.2.5. Long-Term Solvency
  4.2.6. Growth Over Prior Year
  4.2.7. Financial Ratios Charts
4.3. Stock Market Snapshot

5.1. Meridian Software Direct Competitors
5.2. Comparison of Meridian Software and Direct Competitors Financial Ratios
5.3. Comparison of Meridian Software and Direct Competitors Stock Charts
5.4. Meridian Software Industry Analysis
  5.4.1. Software and Technology Services Industry Snapshot
  5.4.2. Meridian Software Industry Position Analysis

6.1. News & PR Activity Analysis
6.2. IR Corporate News
6.3. Marketing News
6.4. Corporate Events

7.1. Experts Opinion
7.2. Experts Estimates

9.1. Political Factors
9.2. Economic Factors
9.3. Social Factors
9.4. Technological Factors
9.5. Environmental Factors
9.6. Legal Factors

10.1. Internal Factor Evaluation Matrix
10.2. External Factor Evaluation Matrix
10.3. Internal External Matrix

Meridian Software Key Facts
Management Effectiveness
Income Statement Key Figures
Balance Sheet Key Figures
Cash Flow Statement Key Figures
Financial Performance Abbreviation Guide
Meridian Software Key Executives
Key Executives Biographies1
Key Executives Compensations1
Meridian Software Major Shareholders
Meridian Software History
Meridian Software Products
Revenues by Segment
Revenues by Region
Meridian Software Offices and Representations
Meridian Software SWOT Analysis
Yearly Income Statement Including Trends
Income Statement Latest 4 Quarters Including Trends
Yearly Balance Sheet Including Trends
Balance Sheet Latest 4 Quarters Including Trends
Yearly Cash Flow Including Trends
Cash Flow Latest 4 Quarters Including Trends
Meridian Software Profitability Ratios
Margin Analysis Ratios
Asset Turnover Ratios
Credit Ratios
Long-Term Solvency Ratios
Financial Ratios Growth Over Prior Year
Meridian Software Capital Market Snapshot
Meridian Software Direct Competitors Key Facts
Direct Competitors Profitability Ratios
Direct Competitors Margin Analysis Ratios
Direct Competitors Asset Turnover Ratios
Direct Competitors Credit Ratios
Direct Competitors Long-Term Solvency Ratios
Software and Technology Services Industry Statistics
Meridian Software Industry Position
Company vs. Industry Income Statement Analysis
Company vs. Industry Balance Sheet Analysis
Company vs. Industry Cash Flow Analysis
Company vs. Industry Ratios Comparison
Meridian Software Consensus Recommendations1
Analyst Recommendation Summary1
Price Target Summary1
Experts Recommendation Trends1
Revenue Estimates Analysis1
Earnings Estimates Analysis1
Historical Surprises1
Revenue Estimates Trend1
Earnings Estimates Trend1
Revenue Revisions1

Meridian Software Annual Revenues in Comparison with Cost of Goods Sold and Gross Profit
Profit Margin Chart
Operating Margin Chart
Return on Equity (ROE) Chart
Return on Assets (ROA) Chart
Debt to Equity Chart
Current Ratio Chart
Meridian Software 1-year Stock Charts
Meridian Software 5-year Stock Charts
Meridian Software vs. Main Indexes 1-year Stock Chart
Meridian Software vs. Direct Competitors 1-year Stock Charts
Meridian Software Article Density Chart

1 – Data availability depends on company’s security policy.
2 – These sections are available only when you purchase a report with appropriate additional types of analyses.
The complete financial data is available for publicly traded companies.

SWOT Analysis

SWOT, which stands for Strengths, Weaknesses, Opportunities and Threats, is an analytical framework that identifies the internal and external factors that are favorable and unfavorable for a company.

Enhanced SWOT Analysis

Enhanced SWOT is a 3×3 grid that arranges strengths, weaknesses, opportunities and threats into one scheme:

  • How to use the strengths to take advantage of the opportunities?
  • How to use the strengths to reduce likelihood and impact of the threats?
  • How to overcome the weaknesses that obstruct taking advantage of the opportunities?
  • How to overcome the weaknesses that can make the threats a reality?

Upon answering these questions a company can develop a project plan to improve its business performance.

PESTEL Analysis

PESTEL (also termed as PESTLE) is an ideal tool to strategically analyze what influence different outside factors – political, economic, sociocultural, technological, environmental and legal – exert on a business to later chart its long term targets.

Being part of the external analysis when carrying out a strategic assessment or performing a market study, PESTEL gives an overview of diverse macro-environmental factors that any company should thoughtfully consider. By perceiving these outside environments, businesses can maximally benefit from the opportunities while minimizing the threats to the organization.

Key Factors Examined by PESTEL Analysis:

  • Political – What opportunities and pressures are brought by political bodies and what is the degree of public regulations’ impact on the business?
  • Economic – What economic policies, trends and structures are expected to affect the organization, what is this influence’s degree?
  • Sociological – What cultural and societal aspects will work upon the demand for the business’s products and operations?
  • Technological – What impact do the technological aspects, innovations, incentives and barriers have on the organization?
  • Environmental – What environmental and ecological facets, both locally and farther afield, are likely to predetermine the business?
  • Legal – What laws and legislation will exert influence on the style the business is carried out?

IFE, EFE, IE Matrices

The Internal Factor Evaluation matrix (IFE matrix) is a strategic management tool helping audit or evaluate major weaknesses and strengths in a business’s functional areas. In addition, IFE matrix serves as a basis for identifying and assessing relationships amongst those areas. The IFE matrix is utilised in strategy formulation.

The External Factor Evaluation matrix (EFE matrix) is a tool of strategic management that is typically utilised to assess current market conditions. It is an ideal instrument for visualising and prioritising the threats and opportunities a firm is facing.

The essential difference between the above mentioned matrices lies in the type of factors incorporated in the model; whilst the latter is engaged in internal factors, the former deals exceptionally with external factors – those exposed to social, political, economic, legal, etc. external forces.

Being a continuation of the EFE matrix and IFE matrix models, the Internal External matrix (IE matrix) rests upon an investigation of external and internal business factors integrated into one suggestive model.

Porter Five Forces Analysis

The Porter’s five forces analysis studies the industry of operation and helps the company find new sources of competitive advantage. The analysis surveys an industry through five major questions:

  1. What composes a threat of substitute products and services?
  2. Is there a threat of new competitors entering the market?
  3. What is the intensity of competitive rivalry?
  4. How big is the bargaining power of buyers?
  5. How significant is the bargaining power of suppliers?

VRIO Analysis

VRIO stands for Value, Rarity, Imitability, Organization. This analysis helps to evaluate all company’s resources and capabilities and bring them together into one aggregate table that includes:

  • Tangible resources
    • Financial
    • Physical
    • Technological
    • Organizational
  • Intangible resources
    • Human
    • Innovation and Creativity
    • Reputation
  • Organizational capabilities

The result of the analysis gives a clear picture of company’s competitive and economic implications, answering the questions if the resources mentioned above are:

  • Valuable?
  • Rare?
  • Costly to imitate?
  • Organized properly?
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text:
The Story of no Storyboard in iOS Development

When I create a new iOS project in Xcode, being iPhone/iPad only or universal, the first thing I do after creating the project is delete the Storyboard.

And no, I don't delete the Storyboard because I want to use XIBs instead - I keep away from Interface Builder completely.

There was a great discussion about this in the Treehouse forum and the story I keep hearing is the same: Interface Builder encourages bad practices.

Since I have a long background developing on the Windows platform using Visual Studio, I'm confident to say that Interface Builder is outright bad, at least in comparison. What makes Visual Studio even more superior, is the markup language (XAML) that sits underneath the designer which feels exactly the same to edit as HTML does for the web.

Anyway, back to iOS.

The worst part about using Interface Builder is that it makes it more work to split chunks of a view into their own and use from the view controller. The result of this is those huge view controllers that you should avoid, and it becomes a nightmare to edit.

Even if you do the extra work and extract chunks of your UI into reusable views, all you'll see inside Interface Builder is white boxes that are the containers of the reusable views, but you don't get to see the actual view.

Another thing is outlets. They accidentially get orphaned during merge, or you forget to connect them when reusing a view, and your app will crash.

Some might argues that given new screen sizes, using IB with Auto Layout is the way to go. But I still disagree - first of all I think it's a nightmare to manage layout constraints in IB. It's hard to drag and drop around views and achieve precise contraints. Elements snap to adjacent views all the time, and when you touch a couple of boxes they escalade and change others.

Instead, there's quite a few Auto Layout helper repos on GitHub to make your life easier, after instatiating your subviews inside your view controller, you override updateConstraints and setup constraints, like the following example using the PureLayout library:

As for table views and calculating the height of each cell, it is quite straight forward to achieve auto sized cells using auto layout constraints, especially since iOS 8 where the UITableViewAutomaticDimension option was introduced.


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Retired Navy Destroyer Slated For Artificial Reef

OCEAN CITY – The growing artificial reef system off the coast of Ocean City could be getting its largest contribution ever as plans to scuttle a retired U.S. Navy destroyer in an area about 30 miles from the Inlet are now closer than ever to becoming a reality.

Navy officials announced late last month it is transferring ownership of the decommissioned destroyer U.S.S. Arthur W. Radford to the state of Delaware, a crucial next step in the ongoing effort to sink the vessel to create a vast artificial reef site off the mid-Atlantic coast. The Maryland Artificial Reef Initiative (MARI) is partnering with the states of Delaware and New Jersey to acquire the 563-foot Radford, which has been stored at the Aker Philadelphia Shipyard while awaiting its fate.

The vessel is in the process of being stripped and cleaned in order to make it environmentally viable as a future artificial reef site and the three states, along with the Navy, are partnering on a plan to sink it in an area just 32 miles off the coast of Ocean City. The huge new reef site would be called DelJerseyLand and would be located in an area easily accessible to each state’s recreational and commercial fishing industries. The site is equidistant from each state’s major Atlantic port at about 32 miles east-northeast of the Ocean City inlet, 28 miles southeast of the Indian River inlet in Delaware and 34 miles southeast of Cape May, N.J.

Should the plan come to fruition, and the transfer of the vessel to the state of Delaware, which will handle the logistics of the project, in late August moves it closer to becoming than ever, the ex-destroyer would become the largest former warship sunk as part of an artificial reef site on the East Coast. The 910-foot former aircraft carrier Oriskany was sunk in the Gulf of Mexico off the coast of Pensacola, Fla. in 2006, becoming the largest warship ever sunk expressly for the purpose.

Recently appointed Artificial Reef Coordinator for Maryland Erik Zlokovitz, the first person named to the position in the state since 1996, said this week the transfer of the Radford to Delaware marks a significant milestone in the effort sink it off the Ocean City coast as part of an artificial reef site.

“It’s a big deal,” he said. “This is a very exciting project. This is going to create a huge, deep-water reef that will provide a big economic boost to all of the parties involved, but its real value might be an ecological one. It will provide a huge foundation for coral growth, a refuge for smaller fish and, in turn, feeding grounds for larger fish.”

While there is still much work to be done, not the least of which is finding the estimated $800,000 from the four partners including Maryland needed to prepare the vessel, tow it and sink it on the permitted artificial reef site, it now appears the project is on the fast track.

“It’s moving forward,” said Zlokovitz. “I can’t really set a timetable for it. For the next three or four months, we’ll be making a big push for raising funds and if everything falls into place, it could be deployed as early as next year.”

Maryland, Delaware and New Jersey, along with the Navy, are being relied upon to come up with equal shares of the estimated $800,000 needed to complete the massive artificial reef project, making the state’s share around $200,000. For a while, Maryland’s estimated $200,000 share was earmarked in the state budget, but has long since been slashed, likely putting the onus on the private sector to raise the funds.

Long-time Ocean City Reef Foundation member and local charter captain Monty Hawkins said this week the local fishing community is already rallying support for the Radford project. Hawkins has already donated $1,000 from the proceeds of his daily 50/50 raffles held on his boat for local artificial reef projects.

“Maryland is cutting more and more everyday and the budget has been slashed,” said Hawkins. “Frankly, I’m surprised the Radford project stayed on the books as long as it did, but it finally got the ax. This is going to take a real grassroots effort, at least from the Maryland side.”

Ocean City Reef Foundation President Greg Hall agreed the fundraising would likely fall on the backs of the private sector.

“Maryland is slashing budgets and cutting jobs, so it could be hard to justify spending $200,000 for an artificial reef,” said Hall. “We’ll do our part to come up with the money for Maryland’s share, but it could take quite an effort.”

Zlokovitz said this week MARI and its partner the Coastal Conservation Association (CCA) already have a donation mechanism in place for those wishing to contribute to the Radford project or any of the state’s artificial reef projects. Similar to the “Buy a Ton” program, every dollar donated goes directly to the project with no set-asides for administrative costs.

The retired Radford would be sunk in about 130 feet of water and would create a vertical profile from the sea floor of about 70 feet, along with its 560-foot-plus length. It was launched in 1975 and commissioned in 1977. Twenty-eight years later it was decommissioned and now sits in a Philadelphia shipyard awaiting its fate. The ship was made available to all Gulf and Atlantic states in May 2008, but the Navy received only the application from the tri-state group including Maryland.


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Wor-Wic Community College Awards Scholarships

The board of trustees of Wor-Wic Community College recently awarded scholarships to 11 high school graduates from Wicomico, Worcester and Somerset counties. The scholarship recipients pictured seated in the front, from left, are Tiffany Biles of Parkside High School; Dakota Branch of Pocomoke High School; Carole Byrd of Mardela Middle and High School; Kiersten Gray of Stephen Decatur High School; Samantha Hall of Washington High School; Justin McCain of Delmar Junior-Senior High School; Christine Mesadieu of Wicomico High School; Collin Shockley of Snow Hill High School; Nhon Tran of James M. Bennett High School; and Briana Whittington of Crisfield High School and Academy. Back, from left, are Dr. Ray Hoy, president of Wor-Wic; Morgan Hazel, board chair; Russell W. Blake, board vice chair; and D. Gary Boggs, Andrew W. Booth, Velda E. Henry, William H. Kerbin and Martin T. Neat, members of the board of trustees. Not pictured is recipient Katelyn Coulbourne of Holly Grove Christian School.


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Showell Elementary Student Receives Three Silver Ribbons For Photography

Worcester County Board of Education Assistant Superintendent for Administration Lou Taylor poses with Showell Elementary School student Brooke Berquist after she received three silver ribbons for photography at the Annual Worcester County Technology Festival. The event featured over 500 entries which included photography, video, multi-media and online presentations.


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Hume on Kerry: "He'd have to clear everything" with Jacques Chirac

On the August 15 edition of FOX News Sunday, FOX News managing editor and chief Washington correspondent Brit Hume attempted to criticize Democratic presidential candidate John Kerry by claiming that Kerry has suggested that if elected, "he'd have to clear everything" with French President Jacques Chirac.

Hume's claim echoes numerous Bush administration, Republican, and right-wing media attempts to smear Kerry by linking him to France; these attempts include a March 17 comment by Commerce Secretary Donald L. Evans that Kerry "looks French."

Kerry has neither said nor suggested that he would seek Chirac's approval of his decisions. In his July 29 acceptance speech at the Democratic National Convention, Kerry asserted, "I will never give any nation or international institution a veto over our national security."

From the August 15 edition of FOX News Sunday:

HUME: Now, if anybody thinks that somebody being more sensitive toward Jacques Chirac is going to -- past whom, by the way, Kerry suggests, he'd have to clear everything, because he wants all allies aboard before he does anything. I think that makes no sense, and it's unrealistic.

2004 Elections
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Media Outrage

Media Outrage Celebrity Gossip, and everything that is going on in the Media!

Check Out Michelle

Posted by Media Outrage on April 19, 2010

Michelle attended an event in NYC to benefit Harlem Children’s Zone.  Everything seems to be in order with the little lady except new music.  How many believe that she has the potential to have an excellent solo-career?

Peep Sherri Shepherd and celebrity hair stylist Johnny Wright when you

9 Responses to “Check Out Michelle”

  1. Kanyade said

    Michelle looks nice here.

    Sherri Sheppard…looks like Sherri. 😆

  2. Yeah I Said It said

    Michelle looks good with her hair cut and without weave.

  3. shanelle joy said

    Michelle FINALLY looks nice! And her shoes are hot

  4. Satui said

    oh my bad…I thought you meant michelle obama…that’s why you look at the pic b4 u click…

  5. currvalicious said

    Michelle Williams…doing her best to stay relevant.

  6. Kingston said

    She looks decent and glad that she trimmed the top of her rooster hair. Nice shoes too.
    As for the question, wasn’t she having major success as a gospel artist? Maybe that’s a sign from God.

  7. WHO'S THAT LADY said

    IDK if she can be succesful which is sad cuz i love her voice! but she looks good and happy tho.

  8. WHO'S THAT LADY said

    Oh and i thought yall was talkn bout Ms. Obama as well! Embarrased! 🙂

  9. ucanb2 said

    Poor Michelle, no matter how hard she tries, it’s just NO!

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text:
News tagged with intrauterine devices

Range of treatments can lessen heavy periods

Dear Mayo Clinic: After almost a year of having a period that is much heavier than normal, my gynecologist recommended an IUD as treatment. How does this work, and is it safe? I am 38, and I'm done having children, but don't ...

Jul 18, 2016
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Teen birth rate falls in US

The birth rate among US teenagers has continued to decline, but health authorities said Tuesday that even greater strides could be made if more teens used long-acting forms of contraception.

Apr 07, 2015
popularity5 comments 0

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Toggle Search

Beth Tarini, MD

Division Director of General Pediatrics and Adolescent Medicine
Associate Professor of Pediatrics
Associate Professor of Pediatrics - General Pediatrics and Adolescent Medicine

Contact Information

Primary Office: JCP
200 Hawkins Drive
Iowa City, 52242
Phone: 319-384-6390

BA, Biology, Harvard University
MD, Albert Einstein College of Medicine
MS, Health Services, University of Washington

Resident, Pediatrics, Childrens Hospital and Reginal Medical Center
Fellow, Robert Wood Johnson Clinical Scholars Program
Fellow, Center for Healthcare Research and Transformation

Licensure and Certifications

Michigan Licensure
Diplomate - American Board of Pediatrics


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Leeds International Medieval Congress 1-4 July, 2013

By Irene O’Daly

For every medievalist, the surest sign of summer is not an increase in temperatures, or the prospect of holidays, but the rolling around of the annual Leeds IMC. This year the conference had a new home, moving from the 1960s university accommodation complex in the green fields outside Leeds into the main city-centre site. Cue a lot of confused medievalists settling into new rooms and finding our way… Attended by over 1500 participants, the IMC is testament to the vibrancy of medieval studies in the UK and beyond, and this year’s conference proved no exception. The move to the new site prompted a reflection on the meeting of the old and the new. As the conference is now in its twentieth year, it has a stalwart set of attendees – familiar faces from around the world; for younger scholars, it’s inspirational to present at the conference alongside more established names. Furthermore, the papers themselves demonstrated some of the vast tidal shifts that the discipline has undergone over the last twenty years.

Medieval Falconer

Medieval Falconer (Photo Courtesy of Alex Bamji)

One area in which this is obviously apparent is the increase in the use of digital resources for the studying of history. A strand of papers on the Tuesday brought together some of the most exciting projects in digital palaeography. A set of papers were presented on the use of GIWIS, a tool developed at the University of Groningen that can pick out identical hands among a corpus of material based on the assumption that, regardless of the writing instrument used, certain characteristics of a hand remain individual and can be established through precision analysis of the curvature of letter forms. Applying research originally used in forensics, it represented an exciting marriage between artificial intelligence studies in the sciences and traditional palaeographical methods. As frequently noted by the speakers and packed audience, digital palaeography does not intend to ‘reinvent the wheel’, but to complement existing methods by providing new ways of looking at material and confirm scholarly intuitions. The sessions gave the impression of a method in flux: one searching for new vocabulary and a common approach.

Moving from the experimental to the traditional, a number of papers concerned history writing in the central Middle Ages. Pauline Stafford gave a thought-provoking response at the conclusion of the strand, discussing the changes in scholarship concerning the writing of histories of history in the last fifty or more years. The first volume of English Historical Documents, long regarded as the definitive set of edited source material for the period, was published in 1955 and set the scene for much of medieval scholarship for the second half of the twentieth century. Editorial choices, however, reflected contemporary concerns as much as medieval reality. Documents concerning politics and ecclesiastical matters were assigned to different sections. Annals were accorded prominence over other documentary and literary sources, as the sparse nature of the language seemed to carry a ‘truth value’. As Stafford pointed out, nowadays we are not simply concerned with establishing the ‘facts’ of what happened, but also interested in contrasting perspectives, the life stories of authors of texts, the medieval readers themselves. While we cannot doubt the contributions made by the EHD to medieval scholarship, the future seems to lie in a return to manuscript sources and a recognition that the truth is found as much in details and seeming irrelevancies as the cold language of dates.

While the programme of the IMC might seem daunting in size, the great strength of the conference is the meeting of so many diverse perspectives and areas of scholarship. Roll on July 2014!

Medieval musicians in Leeds

Medieval musicians in Leeds

You can find out about our Project Session here.

For my reflections on Leeds 2012 see here.

This entry was posted in Irene O'Daly, Project News and tagged . Bookmark the permalink.


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Dubai is the one of the fastest growing business hub with the state of the art facilities available for local and international business. Dubai is an integral part of business world and is leading with innovation. Dubai is politically stable and has strong economic culture and government of Dubai offer friendly business regulations which attracts the investors from around the world. This article will provide you a Compaq guide regarding business setup in Dubai. Before you start your business in a unbeaten economy like Dubai first you need to under the culture of it. Dubai being an international city is a multi-cultural city, people from all around the world are present in Dubai. After familiarizing yourself with the cultural you must learn about the rules and regulations and kind of the business you can start.

Legal structure of business setup in Dubai is according to UAE Federal Law №8 of 1984, and after the amendment in Federal Law №13 of 1988 — the Commercial Companies Law, and its by-laws regulate the function of foreign business in Dubai, United Arab Emirates. In wide terms the requirements of these regulations are: The Federal Law requires a total local equity of not less than 51% in any commercial business and describes seven categories of business organizations which can be established in the UAE. This regulation explains the requirements in terms of shareholders, directors, minimum capital requirements and business incorporation processes. This law further lays down the requirements of governing conversion, merger and dissolution of companies and businesses.

In Dubai, you are given plenty of opportunities; you get benefits of best economy based on strong administrative foundations. Authorities of Dubai have divided the city in different economic jurisdictions. You can start different types of businesses in Dubai bases on type of business and location; types are divided in three main categories which are Mainland, Free Zones and Offshore. Another thing to remember is that Dubai welcomes foreign investment but there are rules and regulations that must be followed. In order for you to enter in Dubai, UAE you need to have sponsor, a sponsor will take your responsibility. Importance of a sponsor can be determined by the fact that for any purpose if it is business or you are just visiting you must have a sponsor. When it comes to start a business in Dubai you are require having a sponsor, any kind of business needs a sponsor or service agent. In mainland a local resident or a of United Arab Emirates based company act as a sponsor, for professional service you need service agent as sponsor and for setting up a free zone business you also need a sponsor, in this case free zone acts as your sponsor.

Business setup in Dubai mainland requires you to have a valid license issued by the administrative authority. The name of the authority is Dubai Economic Development (DED); it is a government agency responsible for issuing the business licenses. Renewal of the license, cancellation and up-gradation are also handled by Dubai Economic Development (DED). To ease the investors Dubai Economic Development (DED) operates for different localities, thought scrutiny process of the application is strict but department ensures the quick application processing. In Dubai mainland, Dubai Economic Development (DED) issues four types of licenses, commercial, professional service, Branch office and industrial license.

To setup your business in Dubai mainland under commercial license you are by law mandated to have the help from local UAE resident which is also called local sponsor. Local sponsor is by law hold the 51% shares of your business and you will hold only 49% of shares. However you are given full administrative rights. You can draw contracts with local sponsor and allocate a yearly fee for being a sponsor. Local sponsor sometimes work as silent partners. Local sponsor can be an individual or it can be a UAE based company or group.

However, if you are setting up a business which involve professional services you don’t need to have a local sponsor, in that case you only need a service agent. Service agent works on your behalf and helps you deal with the local administrative authorities to start your business. You are allowed to hold 100% of your professional business and service agent will only be paid once for the service he offered.

Free zones are special economic zones in Dubai which are specially designed to attract the foreign investment. Free zone based business are fully owned by the investor and there are plenty of options to choose with. Every free zone in Dubai has a governing authority or free zone authority. For business setup in Dubai you would need deal with the free zone authority. You may be asked by the authority to provide different legal documents before you finally give the go ahead in form of license by that authority.

Free zone offers different attractive options for foreign investors such as you are given 100% of ownership of your business. There are many options free of tax you can avail like no personal income tax, corporate tax exemptions. There are different types of business setup options in Dubai free zones like you can start of your business enterprise as a limited liability company or service provider organizations, there are different licensing options. Business setups in free zones are allowed to perform international trades. When time comes you can easily wind your business. There is less paper work involved when it comes to end your business from a free zone.

Offshore is another type of business setup offered in Dubai and has been very famous. Offshore means a business entity setup outside of the resident country in an offshore jurisdiction. Dubai offshore jurisdiction provides number of benefits to your business in terms of asset protection, tax optimization and business expansion. Businesses setup in Dubai offshore jurisdiction must abide the offshore companies rules and regulations and is not allowed to trade inside the offshore jurisdiction.

To sum up, after making decision with the kind of business you are willing to start in Dubai you need to deal with the concerned authority. The best way is to hire a professional help. You will be able to find number of consulting firms who are willing to help you deal with the paper work and the authorities. You will be asked by regulating authorities to provide different documents and submit paper work.

Here are few steps you may follow, first of all do research and decide the type of business you are willing to embark, choose jurisdiction and follow through. It is recommended to get the help from a professional when it comes to business setup in Dubai. Ready your paper work for the licensing and get a guide on licensing terms and conditions as there are certain activities you are allowed and certain activities you are not allowed to perform. There are license you can choose which allows multiple business activities.

Brenda Cagara is an experience content supervisor at Riz & Mona Consultancy. We help people in business setup in Dubai, Mainland and Free Zone company formation across all states of UAE. Other services included offshore formation, visa processing, product registration, bank account opening and many more. Visit our website for more info.


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URL of this page: https://medlineplus.gov/news/fullstory_164328.html

Exercise: The Cellular 'Fountain of Youth'

Intense interval training seems to boost older cells, even reversing some of aging's effects, study finds
(*this news item will not be available after 06/26/2017) Tuesday, March 28, 2017
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TUESDAY, March 28, 2017 (HealthDay News) -- High-intensity exercise may help older adults reverse certain aspects of the "cellular" aging process, a new study suggests.

It's no secret that regular exercise is healthy for young and old alike. But researchers said the new findings point to particular benefits from "high-intensity interval training" for older adults.

That's the type of workout that combines brief bursts of vigorous exercise with periods of moderate activity: A person might, for example, go all-out on a stationary bike for a few minutes, ease up for the next few, and then start again.

In this study, older adults who performed that type of exercise showed greater changes at the cellular level, compared to those who worked out more moderately.

Specifically, interval training gave a bigger boost to mitochondrial function in the muscle. Mitochondria are the "powerhouses" within body cells that break down nutrients to be used for energy.

The training also revved up activity in more genes related to mitochondrial function and muscle growth.

What does it all mean?

The study findings suggest that interval training can turn back the clock in ways that moderate aerobic exercise and strength training do not, according to lead researcher Dr. K. Sreekumaran Nair.

But, he stressed, the findings do not mean older adults should jump into a vigorous exercise regimen.

"If you're sedentary, you should talk to your doctor before you start exercising," said Nair. He's an endocrinologist at the Mayo Clinic in Rochester, Minn.

"And then," he said, "you can start with walking, and build yourself up to a fast pace."

For older adults who want to progress to a more-intense regimen, Nair said, it's best to start with supervision. But he also stressed that intense exercise is not a must. "Any regular exercise will bring health benefits -- absolutely," he added.

This study demonstrated that, he pointed out. Even though interval training had the biggest effects on aspects of cellular aging, other types of exercise boosted older adults' fitness levels and muscle strength.

The study, published recently in Cell Metabolism, involved 72 younger and older adults who were sedentary.

Nair's team randomly assigned each of them to one of three supervised exercise groups.

One group did high-intensity interval training three days a week: They pedaled on an exercise bike at their maximum speed for 4 minutes, before easing up for 3 minutes; they repeated that process four times. They also worked out more moderately -- walking on a treadmill -- twice a week.

A second group performed moderate aerobic exercise -- using an exercise bike at a less-intense pace -- five days a week, for 30 minutes. They also did some light strength-training four days a week.

The third group performed strengthening exercises only, two days a week.

After 12 weeks, all of the groups were showing positive changes -- younger and older exercisers alike, the researchers found.

People who performed moderate aerobic exercise boosted their fitness levels -- the body's ability to supply blood and oxygen to working muscles. And the improvement was greater for older adults, who generally started out with lower fitness levels than younger people.

Meanwhile, people who performed strength-training -- alone or with aerobic exercise -- increased their muscle strength.

The interval-training group showed only small gains in strength. But the training improved mitochondrial function in the muscles, especially among older adults.

Dr. Chip Lavie is medical director of cardiac rehabilitation and prevention at the John Ochsner Heart and Vascular Institute in New Orleans.

He said this is a "great" study that demonstrates the benefits of different forms of exercise.

According to Lavie, it adds to other evidence that high-intensity interval training is "probably the best form of exercise."

Many studies, he said, have found that interval training beats moderate aerobic exercise when it comes to improving fitness and the heart's structure and function.

"It would be ideal to get more people to do high-intensity interval training," Lavie said, "and it's possible for more-motivated individuals."

But, he added, the reality is, many people may not have the motivation or ability.

In that case, Lavie advised finding a moderate regimen you can live with -- such as 30 to 40 minutes of walking or using an exercise bike or elliptical machine most days of the week.

SOURCES: K. Sreekumaran Nair, M.D., Ph.D., professor, medicine, Mayo Clinic, Rochester, Minn.; Chip Lavie, M.D., medical director, cardiac rehabilitation and prevention, and director, exercise laboratories, John Ochsner Heart and Vascular Institute, New Orleans; March 7, 2017, Cell Metabolism

News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
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Stoudemire, Williams, Shumpert Working Out With Isiah?

Frank Isola, beat writer for the NY Daily News (and fellow Isiah conspiracist) reports via twitter that Amar’e Stoudemire, Iman Shumpert and Shawne Williams will not report to Knicks camp until next week. The reason for their delayed arrival: a few workouts at the college of Isiah.

I don’t think this is a huge deal but I hate hearing any deal of involvement of Knicks down at FIU. Obviously Isiah has to be involved in some capacity. I doubt he’s running a workout or anything like that but obviously he knows those players are there and they might be there because Isiah is there. Clearly Dolan and Isiah’s still have each other on speed dial. Isiah is clearly involved with the Knicks and their front office decisions. Stoudemire’s back problems, Williams’ free agency, Shumpert is the first round pick. Who better to get a look at them then the back room puppet Isiah Thomas? Any decision Dolan and Knicks hierarchy make will run through Isiah and will be checked off by Isiah. I wish this weren’t the case but unfortunately it is. Why else would an NBA front office legend like Donnie Walsh be dismissed after leading the team to their first playoff season since 2003? Intern GM Glen Grundwald has ties to Isiah. Clearly Dolan still has his fat fingers in the cookie jar (see Carmelo Anthony firesale). Despite the fact that Isiah and guitar Jim will try and screw this up, it is very hard to mess up a team with this much talent. Not saying they can’t do it, but it should be a bit harder. Donnie Walsh laid the foundation for a great team, lets see what Sonny and Cher can do with it.

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Getting Nuttier

Pretty much my favorite place to do grocery shopping is Trader Joe’s. Well, that is because there isn’t a Wegmans close by (DC residents, have you heard the latest rumor about the Fannie Mae building on Wisconsin Ave and them looking at the space??).

Anyway, there is of course point-of-purchase stuff at TJ’s and one I opted to grab recently was their Mixed Nut Butter. It’s a blend of Dry Roasted & Salted Almonds, Cashews, Walnuts, Brazil Nuts, Hazelnuts & Pecans. Sounds great. I’m just not a huge fan of the Brazil nuts, but I’ll eat them. It doesn’t say smooth anywhere, which is cool, too.

The flavor was ok, but it was almost too many flavors fighting with each other. When you buy mixed nuts you can taste each one on its own. I also love chunky nut butter and it was a bit too smooth, for me. Not much salt in it, though salt was an ingredient. Not something I’ll buy again, but glad I tried it. Price was $5.99, I think. Not cheap, especially for the size. Totally worth the test.

Brazil Nuts

The other day I was offered some cashews and I wasn’t very hungry so turned them down. But then I was told they were from Argentina and this guy’s mom picks and them toasts them herself. Then she sends them up him (her son). I could see there was something unique about them from far away because of the dark and sometimes tiny black accents on them. Had one…wow. Most amazing cashew I’ve ever had. These things were also enormous!

Made me think about Brazil nuts and my trip to Brazil a few years ago. Overall, I love nuts. But, I usually avoid buying mixed nuts because of those darn huge Brazil nuts that take up so much space in the container. They are a bit tasteless and almost chewy.

Well, when I was in Brazil, we visited a local market in Manaus on the last day. Think of something like Pike Place in Seattle on beyond illegal steroids. Among other local stuff, they had Brazil nuts and I told the guide how they weren’t my favorite. So, he grabs one, whips out his machete and shells the thing. He says ‘try it.’ Staring at it, it was just bright and a bit moist. Take a bite, it’s almost like candy. So good, nothing like we get here. It totally changed my perspective on Brazil nuts. I came back to the US hoping all these nuts had followed me on the plane, but of course when I opened a package of them or purchased them in bulk, they apparently had not boarded the plane…

Another reason I love traveling, enjoying the true local fare.


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Ron Paul Retirement: Paul Should Be Honored On Mount Rushmore, Thinks One Business Leader

Steve Forbes, the publishing executive and two-time candidate for the presidential nomination of the Republican Party, wrote on Forbes, "if there were a Mount Rushmore for formidable defenders of our freedoms, sculptors would already be chiseling in the likeness of retiring Representative Ron Paul (R-Texas)."

The libertarian-leaning 2012 Republican presidential candidate, who is retiring from Congress and planning a college tour in 2012, was praised by the Forbes columnist and editor-in-chief as someone who has made sound money "a respectable subject for debate."

"Paul understands the profound truth that a gold-based currency is critical for preserving liberty. Funny-money policies are a form of government coercion, allowing authorities to arbitrarily change the real value of transactions," Forbes wrote.

Here's Forbes actual tweet:

Paul made sound money a centerpiece of his 2012 presidential run, a message that resonated with libertarian-leaning conservatives and was decried by Democrats and the establishment wing of the Republican Party which described the Texas congressma's call for "ending the Fed" as extreme; not Forbes, who continued to praise Paul in his op-ed:

"Sound money [...] promotes prosperity and undergirds the rule of law. Four thousand years of experience conclusively proves that gold, to which our dollar was tied for 180 years, is the best preserver of a currency’s value," he said.

"Though he’s out of elective politics, Dr. Paul’s voice will still be heard, which will hasten the day that the dollar is once again linked to gold," Forbes concluded.

A tweep who doesn't agree:

Do you agree with Forbes:


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Predator drones aren't all bad

Although he's been talking for nearly eight hours, Rand is still speaking coherently and making logical points. He's not against use of drones to treat imminent threats — "cafe" and "imminent" are the two key words for those of you drinking at home — but drones overseas are being used against non-combatants. He's trying to "shame the president" to do the right thing. I think turning the actual Predator on Obama would be more effective.


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Fluffy Carrot Ginger Cake

Cake. Let them eat it! There are times when I want cake but not the kind that’s covered in frosting. I love cake-all sorts of cake but sometimes less is more. And this cake is just right for that kind of craving.

You can actually see how moist this cake was.

Fluffy Carrot Ginger Cake

  • 1 cup sugar
  • 3 eggs, at room temperature
  • ½ cup olive oil
  • ½ cup milk, at room temperature
  • 2 and ¼ cup all purpose flour (or whole wheat)
  • 2 tsp baking powder
  • 1 tsp vanilla powder
  • 1 tsp ginger powder
  • 2 and ¼ cup grated carrot
  • 1 tbsp grated lemon zest
  • 1 tbsp powdered sugar for dusting

  1. Preheat oven to 350.
  2. Butter a 9 in round pan.
  3. Mix sugar and eggs until fluffy.
  4. Whisk in milk and olive oil.
  5. In a separate bowl, sift together the flour, baking powder, vanilla powder and ginger powder.
  6. Add the dry ingredients to the wet ones and stir with a spatula. Do not overmix.
  7. Fold in grated carrot and lemon zest and pour the batter into the buttered pan.
  8. Bake it for 45 minutes or until a toothpick comes out clean.
  9. Remove from the oven and let it cool.
  10. Dust it with powdered sugar when it’s completely cooled.

Recipe source Giverecipe

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Don’t Forget Barangay Sta. Lucia, Novaliches, QC And Bulacan!!! (Retitled, Updated)

October 1, 2009

bgy sta lucia floods MONTAGE

This is an SOS post for the estimated 1,000 families in Quezon City’s Barangay Sta. Lucia.

In my Facebook live chat window comes this first person ACCOUNT AND APPEAL I have not removed a single word:

Bakit wala sa news ang Barangay Sta Lucia Novaliches QC?
Anim na ka-barangay ko ang namatay dahil kay Ondoy, daming nawalan ng bahay at kabuhayan but it seems that news is concentrated to rizal, pasig, cainta etc.
Parang no mention about our barangay.
FYI lang at sana maparating din sa ibang news group: more than a thousand families din ang naapektuhan sa area naming.
(Ang baha) more than 20 feet sa kalye. Yung house ko dalawang dangkal lang kisame na.
Paulit ulit kasi sa news yung ibang lugar and marami sa area na paulit-ulit pinakikita sa TV, radio, yun ang area ng mga mayayaman…malalaking bahay.
i know affected din sila but they can easily recover.
Pero marami sa lugar namin ang baka kulangin ang buong buhay nila bago uli maka-recover. most of them are labaNdera, tricycle driver.
Nakalungkot na parang even sa news parang binabalewala.

This SOS message eloquently paints how authorities are failing to respon adequately, leaving Filipinos despondent, and angry.

Where is Mayor Sonny ‘Serbiyong Bayan’ Belmonte?

Where is Vice Mayor Herbert ‘Bistek’ Bautista and all the others who festoon the power lines and railings and even bridges with annoying greeting banners!

Where are you when your constituents need you!!!

I’ve retitled this post to try to underline not only the gravty of the situation but to convey the sentiments the flood victims are feeling.

I had queried a long time friend, Nick Lalog, to try to help the folk of Barangay Sta. Lucia.

The responce of Nick, now a priest in Bulacan, is poignant:

Friends have been asking me why Bulacan is being forgotten in the coverages and relief operations.

But I tell them we can’t wait for them to come to us.

We got to move and do something now.

Will see what I can do there for the people of Sta. Lucia, Novaliches.

Similar cries in various towns here in Bulacan.

3 Comments leave one →
  1. vindlewar permalink
    October 1, 2009 1:33 pm

    Hello, relief volunteers from Ateneo are asking for contact numbers, adresses, list of needs and point persons in your location. Taga-Nova Bayan ako kaya nakita ko rin yan, can you reply us with those details? I’ll be waiting for your reply here.

    thanks and god bless.

  2. October 2, 2009 1:58 pm

    Hi ding,

    We’re conducting a donation drive for that barangay, hope you help spread the news

  1. Collated Tweets: On Requesting for Immediate Response « Bayanihan Online

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Midtown Miami

Salumeria 104

Salumeria 104 is based on the Italian concept of a trattoria and small neighborhood shop where one can find Italian specialty cured meats and other delicacies, also known as a salumi shop. With Chef owner Angelo Masarin, formerly at Casa Tua, Sardinia Enoteca and SOHO House’s Cecconi’s, at the helm, the restaurant combines Northern Italy’s rustic charm and Midtown Miami’s vibrancy while serving impeccably authentic Italian food.

The menu focuses on dishes that let the essence of each ingredient transpire including a variety of salumi, fresh homemade breads and pastas, and Italian products. All breads and pastas (except the Spaghetti which is imported directly from Italy) are made fresh in-house. The Prosciutto San Daniele, amongst other less known members of the prosciutto family, is a perfect example of products, and their tasteful subtleties, available for patrons to savor. An essential piece of equipment needed in order to conserve the originally intended flavor is the manual meat slicer.

“All Prosciuttos are not made equal,” jokes Chef Angelo Masarin. “Seriously, Salumeria 104 is an opportunity to continue sharing the authentic and complex flavors of Italy with the increasingly-knowledgeable foodies community. It’s very exciting to be able to bring a new restaurant concept to South Florida, especially one that I grew up with and am so familiar with.”

The 1,600 square feet dining room was designed with food in mind: an open kitchen with top of the line stove tops and ovens, an entire wall dedicated to freshly baked breads, salamis and prosciuttos hanging from the ceiling, to-go dishes and daily specials.

This new initiative is a collaboration between Chef-operators Angelo Masarin, Carlo Donadoni, formerly the Executive Chef of TiramesU and over the last 10 years, Chef-operator of Spuntino Bakery and Catering; and Graziano Sbroggio, bringing his extensive experience in operating restaurants at Graspa Group (Soyka, Maitardi, TiramesU, Spris, Van Dyke and Segafredo on Lincoln Road).

3451 NE 1st Ave #104
Miami, FL 33137
P: (305) 424-9588

H: 12:00PM – 10:00PM

B: Midtown2