text:
E.138. Release 8.1.23

Release Date: 2010-12-16

This release contains a variety of fixes from 8.1.22. For information about new features in the 8.1 major release, see Section E.161.

This is expected to be the last PostgreSQL release in the 8.1.X series. Users are encouraged to update to a newer release branch soon.

E.138.1. Migration to Version 8.1.23

A dump/restore is not required for those running 8.1.X. However, if you are upgrading from a version earlier than 8.1.18, see Section E.143.

E.138.2. Changes

  • Force the default wal_sync_method to be fdatasync on Linux (Tom Lane, Marti Raudsepp)

    The default on Linux has actually been fdatasync for many years, but recent kernel changes caused PostgreSQL to choose open_datasync instead. This choice did not result in any performance improvement, and caused outright failures on certain filesystems, notably ext4 with the data=journal mount option.

  • Fix recovery from base backup when the starting checkpoint WAL record is not in the same WAL segment as its redo point (Jeff Davis)

  • Add support for detecting register-stack overrun on IA64 (Tom Lane)

    The IA64 architecture has two hardware stacks. Full prevention of stack-overrun failures requires checking both.

  • Add a check for stack overflow in copyObject() (Tom Lane)

    Certain code paths could crash due to stack overflow given a sufficiently complex query.

  • Fix detection of page splits in temporary GiST indexes (Heikki Linnakangas)

    It is possible to have a "concurrent" page split in a temporary index, if for example there is an open cursor scanning the index when an insertion is done. GiST failed to detect this case and hence could deliver wrong results when execution of the cursor continued.

  • Avoid memory leakage while ANALYZE'ing complex index expressions (Tom Lane)

  • Ensure an index that uses a whole-row Var still depends on its table (Tom Lane)

    An index declared like create index i on t (foo(t.*)) would not automatically get dropped when its table was dropped.

  • Do not "inline" a SQL function with multiple OUT parameters (Tom Lane)

    This avoids a possible crash due to loss of information about the expected result rowtype.

  • Fix constant-folding of COALESCE() expressions (Tom Lane)

    The planner would sometimes attempt to evaluate sub-expressions that in fact could never be reached, possibly leading to unexpected errors.

  • Add print functionality for InhRelation nodes (Tom Lane)

    This avoids a failure when debug_print_parse is enabled and certain types of query are executed.

  • Fix incorrect calculation of distance from a point to a horizontal line segment (Tom Lane)

    This bug affected several different geometric distance-measurement operators.

  • Fix PL/pgSQL's handling of "simple" expressions to not fail in recursion or error-recovery cases (Tom Lane)

  • Fix bug in contrib/cube's GiST picksplit algorithm (Alexander Korotkov)

    This could result in considerable inefficiency, though not actually incorrect answers, in a GiST index on a cube column. If you have such an index, consider REINDEXing it after installing this update.

  • Don't emit "identifier will be truncated" notices in contrib/dblink except when creating new connections (Itagaki Takahiro)

  • Fix potential coredump on missing public key in contrib/pgcrypto (Marti Raudsepp)

  • Fix memory leak in contrib/xml2's XPath query functions (Tom Lane)

  • Update time zone data files to tzdata release 2010o for DST law changes in Fiji and Samoa; also historical corrections for Hong Kong.

Privacy Policy | About PostgreSQL
Copyright © 1996-2015 The PostgreSQL Global Development Group


Content-Type: application/http; msgtype=response

WARC-Type: response

text:
Skip site navigation (1) Skip section navigation (2)

Re: [HACKERS] Re: BUG #4796: Recovery followed by backupcreates unrecoverable WAL-file

From: Simon Riggs <simon(at)2ndQuadrant(dot)com>
To: Tom Lane <tgl(at)sss(dot)pgh(dot)pa(dot)us>
Cc: Heikki Linnakangas <heikki(dot)linnakangas(at)enterprisedb(dot)com>, Fujii Masao <masao(dot)fujii(at)gmail(dot)com>, Mikael Krantz <mk(at)zigamorph(dot)se>, pgsql-bugs(at)postgresql(dot)org, pgsql-hackers <pgsql-hackers(at)postgresql(dot)org>
Subject: Re: [HACKERS] Re: BUG #4796: Recovery followed by backupcreates unrecoverable WAL-file
Date: 2009-05-16 08:04:38
Message-ID: 1242461078.3843.908.camel@ebony.2ndQuadrant (view raw or flat)
Lists: pgsql-bugspgsql-hackers
On Fri, 2009-05-15 at 18:03 -0400, Tom Lane wrote:

> I didn't read this thread earlier, but now that I have, it seems to be
> making a mountain out of a molehill.

We've discussed a complex issue to pursue other nascent bugs. It's
confused all of us at some point, but seems we're thru that now.

Why do you think the issue on this thread has become a mountain? I don't
see anything other than a docs improvement coming out of it. (The last
thread on pg_standby *was* a mountain IMHO, but that has nothing to do
with this, other than the usual suspects being involved).

> It is entirely false that
> you've got to keep the history files on the live server.

There was a similar suggestion that was already clearly dropped, after

I (still) think that keeping the history files that have been used to
build the current timeline would be an important documentary record for
DBAs, especially since we encourage people to add their own notes to
them. The safest place for them would be in the data directory. Keeping
them there would be a minor new feature, not any kind of bug fix.

> I've got no objection to clarifying the documentation's rather offhand
> statement about this,

> but let's clarify it correctly.

Of course.

 Simon Riggs
 PostgreSQL Training, Services and Support

In response to

pgsql-hackers by date

Next:From: Stefan KaltenbrunnerDate: 2009-05-16 15:23:39
Subject: Re: bytea vs. pg_dump
Previous:From: Euler Taveira de OliveiraDate: 2009-05-16 02:41:01
Subject: some more plural messages

pgsql-bugs by date

Next:From: Dave PageDate: 2009-05-16 17:56:29
Subject: Re: Perl 5.10 vs. PG 8.4 on Win32
Previous:From: Tom LaneDate: 2009-05-15 22:03:04
Subject: Re: [HACKERS] Re: BUG #4796: Recovery followed by backup creates unrecoverable WAL-file

Privacy Policy | About PostgreSQL
Copyright © 1996-2015 The PostgreSQL Global Development Group

warcinfo:
robots: classic
hostname: ip-10-179-60-89.ec2.internal
software: Nutch 1.6 (CC)/CC WarcExport 1.0
isPartOf: CC-MAIN-2015-27
operator: CommonCrawl Admin
description: Wide crawl of the web for June 2015
publisher: CommonCrawl
format: WARC File Format 1.0
conformsTo: http://bibnum.bnf.fr/WARC/WARC_ISO_28500_version1_latestdraft.pdf


WARC-Truncated: length

text:
Skip site navigation (1) Skip section navigation (2)

Re: psql: core dumped

From: Mario <gonzalemario(at)gmail(dot)com>
To: "Jeremy Drake" <pgsql(at)jdrake(dot)com>, "Philip Yarra" <philip(at)utiba(dot)com>, Mario <gonzalemario(at)gmail(dot)com>, pgsql-hackers(at)postgresql(dot)org
Subject: Re: psql: core dumped
Date: 2006-12-20 11:54:04
Message-ID: (view raw or flat)
Lists: pgsql-hackers
On 19/12/06, Alvaro Herrera <alvherre(at)commandprompt(dot)com> wrote:
> I think the problem Mario is really trying to solve is quitting at
> psql's "Password: " prompt.  Ctrl-C is ignored at that point apparently.
> SIGQUIT (thus Ctrl-\ in most people's setup) does it but it also dumps
> core.

  yes, that is true and also when you are is psql prompt too. But, I
had no idea that a core dump is normal with a SIGQUIT signal.

  Thank you all for your time and patience; this was my first "try"
with a postgres patch, I'll try with something else in other chance

In response to

pgsql-hackers by date

Next:From: MarioDate: 2006-12-20 11:55:59
Subject: Re: psql: core dumped
Previous:From: Russell SmithDate: 2006-12-20 11:33:53
Subject: Re: column ordering, was Re: [PATCHES] Enums patch v2

Privacy Policy | About PostgreSQL
Copyright © 1996-2015 The PostgreSQL Global Development Group


text:
Skip site navigation (1) Skip section navigation (2)

Re: [HACKERS] PostgreSQL - the Linux of Databases...

From: teunis <teunis(at)mauve(dot)computersupportcentre(dot)com>
To: "Thomas G(dot) Lockhart" <lockhart(at)alumni(dot)caltech(dot)edu>
Cc: Cristian Gafton <gafton(at)redhat(dot)com>, Andrew Martin <martin(at)biochemistry(dot)ucl(dot)ac(dot)uk>, pgsql-hackers(at)postgresql(dot)org
Subject: Re: [HACKERS] PostgreSQL - the Linux of Databases...
Date: 1998-03-04 07:06:14
Message-ID: (view raw or flat)
Lists: pgsql-hackers
On Wed, 4 Mar 1998, Thomas G. Lockhart wrote:

> > non-glibc users), GLIBC-2 is the standard for Unix98+.  (I still don't see
> > why postgres doesn't support it... though I haven't gotten around to
> > writing a patch (or looking recently)...).
> *sigh* Postgres runs just fine on a bug-free version of glibc2. We've heard
> rumors that 2.0.7-pre1 from Debian is close enough, but I can't duplicate that
> on my RH5.0 production box with Cristian's RH glibc2-2.0.7 package.

Then consider that the minimum supported and ignore it... *grin*
Solution found! :)
[GNU takes very long time to fix things toujours]

G'day, eh? :)
	- Teunis

(PS: Linux's kernel networking layer has been extensively rewritten over
the last year and a half.. and is (afaik) considerably faster... at least
in the 2.1 kernels... though IIRC it was rewritten also in the 1.3
kernels...  The NFS probs were solved in 2.1 a while ago though)

In response to

pgsql-hackers by date

Next:From: Brett McCormickDate: 1998-03-04 07:07:34
Subject: version control backups?
Previous:From: Thomas G. LockhartDate: 1998-03-04 06:01:32
Subject: Re: [HACKERS] PostgreSQL - the Linux of Databases...

Privacy Policy | About PostgreSQL
Copyright © 1996-2015 The PostgreSQL Global Development Group


text:
Current Issue
July 2015
Back to Daily News

POP Sound & Soundelux DMG combine forces

December 17, 2013
POP Sound & Soundelux DMG combine forces
HOLLYWOOD — Pacific Ocean Post (www.popsound.com) has entered into a merger with Soundelux Design Music Group (DMG). Moving forward under the Pacific Ocean Post banner, the combined company will service the creative and technical requirements of content creators delivering media across all platforms.
In addition to merging operations, the company recently announced a significant extension of its lease commitment for the Santa Monica-based facility, as well as a substantial renovation project that’s currently under development. Looking beyond POP’s existing service offerings in the areas of creative sound services for commercials, broadcast, feature films, documentaries, long-form DVD and Web content, the company will be expanding its reach into the interactive entertainment market through the addition of creative talent and business development teams from Soundelux DMG, led by Cathy Tische (pictured). Tische has been named the merged company’s new vice president and general manager.
In related news, Paula Arnett has joined POP as executive producer/sales.
“POP is home to a group of highly talented and committed professionals with an incredible passion for their work,” notes David F. Alfonso, the owner of Pacific Ocean Post. “There is much common ground to be found between the two teams, and by finally merging the resources and creative brainpower of these two groups, we are unlocking a great deal of potential that will offer meaningful benefit to content creators.”
“This merger represents a natural evolution for our two companies,” adds Tische. “These are two groups of people who already worked really well together, and who clearly desired to work even more closely together as part of the same team. Our combined resources will greatly benefit the creative community working on the Westside, and we are particularly excited to strengthen our presence in the market.”


text:
Cameron Cotton Tab-Top Drape

No longer available
  • This easy-to-hang drape coordinates effortlessly with any decor while adding a crisp, neat look to a room.

    • 50" wide; available in five lengths.
    • Sold as individual panels.
    • Made of pure cotton.
    • No hooks or rings required. Tabs slide directly onto rod.
    • Watch a video on how to hang a drape.
    •  Dry-clean.
    • Imported.
View More Details


text:
Pearson Towel Bar

  • Online Only
  • Please Select Size: 18"

    Please Select Color:

  • Elevate the look of the bath with these beautifully crafted towel bars, part of our distinctive Pearson collection.

    • Small (18"): 21" w x 3.5" d x 3" h
    • Large (24"): 27" w x 3.5" d x 3" h
    • Crafted of zinc alloy with a Polished Nickel or Satin Nickel finish, stainless steel with a Chrome finish, or brass with a Brass finish.
    • Sealed with a clear protective lacquer.
    • Mounting hardware included.


text:
We Need Diverse Ya Sale

Special Offers see all

Enter to WIN a $100 Credit

Subscribe to PowellsBooks.news
for a chance to win.
Privacy Policy

Visit our stores

You searched for: Rossen Susan F. Refine your search.

  1. 1

    African Americans in Art: Selections... (99 Edition)

    Susan F. Rossen / Yale University Press
    Used Trade Paper  /  General - General
    $8.00 $14.95

  2. 2

    African Americans in Art: Selections from the Art Institute of Chicago

    Susan F Rossen

  3. 3

    Art Institute of Chicago Museum Studies

    Susan F Rossen

  • back to top

Powell's City of Books is an independent bookstore in Portland, Oregon, that fills a whole city block with more than a million new, used, and out of print books. Shop those shelves — plus literally millions more books, DVDs, and gifts — here at Powells.com.


text:
America’s 100 Largest Yachts 2008 #2: Octopus

#2: OCTOPUS—414'0"

There’s no way Paul Allen’s Octopus was going to host the wedding of Brad Pitt and Angelina Jolie (a.k.a. Brangelina) this spring, despite the breathless claims made by our celeb-rag brethren: The yacht was scheduled for a maintenance visit to a shipyard in Saint Nazaire, France. She’s been there since May and is expected to depart in November. No details have been released on the scope of the work, though photos taken by shutterbugs reveal the mast enshrouded in scaffolding. Due to the crazy nature of the rumors surrounding the yacht and her refit, one member of our Megayachts forum joked, "Didn’t you hear? Octopus is in refit so Brangelina can remove the recording studio to make room for the new children’s play area, nursery, and quarters for the nannies. This way they can visit all of those third-world countries in style."

Y: 2003; B: Lrssen, Germany; N: Espen ino Naval Architects; H: steel; E: 8/2,400-hp NO Mercedes Benzes

America’s 100 Largest Yachts 2008

This article originally appeared in the November 2008 issue of Power & Motoryacht magazine.


text:
Slandering the Red States, Part IV: The Lieutenant Governor

I have been investigating National Public Radio’s three-part series on child welfare in South Dakota. Briefly, NPR claimed that South Dakota’s Department of Social Services sends social workers onto Indian reservations to “kidnap” Indian children, who are then placed more or less exclusively in white foster care–a transaction which NPR alleged that the state carries out for profit. I refuted these bizarre claims here, here, and here. I have also sent two emails to Laura Sullivan, the NPR reporter responsible for the series, asking her a number of questions about her allegations. She has not responded.

Now on to Part IV. It was only a matter of time before NPR’s series turned explicitly partisan–after all, NPR doesn’t exist to attack social workers. Part 2 of NPR’s series tried to link the “scandal” of kidnapped Indian children to South Dakota’s newly-elected Republican Governor, Dennis Daugaard:

With multiple campuses and emergency centers, Children’s Home provides services for up to 2,000 children a year. It’s now one of the largest nonprofits in the state. But it wasn’t always.

Ten years ago, this group was in financial trouble. For several years, tax records show, it was losing money. Then in 2002, a former banker named Dennis Daugaard joined the team. He became the group’s chief operating officer. A year later, he was promoted to executive director. And things began to change.

The money the group was getting from the state doubled under his leadership. Children’s Home grew financially to seven times its size. It added two new facilities.

So Daugaard did a great job. In most circles, this is considered commendable.

The group paid Daugaard $115,000 a year. But that wasn’t his only job. He was also the state’s lieutenant governor — and a rising star in state politics.

The seven years Daugaard spent at Children’s Home — and his ability to turn the place around — were prominent features of his successful 2010 bid for governor.

NPR claims that being Lieutenant Governor at the same time when he ran Children’s Home represented a conflict of interest:

It could be that Children’s Home was the best organization for the job, at the best price for all those contracts it got.

But it would be difficult for tax payers to know. In just about every case, the group did not compete for the contracts or bid against any other organization. For almost seven years, until this year, Daugaard’s colleagues in state government just chose the organization and sent it money — more than $50 million in all.

“It’s a massive conflict of interest,” says Melanie Sloan, executive director of the Washington, D.C.-based Citizens for Responsibility and Ethics in Washington, adding that any organization run by a state’s top elected official would have undue power in that state.

“When you’re lieutenant governor, people are anxious to curry favor with you,” she says.

Three points about this charge. First, NPR fails to note a basic fact–a wonderful fact, really–about South Dakota: being lieutenant governor is a part-time job. As of 2010, the state’s lieutenant governor earned a modest $17,699. This is, in part, because the lieutenant governor has no duties except during the two months each year when the legislature is in session. Thus, all lieutenant governors have outside, full-time jobs, as Daugaard did.

Second, the fact that Children’s Home got contracts to care for South Dakota children without having to bid against other organizations means nothing. States and other governmental units constantly enter into contracts with providers of goods and services. Whether a competitive bidding process is required as to a particular contract is a matter of state law; usually, it is not. Whether no-bid contracts are somehow scandalous depends entirely on the political affiliation of the administration currently in power and the political biases of a particular reporter, like Laura Sullivan.

Third, NPR’s statement that “Daugaard’s colleagues in state government just chose the organization and sent it money” is misleading at best. As a part-time, two months out of the year lieutenant governor, Daugaard did not supervise any state personnel, and had no authority over decisions made by Department of Social Services employees. The Governor’s office released a statement before NPR’s series aired. It stated in part:

DSS has had contracts with Children’s Home Society going back to 1978, when it was first licensed as a specialized group treatment home. Currently, Children’s Home Society is licensed as a psychiatric residential treatment facility (PRTF) for children aged 4 to 13. …

There are 11 PRTF’s in South Dakota that contract with DSS, and three of these are operated by Children’s Home Society. Any program that meets state and federal licensure criteria as a PRTF can provide services to DSS and receive a state contract that provides for uniform reimbursement methods based on the number of children served for DSS. This is not a case where contractors “compete” against each other for contracts and is consistent with laws reviewed and passed as recently as 2010.
Although Governor Daugaard cares deeply about Children’s Home Society, his plan to balance the state budget actually cut reimbursement rates to all PRTF contractors, including Children’s Home Society, by 4.5 percent.

In her report, Sullivan acknowledged and referred to the governor’s statement, but failed to note the fact that his budget cut reimbursement to Children’s Home.

Apart from her facile charges of conflict of interest, Sullivan’s main complaint is that some Indian children are placed in Children’s Home rather than with relatives:

Children’s Home has won many state accolades for its work with children. But that doesn’t mean much to Suzanne Crow or her granddaughter Brianna, who spent three years there. …

She didn’t want Brianna to grow up like she did, not knowing who she was, not knowing that someone in the world loved her. It took a court order for the state to send Brianna home to her stepfather.

“I didn’t care what it took,” Crow says. “I battled with them.”

State records show South Dakota paid Children’s Home almost $50,000 over three years to care for Brianna.

But across the state, grandmothers, aunts and uncles, family and tribal members would have cared for Brianna — and hundreds of other Native American children like her. They would have done so for free, keeping them close to their tribes and culture like federal law intended.

Perhaps so. But Children’s Home isn’t just foster care, it is a licensed psychiatric residential treatment facility. State employees are barred by privacy laws from commenting on particular cases, but it seems obvious that Brianna Crow needed more than a room in a relative’s house. But that question, NPR never addressed.

There is a painful but important story to be told about South Dakota’s Indian children. But that story isn’t a “scandal” about the Department of Social Services, or about an excellent treatment facility like Children’s Home. It is a much more difficult story, one that NPR won’t touch with a stick. That will be the subject of my next post in this series.


text:
Several big circulation gainers charge for online access, almost none of losers do

New figures released today by the Audit Bureau of Circulations show that nationally, daily circulation was up .68 percent for digital and print at the 618 papers reporting; Sunday circulation was up 5 percent at the 532 papers reporting. But some papers did better than that, and some did worse.

Three of the five newspapers that posted the largest percentage gains in Sunday circulation now charge for online access (The Dallas Morning News, The New York Times and Newsday), while four of the five with the largest drops do not, and one, the Los Angeles Times, only started to charge in March.

When looking at daily circulation, two of the five papers that gained the most charge (The New York Times and Newsday), while none of the five biggest losers do. See table:

News organization % circ gain/loss Digital pay plan
New York Times +73.05% Daily Yes
Orange County Register +53.48% Daily No
Newsday +33.21% Daily Yes
Denver Post +23.43% Daily No
Newark Star-Ledger +21.67% Daily No
Dallas Morning News +87.38% Sunday Yes
Houston Chronicle +55.95% Sunday No
New York Times +49.56% Sunday Yes
The San Antonio Express-News +38.67% Sunday No
Newsday +36.77% Sunday Yes
Washington Post -7.84% Daily No
Seattle Times -6.63% Daily No
Detroit Free Press -6.27% Daily No
Philadelphia Inquirer -5.36% Daily No
Chicago Tribune -5.17% Daily Planned
Washington Post -15.66% Sunday No
Cleveland Plain Dealer -.46% Sunday No
Seattle Times -.12% Sunday No
Chicago Tribune -.1% Sunday Planned
Los Angeles Times +.41% Sunday Yes, started March 5

Paywalls are on the horizon at more papers. Gannett, which owns the Detroit Free-Press, is planning to charge for online access to all its sites except USA Today. MediaPost reported in February that the Chicago Tribune is planning to charge for online access in some way; some other Tribune websites now charge.

NetNewsCheck noted that The Seattle Times recently said that its main and mobile website would remain free “for the time being.” MediaNews put up paywalls at some of its sites in August, but not at The Denver Post.

The Washington Post, however, has not demonstrated any interest in charging for online access, “not in the short term, and maybe never, if I read the tea leaves correctly,” wrote Post Ombudsman Patrick Pexton in March. Warren Buffett, whose Berkshire Hathaway holds Post stock, disagrees with that approach, saying in February, “You shouldn’t be giving away a product that you’re trying to sell.”

Julie Moos contributed to this report.

We have made it easy to comment on posts, however we require civility and encourage full names to that end (first initial, last name is OK). Please read our guidelines here before commenting.


text:
Opioid Safety, Respiratory Compromise

Patient Safety Experts Share 4 Insights About Safer Opioid Pain Management

by Sean Power

Patient safety experts recently participated in a webinar on reducing adverse drug events and harm associated with postoperative opioid pain management programs. Premier Safety Institute, an organization dedicated to coordinating safety-related activities among national organizations to help improve safety, hosted the webinar.

The panel featured four patient safety experts:

We’ve highlighted four key insights shared by the panel that improve clinical outcomes during pain management and reduce the chance for adverse drug events to occur.

You can download a recording of the webinar here.

1. Multi-modal pain plans provide better pain relief and result in fewer adverse events than opioid-only pain treatment plans.

“There are some underlying problems that I think we need to address that are affecting the way we are managing pain,” says Ms. Pasero. Short length of stay is a primary objective of care. Hospitals are focused on patient satisfaction scores rather than improved patient outcomes. Health care providers start pain management postoperative intervention rather than preoperative planning and there exists a “more is better” mentality with opioid-only treatment plans.

“When someone has some mild pain, we give them opioids. They have a little more pain, we give them more opioids. They have severe pain, we give more opioids. And, of course, at the top of this pyramid is where we see adverse events including patient deaths,” explains Ms. Pasero. “What’s happening nation-wide is a focus on opioid-only treatment plans. This is problematic.”

The Joint Commission’s Sentinel Event Alert highlighted the problem. Ms. Pasero outlined the elements that make up a sentinel event, and referred to what she called a “recipe for disaster”:

Chris Pasero shares her recipe for disaster and advocates for multi-modal pain management programs.

The Alert states that opioid adverse events are among the most common of all adverse drug events. The action plan proposed by TJC: screen for risk (for example, by using tools like the STOP Bang model), build red flags into electronic medical records to prompt respiratory and sedation assessments, use a scale to assess sedation, and adopt multimodal analgesia plans.

“What I think is the most important thing is that we have got to start using multimodal analgesia plans,” says Ms. Pasero. What this means, she explains, is “combining both pharmacologic and non-pharmacologic interventions that can attack more than one underlying pain mechanism. The goal really should be that we are able to provide better pain relief with fewer adverse effects of each of the drugs in the treatment plan than would be possible with a single intervention.”

“This is critical to an action plan: we have to reframe the discussion with patients,” Ms. Pasero says. There exists a misunderstanding that patients have the right to be pain-free. “That is unrealistic,” explains Ms. Pasero. “We’ve got to revisit that, be honest with patients, and reframe the whole discussion.” This conversation should happen ideally before surgery takes place. Ms. Pasero advises that frontline staff discuss with the patients the idea that the purpose of managing pain is to enable them to achieve functional goals. Doing so shifts expectations such that patients become members of the pain management team.

2. Educating patients and families about opioid PCA pumps leads to better clinical outcomes.

Mr. and Mrs. Abbhiel shared their experience as the parents of an 18-year old girl who died in 2010 because she was not adequately monitored with EtCO2, and shared with the audience their four essentials for caregivers to engage patients and their families in improving patient safety when using patient-controlled analgesia (PCA) pumps:

Brian and Cindy Abbhiel share Amanda's four essentials for safety.

“Basically what we’re looking at is the essentials for safety,” says Ms. Abbhiel. “Ensure patients and families are provided information on proper use of PCA pumps,” she explains. “A lot of people don’t realize that these pumps do deliver a powerful narcotic. It tends to be an issue if the patient is administering it or if somebody else pushes the button for the patient.”

Proper patient education about the devices with which they manage their pain is therefore essential to safe care. “That’s why we need to make sure that patients and families understand why they must be monitored for safety reasons,” Ms. Abbhiel continues. She explains that oximetry on the finger and a capnography cannula on the nose will prevent adverse drug events for patients using PCA pumps to manage pain.

Educating patients and families about how to interpret monitor readouts helps frontline staff monitor patients. “Brian and I both have discussed how we wished that we could have seen some warning sign. With capnography, it pretty much puts the warning sign on the machine and alerts the nurses without them having to come in.”

“Our main goal is really monitoring,” says Mr. Abbhiel. “We just want patients to be safe when they’re on an opioid infusion. We think that the technology is there at the present and we just want people to use it so that everyone can be safe.”

3. Respiratory monitoring technology such as capnography and pulse oximetry can aid in patient assessments and prevent serious adverse events.

St. Joseph’s/Candler Hospitals have not had any opioid-related serious adverse drug events over the last eight years in either of the two hospitals it operates. This achievement is impressive, for SJCHS is the largest healthcare system in southeast Georgia with 675 beds and approximately 25,000 annual discharges.

In the two years preceding the implementation of its advanced safety system, SJCHS experienced three opioid-related events with serious outcomes. These events prompted the hospitals to develop a multidisciplinary team to make delivery of the medication safe.

“We looked at issues and we knew that what we needed to correct was we needed to make sure that the programming of the pump itself was being done in a safe manner and also that the monitoring of these patients was being done at the best possible rate and with the best possible method,” explains Mr. Oglesby.

The hospitals used continuous electronic monitoring with capnography and pulse oximetry as part of a wider process for monitoring respiration and preventing respiratory depression. Mr. Oglesby describes the process: “The first thing we [respiratory therapists] look at is always the patient, not the machine, so we assess the patient’s history, we assess what the patient looks like, we look at their trends [for EtCO2, SpO2, respiratory rate, and PCA medication rates.” The respiratory therapist also provides bedside education with patients and families.

In addition to respiratory assessments at the beginning of every shift, SJCHS determined it was important to make sure everybody is on the same page. They developed action steps for nursing staff that included assessing the patient’s ABCs, stimulating the patient if necessary, ensuring the airway is open and that the cannula is in the right place.

“There is also a change in culture with our PCA patients because not only were we able to monitor these patients but we were also able to give them effective pain management,” continues Mr. Oglesby.

Harold Olgesby shares the benefits of continuous electronic monitoring during PCA.

Mr. Oglesby outlines the benefits of the monitoring: “Better pain control, more appropriate pain control, and a safe environment for our patients. Patients tend to have a better outcome.”

4. As many as 50 percent of PCA-related adverse drug events could be prevented with effective monitoring.

“In studies cited by The Joint Commission,” says Mr. Wong, “opioid analgesics rank among the drugs most frequently associated with adverse drug events.” Three causes of opioid-induced respiratory depression include lack of knowledge about opioid potency, improper prescribing and administration of opioids, and inadequate monitoring of patients on opioids.

Michael Wong shares the causes of opioid induced respiratory depression.

“The incidence of opioid-related respiratory depression is anywhere from 0.16% to 5.2% according to studies. If we take the 13 million patients each year who receive patient controlled analgesia, this means that each year up to 676,000 patients will have a PCA adverse event. This number excludes other forms of opioid administration,” explains Mr. Wong.

Dr. Robert Stoelting, President of the Anesthesia Patient Safety Foundation, estimates that as many as 50% of PCA adverse events could be prevented with effective monitoring. Dr. Richard Dutton, Executive Director of the Anesthesia Quality Institute, states, “any published estimate is likely to be only the tip of the iceberg.”

With the goal of reducing adverse events, the Physician-Patient Alliance for Health & Safety developed a PCA Safety Checklist with a working group of patient safety experts. The concise checklist reminds caregivers of essential steps to initiate and continue to assess patient use of PCA.

The PCA Safety Checklist can be downloaded for free here.

What are your recommendations for improving the safety of patients on opioid pain management programs?

3 thoughts on “Patient Safety Experts Share 4 Insights About Safer Opioid Pain Management

  1. Pingback: Alarm safety - Premier Safety Institute Premier Safety Institute

  2. Pingback: Tools and resources - Premier Safety Institute Premier Safety Institute

  3. Pingback: Tools and resources - Premier Safety Institute

Leave a Reply


text:
Practical Ecommerce

Reading List: WarehousingAnd’s Will Schneider

Will Schneider

Will Schneider

In “Reading List,” we ask ecommerce professionals to name some of their favorite books and blogs and tell us why they read them. For this installment, we corresponded with Will Schneider, president of, a directory of ecommerce fulfillment companies.

Schneider has more than 10 years of experience in online lead generation for business-to-business and business-to-consumer verticals. In addition, he has served as president of various ecommerce fulfillment companies.

Will Schneider’s Top 5 Books

Platform: Get Noticed in a Noisy World by Michael Hyatt

“We’re all trying to be heard on the web, and this book provides invaluable guidance for separating yourself from the rest of the noise. Whether you’re looking to push your business, nonprofit, blog, or other personal platform forward, the books outlines the necessary steps to being heard in our all too busy and noisy world.”

Think Big Live Large by Andrew Darbyshire

“Especially if you’re experiencing a challenging time in your business or life, this is a particularly helpful book that gives real world examples of how one successful businessman pushed through challenges and adversity and achieved tremendous success. The insights on persistence and focusing your time and business are particularly helpful.”

Proof of Heaven by Dr. Eben Alexander

“Sometimes it’s important to put the proper perspective on things in life. For me, that’s unplugging from the business world and reading a good book on other topics that challenge the way I think. This book in particular was extremely interesting in that a near death experience truly transformed the through process of an otherwise very empirical and scientific mind.”

Chasing Daylight by Eugene O’Kelly

“This was another eye opening book of how the news of a life ending disease changed the life of the CEO of one of the largest accounting firms in the world. For me, it provides a real world example of the power of intentional living with the end in mind, which is altogether forgotten too often in our frantically paced society.”

Search Engine Optimization Secrets by Danny Dover

“I’m a big fan of empowering small business owners to at least play a role in their online marketing strategy. Because the SEO landscape has changed so dramatically this past year, it’s even more important for CEOs of smaller online businesses to have an active role in their web strategy. This book covers all of the bases and explains it in such a way that business people without an enormous amount of ‘technical’ knowledge can understand and grasp.”

Will Schneider’s Top 5 Blogs

Search Engine Watch

“Because an online business is nothing without traffic, I have to stay current on all of the newest information in the online marketing industry. It’s literally a full time job keeping up with the boatloads of information on Internet marketing, and Search Engine Watch makes it easy by providing the latest and greatest information.”

3PL News

“This is my go to blog for up to date information in my particular niche — the 3PL [third party logistics] industry.”

Michael Hyatt’s Intentional Leadership

“Intentional Leadership is a blog that offers very practical advice to business people regarding personal development and productivity. I emphasize that the blog posts are very practical — simple tidbits of advice that can be implemented with relative ease but that produce powerful results. “

“It’s important for entrepreneurs to get inspiration from other success stories and to find out the various keys to success that others have implemented.”

The Sandler Blog

“I’m a big fan of the Sandler Sales method and sales training in general has been one of the most critical success factors in my personal and professional development. Getting relevant tips on sales tactics and strategies to help push my business forward is an absolute must.”

Practical Ecommerce
Practical Ecommerce
Bio  |  RSS Feed

Get the Practical Ecommerce RSS feed

Comment ( 1 )

  1. Carlos Rivera December 29, 2012 Reply

    I don’t read books or blogs, but I read a heck of a lot of web pages. I hope I never get asked to submit a reading list. It would be awfully thin. :)

    But I do enjoy reading about what other people are reading.

Email Newsletter Signup

Sign up to receive EcommerceNotes,
our acclaimed email newsletter.

And receive a free copy of our ebook
50 Great Ecommerce Ideas

Don't be a late bird.
Early-bird discounts
expire June 30.
View Agenda


text:
Posts Tagged ‘Independence’

Tuesday, October 19th, 2010

Elderly citizens age 60 and over should receive a vaccine to protect them against shingles, or herpes zoster.  The Center for Disease Control and Prevention (CDC) in Atlanta recommends a single dose of the zoster vaccine, Zostavax, for adults age 60 and over. This is even if they have had a previous outbreak of shingles.

A new recommendation that was published in the CDC’s Mortality and Morbidity recently replaced a former provisional recommendation made in 2006. This provisional recommendation was made after the vaccine was licensed by the United States Food and Drug Administration.

In those ages 60 and over that received the vaccine, the occurrence of shingles was reduced greatly. Particularly with those ages 60-69, it reduced the occurrence rate by 64 percent.

Side effects of the vaccine from those that had it seem to be redness, pain and tenderness, swelling at the injection site, itching and headache.

It is reported that half of the people living to age 85 have had or will get shingles.

Shingles is characterized by clusters of painful blisters which develop on one side of the body in a band-like pattern and can cause severe pain that may last for weeks, months or years. Shingles is caused by the childhood disease chickenpox that becomes dormant within the nerves and reactivates later in life. It is said that over 95 percent of people are infected with the varicella zoster (chickenpox) during their lifetime. About one in three persons will develop shingles during their lifetime, resulting in about one million cases of shingles per year.

Chickenpox is usually mild, but it can be serious, especially in young infants and adults. The risk of contracting shingles increases with age starting at around 50 and is highest in the elderly.

Elderly Employment

Monday, October 18th, 2010

There are many senior citizens who want to work again despite the limitations that society imposes on them. While there are physical limitations to the kind of work that they are able to do, elderly individuals must be permitted to take on jobs that will help them to continue to lead a happy, productive life. With the current state of the economy, jobs for anyone are hard to come by or find, but that is not saying that it’s an impossible task to accomplish. Work for the elderly is more difficult due to limitations and age, however, jobs for the elderly can be found if you know where to look.

For the most part, elderly work should be free from strenuous activities. This includes jobs that require a lot of movement, lifting heavy objects, or stay up until the wee hours of the morning. Physical exhaustion and too much effort would not be conducive to a job for an elderly individual.

What sort of work would then be appropriate for an elderly individual given these conditions? This job should not only be physically mild but also it needs to be meaningful. A job for an elderly individual does not need to be monotonous or absent of emotion to be a good fit for them.

The elderly could work from home and earn money and feel fulfilled without leaving home. There are many job opportunities out there for those who want to work without leaving home. These types of jobs can be based on previous employment such as tutoring, teaching piano, or a craft.

Many elderly want to reach out to others and often either volunteer for charities or non-government organizations. There are many opportunities for elderly social work that is open for employees as well as volunteers. This can be a rewarding experience.

Leading a happy and fulfilled life does not stop at retirement. There are plenty of work opportunities for the elderly that will allow them to earn a bit of money and feel productive as well as feel good about themselves by helping their community. Being happy, productive and fulfilled can lead to a healthier mental well-being.

Sunday, October 17th, 2010

For the most part, Thanksgiving is a day where family and friends travel far and wide to celebrate the day with a huge feast of traditional favorites like turkey, mashed potatoes, dressing, gravy and pumpkin pie. For senior citizens, this day often means loneliness.

Each year, many elderly rely on community outreach programs such as Meals on Wheels, the Salvation Army, and many local organizations to celebrate Thanksgiving. These elderly face many challenges such as being unable to cook a large meal, no family or family that is too far away, as well as other issues.

Below is a small sampling of organizations who help with a Thanksgiving Meal:

  • Self-Help for the Elderly, who opened their doors in 1966, has a Thanksgiving Luncheon at 3 locations. They also deliver meals. Please click here for more information.
  • Glide Memorial Church operates one of the largest free meal programs in San Francisco. The church is located at 330 Ellis Street in San Francisco. Call the church to find out times and days.
  • Tenderloin Tessie’s is one of San Francisco’s oldest community meals. Last year was its 32nd year and the meal was served at the First Unitarian Church at 1187 Franklin Street. Call the church to find out times and days.

Holidays are times to be spent with family, friends, and those you love; the elderly often are unable to do this. These community organizations mentioned as well as many others, help to make the holidays a bit brighter. Please consider donating or volunteering.

Making the Holidays Brighter

Friday, October 15th, 2010

The Christmas season is a beautiful time of the year full of friends, family, presents, and yummy goodies. In the hustle and bustle of this busy season, the elderly and shut-ins are often overlooked. There are many ways to squeeze in a little time to share with an elderly neighbor and make their holidays just a bit brighter.

Here are a few ideas but the sky is the limit!

  • Take a senior out to a special dinner. Check out local festivals, plays, tree lightings, or parties. Go tree shopping—an elderly person might enjoy helping you shop for a tree or even their own. Take them on a drive and look at the Christmas lights. Many areas have a ‘festival of lights’ show through a local park. Make sure on any outing that you consider any special needs and be sure you can
  • The elderly enjoy shopping; however due to no longer driving or mobility issues, they may not be able to get out much so taking them shopping could provide a nice service for them.
  • Help them do things that they are unable to do for themselves such as shoveling their sidewalk if it snows, helping them decorate the tree or how, or anything else they might need you to do for them.
  • Hugs and lots of them. Who doesn’t need a hug? For some reason, the elderly aren’t often touched and would welcome a genuine, heart-felt hug at Christmas.
  • Visit an elderly person in a nursing home or simply someone who is a shut in and bring them a Christmas card or a small gift.
  • Help the elderly through a local charity that supports seniors at the holidays. Charities are always looking for volunteers and can help you to find somewhere to volunteer your time.

The elderly are thankful for being remembered at Christmas and you will feel warmth in your heart for helping to make their holidays a bit brighter!

To Market, To Market

Thursday, October 14th, 2010

Elderly grocery shopping is so much different than shopping for a family. When grocery shopping elderly style, you are no longer buying in large quantities as you would for a family. Instead, you are looking for products that are easy to open and handle and in smaller sizes.

Here are some guidelines for your shopping trip:

  • Easy to Handle Products: Seniors do not have neither the strength nor dexterity as they did when they were younger. Lifting bottles of cleaning supplies, milk, juice, or other items found in large, bulky containers, are awkward. Smaller containers may cost more; however they are easier to lift and carry. Buy milk and juice in quart bottles, coffee in 1 lb cans, ketchup and mustard in small bottles as well as mayonnaise, salad dressing, laundry detergent and cleaning supplies.
  • Easy to Open Items: Make sure asprin and all over-the-counter medications are in easy to open bottles instead of child proof bottles. When purchasing cans of soup, vegetables, fruit and meat, look for the pop top cans so that the elder doesn’t have to use a can opener.
  • Smaller Portion Sizes: Think smaller when it comes to food that can go bad. For example, ask the butcher at the grocery store to package just 1-2 chicken breasts, pork chops, or steaks. Look for canned food in small cans. Many vegetables have the single-serve portions available.

For elderly shopping, it isn’t so much about buying in quantity to save money; it’s more about convenience and ease. With a little bit of practice, you can learn to shop for the elderly. And trust me; they will let you know when something doesn’t work for them.

Information in this article obtained here

Wednesday, October 13th, 2010

Incontinence simply means loss of bladder control and it is a common condition that many who care for the elderly must deal with. It is more of a symptom and not a disease and is caused by a wide range of conditions and disorders including pelvic surgery, injuries, certain medications, and just basic degenerative changes that occur with aging.

Elderly with incontinence can experience both physical and emotional uneasiness. These are many things that can be done to treat and manage the condition. The first step in treatment is to see your doctor to find the cause and establish a treatment plan.

The following are some additional tips to help you, the caregiver, deal with some of the challenges associated with incontinence:

  • Make the bathroom easy to find by using night lights in the bedrooms and hallways.
  • Many elderly have accidents because they are unable to make to the bathroom in time; consider purchasing a bedside commode. This can be used in the bathroom over the regular toilet or it can be used bedside at night.
  • Keep pathways through the home safe and clear; rearrange furniture and remove clutter; make sure throw rugs have a non-slip backing on them.
  • Encourage the use of a walker or can to increase mobility.
  • Get a waterproof bed sheet to help protect your mattress from night time accidents.
  • Provide chairs with sturdy arms so that it reduces the strain of getting up; straining to get in or out of a chair can put pressure on the bladder.
  • Make sure the elder is allowed enough time in the bathroom to completely empty the bladder.
  • Remove wet clothing immediately after an accident and rinse out to cut down on odor; if the wet item cannot be rinsed right away, store in an airtight container or plastic bag.
  • Have a schedule for toileting needs; start with every 2 hours and progress from there.
  • Consider a raised toilet seat and handrails beside the toilet to make toileting more comfortable. A raised seat helps an elder get up and the handrails help to steady.

It only takes time and a little patience to work through the symptoms of incontinence.

Elderly Social Worker

Tuesday, October 12th, 2010

What do you think of when you hear the words, “social worker”? If you are like most people, you think of one of those people in the welfare office. Social work has been associated for a long time with Child Protective Services and other non-profit organizations that work to help improve the lives of children and help to remove them from abusive situations.

Adult Protective Services is also an important part of the field of social work; however, APS is understaffed in many places throughout the United States and some cities do not even have an APS department. Cases involving the elderly have increased in recent years and the increase in reports added with the media attention on the issue has finally given APS the focus it deserves.

Choosing to be a social worker for elderly citizens is going to give you a challenge. You have to be willing to learn specific skills both personally and academically in order to succeed at working with the elderly.

Working with the elderly demands a level of education that can only be obtained through a college or university; a social worker must have at the minimum, a bachelor’s degree, to start a career. Many times, however, it is necessary to have a master’s degree. While working on a degree, electives can be taken to give the more specialized training you may need to work with the elderly.

Some of your coursework might include:

  • Death, Loss and Grief
  • Social Work with the Elderly
  • Evaluation in Adults and Elderly
  • Basic Social Work Research
  • Adulthood and Aging
  • Policies and Services for the Elderly

To work with seniors, you must have compassion and patience. You have to see things through their eyes; many times they won’t understand with a younger person coming to help them. While most elderly are wonderful to know, just like any other group of people, there are bumps along the way. And if the elderly is a victim of abuse or neglect, this may amplify the negativity in them and they may call you names and seem very angry.

It is also good to be able to work with those that have mental illnesses. Many of the individuals in nursing homes are there because of dementia, Alzheimer’s, or some other mental illness and require constant care. It is important to know how to talk with these elderly and be able to tell the difference between fact and fiction as these individuals will often have issues with confusion.

Being a social worker and working for the elderly can provide you with a fulfilling career.

Living Alone Safely

Monday, October 11th, 2010

For many elderly, the idea of living alone can be scary, especially if it is the first time. Some elderly haven’t ever living alone and have oftentimes relied on others to do things like the household budget. Other are having problems with health issues and one fall could be scary, or even life-threatening.

It doesn’t take a whole lot to insure that your elderly relative or friend is safe.

Use the following as a check-list:

  • Lighting is important to insure that those with problems seeing can motor through the home easier. Nightlights are a great way to light up the floor.
  • Consider moving their bedroom downstairs; stairs can be hard to maneuver if the elderly has mobility problems like arthritis. If stairs just can’t be avoided, insure that the handrails are sturdy and useable.
  • Test all smoke alarms on a regular basis
  • In the bathroom, use non-slip mats and grab bars for ease of getting in and out of the shower; a shower chair could also be considered.
  • Insure that all electrical cords are out of the way safely. This could be a trip hazard.
  • Consider putting a timer on small appliances; the elderly can forget to turn things off and these timers could save their life in the long run.
  • Have an emergency escape route planned so that in the event the normal route is unable to reached, that they can get in and out of the house safely.
  • Help make a list of emergency numbers and have them posted by a phone. This list should include doctors, hospital and nearby family and friends.

Planning ahead for a possible emergency eliminates a rush in the event of one and could save a life or lives.

Many Elderly Below San Francisco’s Poverty Line

Sunday, October 10th, 2010

Richard Ow, an 80 year old gentleman, lives in the North Beach Hotel. He has been a resident there for the past 40 years. He earns less than $24,000 a year from his pension as a former postal worker. He retired 20 years ago. By what the federal government says, this man is not poor; but by San Francisco’s calculations, this elderly Chinatown man is living in poverty.

Mr. Ow considers himself fortunate; some of his friends are earning less than $800 a month from Social Security. The average check in San Francisco is $11, 319 annually which is a mere $500 above the federal poverty line.

Elderly residents are increasing in numbers to line up for the food banks and free meals. And, in the same breath, the federal government doesn’t consider them poor enough to qualify for many of the federal assistance programs.

For example, the federal government considers a single person earning $10, 830 or less a year as living in poverty; however, there are many seniors that earn as much as double that figure and still living in impoverished conditions.

A recent report by the Insight Center for Community Economic Development showed that 61% of San Francisco residents ages 65 and over earn less than $27,282 annually which is the bare minimum that a senior needs to cover necessary costs of living.

To help bridge the gap in costs, seniors will end up skipping meals or cutting pills in half to make them last longer. The economic recession has added to the problems of homelessness among senior citizens. In San Francisco, the number of food stamp, or SNAP, cases have grown by 55% in the past 17 months and the San Francisco Food Bank has seen a 25% increase in their case load over the past 12 months.

Based on an article located here; please visit for more information

Preventing Abuse

Friday, October 8th, 2010

The incidence of elder abuse can be reduced, but it will take more time and effort that we are making right now. Preventing elder abuse means doing three things:

  • Listening
  • Intervening
  • Educating

If you are a caregiver and overwhelmed by the demands of caring for the elderly there are a few things you can do as well to prevent an abuse of elder incidence:

  • Request help when you need it so you can take a break
  • Find an adult day care program
  • Stay healthy
  • Seek out therapy for depression
  • Find an elder caregiver support group
  • Seek help for drug and alcohol abuse

Remember, elder abuse hotlines offer help for caregivers as well. Call a help line if you think that there is a possibility that you could cross that line and commit elder abuse.

As a concerned family member or friend, you can also help by:

  • Watching for warning signs and if you suspect abuse report it
  • Keep watch on the elder’s medications; does the amount in the container match up with the date of the prescription?
  • Watch for possible financial abuse; ask if you could scan the bank accounts and credit card statements for possible unauthorized transactions
  • Call and visit as often as you can
  • Offer to stay with the elder so that the caregiver can take a break

If you are an elder, there are ways you can protect yourself against elder abuse. Here are some ideas:

  • Make sure your financial and legal affairs are in order. If they aren’t, seek professional help to get them in order, with a trusted friend or relative if necessary.
  • Keep in touch with family and friends and avoid isolation.

If you are unhappy with the care you’re receiving, whether it’s in your own home or in a care facility, speak up. Tell someone you know and trust and ask that person to report the abuse, neglect or substandard care to your state’s APS (Adult Protective Services) office, or make the call yourself.

National Domestic Violence Hotline: 1-800 799-7233


text:
Italian Dating Services

Reviews of Italian Dating Services

Our Rating: 3/5
  • Italian Personals for Italian Dating Online.
    Meet other Italian singles now! Detailed Italian personals and photo gallery, live chat and more. Comfortable Italian dating community for Italian singles and other singles online. An Italian personals dating, friendfinder, and matchmaking service for Italian women and men looking for a partner to share friendship and romance.

    Italiansinglesconnection Benefits
    • Italian Personals 2-Way Matching
    • Send Messages Anonymously
    • Italian Dating Message Boards
    • Photo Albums & Gallery
    • Italian Chat & Send Smiles :)

    Singles seeking an Italian, or a match from anywhere in the world can build their Italian personals ad FREE and enjoy chat, message boards, a photo gallery and more. This Italian Dating Site is highly recommended.

Our Rating: 3/5
  • is one of the first and largest Italian dating services and Sicilian dating communities helping Italian men and women find romance, friendship and more. member profiles are fun to read, insightful and go a long way in helping you meet the right match. You're just one click away from getting started. Simply create a profile and get ready to browse, click and connect with wonderful Italian singles! Features include- Free Italian Singles profiles, browsing, instant messenger and more.

Featured Dating Sites: 3 for 1 125x125
Matchmaker - Begin Search
Lavalife 7 Day Free Trial


text:
TN GOP vote on budget deal blasted by conservative groups

They say Republicans 'caved' on deal

4:27 AM, Dec. 15, 2013
<b>U.S. Rep. Diane Black</b>
U.S. Rep. Diane Black
  • Filed Under

Five Republican U.S. House members from Tennessee defied their party's tea party wing as well as many conservative groups and think tanks in voting for a budget deal designed to avert another government shutdown.

Republican Reps. Diane Black of Gallatin, Marsha Blackburn of Brentwood, Stephen Fincher of Frog Jump, Chuck Fleischmann of Ooltewah and Phil Roe of Johnson City were among the 332 representatives Thursday night who voted yes.

Republican Reps. Scott DesJarlais of Jasper and John Duncan Jr. of Knoxville were among the 94 who voted no. ...

Continue reading in our paid archive

Real Deals

Flip, shop and save on specials from your favorite retailers in Iowa City, IA 52245

Top Video Picks MORE VIDEO


text:
Bon Appetit’s May issue showcases Nebo Lodge

Search photos available for purchase: Photo Store →

Andrew Knowlton, a well-known columnist at Bon Appetit, took his family to Nebo Lodge on North Haven Island last summer.

They enjoyed a rustic dinner that included “fried green tomatoes; a pickle plate starring sweet beets, Korean celery and Sriracha cabbage; fish Reuben tacos; and a grass-fed burger.”

He left the staff a pretty great tip: Knowlton writes about Nebo Lodge in the May issue of Bon Appetit, placing it on the magazine’s list of the “10 Best U.S. Hotels for Food Lovers in America.”

The lodge clocks in at No. 5, sandwiched between Dunton Hot Springs in Dolores, Colo., and Los Poblanos in Albuquerque. The top spot went to Blackberry Farm in Walland, Tenn., in the foothills of the Great Smoky Mountains.

The restaurant at Nebo Lodge, managed by chef Amanda Hallowell, is known for its reliance on seasonal local foods. Hallowell works closely with the lodge’s partner business, Turner Farm, to source meats, poultry, vegetables, cheeses and other locally grown food for the restaurant’s menu.

Both businesses are owned by U.S. Rep. Chellie Pingree and her husband, Donald Sussman, who is the majority share owner of MaineToday Media, which owns the Portland Press Herald/Maine Sunday Telegram.

In addition to preparing meals for locals and overnight guests, Nebo Lodge offers round-trip dinner cruises out of Rockland from July through September and family-style meals called Barn Suppers at Turner Farm.

Nebo Lodge will open for the season in May. In May and June, dinner will be served on Friday and Saturday only. The schedule expands in July and August to six days a week.

Kneading Conference plans tandoor oven workshop

The organizers of the annual Kneading Conference in Skowhegan have announced that this year’s conference will include a hands-on tandoor oven workshop taught by flatbread expert Naomi Duguid.

Duguid is the author of “Flatbreads and Flavors: A Baker’s Atlas,” which won a James Beard award.

Participants will work with leavened wheat flour doughs, and shape and bake tandoor breads, using a top-of-the-line tandoor oven provided by the Wood Stone Corp.

The hands-on experience will be available only to the first 20 people who sign up for the workshop, but anyone who is registered for the July 25-26 conference can attend and observe.

To participate in the flatbreads workshop, register and pay for the overall conference, which costs $300, then send an email to Wendy Hebb at [email protected] indicating interest in the workshop.

To learn more about the conference, go to

Spring Gala & Auction set for Saturday night

The Wolfe’s Neck Farm Foundation will host its ninth annual Spring Gala & Auction at the Harraseeket Inn in Freeport from 6:30 to 10 p.m. Saturday .

This annual fundraiser benefits the nonprofit organization’s efforts to promote sustainable agriculture and education, including its new Teen Ag Program.

This program offers local teens an opportunity to cultivate a foundation of skills vital to any small-scale sustainable farming operation.

In its pilot year, the teens grew nearly 4,000 pounds of produce that was donated to local food banks.

Sustainable Soiree: Raising Farmers Feeding Maine, will begin with hors d’oeuvres and desserts and feature live and silent auctions with a focus on healthy, local and sustainable products and services.

Tickets are $50 and are available online at or by calling 865-4469.

Gelato Fiasco will donate Wednesday sales to charity

The Gelato Fiasco’s Old Port location has teamed up with Preble Street Resource Center for Scooping for Community Day on Wednesday .

Mention Preble Street when you order your gelato or sorbetto, and the store will donate 100 percent of the sale to the nonprofit agency that helps the poor in Portland.

The Old Port location of The Gelato Fiasco is 425 Fore St.

For more information, go to

UMaine seeking gardeners to plant a row for hungry

The University of Maine Cooperative Extension’s Maine Harvest for Hunger program is looking for gardeners willing to plant an extra row of fruit and/or vegetables this year to donate to local soup kitchens and food pantries.

Produce most needed by the program includes fruit of all types, carrots, cucumbers, tomatoes, peppers, winter squash, onions and potatoes.

For more information or to sign up, visit the website or call the UMaine Extension office at (800) 287-1471.

— Compiled by Meredith Goad and Wendy Almeida


text:
BOSTON – Big Papi almost looks as if he never missed all that time.

David Ortiz had two hits and drove in a run, Stephen Drew hit a two-run triple, and the Boston Red Sox beat the Oakland Athletics 6-5 on Wednesday.

Search photos available for purchase: Photo Store →

“When you consider eight months down and I don’t know how many at-bats he’s had, 15 or so and you consider the number of hits he’s compiled, it is impressive,” Red Sox Manager John Farrell said. “He’s got such good plate coverage. Against lefties he goes the other way for a double and hits one through the hole.

“He’s pretty amazing to watch and he runs the bases well. There’s no issues as far as his intensity as well — as he’s run with. He’s really given us a lift in the middle of the order.”

It was Boston’s ninth win in 12 games and came after a 13-0 loss to Oakland a night earlier.

Ortiz is 8 for 16 since returning to the lineup on Saturday for the first time since last August. He missed 71 of the final 72 games last season and all of spring training with an Achilles tendon injury.

But he doesn’t feel that well yet.

“I’m not really concerned with getting injured,” he said. “But there’s still some concern because I’m not 100 percent yet.”

Ortiz has multiple hits in three of his four games.

“I work, man. I work. I’m old enough to know what I need to do to stay there,” he said. “Right now I’m not where I want to be, so I’m not trying to juice some balls. I’m trying to stay with what they give me. You see how they pitch me. I got to be patient.”

Chris Young had a three-run homer and a solo shot for the Athletics, who finished a six-game trip 1-5. They were swept at the Tampa Bay Rays over the weekend.

Jon Lester (4-0) got the win despite walking a season-high six and lasting just 5 2/3 innings. He allowed three runs on six hits, striking out five and walking two more than he had in his previous four starts.

Oakland was hurt by another rough start by Brett Anderson.

Anderson (1-4) was hit hard for the third straight start, giving up six runs on eight hits in four-plus innings. In the last three, he’s been tagged for 17 runs in 10 2/3 innings.

“It just seems like he’s out of sync at times,” Manager Bob Melvin said. “Just for whatever reasons at times, he loses his command, he gets behind. It looked like that was a little bit of the issue today.”

Anderson just feels like he needs to do anything to change his luck.

“I’ve just got to go out there and maybe help a grandma cross a street or burn my locker or something like that,” he said, “and get some better mojo going, because I’m a better pitcher than that.”

Andrew Bailey struck out all three batters in the ninth for his fifth save.

It was Lester’s 89th career win, matching Babe Ruth for fifth in club history by left-handers.

The Red Sox broke a 3-all tie and chased Anderson with a three-run fifth. Jacoby Ellsbury opened the inning with an infield hit and scored on Shane Victorino’s double. Dustin Pedroia reached on an infield hit and Ortiz followed with an RBI single. Chris Resop relieved and hit Mike Napoli with the first pitch before Daniel Nava had a pinch-hit single. After Will Middlebrooks flied out, Jerry Blevins entered and retired the final two batters, leaving the bases loaded.

Lester was pulled with the bases loaded in the sixth, but Junichi Tazawa got Coco Crisp to fly out.

Josh Donaldson’s RBI single made it 6-4 and Young’s second homer cut it to one in the eighth.

The Athletics went ahead with three runs against Lester in the fourth on Young’s homer that caromed off a billboard above the Green Monster seats, but Boston tied it with three in the bottom of the inning.

Ortiz, back in the lineup after getting Tuesday off, doubled leading off and scored on Napoli’s double. Jonny Gomes walked and, one out later, Drew tripled into the right-field corner.

NOTES: The Red Sox optioned right-hander Alfredo Aceves to Triple-A Pawtucket.

Boston made the move following Wednesday’s 6-5 victory against Oakland and one day after Aceves had a dismal outing in a 13-0 loss to the Athletics.

Aceves allowed eight runs, seven earned, and seven hits in 3 1⁄3 innings. He walked four and committed a pair of balks before he was pulled.

Aceves also made a throwing error after failing to cover first in time as the A’s capitalized on Boston’s blunders while the conditions deteriorated in a steady, blowing rain.

He is 1-1 with an 8.66 ERA in five games.

There was no word on a corresponding roster move, although the Boston Globe reported that the team plans on calling up catcher Ryan Lavarnway from Pawtucket.


text:
PORTLAND — Portland firefighters are fighting a fire that broke out Wednesday night at 324 Warren Ave.

A dispatcher for the Fire Department could not provide any immediate details, but the Happy Wheels Skate Center is located in that immediate area.

Search photos available for purchase: Photo Store →

The fire was reported just after 11 p.m.


text:
Article by EBAPE professor is the fifth best in 2013, according to columnist

FGV's picture
Printer-friendly versionPrinter-friendly versionPDF versionPDF version

Atualizado Friday 31/01/2014

The article "Explaining Brazil's vinegar revolt" – by the professor of the Brazilian School of Public and Business Administration (FGV/EBAPE) Gregory Michener, and the professor of the Universidade Federal Fluminense (UFF), Chris Gaffney - was elected one of the top five articles in Brazil in 2013 by the column "From Brazil" of the newspaper Folha de São Paulo.

According to the international correspondent and column editor, Vincent Bevins, the selection was very difficult, since Brazil has provided international readers with "great material" about what happened in the country in 2013.  Besides, the articles showed well-reasoned arguments, resulting from the high level of qualification of the authors.

The work by EBAPE's professor, published on the website of the Arabic TV Al Jazeera in June last year, made an analysis of the demonstrations that led millions of Brazilians to the streets seeking for improvements in the country’s situation. "The protests go beyond the daily challenges of Brazilians, such as corruption and poor social services. While the crisis of representation has always been part of the narrative of Brazilian politics, high taxes and low returns have never been so blatant. In essence, Brazil's current crisis reflects an archetypal formula for the revolt - high taxation without representation or social return," said the authors.

News Source : Article by EBAPE professor is the fifth best in 2013, according to columnist

Copy this html code to your website/blog to embed this press release.


text:
Sheriff's deputies plan Friday night checkpoints in Norwalk and Bellflower

The Los Angeles County Sheriff's Department is conducting DUI checkpoints tonight in the cities of Bellflower and Norwalk, and a motorcycle safety patrol Sunday in Norwalk.

The Bellflower checkpoint takes place from 6 p.m. to 1a.m., and the Norwalk one is from 6p.m. to 2 a.m.

Sheriff's officials did not give a location for the checkpoints.

Weather and time permitting, all vehicles are scheduled to be stopped. Any driver under the influence of drugs or alcohol can expect jail, license suspension, insurance increases, as well as fines, fees, DUI classes and other expenses that can exceed $10,000, said Detective Daniel A. Dail of the Sheriff's Department.

The checkpoints are done to encourage sober designated drivers and increase awareness of the dangers of impaired driving, Dail said.

In the past three years, more than 1,000 people were killed and more than 232,777 were injured in DUI-related crashes, said Lt. Tim Milliman of the Sheriff's Department.

On Sunday, extra Sheriff's Department deputies will be patrolling Norwalk looking for drivers or motorcyclists under the influence and cracking down of traffic violations.

Officials didn't specify the time or location of the patrols.

- Phillip Zonkel


text:
Powered by Max Banner Ads

 Powered by Max Banner Ads
WS runs well | Preston Citizen

WS runs well

May 22, 2012

WS sports writer

The track season has come and gone for the West Side Pirates. Although things didn’t quite turn out for the boys’ team, they still did exceptionally well by placing third at state and bringing another trophy home.

The girls also did really well by placing fourth and they were able to bring home a trophy as well, for the second year in a row.

“Our girls did fantastically,” said Coach Amanda Hansen. “We were the smallest team this year that won a trophy. But though we are little, we are fierce. We had several surprise performances to propel us to our fourth-place finish.

“Cherise Alder scored in the long jump. Lauren Porter scored in both the shotput and the discus. Our 4×100 team pulled out a fifth-place finish. Kelsey Clawson and Sydney Blair both broke school records.

This story is sponsored by Franklin County Roads & Bridge.

For the full story subscribe to The Preston Citizen: in print or online.

 Powered by Max Banner Ads

Leave a Reply

Your email address will not be published. Required fields are marked *

Dairy 2015

2015 Graduation


text:
Cheap 3-star Hotels in Brisbane

Popular 3-star Hotels in Brisbane, California

There are 5 cheap 3-Star Hotels in and around Brisbane, California. Choose a hotel below or narrow your search using the filter to the right.

Homewood Suites By Hilton Sfo Airport North Image

Themes: Family-Friendly, Business-Friendly, Romantic

5 Brisbane Hotels
Your hotel selections so far:
3-star hotels

dg is part of The Priceline Group, the world leader in online travel & related services.


text:
On The Road

“Walter Salles's On the Road is a lovely adaptation of Jack Kerouac's classic beat-generation novel, long been deemed unfilmable. Salles has proven the contrary, bringing evocative images, fresh faces, and fine emotional shadings to the famous tale of friendship, love, sex, drugs, jazz, and the American landscape.
“On the Road is a film of grace and feeling. Salles is more interested in moments of quiet revelation than fireworks or catharsis. He also has a delicate touch when it comes to period reconstitution.
“The film lingers in the senses, and the final confrontation is a low-key heartbreaker. As for his cast, Salles draws a star-making turn from Garrett Hedlund, who makes the story's catalyst, magnetic drifter Dean Moriarty, both an irresistible cad and a genuine lost soul. Kristen Stewart radiates a raw new sensuality” - Jon Frosch, The Atlantic

On The Road

No screenings currently scheduled.

Another U7 Solutions - Web-based solutions to everyday business problems. solution.


text:
Thursday, 11 November 2010

He loves me more than sparrows

photo taken at the beach where I went on a 'date' with my King.
(You can see the shadow of my hand and my mobile phone in the bottom right hand corner!)

The last few months have been challenging. Mighty Prince Warrior has had a project on that has required him to work 11 hour+ days, 6 days a week . So because of this,  my best friend and team player has been unable to contribute to help looking after the boys. The result? Tired, grumpy and burnt out Me. (I am a homeschooling Mum - but that doesn't make me super-human!) Usually I can take a few hours to myself weekly to have a break from the Boy Warriors, but because of Mighty Prince Warrior's crazy work schedule, I haven't had the opportunity.

A few weeks ago, I went to church without Mighty Prince Warrior as the poor guy had to work on Sunday, to complete the project within the deadline he had for his customer. He is just as burnt out as me. The message was from Song of Solomon 2:15-
Catch all the foxes, those little foxes, before they ruin the vineyard of love, for the grapevines are blossoming!
I am blessed to be part of a church that has phenomenal men and women of God bring a incredible messages for us week, after week, after week. This Sunday was no different. Our Senior Pastor spoke of the little foxes that destroy our relationship with God, our family, our friends or our businesses if we don't get rid of them. One 'fox' that he spoke of was 'weariness'.

I went up the front for prayer at the close of the meeting and a woman that I hadn't met before that day, prayed for me. Not knowing me or my situation, she said to me, "I feel like God is telling me that you need to get away just with Him and for some reason the place is the beach. There will be something about the saltwater that will be so refreshing for you. You will feel His presence so close at the beach that while you are walking, you will look down in the sand expecting to see His set of footprints in the sand." My heart melted and tears streamed down my face. She was right and had heard straight form God's heart.

The day before I had been talking to Mighty Prince Warrior about my need to have a break form the kids and I mentioned to him that even if we got a babysitter in, I would have no clue where to go and what to do with my time away to refresh. My King had heard me, and told me exactly what He wanted me to do to feel refreshed. That's how much He is into the details of my life. That's how much He loves and cares for me.

What happened next overwhelmed me. After I had been prayed for, and was wiping copious amounts of tears away, my friend came up to me and said, "I really feel that God is telling me to come to your house once a week and mind your boys so that you can get way by yourself, just until the end of the year." I actually had to get her to repeat herself, as I didn't quite understand what she was saying the first time. I thought that maybe I had misunderstood what she was saying. It was too good to be true. God had not only told me where He wanted me to go to spend time with Him, but had provided a way for me to go, with my friend minding my children for me.
“What is the price of five sparrows—two copper coins? Yet God does not forget a single one of them. And the very hairs on your head are all numbered. So don’t be afraid; you are more valuable to God than a whole flock of sparrows. {Luke:6-7}
And so I took my generous friend up on her offer to mind the boys so that I could go on a 'date' with my King by the beach. What an invitation He gave me, how could I refuse? He asked me to spend time with Him, and provided a babysitter - now that is romantic! My time with Him has been so sweet, as I sit and stare at the ocean that He created, and spend time with the One who loves me more than sparrows and never forgets about me.

Still taking lessons from the King,

  1. wow! that is just awesome! how good is our heavenly Father, He knows just what we need and He knows how to get it to us! I was really blessed by this post, very encouraging!

  2. Love our King, and love the photo...oh, and I love you! xoxo

  3. the moments in life that stand out... remember so that you will remember....

  4. Love this sweet Jo! So glad you got to go on a date with your Lover to the beach. It makes my heart happy to see you being loved on at this new church!

  5. Wow! What a powerful testimony of the fact that He hears and sees our need. Enjoy that time!

  6. Love the way He weaves it all together! Oh How He loves us, Oh How He loves us xxx

  7. Oh Jo, such joy at Jesus reaching into your heart of hearts. Enjoy those dates with your King. Drink in his refreshing spirit.
    I love that verse from Song of Solomon. Those foxes are cunning and we need to ever vigilant. A good reminder to me, to look after me and to make time (in all the craziness) for my King also.
    You bless me. xx

  8. I LOVE this! Is our God an awesome God, or what? He loves us so much and longs to be with us. So beautiful that He arranged a date and got a sitter too. Keep sharing your heart, you bless many.

  9. I love the way God is always on time. Never late, never early always right on time. Thank you God for that wonderful angel you sent to help Jo and her prince.

  10. Wow! God has given you a precious gift! I pray that your time alone with him refreshes your soul!

    Blessings, Joan

  11. Thank you for sharing this! I needed to be reminded how much God loves to be with each one of us.

    I pray you will be refreshed and encouraged each time you meet with God and that your boys will enjoy their time with your friend also.

  12. What a wonderful thing to do! Spending time with Him. It's so hard for us mums to do that alone. Enjoy :)

  13. OMG Jo. what a wonderful testimony and post.
    Ilove it when God shows us that he cares even about the smallest wishes and needs of our everyday life..
    I too have the need for the beach when I need down time and just to be still with the lord..
    You are truly blessed..

  14. Oh MY! I feel so encouraged after reading this, and so in awe that God has provided for you - how amazing that he wants this time with you so much that he has even made all the arrangements.. we have such a loving God!

  15. Syd~~>tearing up!
    What a beautiful testimony of God's divine timing:)

  16. What an awesome reminder that He always knows what we need and that He is willing to provide for us.

  17. Just got a chance to read this. What a sweet, sweet Lord we serve! How encouraging to see how He worked through the woman who prayed with you, and then the friend offering to watch your kids. He truly supplies all we need.

Thanks for sharing your thoughts on my lessons!

I appreciate you taking the time to comment.

Jo Princess Warrior xo


text:
Writing Your Personal Statement

You need more than a great MCAT score to get into a top med school. Your personal statement is your first opportunity to tell them who you are.

Learn how to write your med school personal statement

Applying to Medical School

United States Medical Licensing Examination (USMLE)

Learn about the USMLE board exam for medical school students.

Beyond the Numbers: Making Your Medical School Application Stand Out

The right ways to make your medical school application stand out and how to highlight the areas med schools look for in great candidates.

Writing Your Medical School Personal Statement

Write an impressive medical school personal statement and impress your dream school with our seven rules of thumb.

4 Myths About the MCAT

Four myths you need to know about the MCAT and how to beat them and boost your score.

Medical School Interview

Interviews help medical schools see the person beyond the transcript and MCAT scores, this is your chance to stand out. Here are crucial things to remember.

Medical School Interview: 4 Tips

Four tips to help you have the best medical school interview possible. From preparation to questions, we’ll help you ace the interview.

Medical School Applications

From your first application through the AMCAS to your secondary applications, we’ve got you covered. Everything you need to know about med school apps.

Advice for Nontraditional Applicants

Everything you need to know about applying to med school as a nontraditional applicant; from post-bacc training, to selling yourself & getting killer recs.

Medical School Admissions Timeline

Here is your comprehensive medical school admissions timeline to keep you on track to get your best MCAT score and into your dream med school.

Strategies for Second-Time Applicants

Curious how to get into medical school as a second time applicant? Here’s what you should focus on to improve yourself as a candidate.

Positioning Yourself for Med School: Academics and Extracurricular

Med school bound? Everything you need to prepare yourself to get into a top medical school, from great MCAT scores to good grades and extracurriculars.

Medical School Recommendations

Great recommendation letters are your opportunity to let others make your case for you. How to choose the right people and get the right messages across.

Research and Decide

Choosing a Medical School

Here are seven questions that will help you evaluate potential med schools.

Combined Degree Program

Here is the only list you need to educate yourself on combined degree programs. From the MS to the MPH and PhD, we know it all.

Medical School Training

Beyond the core curriculum that all allopathic med schools follow, each offers its own unique academic focus, teaching methods and research opportunities.


text:
Student Activities

Weekly Math Contests: Weekly sets of problems (of varying degrees of backgrounds and difficulty) will be sent to the campus community via email. Solutions will be returned within one week from the date/time the problems were sent. Solutions will be judged for originality, presentation, correctness, and time-submitted. Prizes such as pub shakes and similar low-cost items will be awarded the best solution(s) each week. The Mathematics Department will be responsible for judging the solutions.

Yearly Awards: The Mathematics Department gives yearly awards to a senior and a junior mathematics student. It is also responsible for awarding the Lee Gerber Scholarship for Advanced Study.


text:
Standard Job Posting

Basic Account Information

Creating an account with is beneficial in several ways:

  • Post Jobs
    - Job seekers can search, and apply directly to you for your available job opportunities.

  • Save Money - uses a "job posting" system to save you money. If you only have one job opening, you only have to purchase one job posting. If you have many job openings, you may purchase job postings in multiples for a discount. Pricing structure for job postings.

  • With every job posting, posting customers can see:
    1. Applicants resume, short summary and contact information
    2. How many people have looked at their job posting.
    3. How many people have applied to their job.
    4. Where else an applicant has looked once the applicant has applied to their job.
      (all while maintaining the job seekers anonymity.)
  • Option to edit job listings - If an employer would like to edit their job postings, they may purchase a Slot Upgrade. A Slot Upgrade will enable employers to alter, edit, revise, and revamp their posting as often as they like. The cost is $50.00 and the Slot Upgrade is good for the life of the posting.

Search Resumes
- The fastest way to locate the proper candidate.
Resume Search Subscriptions - Ranging from 1, 3, 6, and 12 months, Resume Subscription Packages are the most economical and effective methods for employers to post multiple jobs, and gain access to the resume database. Each package offers a number of 60-day job postings, and the ability to search at least 150 resumes. For employers that want to search the resume database, without having to keep track or skimp on their resume views, a resume subscription is the best option available! Save time, and money by purchasing a resume subscription package today!

Not seeing an option that fits your need?

Check out our specialty products


text:
‘Capitol Hill Conspiracy’: Filmmaker Dissects ‘Agitprop’ of Congressman’s ‘Spitting’ Incident

  • Print The Alex Jones Channel Alex Jones Show podcast Prison Planet TV Infowars.com Twitter Alex Jones' Facebook Infowars store

Ripple Effect Studios
Tuesday, April 1st, 2010

Jack Cashill: The early Soviets coined the word “agitprop” as a blend between the Russian agitatsiya (agitation) and “propaganda.”

Although the Soviet Union may have passed away, its communication techniques are alive and well, nowhere more demonstrably than in the media firestorm ignited on March 20 at the nation’s Capitol.

This article was posted: Thursday, April 1, 2010 at 4:54 am

Infowars.com Videos:

Comment on this article

Comments are closed.

Watch the News

ISIS Attacks: What They're Not Telling You See the rest on the Alex Jones YouTube channel.

When 'Slutwalk' Feminists Attack With Lauren Southern See the rest on the Alex Jones YouTube channel.

© 2015 PrisonPlanet.com is a Free Speech Systems, LLC company. All rights reserved. Digital Millennium Copyright Act Notice.


text:
Whether you have private medical insurance or have decided to self-pay for private treatment, your choice of doctor or surgeon can have a huge impact on the success of your treatment, and how comfortable and confident you feel throughout.

The best private doctor or surgeon for you will very much be a personal choice, depending on your own individual priorities and concerns. If you’re having a relatively routine procedure the experience of your surgeon may not be as important as, say, the reputation of his hospital for post-op infections. However, if you’re having more complex surgery, an experienced, skilled surgeon with a proven track record is vital.

The internet holds the details of hundreds of private doctors and surgeons, with many sites offering listings by specialty, such as our database of UK doctors, as well as postcode search facilities. But how do you choose between them? Broadly, private doctors can be assessed in two ways – practical and personal.

This article is written by Jackie Griffiths, a freelance journalist who writes health, medical, biological, and pharmaceutical articles for national and international journals, newsletters and web sites.

Practical considerations when choosing

Naturally, there are a few basic considerations when choosing a private healthcare professional. The most important of these is whether or not they are registered with the General Medical Council, and the relevant professional body for their specialist field. This can easily be checked on the internet.

While you‘re online you can also check out the latest inspection report on your chosen private doctor’s practice from the Healthcare Commission. This covers thirty-two core standards and a range of service-specific standards, giving you an independent assessment of each clinic.

Beyond this, you can ask the doctor about any further qualifications or experience he or she has, and how long they’ve been practicing. If you’re looking for a surgeon, you can also ask how many times they’ve performed the procedure and what their success rates are.

Many clinics will also post their own patient feedback and satisfaction scores, although these will not be independent.

Another important consideration when selecting a private surgeon is the availability of emergency or intensive care beds should anything go wrong. Many small private hospitals do not have these facilities. You should also ask about who will pay for this kind of additional treatment if it’s required.

Personal considerations when choosing

Practical thoughts aside, it is just as important that you feel comfortable and confident in your chosen doctor or surgeon. Therefore, you should try to arrange a consultation so you can get to know them a little, and make sure you’re happy with their approach and attitude. Bedside manner may seem a small consideration compared to surgical skill, but it’s an important one if you want to feel at ease.

If, for any reason, you do not feel completely comfortable with your private doctor or surgeon, then walk away and look elsewhere. There is nothing to be gained by going into a procedure worrying or unable to ask questions when you need to. There are plenty of other practitioners to choose from.

In the same way, the support of your family and friends is an important part of your recovery, so you’ll probably want to choose a clinic near to your home so they’re able to visit. This is also the case if you need to make regular out-patient visits. The convenience of your second choice surgeon may outweigh the professional benefits.

What to do next

Based on the considerations above, you should look on the internet and draw up a shortlist of possible private doctors or surgeons to see. Your GP may be able to help you with this. Then try and make an appointment to talk to each one.

Many of us can be a little overawed during a consultation with a highly qualified medical professional, and may forget to ask a question that’s very important. So before you start your search, make a list of all the issues you want to discuss. Don’t be afraid to take this list along with you to make sure you get all your questions answered.

Remember, only you will know which doctor or surgeon is right for you, so take your time and don’t be pressured into making a decision. A little time spent making your choice can yield big rewards when it comes to your treatment.

Published on

Comment on this page »

Latest news

Spire Harpenden Hospital wins prestigious industry award

Nuffield Health win award

New testing technique comes to The Royal Marsden

How to find a private doctor or surgeon?
Connect with us on:

This site compiles with the HONcode standard for trustworthy health information