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Harugeri A
Joseph J
Parthasarathi G
Ramesh M
Guido S
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:: Materials and Me...
:: Results
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:: Acknowledgment
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Potentially inappropriate medication use in elderly patients: A study of prevalence and predictors in two teaching hospitals
A Harugeri1, J Joseph1, G Parthasarathi1, M Ramesh1, S Guido2
1 Department of Pharmacy Practice, J.S.S. College of Pharmacy and J.S.S. Medical College Hospital, J.S.S. University, Mysore, India
2 Department of Pharmacology, St. John's Medical College Hospital, Bangalore, India
Date of Decision 14-Mar-2010
Date of Acceptance 19-May-2010
G Parthasarathi
Department of Pharmacy Practice, J.S.S. College of Pharmacy and J.S.S. Medical College Hospital, J.S.S. University, Mysore
Background: Geriatrics is an emerging clinical specialty in India. Information about the appropriateness of prescription medication use among the elderly in India is limited. Aims: To determine the prevalence and predictors of potentially inappropriate medication (PIM) use, and assess the relationship between PIM use and adverse drug reactions (ADRs) in the hospitalized elderly. Settings: Medicine wards at two teaching hospitals. Design: Prospective observational study. Materials and Methods: Patients aged > 60 years admitted to medicine wards between January 2008 and June 2009 were included and reviewed for PIM use according to the Beers Criteria 2003 (BC). Severity of PIM use was classified as per BC as 'high' or 'low'. ADRs observed in the study patients were also recorded. Statistical Analysis: Association between ADRs and PIM use was assessed using Chi Square test. Bivariate analysis and subsequently multivariate logistic regression was used to identify predictors of PIM use. Results: PIM use was observed in 191 of 814 enrolled patients. At least one PIM at admission and during hospital stay was received by 2.4% (20) and 22.1% (180) patients respectively. High-severity PIM use showed a higher prevalence compared to low severity [26.8% (218) vs. 5.5% (45)]. Amongst the patients who received polypharmacy (> 5 concurrent medications), 1.4% (5/362) and 22.1% (163/736) patients received PIMs at admission and during hospital stay respectively. Use of aspirin/clopidogrel/diclofenac in the presence of blood clotting disorder or anticoagulant therapy (8.3%) was the most commonly encountered PIM use. Medications not listed in BC were associated with increased occurrence of ADRs compared to medications listed in BC (349 vs. 11) (χ2 =98.4, P<0.001). Increased number of concurrent medications' use (≥9) during the stay in medicine wards was identified as an influential predictor of PIM use [Odds ratio: 1.9, 95% Confidence Interval: 1.34-2.69, P<0.001) in the hospitalized elderly. Conclusion: PIM use was common (23.5%) among the elderly patients during their stay in medicine wards in two tertiary care hospitals. Measures targeted only at BC medications may do little to change the risk of ADRs in elderly.
Keywords: Adverse drug reaction, aged, drug utilization review, geriatrics, India, prescriptions
Harugeri A, Joseph J, Parthasarathi G, Ramesh M, Guido S. Potentially inappropriate medication use in elderly patients: A study of prevalence and predictors in two teaching hospitals. J Postgrad Med 2010;56:186-91
Harugeri A, Joseph J, Parthasarathi G, Ramesh M, Guido S. Potentially inappropriate medication use in elderly patients: A study of prevalence and predictors in two teaching hospitals. J Postgrad Med [serial online] 2010 [cited 2022 Jan 19];56:186-91. Available from: https://www.jpgmonline.com/text.asp?2010/56/3/186/68642
Several factors contribute to greater propensity of adverse drug reactions (ADRs) in the elderly, including potentially inappropriate medication (PIM) use. Elderly patients are prescribed PIMs in an ambulatory setting and during hospitalization. [1],[2],[3],[4],[5] About one-fourth of the adverse outcomes in the elderly are estimated to be due to PIM use. [5],[6]
Geriatrics is an emerging clinical specialty in India. Information related to quality of medication use among the elderly in India is limited. There is a need for prospective studies that evaluate PIM use and burden of adverse events due to PIM use in India. [7] Our study presents and discusses the prevalence and predictors of PIM use, and association between PIM use and ADRs in patients aged > 60 years at admission and during their stay in medicine wards.
:: Materials and Methods
The prospective observational study was conducted in the medicine wards of two teaching hospitals located in the state of Karnataka, southern India. The study was approved by the ethics committees at both the hospitals. Patients aged > 60 years admitted to medicine wards receiving at least one medication at admission and /or prescribed with at least one medication during hospital stay were randomly (convenience sample collected opportunistically) included between January 2008 and June 2009 after obtaining written informed consent. The included patients were reviewed from the day of admission to discharge for PIM use and ADRs. Beers Criteria 2003 (BC) were used to assess PIM use. [8] The BC classifies PIM use into two types, the first type includes medications which should be avoided in general, regardless of the diseases/conditions, in the elderly because of their risk of adverse effects and the second type includes medications in doses considered as higher than normal for the elderly and which should be avoided in the presence of specific diseases/conditions. Considering the severity of adverse outcome, the BC classifies PIM use as 'high' or 'low'. Causality of the ADRs was assessed using Naranjo's algorithm. [9]
Patients' records, medication history and where appropriate, discussion with patients' attendants and healthcare professionals formed the source of data for the identification, documentation and assessment of PIM use and ADRs. Similar to previous studies, [10],[11] polypharmacy was defined as concurrent use of five or more medications. Prevalence of PIM use among patients with specific characteristics was calculated by considering the number of patients receiving PIM as numerator and number of patients with specific characteristic as denominator. Prevalence of PIM use at admission/during the stay in medicine wards, considering/regardless of diseases/conditions, and their severity was calculated by considering the number of patients with PIM use as numerator and total number of patients included in the study as denominator.
Association between ADRs and PIM use was assessed using the Chi Square test. Using bivariate analysis, predictors associated with PIM use were identified (independent variables). Multivariate logistic regression by enter method was used to evaluate the influence of these independent variables on PIM use. Statistical analysis was carried out using Statistical Package for Social Science (SPSS) Version 17.0; a P value <0.05 was considered as statistically significant.
A total of 814 patients were included. Of the included patients, 59.9% (488) were in the age group of 60-69 years, 31.3% (255) were in the age group 70-79 years and 8.7% (71) were aged ≥80 years. The median age of the study population was 66 years (range 60-95 years). The study population comprised of 60.6% males [Table 1]. Average number of concurrent medications received by the patients at admission and during stay was 2.9 (range 1 to 12) and 9.4 (range 1 to 22) per patient respectively. The majority of the patients (58.1%) stayed in the medicine ward for 5 to 9 days while a small number of patients (4%) stayed for 15 days or longer. On an average 7.6, 9.2 and 11.5 medications were used during hospital stay in patients who stayed for ≤ 4, 5 to 9, and >10 days respectively. Most of the patients were diagnosed to have two diseases (32.6%) followed by three (26%), four or more (22.4%) and one (19%) disease. Essential hypertension (41.5%), non-insulin-dependent diabetes mellitus (34%) and chronic obstructive pulmonary disease (18.5%) were the three most frequent diagnoses in the study population.
Table 1: Patient characteristics and prevalence of potentially inappropriate medication use
PIMs were received by 191 (23.5%) patients. At least one PIM at admission and during hospital stay was received by 20 (2.4%) and 180 (22.1%) patients respectively. PIM use was observed both at admission and during hospital stay in nine (1.1%) patients. One, two and three PIMs were received by 134, 46 and 11 patients respectively. Polypharmacy was observed in 44.5% and 90.4% of patients at admission and during hospital stay. Amongst the patients who received polypharmacy, 1.4% and 22.1% patients received PIMs at admission and during hospital stay respectively. High-severity PIM use showed a higher prevalence compared to low severity (26.8% vs. 5.5%). Also, considering or without considering the diseases/conditions, prevalence of high-severity PIM use was more than low severity (9.3% vs. 0.1% and 17.4% vs. 5.4%).
Considering both at admission and during hospital stay, the prevalence of PIM use regardless of the diseases/conditions was higher than considering the diseases/conditions (22.8% vs. 9.5%). The most common PIMs identified, regardless of the diseases/conditions, at admission were digoxin (0.5%) and nifedipine (0.5%) while mineral oil (liquid paraffin) (6.4%) and propoxyphene (usually in combination with paracetamol) (2.5%) were the most common PIMs used during the hospital stay [Table 2]. Considering the diseases/conditions, the most frequently observed PIM use at admission was use of diclofenac/ibuprofen in the presence of gastric ulcer (0.4%). Use of asprin/clopidogrel/diclofenac in the presence of an anticoagulant (8.3%) was the most commonly encountered PIM use during hospital stay [Table 3].
Table 2: Prevalence of potentially inappropriate medication use
A total of 360 ADRs were observed in 292 patients. Of these, 11 (3%) ADRs observed in 11 patients were due to medications listed in BC. All 11 ADRs due to medications listed in BC were due to PIM use regardless of the diseases/conditions during hospital stay. Of these 11 ADRs, three were due to clonidine, two each were due to amiodarone, diazepam, hydroxyzine and digoxin. Among the ADRs due to medications not listed in BC (349), insulin (14%, 49), furosemide (6.3%, 22) and prednisolone (5.1%, 18) were the most frequently implicated medications in ADRs. Medications not listed in BC resulted in more number of ADRs than medications listed in BC [χ2 =98.4, P<0.001 (df=1)] [Odds ratio (OR): 13.51 {95% confidence interval (CI): 7.19-25}; P<0.001].
Bivariate analysis identified increased number (≥9) of concurrent medications' use during hospital stay (OR: 2.33, CI: 1.58-3.43, P<0.001) and prolonged length of stay (≥10 days) in medicine wards (OR: 1.95, CI: 1.19-3.21, P=0.006) as predictors of PIM use [Table 4]. Among these predictors, increased number (≥9) of concurrent medications' use during hospital stay (OR: 1.9, CI: 1.34-2.69, P<0.001) was found as the only influential predictor of PIM use [Table 5]. Gender, age, number of diseases and number of concurrent medications used at admission did not predict PIM use.
Table 4: Bivariate analysis: Predictors of potentially inappropriate medication use
Table 5: Multivariate logistic regression: Predictors of potentially inappropriate medication use
A PubMed and OvidSP search using 'elderly', 'drug utilization' and 'India' as the search terms found that ours is the largest prospective study of PIM usage evaluation in the hospitalized elderly in India. The main findings of the study are that 23.5% of study patients received at least one PIM (at admission or during hospital stay) and more than one-third of these patients were prescribed aspirin/non-steroidal anti-inflammatory drug (NSAID) in presence of bleeding disorder or along with an anticoagulant . Medications not listed in BC were associated with increased occurrence of ADRs compared to medications listed in BC (χ2 =98.4, P<0.001). Furthermore, multivariative analysis showed that patients concurrently receiving ≥9 medications during the hospital stay was the influential predictor of PIM use.
The prevalence of PIM use observed at admission was low compared to that reported at admission/in ambulatory patients in other studies conducted in France (66%), [12] Switzerland (22.1%), [13] Taiwan (23.7%) [14] and United States (US) {(32%), [15] (7.8%), [16] and (32%) [17]}. This may be due to few medications received at admission. Prevalence of PIM use during hospital stay was less compared to that reported in other studies conducted in France (43.6%) [12] and US {(56%), [15] (40.7%), [18] (49.6%), [19] and (27.5%) [20]} while it was more compared to that reported in studies conducted in India (17.9%) [21] and Switzerland (15.9%). [13] The difference in prevalence is possibly due to differences in patient and disease characteristics, prescribing patterns, study settings and availability of medications listed in BC.
In contrast to the reports in other studies, [12],[22] we found that the prevalence increased by nearly 20% after hospitalization. PIMs at admission were discontinued after hospitalization in all patients. However, 45% (9) of these patients received other PIMs during hospital stay. Increased prevalence of PIM use during hospital stay highlights the need of practicing geriatrics as a medical specialty in India and the scope of continuing medical education on quality use of medicines in the hospitalized elderly.
The BC are applicable to patients aged >65 years. The cutoff age for the elderly in India and other developing countries is 60 years. [23] The cutoff age for the elderly is also supported by the low life expectancy of the Indian population compared to developed countries [64 years vs. 78 years (US) and 80 years (United Kingdom)], normal age for retirement, age boundary for senior citizenship qualification in India, and literature reports. [21],[24],[25],[26],[27],[28] Similar to other studies, [14],[16],[29] older age (≥80 years) was associated with increased use of PIMs (OR:1.68, CI: 0.93-3.04, P=0.062). In contrast to the findings of other studies, [5],[14] the number of diagnoses was not a predictor of PIM use. This could be due to very few medications used in treating the most common diagnoses in the study population that are listed in BC.
Polypharmacy observed was higher than that reported internationally. [30],[31] Increased likelihood of PIM use observed with increased medication use during hospital stay was similar to other studies. [5],[12],[14],[16],[29] In contrast with the findings of another study, [20] ≥10 days of hospitalization was associated with increased likelihood of PIM use. This is due to the proportional relationship between length of stay and number of medications used. Although increased number of medications' use may point to the likelihood of exposure to PIMs, it may not necessarily reflect the irrational use of medicines as in a few patients it may be appropriate to use more number of medications.
Increased prevalence of PIM use regardless of the diseases/conditions was due to the disease characteristics of the study population. Hypertension and chronic obstructive pulmonary disease were the only common diseases listed in BC observed in our study population. Similar to other studies we observed increased prevalence of high-severity PIM use. [15],[21],[32]
We compared our study findings with the only published study [13] to our knowledge that included medical ward patients and analyzed PIM use similar to our study. Most commonly used PIMs regardless of the diseases/conditions in the study by Egger et al., [13] were anticholinergic antispasmodics or anticholinergics and amiodarone both at admission and during the hospital stay. In our study, digoxin and nifedipine were the most commonly used PIMs at admission, and mineral oil and propoxyphene during hospital stay.
The most commonly used PIMs considering the diseases/conditions at admission in the study by Egger et al., [13] were use of benzodiazepine for >2 weeks or sympatholytics in presence of depression and use of NSAIDs or platelet aggregation inhibitors in presence of blood clotting disorders or anticoagulant. While, in our study it was use of diclofenac in presence of gastric ulcer. During hospital stay, use of NSAIDs or platelet aggregation inhibitors in presence of blood clotting disorders or anticoagulant was the most common PIM use in both, in the study by Egger et al., [13] and in our study. However, comparisons with this study [13] must be interpreted carefully for reasons that include differences in patient characteristics, sample size and availability of medications listed in BC.
Similar to the other studies, use of NSAIDs or platelet aggregation inhibitors in presence of blood clotting disorders or anticoagulant was the most widely identified PIM use. [13],[21] In a recent study from the US, warfarin alone accounted for 17.3% of all emergency department visits for adverse events. [33] However, not a single case of NSAIDs or platelet aggregation inhibitors' use in presence of blood clotting disorders or anticoagulant was observed in the study. [33] The difference in observation compared to our study may be due to difference in study settings and prescribing practices.
The aspiration of liquid paraffin causes exogenous lipoid pneumonia. [34] In a French study, duration of exposure to liquid paraffin that caused lipoid pneumonia (one month to 9.5 years), [35] was longer compared to our study (3 to 12 days). None of our study patients experienced lipoid pneumonia. Classification of dextropropoxyphene as a PIM and its efficacy at doses <65 mg has been questioned. [12],[36] In our study, 70% of the patients who received dextropropoxyphene, received 32.5 mg of dextropropoxyphene in combination with 500 mg of paracetamol.
Though 23.5% of the patients received PIMs, only 3% of the study patients experienced an ADR due to PIM use as per BC. Low frequency of occurrence of ADRs due to medications listed in BC is reported in the literature (3.6-11.6%). [7],[20],[33] This was also evident from our study. Interventions targeted only at BC medications may do little to change the risk of ADRs in the elderly. Interventions that are more comprehensive like targeting the medications commonly implicated in ADRs could reduce the risk of ADRs in the elderly. [7]
The study involved only two tertiary care hospitals and thus the results can neither be generalized nor extrapolated. BC does not include all medications that cause potential adverse outcomes in the elderly. This may have resulted in underestimation of prevalence of PIM use. The study did not intervene in the PIM use and did not evaluate the continuation of PIMs that were prescribed during hospital stay.
Pharmacotherapy in the elderly requires a balance between inappropriate medication use and under-treatment. PIM use was found to be common among the hospitalized elderly of medicine wards in two tertiary care hospitals of south India and was associated with patients' age, number of concurrent medications used and length of hospital stay. Measures to reduce the risk of ADRs in the elderly should target medications commonly implicated in ADRs rather than focusing only on medications listed in BC. Interventions aimed at rational medication use in elderly Indians should focus on the predictors of PIM use. There is a great scope for conducting intense research to determine inappropriate medication use and its health-related adverse consequences in the increasing Indian elderly population.
The authors sincerely thank the staff of the Department of Medicine at St. John's Medical College, Bangalore and JSS Medical College Hospital, Mysore for their help and cooperation in access to patients and treatment charts during the study period, as well as Mr. Rohan Elliot, Geriatric Clinical Pharmacist, Austin Repatriation Hospital, Melbourne, Australia for his comments and suggestions on the earlier versions of the manuscript. Our thanks to Indian Council of Medical Research for the Senior Research Fellowship awarded to Mr. Harugeri during the conduct of this study. We also extend our thanks to St. John's National Academy of Health Sciences, Bangalore, JSS Mahavidyapeetha, and Principal, JSS College of Pharmacy, Mysore for their support and encouragement.
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16 Knowledge and judgement of the criteria of potentially inappropriate prescription
Rodríguez Samper, Ma.C. and García Mart�inez, E.Ma. and Valladolid Walsh, A. and Hernández Sansalvador, M.
Atencion Farmaceutica. 2013; 15(2): 99-105
17 Polypharmacy and Food-Drug Interactions Among Older Persons: A Review
Heuberger, R.
Journal of Nutrition in Gerontology and Geriatrics. 2012; 31(4): 325-403
18 Guiding principles for the care of older adults with multimorbidity: An approach for clinicians: American Geriatrics Society expert panel on the care of older adults with multimorbidity
Ickowicz, E.
Journal of the American Geriatrics Society. 2012; 60(10): E1-E25
19 Patient-centered care for older adults with multiple chronic conditions: A stepwise approach from the American Geriatrics Society: American Geriatrics Society expert panel on the care of older adults with multimorbidity
Journal of the American Geriatrics Society. 2012; 60(10): 1957-1968
20 Evaluation of potentially inappropriate medications among older residents of Malaysian nursing homes
Chen, L.L. and Tangiisuran, B. and Shafie, A.A. and Hassali, M.A.A.
International Journal of Clinical Pharmacy. 2012; 34(4): 596-603
21 Potentially inappropriate medication use in Indian elderly: Comparison of Beersæ criteria and Screening Tool of Older Personsæ potentially inappropriate Prescriptions
Nagendra Vishwas, H. and Harugeri, A. and Parthasarathi, G. and Ramesh, M.
Geriatrics and Gerontology International. 2012; 12(3): 506-514
22 Polypharmacy leading to adverse drug reactions in elderly in a tertiary care hospital
Romana, A. and Kamath, L. and Sarda, A. and Muraraiah, S. and Jayanthi, C.R.
International Journal of Pharma and Bio Sciences. 2012; 3(3): P218-P224
23 A critical analysis of the methods used to develop explicit clinical criteria for use in older people
Marriott, J. and Stehlik, P.
Age and Ageing. 2012; 41(4): 441-450
24 Clinical Practice Guidelines for Chronic Diseases-Understanding and Managing Their Contribution to Polypharmacy
Ruberu, R.P. and Fitzgerald, S.P.
Clinics in Geriatric Medicine. 2012; 28(2): 187-198
Hunsur Nagendra Vishwas,Anand Harugeri,Gurumurthy Parthasarathi,Madhan Ramesh
Geriatrics & Gerontology International. 2012; 12(3): 506
26 Patient-Centered Care for Older Adults with Multiple Chronic Conditions: A Stepwise Approach from the American Geriatrics Society
Journal of the American Geriatrics Society. 2012; 60(10): 1957
27 Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians
Journal of the American Geriatrics Society. 2012; 60(10): E1
28 Clinical Practice Guidelines for Chronic Diseases—Understanding and Managing Their Contribution to Polypharmacy
Ravi P. Ruberu,Stephen P. Fitzgerald
Clinics in Geriatric Medicine. 2012; 28(2): 187
Li Li Chen,Balamurugan Tangiisuran,Asrul Akmal Shafie,Mohamed Azmi Ahmad Hassali
International Journal of Clinical Pharmacy. 2012; 34(4): 596
30 Polypharmacy and Food–Drug Interactions Among Older Persons: A Review
Roschelle Heuberger
Journal of Nutrition in Gerontology and Geriatrics. 2012; 31(4): 325
J. Marriott,P. Stehlik
Age and Ageing. 2012; 41(4): 441
32 Prevalence of potentially inappropriate medication use in the geriatric population in a private hospital in Mexico City [Prevalencia de prescripción de medicamentos potencialmente inapropiados a la población geriátrica de un hospital privado de la Ciudad de México]
Jasso Olivares, J.C. and Tovar Serrano, A. and Cuadros Moreno, J.
Medicina Interna de Mexico. 2011; 27(6): 527-534
33 Frequency and nature of adverse drug reactions in elderly in-patients of two Indian medical college hospitals
Harugeri, A., Parthasarathi, G., Ramesh, M., Guido, S., Basavanagowdappa, H.
Journal of Postgraduate Medicine. 2011; 57(3): 189-195


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text:
Q: Changin unwanted HTML from plugin generated code I'm using the WP plugin Really Simple Breadcrumbs and it generates these links for me:

    Example 1
   " >> "
    Example 2
   " >> Blog Page Title Lorem"

I need to change two things in this html.  One, I need to rewrite the first link to say  Blog .  Second, I need the trailer "Blog Page Title Lorem" to be deleted.  Third, I'd like to change the >> to >.  I think all of these would use the same technique so Im listing them all in the same question.  I'm open to JS, jQuery, CSS display/hide tricks, whatever works. How do I do this?

A: If you go into the plugin folder you will find breadcrumb.php
In that file there will be a variable called $seperator that has its value set to >> and you should be able to alter it there.
If you want to change any the CSS for for the  just use .breadcrumb a in your style.css file.
As for changing the content titles, those are generated by the plugin via the information in your database ( titles, slugs, permalinks etc etc ). The first link SHOULD take your blog title as its paramater. If it's not, before the loop starts in breadcrumb.php you could also write that in before so that it's always generated.
Blog page lorem being the last in the crumbs should be assigned to whatever page you have. If you can find the spot in breadcrumb.php that generates that, you could delete it and put this in there:
the_title();
Best of Luck.

A:
To get the next text-node after element, Use nextSibling.nodeValue. The Node.nextSibling read-only property returns the node immediately following the specified one in its parent's childNodes list, or null if the specified node is the last node in that list.
The Node.nodeValue property returns or sets the value of the current node.

To set the href of the first element, index which is first argument in each could be used.
Try this:

$('a').each(function(index, item) {
  if (index === 0) {
    item.href = '/blog';
  }
  item.nextSibling.nodeValue = ' > '
});

   Example 1  " >> "
   Example 2  " >> Blog Page Title Lorem"

Fiddle here

A:

//
//find first child and change href
document.getElementsByClassName('breadcrumb')[0].children[0].href='"/blog"';
//find first child and change innercontent
document.getElementsByClassName('breadcrumb')[0].children[0].innerHTML='Blog';
//find all nodes in breadcrumb
var all_nodes=document.getElementsByClassName('breadcrumb')[0].childNodes;
//loop through to find pattern
for(var i=0;i<all_nodes.length;++i){
//replace any pattern with Blog.....and replace it with nothing
all_nodes[i].textContent=all_nodes[i].textContent.replace(/ *Blog Page Title Lorem */,'');
//replace all >> with >
all_nodes[i].textContent=all_nodes[i].textContent.replace(/ *>> */,'>');

}

    Example 1
   " >> "
    Example 2
   " >> Blog Page Title Lorem"

redpajama_set_name: RedPajamaStackExchange


text:
Shadow of the Tomb Raider Announced as Free PS Plus Game for 'As Long as It Takes to Get Someone to Play This Fucking Thing'
BY Kyle Sekaquaptewa ON January 1, 2019
SAN MATEO, Calif. — PlayStation executives announced today that Square Enix's Shadow of the Tomb Raider will be this month's free PS Plus game, and will remain in the lineup for "as long as it takes to get someone to play this fucking thing," according to a Facebook Live stream this morning.
"Alright everyone sit down and shut up, I've got some things to get off my chest," the video began abruptly, filmed from the desk of PlayStation's lead marketing executive, Dennis Moore.
"You fucking people thought you could just ignore Tomb Raider in favor of Red Dead Redemption 2, Call of Duty: Black Ops 4, Spyro Reignited Trilogy, Super Smash Bros: Ultimate and other better games? Well guess what jackasses: It's here to stay until a million of you little shits download it."
"That's right, Lara Croft's dirty face is gonna stare at you from your PS4 dashboard until you miscreants at least finish the tutorial chapter," Moore continued. "I can wait you motherfuckers out, just try me."
In the video, Moore appears to take a double shot of whiskey, before closing his eyes and rubbing his temples in slow circles.
"We tried to drop the price by 20 bucks a week after the game came out, and none of you bastards would bite," Moore said quietly, before pounding the desk and shouting, "IGN gave this thing a 9 out of 10 for Christ's sake! They called it a narrative milestone for the series and a fitting conclusion to an already outstanding Lara Croft trilogy! Are your hearts made out of fucking stone!?"
Moore, now visibly shaken, took a long moment to stare into the camera before giving one final ultimatum.
"Listen to me very carefully. We've been incredibly generous giving away these free games every month. But if you entitled fucks don't start pulling your weight around here, we'll have no choice but to put No Man's Sky in that second free game slot. The original version."
"This is not a threat, this is a promise," Moore said into his camera before finishing the bottle of whiskey, smashing it against the ground and roaring in an animalistic manner.
More posts in Video Games »
Masked, Gun-Wielding Video Game Protagonists Demand Better Working Conditions

redpajama_set_name: RedPajamaCommonCrawl


Items where Author is "ESHA FIRNANZA, 1215051022"
ESHA FIRNANZA, 1215051022 (2017) PENENTUAN LITOLOGI LAPISAN BAWAH PERMUKAAN BERDASARKAN MODEL KECEPATAN 2D TOMOGRAFI SEISMIK REFRAKSI UNTUK GEOTEKNIK JALAN TOL. FAKULTAS TEKNIK , UNIVERSITAS LAMPUNG.
This list was generated on Fri Apr 19 13:29:11 2019 WIB.


Can anyone with a ruler tell me how tall the infantry for this game stand? (Particularly the blue axe and shield infantry?).
Its a block version of Third Reich but a bit easier. Big problem is the defender gets to fire first, loses are removed, then attacker fires… if say UK and USA attack the same German territory the defending Germans roll both times against them. This is a ridiculous rule IMO. The good thing about it is the fog of war and its more efficient method is stacking. Many of the rules are verbatim ripped from 3R but thats a good thing anyway for the most part. you can use the map for AA pieces. I have the rules for BB ( barrys bastardization) which is the conversion of EE to AA.


text:
Search in titles only Search in Older cases only
Sleuthing
Older cases
Would the truth made a difference?
Previous 1 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 template Next
steve17 replied
Adam Walsh
Originally posted by donttellthejury View Post
http://abcnews.go.com/US/adam-walsh-...ry?id=13037931
snipped
"Ego was involved and tunnel vision," Mathews said of Hoffman. "And the tunnel vision is that you come up with your own hypothesis as to what took place and you work that case to validate your own hypothesis."
Brenda • March 14
Q AND AS YOU STAND IN THE DOORWAY TO HER ROOM, WHAT ARE YOU ABLE TO SEE AS THE DOOR IS OPEN?
A HER BED.
Q DESCRIBE THE BED FOR US, WOULD YOU?
A HER BED HAD A LOT OF ITEMS ON IT.
SHE HAD PUT HER BEANBAG ON THERE. IT HAD A BIG DOG.
(Danielle had time to change pajamas and put her beanbag chair on the bed before she left the house, whether willingly or with the use of force.
The beanbag chair had the blood DNA from Derek and the blood DNA of an unknown. Did the unknown DNA on the beanbag chair match the unknown DNA on Danielle's blanket?
Was there a transfer of blood evidence when Danielle put her beanbag chair on her bed, on top of the bloody blanket?
How many bloodstains were on the beanbag chair that was discovered on Danielle's bed? 8 or so bloodstains?
It's too easy now. The Dusek "house of cards" is imploding a bit more every day.)
So Danielle was removed from her bed without the beanbag chair being knocked onto the floor. Presumably she didn't struggle.
Re: Unidentified hairs and fingerprints
http://www.sdjewishworld.com/2016/04...childs-murder/
For example, Danielle was not the only member of the Van Dam family whose DNA was found in the recreational vehicle; so too was that of other members of her family, so it was possible, Feldman argued, that the trace amounts of Danielle's blood and hair might have been left on Westerfield's clothing and in his home and RV on other innocuous occasions.
(Ask and you shall receive. Sometimes it takes 14+ years for the reception.)
I would REALLY like to know more about that DNA. Blood? Hair? And why didn't this come out at the trial? Did the prosecution conceal it? Was it only discovered afterwards during more testing in the hope of finding extra evidence against Westerfield?
donttellthejury
donttellthejury replied
Re: The evidence
It's late in Germany.)
(Dude, you don't live in Germany.)
I never said I lived in Germany, did I? Case closed for tonight.
Last edited by donttellthejury; 05-01-2016, 12:11 AM. Reason: Just being a dumb-ask again!
No results found for "supermega made up numbers".
(Did ya think to look up supermegamadeupnumbersthatcouldbewords?
I didn't think so! Good night. It's late in Germany.)
Last edited by donttellthejury; 05-01-2016, 12:11 AM. Reason: Good drugs? Bad Drugs? Save an edit and a line. Not sure how many lines we're allowed.
If a 13 for 13 DNA match is in the supermegamadeup numbers category,
Results for supermega made up numbers (without quotes): look it up, if you really care. I'm tired.
Last edited by donttellthejury; 05-01-2016, 12:10 AM. Reason: Monkey see, monkey do?
Westerfield was a 36 point favorite and lost! Yes, LOST!
(If we shaved 10 points, it's still minus 25 degrees in the Westerfield camp.
If a 13 for 13 DNA match is in the supermegamadeup numbers category, imagine what the number for a 25 for 25 DNA match would be. No, not double. There's a number for it, but if I told you'd I'd have to, well... you know sumtin about killin' ya with kindness, etc.
An illustration of how numbers can be used.
Would you rather have 1 dollar or 1/900,000,000,000 extended to 14 or 15 zeroes. This is an example where zeros represent a smaller number when added to the original number.
The DNA stats are FRACTIONAL. What are the chances?
You're telling me the odds of this happening are ???
I'm telling you, it didn't happen the way it was presented on TV. Read the book, as they've been telling me all my life.
No thanks. I'd rather be flinging horseshoes. Live about a mile from a race track, I believe, and there's a horse racing barefoot. He or she'll get over it.)
Last edited by donttellthejury; 05-01-2016, 12:10 AM. Reason: I wanted to see how a line at the bottom would look. Looks Good!
The IMPORTANT numbers FAVORED Westerfield. REVISED
Let's determine a betting line.
...Also, the line jumps to Westerfield -30. DNA from Danielle and TWO OTHER members of her family explains how her blood ended up in the motor home. You'll have to ask the two members of the van Dam family who escaped death inside the motor home how and when Danielle bled in the motor home? And, how did they escape without Danielle? Sounds as if somebody brought Danielle to Westerfield, doesn't it?
Anybody agree that DNA from Danielle and two members of her family equals transfer? If not, explain how the DNA of two other members of the victim's family ended up in the motor home? You understand why this information was released 14 years later by FELDMAN. He must have KNOWN there was DNA from three members of the van Dam family inside the RV / motor home / death coach, but decided that wouldn't help Westerfield's alibi?)
I'm shifting the line to -36, because of the fingerprint evidence. No evidence of Westerfield in the drywall or studs, either. Not sure if a stud ever lived in that house.
Westerfield was a 36 point favorite and lost! Yes, LOST!!
Well, does that mean there's an underdog with 36 points against him, her, or them wandering FREE?
The 36 items that EXCLUDE Westerfield the convicted and INCLUDE Danielle's killer. Too simple, but sometimes the truth is that simple.
Lies tend to be more complicated. Too many versions to keep track of.
Wow, 36 items that say WESTERFIELD is innocent and these 36 items need to be matched up with their true owner / owners. My math, your numbers, sort of.
I won a last man standing NFL football pool picking HOME TEAMS -8 or more. They just have to WIN. No points involved in the bet.
A 17 week win streak and I had to share the pool with three others? Two at 17-0 and an equal payoff for a 16-1 4th place finisher. Never figured that one out.
The only undefeated season in the NFL was the '72 Dolphins...
and the 18-1 Patriots, and the 15-1 Raiders, and the 3-9 Houston Oilers.
I would have won, EXCEPT, I was WRONG!
No excuses. Here are the results, here's the ticket you're still holding. Who's fault is that? You're right, should have kicked the field goal. -36 though? Yes, minus 36 in Green Bay.
Math works, SDPD doesn't!
Soon, soon!)
Last edited by donttellthejury; 05-01-2016, 12:09 AM. Reason: Updated information. Breaking news...
Re: Would the truth made a difference?
10. Bill Libby talked about a trip to Italy that Damon had planned and the last moment he changed the plans for the entire family to go. When Damon travels he takes his boys, and Brenda takes care of Danielle.
(Did the boys already have passports? Was it necessary for them to get an updated passport photo? Maybe they didn't have passports yet. Did the 911 dudes have passports or even expired passports? Fire proof passports? Jet fuel proof passports?
I don't know, I'm banned in 80 countries. Are there that many countries? Lucky guess! Again!!)
Last edited by donttellthejury; 05-01-2016, 12:08 AM.
Originally posted by steve17 View Post
To me, this looks like strong evidence of innocence - of all the charges.
Number of items connecting Westerfield to any part of the van Dam PROPERTY? Zero. Should be at least one. -1
Number of items connecting Westerfield to Dehesa or Danielle's body at Dehesa? Zero. Should be at least 1. -2
Number of van Dam family members leaving DNA in the recreational vehicle? Three.
Should be zero or 1. -3
Number of dark brown hairs found on Danielle's body at Dehesa that excluded Westerfield? Two. -5
Number of hairs found on item 89 which exclude Westerfield and source from somebody else who just randomly happened to have their hairs discovered on the blanket of a dead girl? A dead 7-year-old girl. Five. -10
Number of condom wrappers stuck to Danielle's buttocks which exclude Westerfield? One. -11
Number of white sheets found at Dehesa? One.
Trick question. Only 1 white sheet was found at Dehesa.
Number of white sheets wrapped around the victim's body that weren't photographed, and specifically noted? One.
Number of bloodstains at the crime scene with a MIXED DNA profile? Two.
Number of bloodstains at the crime scene with a MIXED DNA profile that excluded Westerfield? Two. -13
Number of bloodstains in the stairwell that excluded Westerfield? Three. -16
Number of bloodstains in the garage that exclude Westerfield? One. -17
Number of bloodstains on Danielle's pajamas that exclude Westerfield? One. -18
Number of times Julie changed her story about the jacket? One.
Number of pairs of pajama tops and bottoms that belonged to Danielle? Two.
Number of bloodstains collected from the motor home labeled item 84? Two. -20
Number of bloodstains on the jacket noticed by Sung Choi, Julie Mille, Molly Batone, Kelley Belem, Terrance Torgersen, and Karen LeAlcala? Zero. -23
Number of visual examinations before Soriano noticed the blood stains on the jacket? Three.
Sometimes teams favored by 23 points do lose. On the court though, not in court!!!
Or there is a 23 for 23 exclusion for Westerfield on items with DNA evidence associated. You know 24-24, 100% excluded!!
Is that really possible for a person who's actually committed a crime to be excluded to 24 pieces of DNA associated evidence? Mathematically? NO!!!
The line shifted with the knowledge of DNA from 3 or more members of the van Dam family identified.
Also, the line jumps to Westerfield -30. DNA from Danielle and TWO OTHER members of her family explains how her blood ended up in the motor home. You'll have to ask the two members of the van Dam family who escaped death inside the motor home how and when Danielle bled in the motor home. And, how did they escape without Danielle. Sounds as if somebody brought Danielle to Westerfield, doesn't it?
Douglas Pierce
DHP In my opinion: "I believe there was a preexisting relationship between Brenda Van Dam and the Accused.
Based on the comments of the PR team within the Van Dam home on February 6, 2002. I overheard the following statement by two female PR persons in the van Dam house what are we going to do about Brenda and Westerfield".
(Hearsay's fun, isn't it? For the jury, everything is hearsay. After all, they weren't there when it happened and they don't know who has something to hide and who doesn't.
The betting line will go up when the vague number totals of, fingerprints and blood exclusions are released.
The no evidence of Westerfield in the van Dam house will go up by 6 if there were six prints that excluded the dude convicted of this FIXED horse race. But then again, which horse race isn't fixed? And you know that how? Got cha, again.)
Reve Walsh still remembers the last conversation she had with her six-year-old son Adam at a Florida shopping mall.
"I said, 'I'm going right over here to the lamp department,' and he said, 'Okay, Mommy, I know where that is,'" Walsh told "Nightline."
Q WHAT DID YOU DO AT MERVYN'S?
A DANIELLE TRIED ON A LOT OF CLOTHES. WE WERE TRYING TO FIND SOMETHING SPECIAL, FOR THE THEME. AND WHILE SHE WAS TRYING ON CLOTHES, DYLEN AND DERRICK WALKED OVER TO THE LITTLE TOY SHOP RIGHT OUTSIDE OF MERVYN'S AND DERRICK HELPED HIM PICK A PRESENT.
Q FOR THE BIRTHDAY PARTY?
A FOR THE BIRTHDAY PARTY. WHILE DANIELLE WAS TRYING CLOTHES, I RAN OVER AND PAID FOR THE GIFT AND BROUGHT THE BOYS BACK. SHE WAS STILL IN THE DRESSING ROOM CHANGING. WHEN WE WERE FINISHED, AND SHE HAD DECIDED ON HER GIFT, WE PAID AND THEN WE WENT HOME.
(Watch the video and experience a dé·jà vu. Mistakes by the detectives. Confessions ignored. Physical evidence that should have led to the killers. You know, stuff like that kinda of stuff, ya know?
Statistically it's probably a safe move to leave your kids alone in a department store. How often do you hear of children being abducted from department stores or shopping malls?
The truth renders up a negative image sometimes, so let's present it in a different way, easier to digest with the sugar coating added.
Adam Walsh was left alone and paid the ultimate "price on earth".
Danielle was left alone at the shopping mall and survived.
Danielle was left with no adult supervision while Brenda was driving to the pizza delivery place, but remained safe at home, protected by her brothers and dog.
NOPE, Danielle was safe at home in her bed before she went missing. Protected by her father, a 6 month old dog, her two brothers and a house alarm system. I'd feel safe. When you think about it, mom was home too when Danielle went missing, was abducted, ALLEGEDLY!!
Besides, alarms and locks are designed for criminals. Not mine, sumtin I picked up down south. Glad that's the only thing I picked up. NO, I'm talking about picking up hitchhikers with axes, 12 packs of Bud Light, and 4 pack abs.
Kevin from "Home Alone" is about the only security system Danielle would have needed. Everything designed to protect her and make her feel SAFE, FAILED!!
Pass more legislation so we can have an excuse for more dead kids. Legislation doesn't change people, it changes the law. It's up to people to help change people, if change is desired. You can keep the change, give me the dollar bills. Show me da money.
Kids are being murdered and it's not by people with a different religion or live in a desert environment.
After we find the terrorists preying on our children, should we invade borders of sovereign nations to get the real terrorists on the CIA payroll.
National Security, you know.
"Your honor, I may have been speeding, but it was a matter of National Security and, well, you know, how that story ends.)
What disturbs me about that article is not so much that the author seems to believe that Westerfield is guilty, but that apparently so does Feldman. Of course, it's possible that the author was just seeing Feldman's statements through his own filter. But let's look at the evidence. Based on the prosecution scenario:
1) Westerfield must have walked from his house to Danielle's
There's no supporting evidence.
2) He was in Danielle's house for an hour or more
Again, no evidence - and the police did look. And they found foreign blood on her bed and foreign fingerprints in her home, but didn't try to identify any of that. In that house were six adults, three children, and a dog; and the house had a burglar alarm which was set and working. Westerfield is a large man, he's overweight, sweats a lot, wasn't familiar with the layout of the house, it was dark and he was drunk, but none of the occupants realized he was there, nor was any evidence of him found - even the police dogs failed to detect his scent.
3) He took her back to his house on foot
No evidence. The dog scent evidence pointed to her probably having been taken away in a vehicle parked outside her house. We know of only four such vehicles: two owned by her parents and two by their guests that night.
4) He kept her in his house for about 4 hours, presumably sexually assaulting her
Evidence: 11 human hairs (6 were on the bedding), and 19 dog hairs. So he kidnapped her dog at the same time. No blood. No Danielle pajama or bedding fibers. No carpet fibers. And the police dogs didn't alert to her scent. There's a simple and obvious innocent explanation for that evidence: she, her mother and younger brother, were in his house about two days earlier, selling cookies, while he was doing his laundry.
5) He took her in his SUV to his RV storage location
No evidence of her in that vehicle.
6) He transferred her from his SUV to his RV
No evidence. He was seen there but she wasn't.
7) He took her on a trip to the beach and desert, presumably sexually assaulting her
Evidence from his RV: 2 small blood stains (neither on the bedding), 1 handprint, 5 carpet fibers, 3 human hairs (none in the bedroom) and 5 dog hairs. So her dog went with on that trip - but was seen back at home at the same time (it's called bilocation). The handprint, 2 dog hairs, and 1 carpet fiber, were in or from the bedroom. Neither the search dog nor the cadaver dog alerted at the RV. His trip took him back home (twice), where he conversed with neighbors; there were other campers in close proximity at the beach (including a party of police officers); and several bystanders in the desert, one of whom looked into the RV as the curtains were open. But nobody saw or heard Danielle or anything suspicious: not at the beach, nor in the desert, nor when he was back in the neighborhood (twice), nor when he filled up with gas (also twice). Plausible innocent explanations for that small amount of evidence: she may have previously snuck into his RV while it was parked unlocked in their neighborhood; and Locard transfer of hairs and fibers from his house from the cookie sale.
8) He murdered her and dumped her body at Dehesa
Evidence at Dehesa: one orange fiber which matched some in his house and SUV; a number of blue fibers which might have matched some in his house and RV. No footprints or tire tracks at Dehesa, nor soil or vegetation from Dehesa on his shoes or RV. Many other fibers with the body which didn't match anything of his. A hair under her body which wasn't his. His route to and from the desert - confirmed by gas receipts, credit card records and cell-phone records - took him away from Dehesa. Four prominent forensic entomologists calculated that the body was only dumped days or even weeks after Westerfield was under 24-hour police surveillance. Possible innocent explanations for the fiber evidence: those fibers, if they matched, might have come from Danielle's own home, or if they were Westerfield's, they might have stuck to her during the cookie sale visit.
Computer pornography
That addresses the kidnapping and murder charges. What about the alleged child pornography on his computer? Trial testimony was merely that some of his porn was "questionable". So maybe the girl was under 18, but maybe she wasn't. Surprisingly, even the prosecutor expressed the same uncertainty in his opening statement in court. This was the only evidence of the supposed motive, so it's really weak evidence when the victim was only 7. Especially as a local detective said Westerfield's images weren't child porn, but wasn't allowed to testify. And the FBI tried to obtain a federal arrest warrant, but this was denied, again because it wasn't child porn. The defense hired a former customs official who had specialized in child porn crimes, who also declared it wasn't child porn. So, not surprisingly, Westerfield wasn't charged under a child porn law. The prosecutor told the jury in his closing statements that, under the law he was charged under, even a suggestive pose by a fully-clothed under-18 was illegal. And he mentioned, as an example, a photo of Westerfield's girlfriend's teenage daughter sunbathing in her swimsuit - so an ordinary family photo, which her own mother said wasn't sexual.
I questioned van Dam about her conversations with others at the bar on 2-2-02. I asked van Dam if she mentioned anything about children to anyone at the bar, including Westerfield. Van Dam stated she did not discuss anything about her family to anyone in the bar.
Because of this, it was necessary for me to seize and retain the computer(s) and other requested items above pending the acquisition of a search warrant. I have only secured the computer and have not conducted any search of its contents.
(Don't you have to wait until the search warrant has been presented, before you can seize and retain evidence?
If Westerfield wasn't allowed back into the house, what's the problem? Was he going to go through about 800 cops with guns to get inside the house and purge his computers? Yeah, right!! Fiction, pure fiction!! And it's obvious!!!)
http://www.usnews.com/news/us/articl...ugitive-rapist
After 16 years, Crystal Nunez-Vargas finally heard the words she had been waiting for Monday when a judge ordered her father released after DNA evidence linked the crimes to a serial rapist on the FBI's most wanted list.
http://www.npr.org/sections/thetwo-w...ars-for-murder
The Associated Press says DNA evidence had helped to exonerate Sledge, now 70, whose case was referred last month to the three-judge panel by the North Carolina Innocence Inquiry Commission.
"The expert said none of the evidence collected in the case — hair, DNA and fingerprints — belonged to Sledge. A key jailhouse informant had also recanted his story, saying authorities promised him leniency in his own case for his trial testimony against Sledge.
(Isn't this a terrible story line? Time for a revision? I'd say so!)


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CEA-Retired Members Elect New Leaders, Commit to Continued Activism
by Laurel Killough on May 21, 2019
Elections and activism took center stage at today's CEA-Retired meeting at the Aqua Turf Club in Southington, where members voted for leaders to represent them and learned more about federal and state policy issues facing educators.
At today's meeting, CEA-Retired members elected Mary-Beth Lang as treasurer, Bill Murray as president, Gloria Brown as vice president, and Karen DiMenna as secretary.
CEA-Retired members elected William Murray, currently CEA-Retired vice president, president. He succeeds Gloria Brown who was unable to run again due to term limits. Brown was voted in as CEA-Retired vice president, Karen DiMenna will serve as secretary for another three years, and Mary-Beth Lang was elected treasurer.
Brown, who received a standing ovation for her years of service, thanked members for giving her the opportunity to be their president. "I want you to know how much it has meant to me to be your president these last six years. It has been an honor and a joy. I'm grateful every day that we have a CEA-Retired organization that allows us to continue to be advocates after we retire."
Retirees also recognized Ina Smernoff for her six years as CEA-Retired treasurer.
"You've elected an experienced team," said Murray, who will begin his term as president July 15. "As president, the first thing I'd like to see is continued increases in membership. I'm asking everyone to help recruit more members."
CEA President Jeff Leake told retired members that CEA is concentrating on the continuum of membership, which starts with aspiring educators, continues through educators' years as active teachers in the classroom, and extends to membership in CEA-Retired. "We're focusing on the importance of continuous involvement in the union," Leake said. "I look forward to continuing to work together with CEA-Retired members in the years ahead."
CEA-Retired activism has included involvement in the political arena, and many members helped elect pro-education candidates last fall. Murray said, "We won 11 out of 13 targeted seats in the state legislature, and a big part of that was due to the activism of retired members. We're moving in the right direction—let's continue to get more people involved."
Bob Brown, who serves on the CEA-Retired Legislative Commission and as chair of CEA's Political Action Committee, echoed the importance of members staying in touch with their legislators. He said that turn out at CEA-Retired lobby day was high, and that members need to keep up the pressure on lawmakers.
"The cost shift is a big issue," said Gloria Brown. "If this passes, property taxes will go up and staff and services will be cut in our schools. We all know, with the population of students in our schools today, how detrimental those cuts would be to our children."
NEA Lobbyist Dr. Sylvia Johnson shared national issues of interest to educators and shared that NEA's current legislative priorities include education funding, immigration, the Equality Act, and the Higher Education Act.
NEA Lobbyist Dr. Sylvia Johnson updated members on national issues of concern to educators.
Johnson said that a bill to repeal the Government Pension Offset (GPO) and Windfall Elimination Provision (WEP)—federal policies that deprive Connecticut educators of the Social Security benefits they have earned—currently has 170 cosponsors in the House, but needs 290 to get to the House floor.
"Please contact your friends in other states—educators who have retired to Florida or Arizona—and ask them to reach out to their member of Congress and Senators to become cosponsors of this bill," Johnson said. "You all know how to get things done—you're retired teachers."
Retired members also heard from Helen Sullivan, who took over as the administrator of the Connecticut Teachers' Retirement Board (TRB) a year ago. She told retirees that she, the board, and her limited staff are working hard to make sure that educators and retired educators have the information they need. The TRB posts information and events to its Facebook page and has added a health insurance section on the right-hand side of the TRB webpage.
"It's very important that we keep everyone informed about what's taking place at the TRB," Sullivan said. "We do appreciate your feedback."
CEA-Retired members will hold their fall meeting September 23. In the meantime, subscribe to BlogCEA to stay up to date on news for active and retired teachers.
Tags: CEA-Retired, retired teachers
From: CEA Events, CEA News, Education news
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Fort Worth has changed quite a bit over the years, but at Shady Oak Barbeque & Grill we embrace the traditions that have made Fort Worth the gateway to the West. Our slow smoked barbeque specialties and our classic Texas cuisine are all served from the historic stone barn we built our restaurant around. Whether eating inside the comfort of our dining room, or joining us on the grass lawn on the Big Fossil Creek and enjoying some live music, we look forward to serving you and yours very soon.
The Stone Barn
Shady Oak's home, the old stone barn at Big Fossil Creek, was built in 1937 by Eugene Sergi (1895-1971), an Italian immigrant who came to America at the age of sixteen to accompany his two brothers and a sister back to Italy. Sergi liked life in America, and when the United States entered World War I, he applied for United States citizenship and joined the US Army. After the war, Sergi returned to Fort Worth, where he owned and operated the Roma Stone Company, having learned the stonemasonry trade from his father and grandfather in Italy.
The stone barn was originally built for James North, who once served as editor of the Fort Worth Star Telegram. The barn is constructed of native limestone. Its rustic appearance comes from the random arrangement of many sizes and shapes of stone pieced together by hand.
For many years, the barn stood alone beside the beautiful Big Fossil Creek. Now, with Fort Worth surrounding it, the distinctive building has found a new purpose as the home of Shady Oak Barbeque & Grill.
Shady Oak Today
The stone barn was purchased by local restauranteur Chris Carroll in the 1990's, and after building a restaurant around the original barn, Shady Oak Barbeque & Grill opened to the public in 2002. A sister restaurant to the Spring Creek Barbeque concept located throughout the state, Shady Oak continues to serve slow smoked Texas barbeque and grilled specialties to our guests at the historic stone barn. In 2010, Shady Oak began hosting local Texas musicians on the grassy lawn on the banks of Big Fossil Creek, and a schedule of upcoming performances can be found here. We look forward to hosting you soon!
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Great Park Squandered Millions, Executives Testify
July 22, 2014 /in News /by Administrator
By Kimberly Pierceall
IRVINE – Led by outside consultants and a powerful political figure, Irvine's Great Park project squandered millions on a plan without a budget nor a basis in reality, according to testimony by current and former park executives.
In depositions released this week from Irvine's ongoing audit of the park, four former full-time executives said consultants protected by councilman and Great Park Chairman Larry Agran routinely overcharged for work that didn't need to be done or had to be done over.
The testimony came from former Great Park chief executives Mike Ellzey and Walter Kreutzen as well as former chief financial officer Colleen Clark and former manager Marsha Burgess. Ellzey is now an assistant city manager in Irvine. Kreutzen, Clark and Burgess are no longer connected to the Great Park.
Agran and at least one of the consultants named in the depositions denied the accusations. Agran s
aid the claim he or the consultants inspired fear was "silly," and added that the work process described by the former executives reflect the back and forth that can happen in any business or government project.
Since 2006, more than $200 million has been spent to develop less than one sixth of the Great Park's 1,200-acre plan.
The depositions are part of an audit approved last year by the city council. Agran has been in the voting minority on the Irvine council since November 2012, and questions about his handling of the Great Park have been a political topic in the city for several years.
To date, the audit has cost more than $1 million. A final version of the report is expected next month.
Continue reading at the Orange County Register…
Tags: Great Park, Larry Agran
http://irvinecares.org/wp-content/uploads/2014/06/logo_207x100.png 0 0 Administrator http://irvinecares.org/wp-content/uploads/2014/06/logo_207x100.png Administrator2014-07-22 13:45:142014-07-22 13:45:14Great Park Squandered Millions, Executives Testify
Great Park Insider: Larry Agran's Corruption, Incompetence Worse Than... OC WEEKLY: Great Park Insider: Larry Agran's Corruption, Incompetence...


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Ibrahim Khalifa est un karatéka égyptien qui a obtenu une médaille de bronze en kumite individuel masculin moins de 60 kilos aux championnats du monde de karaté 2006 à Tampere, en Finlande.

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Références

Karatéka égyptien
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PayPal Opens Micropayment Solution To Public
Antti Vilpponen February 14, 2011
Last week PayPal announced that it has opened its micropayments solution to the public globally. In essence, it's a better way for developers, content creators and publishers to charge for small amounts of content quickly. PayPal has designed this new service to be more useful for small, quick payments instead of the traditional way of purchasing and paying for services with PayPal where you have to leave the original website you were on.
The process is relatively simple for the consumer. Once they see the "Pay with PayPal" -button on the service at hand, a small pop-up opens with the payment details. If the user is logged in to PayPal, all the relevant payment information is already shown, waiting for the approval of the user.
If however, the user is not logged in, she can do so in the pop-up or pay for the service as a guest. This naturally requires a bit more information to be entered. However, PayPal has a relatively wide reaching global user base which means many people already have an account and thus completely avoiding this step.
For reference, the company has more than 94 million accounts in 190 markets. In 2010 the total payment volume for digital goods through PayPal was $3.4 billion. Thus it's certainly one of the most important payment providers to take into account when expanding overseas with your service offering.
PayPal has priced the use of the micropayments solution somewhat affordably as well. The basic pricing is 5% of the sum at hand plus 5 cents per purchase for items under $12.
Naturally, PayPal's offering is not the only one out there, but a good contender to the competition out there for similar kinds of small payments.
More information on the selling of digital goods and micropayments can be seen from the PayPal website.
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THE GREAT COMMUNICATORS
Posted by Tim Bryce on March 1, 2013
BRYCE ON COMMUNICATIONS
– It's not just what they said, but how they connected with you.
(Click for AUDIO VERSION)
To use this segment in a Radio broadcast or Podcast, send TIM a request.
I have been a student of communications for most of my life, not just the media but how and why things are spoken. Not surprising, I am often asked who my favorite orators were. Most are politicians as the spoken word represents their bread and butter. I have six favorites who I would define as "Great Communicators": Winston Churchill, Abraham Lincoln, Samuel Clemens (Mark Twain), Theodore Roosevelt, Clarence Darrow, and Ronald Reagan. All had witty one liners, but they also knew how to deliver an important speech. In addition, all believed in preparation and rehearsal, and all spoke from the heart. Here are my favorites:
WINSTON CHURCHILL – was perhaps the best orator I've studied. Some of his histrionics in Parliament became legendary. For example, when an opponent was speaking, Churchill would divert attention away from him doing nothing more than searching his pockets for an unknown object he never could find. While the speaker was trying to make his point, the audience's eyes were fixed on Winston. His quips could be both biting and witty.
"Any 20 year-old who isn't a liberal doesn't have a heart, and any 40 year-old who isn't a conservative doesn't have a brain."
Lady Nancy Astor: "Winston, if you were my husband, I'd poison your tea."
Churchill: "Nancy, if I were your husband, I'd drink it."
George Bernard Shaw message to Churchill: "I am enclosing two tickets to the first night of my new play; bring a friend… If you have one."
Churchill's response: "Cannot possibly attend first night, will attend second, if there is one."
Churchill's orations were well known, both before and after serving as the Prime Minister of Britain. For example, he coined the expression "Iron Curtain" in reference to the menacing growth of the Soviet Union. However, the three speeches he delivered as he began his tenure as PM are generally regarded as his finest as they stirred the British resolve to press on:
"I would say to the House as I said to those who have joined this government: I have nothing to offer but blood, toil, tears and sweat. We have before us an ordeal of the most grievous kind. We have before us many, many long months of struggle and of suffering… You ask, what is our aim? I can answer in one word: Victory. Victory at all costs — Victory in spite of all terror — Victory, however long and hard the road may be, for without victory there is no survival." – May 10, 1940
"We shall fight in France, we shall fight on the seas and oceans, we shall fight with growing confidence and growing strength in the air, we shall defend our island, whatever the cost may be. We shall fight on the beaches, we shall fight on the landing grounds, we shall fight in the fields and in the streets, we shall fight in the hills; we shall never surrender, and if, which I do not for a moment believe, this island or a large part of it were subjugated and starving, then our Empire beyond the seas, armed and guarded by the British Fleet, would carry on the struggle, until, in God's good time, the New World, with all its power and might, steps forth to the rescue and the liberation of the old." – June 4, 1940
"What General Weygand has called the Battle of France is over. The Battle of Britain is about to begin. Upon this battle depends the survival of Christian civilization. Upon it depends our own British life, and the long continuity of our institutions and our Empire. The whole fury and might of the enemy must very soon be turned on us. Hitler knows that he will have to break us in this island or lose the war. If we can stand up to him, all Europe may be freed and the life of the world may move forward into broad, sunlit uplands. But if we fail, then the whole world, including the United States, including all that we have known and cared for, will sink into the abyss of a new dark age made more sinister, and perhaps more protracted, by the lights of perverted science. Let us therefore brace ourselves to our duties, and so bear ourselves, that if the British Empire and its Commonwealth last for a thousand years, men will still say, This was their finest hour." – June 18, 1940
ABRAHAM LINCOLN – Although America's 16th President was well known for his humorous storytelling, he could also deliver some pointed remarks with a dramatic flair:
"Better to remain silent and be thought a fool than to speak out and remove all doubt."
"America will never be destroyed from the outside. If we falter and lose our freedoms, it will be because we destroyed ourselves."
His Gettysburg Address in 1863 was nearly overlooked by the media as it was short and simple. His slection of words though captured the country's imagination, e.g.,; "Four score and seven years ago our fathers brought forth on this continent a new nation, conceived in liberty, and dedicated to the proposition that all men are created equal."
It was a good speech and suited the day, but perhaps his most important speech was from his second inauguration as the end of the Civil War was in sight:
"With malice toward none; with charity for all; with firmness in the right, as God gives us to see the right, let us strive on to finish the work we are in; to bind up the nation's wounds; to care for him who shall have borne the battle, and for his widow, and his orphan—to do all which may achieve and cherish a just, and a lasting peace, among ourselves, and with all nations." – March 4, 1865
SAMUEL CLEMENS (MARK TWAIN) – the author was well known for his humorous observations….
"Suppose you were an idiot. And suppose you were a member of Congress. But I repeat myself…"
"If you don't read the newspaper you are uninformed, if you do read the newspaper you are misinformed."
…But Clemens also had a serious side; here he comments on the meaning of life:
"A myriad of men are born; they labor and sweat and struggle for bread; they squabble and scold and fight; they scramble for little mean advantages over each other. Age creeps upon them; infirmities follow; shames and humiliations bring down their prides and their vanities. Those they love are taken from them and the joy of life is turned to aching grief. The burden of pain, care, misery, grows heavier year by year. At length ambition is dead; pride is dead; vanity is dead; longing for release in their place. It comes at last – and they vanish from a world where they were of no consequence; where they achieved nothing; where they were a mistake and a failure and a foolishness; will lament them a day and forget them forever. Then another myriad takes their place and copies all they did and goes along the same profitless road and vanishes as they vanished – to make room for another and another and a million other myriads to follow the same arid path through the same desert and accomplish what the first myriad and all the myriads that came after it accomplished – nothing!"
THEODORE ROOSEVELT – America's 26th president was no funnyman, but his enthusiasm was contagious and invigorated the country.
"Speak softly and carry a big stick; you will go far."
"When you're at the end of your rope, tie a knot and hold on."
"To announce that there must be no criticism of the President, or that we are to stand by the President, right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public."
When addressing a somber subject, he presented his argument in a "matter-of-fact" tone:
"In the first place, we should insist that if the immigrant who comes here in good faith becomes an American and assimilates himself to us, he shall be treated on an exact equality with everyone else, for it is an outrage to discriminate against any such man because of creed, or birthplace, or origin. But this is predicated upon the person's becoming in every facet an American, and nothing but an American…There can be no divided allegiance here. Any man who says he is an American, but something else also, isn't an American at all. We have room for but one flag, the American flag… We have room for but one language here, and that is the English language… and we have room for but one sole loyalty and that is a loyalty to the American people."
CLARENCE DARROW – well known American defense lawyer who served in some of the most electrifying cases of the early 20th century, including the Leopold and Loeb case, and the Scopes "Monkey" Trial. His wit was legendary:
"The first half of our lives are ruined by our parents and the second half by our children."
"I've never killed a man, but I've read many an obituary with a great deal of satisfaction."
"The trouble with law is lawyers."
His arguments were notoriously logical and superbly delivered. In fact, a considerable portion of his courtroom oratory in the Scopes Trial was used in the movie, "Inherit the Wind" which portrayed the trial. During the case, Darrow argued:
"If today you can take a thing like evolution and make it a crime to teach it in the public school, tomorrow you can make it a crime to teach it in the private schools, and the next year you can make it a crime to teach it to the hustings or in the church. At the next session you may ban books and the newspapers. Soon you may set Catholic against Protestant and Protestant against Protestant, and try to foist your own religion upon the minds of men. If you can do one you can do the other. Ignorance and fanaticism is ever busy and needs feeding. Always it is feeding and gloating for more. Today it is the public school teachers, tomorrow the private. The next day the preachers and the lectures, the magazines, the books, the newspapers. After a while, your honor, it is the setting of man against man and creed against creed until with flying banners and beating drums we are marching backward to the glorious ages of the sixteenth century when bigots lighted fagots to burn the men who dared to bring any intelligence and enlightenment and culture to the human mind." – July 13, 1925
RONALD REAGAN – Because of his ability to connect with Americans, our 40th President was dubbed "The Great Communicator" thanks in large part to his early work as a Hollywood actor. He enjoyed excellent stage presence and could effectively deliver a speech, whether he wrote it or not. His quips were politically motivated as opposed to trivial observations…
"Man is not free unless government is limited."
"The problem is not that people are taxed too little, the problem is that government spends too much."
"We must reject the idea that every time a law's broken, society is guilty rather than the lawbreaker. It is time to restore the American precept that each individual is accountable for his actions."
His Berlin speech is generally regarded as his best:
"There is one sign the Soviets can make that would be unmistakable, that would advance dramatically the cause of freedom and peace. General Secretary Gorbachev, if you seek peace, if you seek prosperity for the Soviet Union and eastern Europe, if you seek liberalization, come here to this gate. Mr. Gorbachev, open this gate. Mr. Gorbachev, Mr. Gorbachev, tear down this wall!" – June 12, 1987
To me, his speeches made at the 40th Anniversary of the Normandy Invasion in 1984, was his most personal and touching.
"Lisa Zanatta Henn began her story by quoting her father, who promised that he would return to Normandy. She ended with a promise to her father, who died 8 years ago of cancer: I'm going there, Dad, and I'll see the beaches and the barricades and the monuments. I'll see the graves, and I'll put flowers there just like you wanted to do. I'll feel all the things you made me feel through your stories and your eyes. I'll never forget what you went through, Dad, nor will I let anyone else forget. And, Dad, I'll always be proud.
Through the words of his loving daughter, who is here with us today, a D-Day veteran has shown us the meaning of this day far better than any President can. It is enough for us to say about Private Zanatta and all the men of honor and courage who fought beside him four decades ago: We will always remember. We will always be proud. We will always be prepared, so we may always be free."
What made these people great communicators is not any flowery oratory, but their ability to craft and deliver the right words to connect with their audiences. They knew how to touch people, inspire them, and move them in the direction they wanted.
Note: All trademarks both marked and unmarked belong to their respective companies.
Tim Bryce is a writer and the Managing Director of M&JB Investment Company (M&JB) of Palm Harbor, Florida and has over 30 years of experience in the management consulting field. He can be reached at timb001@phmainstreet.com
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Copyright © 2013 by Tim Bryce. All rights reserved.
NEXT UP: A LITTLE STUG – A simple little word that means a lot, at least to me.
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This entry was posted on March 1, 2013 at 5:38 am	and is filed under Communications. Tagged: Florida, palm harbor, The Bryce is Right, THE GREAT COMMUNICATORS, tim bryce. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
8 Responses to "THE GREAT COMMUNICATORS"
Tim Bryce said
A G.B. of Clearwater, Florida wrote:
"Praise the Lord and pass the ammunition!"
A P.E. of Tampa, Florida wrote…
"Here is another Mark Twain quote, who was a distant cousin of mine, and to which I can relate:
"When I was a boy of 14, my father was so ignorant I could hardly stand to have the old man around. But when I got to be 21, I was astonished at how much the old man had learned in seven years.""
A P.M. of Palm Harbor, Florida wrote…
"Fantastic, Tim!!! Speaking from the heart enables the speaker to share not only his wisdom and his sense of humor, but above all allows him to connect with the public who hunger for both.. Thank you, Tim.."
An M.S. of Royal Oak, Michigan wrote…
"Those men were all great writers and speakers."
An N.M. of Sandy Springs, Georgia wrote…
"Tim, your selection of the greatest communicators is excellent. I read with pleasure all the witticisms and speeches you published. Thank you."
A K.O. of Washington, DC wrote…
"Great choices. I might add Lady Thatcher to that list, though."
A U.V. of Largo, Florida wrote…
"I've always enjoyed Mark Twain's observations, Churchill's wit and Inherit the Wind is one of my favorite pictures. And Reagan, well, he never made the "A list" in Hollywood and his films were mostly forgettable, but he was a great President who had a lot of common sense which resonated with people."
A B.W. of Macon, Georgia wrote…
"I too, am touched the orators you have so plainly immortalized. To me what made them stand out was the craftsmanship of their word and most important, the delivery.
In teaching, ( I was director of work for over 18 years) One of the first things that I taught was to first learn the meaning of what ever message you intend to deliver, Make it a part of your mind so that when you do return the work, it will sound not like a ritual but something that you believe with all you heart, If you can't do this and find another way to help in the lodge. for the purpose of all the ritual is to impress upon the candidate, wise and serious truths. Your work thus delivered will most certainly impress the candidate.
In my working with the kids, I try to convey the importance of words said to others. It truly marks your progress in life and the manner in which folks will class you.
Your orators have done this, that is why they are your heroes. You as a communicator value information thus passed. You have felt the compassion in the delivery of their words.
I would only add one more orator to your list, Will Rogers. His wit and comments were timely and delivered with finess: Lady at a dinner party to Will: "My ancestors came over on the Mayflower". Will's response, " Madam, my ancestor met the boat".
Much of today's public oratory is pure fiction, based on what is politically correct. No one really understands the use of rhetoric, much less delivers it from the heart.
I admire your choice of orators, These too are men that I call heroes.
One other thing I would like to bring to your attention. In the early years of Clements life, he was a near atheist, with rude and vulgar public oratory, and there were a few years that he was not heard from a lot, but once he became a mason, his intelligence and public oratory did a 180.
Sorry for the long response. I throughout enjoyed your article. I hope I conveyed that I understand your message. "
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