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Vans Takes Big Step Up in Earnings After Going Public
ORANGE Vans Inc., a maker of sneakers, reported $6.5 million in earnings for its first fiscal year as a publicly traded company.
If not for onetime charges related to its August, 1991, public stock offering, the company said, it would have posted a profit of $9.6 million, or $1.07 a share, for the fiscal year ended May 31. Earnings per share for the year came to 72 cents.
The latest results contrast with a loss of $236,000 for the previous fiscal year. Since Vans was not publicly traded at that time, earnings per share were not disclosed.
Sales for the latest fiscal year came to $91.2 million, a 28.4% increase from $70.2 million in the previous 12 months.
"Our record sales and earnings during a period how much is a hermes handbag of prolonged nationwide recession were particularly gratifying," said Richard P. Leeuwenburg, Vans president.
Despite the gains for the year, the Orange based company noted that its fourth quarter results were weaker than expected. Leeuwenburg blamed the sluggish California economy, the Los Angeles riots and fake hermes leather handbags weakness in the retail markets of Mexico, Europe and Japan.
Earnings were $3.4 million, or 35 cents a share, in the fourth quarter, compared with a loss of $1.3 million in the corresponding period last year. Sales were $25 million, up 16.4% from $21.4 million.
Vans stock, which trades on the NASDAQ market, closed Thursday, fake Hermes bag maintenance a day after the company released its earnings statement, at $11.25 a share, up 75 cents.
Leeuwenburg said the company faces more difficult times.
"The weak economic picture for the important markets in which Vans sells will have an adverse copy hermes bags impact on sales at least through the balance of the quarter," he said. "However, longer term, our outlook remains very positive."
ORANGE Vans Inc., a maker of sneakers, reported $6.5 million in earnings for its first fiscal year as a publicly traded company.
If not for onetime charges related to its August, 1991, public stock offering, the company said, it would have posted a profit of $9.6 million, or $1.07 a share, for the fiscal year ended May 31. Earnings per share for the year came to 72 cents.
The latest results contrast with a loss of $236,000 for the previous fiscal year. Since Vans was not publicly traded at that time, earnings per share were not disclosed.
Sales for the latest fiscal year came to $91.2 million, a 28.4% increase from $70.2 million in the previous 12 months.
"Our record sales and earnings during a period how much is a hermes handbag of prolonged nationwide recession were particularly gratifying," said Richard P. Leeuwenburg, Vans president.
Despite the gains for the year, the Orange based company noted that its fourth quarter results were weaker than expected. Leeuwenburg blamed the sluggish California economy, the Los Angeles riots and fake hermes leather handbags weakness in the retail markets of Mexico, Europe and Japan.
Earnings were $3.4 million, or 35 cents a share, in the fourth quarter, compared with a loss of $1.3 million in the corresponding period last year. Sales were $25 million, up 16.4% from $21.4 million.
Vans stock, which trades on the NASDAQ market, closed Thursday, fake Hermes bag maintenance a day after the company released its earnings statement, at $11.25 a share, up 75 cents.
Leeuwenburg said the company faces more difficult times.
"The weak economic picture for the important markets in which Vans sells will have an adverse copy hermes bags impact on sales at least through the balance of the quarter," he said. "However, longer term, our outlook remains very positive."
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Vera Gel voor droge huid en puistjes
Droge huid is niet gemakkelijk te hanteren en men moet om het te houden gehydrateerd de allertijden. Je voelt die zich uitstrekt in de huid (de opperhuid) wanneer droogte gebeurt. Dit kan fijne lijntjes en rimpels veroorzaken op gezicht veel eerder vr het bereiken van ouderdom. Zulke mensen lijden de meeste in het winterseizoen als milieu effecten vocht uit de huid snel meenemen. Dode cellen lijken meer op droge huid in vergelijking met vette en normale typen. Vervuiling van lucht en water kunt verdere voorwaarde verergeren door veroorzaakt puistjes en infectie. Gebrek aan voeding in het lichaam speelt een belangrijke rol in het houden van de huid gezond en gehydrateerd. Talgklieren produceren talg in optimale bedrag op het verkrijgen van de juiste voeding die op zijn beurt hydratatie in huid behoudt. Er zijn vele lotions beschikbaar vandaag houd die huid gehydrateerd van alle dag, maar dergelijke chemische basis lotions kunnen ook sommige andere bijwerkingen veroorzaken. Dus, mensen moeten op kruidengeneesmiddelen alleen welke ga diep in de huid en het gezond houden.
Men kan gebruik maken van Ayurvedische Alo Vera gel is de meest effectieve Ayurvedische gel voor de droge huid. Deze Ayurvedische gel voor puistjes en andere huidproblemen is zeer eenvoudig te gebruiken en kunnen elk moment worden toegepast. Omdat deze gel is gemaakt van natuurlijke planten alleen, kan het houd huid gehydrateerd voor langere tijd. Deze gel gaat diep in de porin en hermes men belt replica activeert u saai cellen en follikels. Talgklier op zijn beurt krijgt goede voeding en produceert optimale hoeveelheid talg die houdt de huid gehydrateerd natuurlijk. Dit handhaaft natuurlijke glans en schittering op gezicht. Men hoeft niet toe te passen op elke andere lotion mee om de huid gehydrateerd te houden. Het toepassen van dit ayurvedic Alo Vera gel is genoeg om te houden van de huid gehydrateerd en vernieuwd urenlang. Elasticiteit tussen bindweefsels terugbrengt krapte die nuttig is bij het verminderen van fijne lijntjes en rimpels op een gezicht. Dit helpt om te kijken jonger dan de werkelijke leeftijd.
1. extracten van deze plant koel neer branderig gevoel in de opperhuid en is dus zeer nuttig in geval van brandwonden en zonnebrand. Krijgt een snelle verlichting van brandende sensatie binnen korte termijn.
2. moet de antibacterile en schimmelwerende eigenschappen van deze plant krijgt huid bescherming van infectie en puistjes ook.
3. verjongende eigenschappen van Aloe Vera versnelt herstel van nieuwe cellen in de epidermis die de oude vervangen. Nieuwe laag van weefsels maakt teint eerlijke die puistje merken en donkere vlekken natuurlijk verdwijnt. Dit is ook handig bij het verwijderen van tan en vlekken.
4. antioxiderende eigenschappen van deze plant houden cellen en talgklieren actieve welke geeft huid vernieuwd uiterlijk.
5. toepassing van de Ayurvedische Aloe Vera gel kan helpen bij het snelle genezing van milde wonden en bezuinigingen.
6. het gaat diep in de porin en maakt de huid zacht zonder te blokkeren de porin.
Deze Ayurvedische Alo Vera gel is ook geschikt voor de meest gevoelige huid en biedt grote voordelen voor alle soorten van de huid. Dit is de beste Ayurvedische gel voor droge huid en puistjes die moeten worden gebruikt voor 3 tot 4 maanden consequent om zich te ontdoen van huidproblemen. Voedzaam dieet eten en drink veel water te handhaven hydratatie in huid.
Verwante artikelen in de huid zorg
Mensen die genteresseerd zijn in het bovenstaande artikel zijn ook genteresseerd in de aanverwante artikelen hieronder:
Skincare producten spelen een belangrijke rol in onze huid gezondheid en uiterlijk. Na een vlekkeloze huid is niet de taak van een dag, maar een continu proces. U kunt niet verwachten om gloeiende huid voorafgaand aan een belangrijke partij. Je moet gebruik maken van goede huidverzorgingsproducten in het reinigen, scrubben, hidratatie, repareren en verbeteren om prachtige huid.
Hoe om te hydrateren de huid natuurlijk en veilig? Dit hermes classic belt replica is een gemeenschappelijk query gehoord van mensen. In dit artikel gaan we zien hoe je jongere kijkt met kruiden huid hidratatie gezicht pack. Avocado is n onder de beste voedselbronnen om huidskleur. replica Hermes belt france U kunt maken gebruik van dit verhelpen zowel intern als fake hermes brown belt whosale extern.
Droge huid is niet gemakkelijk te hanteren en men moet om het te houden gehydrateerd de allertijden. Je voelt die zich uitstrekt in de huid (de opperhuid) wanneer droogte gebeurt. Dit kan fijne lijntjes en rimpels veroorzaken op gezicht veel eerder vr het bereiken van ouderdom. Zulke mensen lijden de meeste in het winterseizoen als milieu effecten vocht uit de huid snel meenemen. Dode cellen lijken meer op droge huid in vergelijking met vette en normale typen. Vervuiling van lucht en water kunt verdere voorwaarde verergeren door veroorzaakt puistjes en infectie. Gebrek aan voeding in het lichaam speelt een belangrijke rol in het houden van de huid gezond en gehydrateerd. Talgklieren produceren talg in optimale bedrag op het verkrijgen van de juiste voeding die op zijn beurt hydratatie in huid behoudt. Er zijn vele lotions beschikbaar vandaag houd die huid gehydrateerd van alle dag, maar dergelijke chemische basis lotions kunnen ook sommige andere bijwerkingen veroorzaken. Dus, mensen moeten op kruidengeneesmiddelen alleen welke ga diep in de huid en het gezond houden.
Men kan gebruik maken van Ayurvedische Alo Vera gel is de meest effectieve Ayurvedische gel voor de droge huid. Deze Ayurvedische gel voor puistjes en andere huidproblemen is zeer eenvoudig te gebruiken en kunnen elk moment worden toegepast. Omdat deze gel is gemaakt van natuurlijke planten alleen, kan het houd huid gehydrateerd voor langere tijd. Deze gel gaat diep in de porin en hermes men belt replica activeert u saai cellen en follikels. Talgklier op zijn beurt krijgt goede voeding en produceert optimale hoeveelheid talg die houdt de huid gehydrateerd natuurlijk. Dit handhaaft natuurlijke glans en schittering op gezicht. Men hoeft niet toe te passen op elke andere lotion mee om de huid gehydrateerd te houden. Het toepassen van dit ayurvedic Alo Vera gel is genoeg om te houden van de huid gehydrateerd en vernieuwd urenlang. Elasticiteit tussen bindweefsels terugbrengt krapte die nuttig is bij het verminderen van fijne lijntjes en rimpels op een gezicht. Dit helpt om te kijken jonger dan de werkelijke leeftijd.
1. extracten van deze plant koel neer branderig gevoel in de opperhuid en is dus zeer nuttig in geval van brandwonden en zonnebrand. Krijgt een snelle verlichting van brandende sensatie binnen korte termijn.
2. moet de antibacterile en schimmelwerende eigenschappen van deze plant krijgt huid bescherming van infectie en puistjes ook.
3. verjongende eigenschappen van Aloe Vera versnelt herstel van nieuwe cellen in de epidermis die de oude vervangen. Nieuwe laag van weefsels maakt teint eerlijke die puistje merken en donkere vlekken natuurlijk verdwijnt. Dit is ook handig bij het verwijderen van tan en vlekken.
4. antioxiderende eigenschappen van deze plant houden cellen en talgklieren actieve welke geeft huid vernieuwd uiterlijk.
5. toepassing van de Ayurvedische Aloe Vera gel kan helpen bij het snelle genezing van milde wonden en bezuinigingen.
6. het gaat diep in de porin en maakt de huid zacht zonder te blokkeren de porin.
Deze Ayurvedische Alo Vera gel is ook geschikt voor de meest gevoelige huid en biedt grote voordelen voor alle soorten van de huid. Dit is de beste Ayurvedische gel voor droge huid en puistjes die moeten worden gebruikt voor 3 tot 4 maanden consequent om zich te ontdoen van huidproblemen. Voedzaam dieet eten en drink veel water te handhaven hydratatie in huid.
Verwante artikelen in de huid zorg
Mensen die genteresseerd zijn in het bovenstaande artikel zijn ook genteresseerd in de aanverwante artikelen hieronder:
Skincare producten spelen een belangrijke rol in onze huid gezondheid en uiterlijk. Na een vlekkeloze huid is niet de taak van een dag, maar een continu proces. U kunt niet verwachten om gloeiende huid voorafgaand aan een belangrijke partij. Je moet gebruik maken van goede huidverzorgingsproducten in het reinigen, scrubben, hidratatie, repareren en verbeteren om prachtige huid.
Hoe om te hydrateren de huid natuurlijk en veilig? Dit hermes classic belt replica is een gemeenschappelijk query gehoord van mensen. In dit artikel gaan we zien hoe je jongere kijkt met kruiden huid hidratatie gezicht pack. Avocado is n onder de beste voedselbronnen om huidskleur. replica Hermes belt france U kunt maken gebruik van dit verhelpen zowel intern als fake hermes brown belt whosale extern.
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Vancouver to get unique 'soft skyscraper' in West Georgia corridor
January brown hermes belt replica 23, 2017 Elegance and style Japanese architect Kengo Kuma (left) with developer Ian Gillespie a model for a 43 storey towered designed by the famous Japanese architect and kicking off a colourful exhibition called "Japan Unlayered" in Vancouver on January 23, 2017. Mark van Manen PNG Staff photographer see Kevin Griffin Vancouver Sun/Province / Features Entertainment stories and Web. 00047394A [PNG Merlin Archive]Mark van Manen
/ Vancouver Sun
Alberni by Kengo Kuma is a planned 43 storey residential tower at Alberni and Cardero designed by Japanese architect Kengo Kuma for Westbank Projects Corp in Vancouver.
/ Vancouver Sun
Alberni by Kengo Kuma is a planned 43 storey residential tower at Alberni and Cardero designed by Japanese architect Kengo Kuma for Westbank Projects Corp in Vancouver.
/ Vancouver SunVancouver's skyline is about to get a unique addition: a 'soft skyscraper', clad with shingled panels to create soft, blurred reflections expected replica Hermes belts france to make the building look ephemeral.
The 43 storey tower at 1550 Alberni is designed byJapanese architect Kengo Kuma.
Kuma described his tower's shape as organic and unique. On the north and south sides, it will look as if two big scoops have been taken out of the traditional rectangular cuboid form of a tower.
He said that while its shape isn't based on anything particularly western or Japanese, it is inspired by traditional Japanese buildings that create covered outdoor spaces. He described the tower as an example of a "soft skyscraper" because of the way it takes into accountits setting, which includes the street and nearby towers as well as Stanley Park and the North Shore mountains.
"It's creating semi outdoor space," Kuma said. "It creates dialogue between neighbours and the buildings. In that sense, it is a building of relationships not a building of form making."
The tower called Alberni by Kengo Kuma will have 188 condominiums and a ground floor Japanese restaurant designed by Kuma's firm. Six levels of underground parking will provide space for 271 cars and 248 bike parking spots inside and out.
Alberniis being built by two Vancouver based firmsWestbank Projects Corpand Peterson.
Westbank president Ian Gillespie said that as a tower, Alberniisn't about shouting out 'Here I am.'
"It's about the building blending into and embracing the natural environment rather than try to push against it," he said.
Gillespie described the building's form as Hermes belt replica paris expressing a feminine side of architecture as opposed to a masculine one.
"When I see that building, that's what comes to me," he said. "There is so much testosterone in the real estate business that the last thing it needs is more of that."
Kuma said the scoops out of the building's form bring natural light into suites and give more of a view of Lost Lagoon to the west. As well, forsomeone standing further east on Alberni and looking west, the scoop on that side will frame the lagoon in Stanley Park.
"We're trying to create a new flow on (Alberni) street," he said.
"In that sense, we're not designing the volume we're designing the flow. That scoop is creating a natural flow between the buildings."
On a sunny day when Kuma could see that a dusting of snow had fallen overnight on the North Shore mountains, hesaid Vancouver's proximity to nature makes it unique compared to other cities.
His design for Alberni, he said, is one solution to the challenge of providing an experience of nature to people living imitation hermes mens belt in acity.
"In the 21st century, Vancouver can be the model of the environmental city," he said.
Kuma said creating a dialogue with nature has been one of the most important elements in Japanese architecture.
"There is I think a new definition for architecture: it should be a bridge between nature and artifact," he said.
"We should design the bridge not the wall. Hisdesign has been chosenfor the Tokyo Stadium for the 2020 Summer Olympics. Kuma is afounding principal of Kengo Kuma Associates in Tokyo.
Kuma's work is part ofan exhibition called Japan Unlayered, currently on at the Fairmont Pacific Rim. The exhibition includes pop up stores by Japanese retailers Muji and Beams Japan. Because of demand, free entry to the Muji pop up is by reservation only. Japan Unlayered continues to Tuesday, Feb 28.
January brown hermes belt replica 23, 2017 Elegance and style Japanese architect Kengo Kuma (left) with developer Ian Gillespie a model for a 43 storey towered designed by the famous Japanese architect and kicking off a colourful exhibition called "Japan Unlayered" in Vancouver on January 23, 2017. Mark van Manen PNG Staff photographer see Kevin Griffin Vancouver Sun/Province / Features Entertainment stories and Web. 00047394A [PNG Merlin Archive]Mark van Manen
/ Vancouver Sun
Alberni by Kengo Kuma is a planned 43 storey residential tower at Alberni and Cardero designed by Japanese architect Kengo Kuma for Westbank Projects Corp in Vancouver.
/ Vancouver Sun
Alberni by Kengo Kuma is a planned 43 storey residential tower at Alberni and Cardero designed by Japanese architect Kengo Kuma for Westbank Projects Corp in Vancouver.
/ Vancouver SunVancouver's skyline is about to get a unique addition: a 'soft skyscraper', clad with shingled panels to create soft, blurred reflections expected replica Hermes belts france to make the building look ephemeral.
The 43 storey tower at 1550 Alberni is designed byJapanese architect Kengo Kuma.
Kuma described his tower's shape as organic and unique. On the north and south sides, it will look as if two big scoops have been taken out of the traditional rectangular cuboid form of a tower.
He said that while its shape isn't based on anything particularly western or Japanese, it is inspired by traditional Japanese buildings that create covered outdoor spaces. He described the tower as an example of a "soft skyscraper" because of the way it takes into accountits setting, which includes the street and nearby towers as well as Stanley Park and the North Shore mountains.
"It's creating semi outdoor space," Kuma said. "It creates dialogue between neighbours and the buildings. In that sense, it is a building of relationships not a building of form making."
The tower called Alberni by Kengo Kuma will have 188 condominiums and a ground floor Japanese restaurant designed by Kuma's firm. Six levels of underground parking will provide space for 271 cars and 248 bike parking spots inside and out.
Alberniis being built by two Vancouver based firmsWestbank Projects Corpand Peterson.
Westbank president Ian Gillespie said that as a tower, Alberniisn't about shouting out 'Here I am.'
"It's about the building blending into and embracing the natural environment rather than try to push against it," he said.
Gillespie described the building's form as Hermes belt replica paris expressing a feminine side of architecture as opposed to a masculine one.
"When I see that building, that's what comes to me," he said. "There is so much testosterone in the real estate business that the last thing it needs is more of that."
Kuma said the scoops out of the building's form bring natural light into suites and give more of a view of Lost Lagoon to the west. As well, forsomeone standing further east on Alberni and looking west, the scoop on that side will frame the lagoon in Stanley Park.
"We're trying to create a new flow on (Alberni) street," he said.
"In that sense, we're not designing the volume we're designing the flow. That scoop is creating a natural flow between the buildings."
On a sunny day when Kuma could see that a dusting of snow had fallen overnight on the North Shore mountains, hesaid Vancouver's proximity to nature makes it unique compared to other cities.
His design for Alberni, he said, is one solution to the challenge of providing an experience of nature to people living imitation hermes mens belt in acity.
"In the 21st century, Vancouver can be the model of the environmental city," he said.
Kuma said creating a dialogue with nature has been one of the most important elements in Japanese architecture.
"There is I think a new definition for architecture: it should be a bridge between nature and artifact," he said.
"We should design the bridge not the wall. Hisdesign has been chosenfor the Tokyo Stadium for the 2020 Summer Olympics. Kuma is afounding principal of Kengo Kuma Associates in Tokyo.
Kuma's work is part ofan exhibition called Japan Unlayered, currently on at the Fairmont Pacific Rim. The exhibition includes pop up stores by Japanese retailers Muji and Beams Japan. Because of demand, free entry to the Muji pop up is by reservation only. Japan Unlayered continues to Tuesday, Feb 28.
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Vancouver crime among worst in North America
has fallen sharply over the past decade, Vancouver still has one of the highest crime rates on the continent. Progress Board, which was imitiaton hermes bag set up to advise the provincial government on social and economic progress.
Vancouver has the third highest crime rate of 17 major North American cities surveyed, the report said.
The figures show people are far more likely to have their car stolen or be the victim of a break and enter in Vancouver than in New York City.
"I think that's one of the most shocking things about this [report]," said New Democrat MLA Mike Farnworth.
"People think New York and other places are dangerous and they forget that in Vancouver, we have a disproportionately high rate of property crime."
Property crime fashion cheap hermes handbags in Vancouver, while lower than in previous years, is still more than twice as high than in Toronto or New York.
Worst for poverty
Middle class families are also suffering, he said, pointing to a section of the report that says personal income fell by $469 last year, replica birkin handbags the second biggest drop in the fake hermes bag country.
has fallen sharply over the past decade, Vancouver still has one of the highest crime rates on the continent. Progress Board, which was imitiaton hermes bag set up to advise the provincial government on social and economic progress.
Vancouver has the third highest crime rate of 17 major North American cities surveyed, the report said.
The figures show people are far more likely to have their car stolen or be the victim of a break and enter in Vancouver than in New York City.
"I think that's one of the most shocking things about this [report]," said New Democrat MLA Mike Farnworth.
"People think New York and other places are dangerous and they forget that in Vancouver, we have a disproportionately high rate of property crime."
Property crime fashion cheap hermes handbags in Vancouver, while lower than in previous years, is still more than twice as high than in Toronto or New York.
Worst for poverty
Middle class families are also suffering, he said, pointing to a section of the report that says personal income fell by $469 last year, replica birkin handbags the second biggest drop in the fake hermes bag country.
van Riemsdyk to centre means someone is expendable
The centre ice position for the Maple Leafs became a touch more intriguing on Thursday when coach Randy Carlyle revealed to fashion cheap hermes handbags the Toronto Sun that he plans to try James van Riemsdyk in the middle when training camp opens in September.
During three seasons with the Philadelphia Flyers, van Riemsdyk was drawn to the faceoff circle from his left wing spot exactly 10 times. Of those faceoffs, the 23 year old won two.
To say van Riemsdyk has his work cut out for him would be an understatement, especially since he going to be on one of the top two lines. If the experiment works, it will have meant that van Riemsdyk did his proper homework during the summer.
But what of the other Leafs centres? If Carlyle knows in the first week of July that van Riemsdyk is going to start at centre, could it mean that when and if general manager Brian Burke makes a trade or two, that one of the incumbent centres is out the door? It certainly appears that way.
The Leafs last season had five players Tyler Bozak, David Steckel, replica hermes handbags outlet Mikhail Grabovski, Tim Connolly and Matthew Lombardi who counted taking faceoffs among their primary responsibilities. Bozak led the team with 1,198 draws, but Steckel, who squared for 90 less faceoffs, was third in the NHL in winning percentage (among those who went to the circle imitiaton hermes bag at least 1,000 times) at 58%, behind only Jonathan Toews of the Chicago Blackhawks and Patrice Bergeron of the Boston Bruins.
The Leafs signed newcomer Jay McClement so he could centre the third line, and they loved Steckel work last season after Burke got him on the eve of the opener, so it hard to see anyone knocking Steckel off the fourth line.
Lombardi likely will see most of his time on the wing. Connolly, a disappointment in the first season of a two year, $9.5 million US contract, will be given a chance to re discover himself at camp, but it not realistic at this point in his career to expect him to be a top six forward. Connolly saw time on the wing as the 2011 12 season wound down and it possible he find himself there again in 2012 13.
Grabovski got his signature on a long term contract last winter, and his place among the top six can be argued.
And then there are prospects Joe Colborne and Nazem Kadri. Colborne didn take the step forward a year ago that the organization had hoped, recording 39 points in 65 games with the Marlies. Kadri has to show in camp he finally can get a grip on a full time NHL job, one that is looking more and more like it will be on the wing.
If there a centre on the Leafs roster now who stands the greatest chance of being part of a trade, a wild card whose future with the team could be in question, it probably Bozak, who really had not found a niche in Toronto in three seasons. He improved to 47 points last season in 73 games (as compared to 32 points in 82 games the previous year), but there have been clear indications he will be much more than that. Still, he would be attractive to other clubs in that his salary cap hit will be just $1.5 million next season and he an unrestricted free agent in 2013.
There will be less to figure out if it becomes clear that van Riemsdyk doesn work up the middle.
And though van Riemsdyk has almost zero experience at the position in the NHL, you can fault Carlyle for wanting to try him there. There nothing about a roster, whether Burke is able to improve it or not, that should be set in stone when the Leafs are coming off an 80 point, 13th place, non playoff spot.
Carlyle can leave any stone unturned. Whether van Riemsdyk is capable, we will know long before the season opener.
DOAN NOT IN LEAFS' PLANS?
A couple of players linked to the Maple Leafs in rumours and trade speculation are unlikely to wind up in Toronto.
Terry Bross, the agent for Phoenix Coyotes captain, told the Sun on Friday afternoon via e mail that he has not heard from the Leafs regarding Doan.
The Coyotes winger is a free agent and is expected to start fielding fake hermes bag offers next week if the team ownership issue remains uncertain.
And Vancouver Canucks goalie Roberto Luongo, an interview with the The Fox radio station in Vancouver, said he knows it is time to move on after six years with the Canucks.
okay with that, Luongo said. had a great six years with Vancouver. Unfortunately, I was not able to bring a Stanley Cup, which is my biggest regret. Florida is definitely one of the spots I would be willing to go to. It my home in the off season and makes sense for family reasons. (But) I have not made any decisions whatsoever. It has to be a place I am comfortable with. did not discuss the idea of a trade to the Leafs. He did seem open to the idea of being dealt to the Chicago Blackhawks, and said his preference would be to play in a hockey market.
The centre ice position for the Maple Leafs became a touch more intriguing on Thursday when coach Randy Carlyle revealed to fashion cheap hermes handbags the Toronto Sun that he plans to try James van Riemsdyk in the middle when training camp opens in September.
During three seasons with the Philadelphia Flyers, van Riemsdyk was drawn to the faceoff circle from his left wing spot exactly 10 times. Of those faceoffs, the 23 year old won two.
To say van Riemsdyk has his work cut out for him would be an understatement, especially since he going to be on one of the top two lines. If the experiment works, it will have meant that van Riemsdyk did his proper homework during the summer.
But what of the other Leafs centres? If Carlyle knows in the first week of July that van Riemsdyk is going to start at centre, could it mean that when and if general manager Brian Burke makes a trade or two, that one of the incumbent centres is out the door? It certainly appears that way.
The Leafs last season had five players Tyler Bozak, David Steckel, replica hermes handbags outlet Mikhail Grabovski, Tim Connolly and Matthew Lombardi who counted taking faceoffs among their primary responsibilities. Bozak led the team with 1,198 draws, but Steckel, who squared for 90 less faceoffs, was third in the NHL in winning percentage (among those who went to the circle imitiaton hermes bag at least 1,000 times) at 58%, behind only Jonathan Toews of the Chicago Blackhawks and Patrice Bergeron of the Boston Bruins.
The Leafs signed newcomer Jay McClement so he could centre the third line, and they loved Steckel work last season after Burke got him on the eve of the opener, so it hard to see anyone knocking Steckel off the fourth line.
Lombardi likely will see most of his time on the wing. Connolly, a disappointment in the first season of a two year, $9.5 million US contract, will be given a chance to re discover himself at camp, but it not realistic at this point in his career to expect him to be a top six forward. Connolly saw time on the wing as the 2011 12 season wound down and it possible he find himself there again in 2012 13.
Grabovski got his signature on a long term contract last winter, and his place among the top six can be argued.
And then there are prospects Joe Colborne and Nazem Kadri. Colborne didn take the step forward a year ago that the organization had hoped, recording 39 points in 65 games with the Marlies. Kadri has to show in camp he finally can get a grip on a full time NHL job, one that is looking more and more like it will be on the wing.
If there a centre on the Leafs roster now who stands the greatest chance of being part of a trade, a wild card whose future with the team could be in question, it probably Bozak, who really had not found a niche in Toronto in three seasons. He improved to 47 points last season in 73 games (as compared to 32 points in 82 games the previous year), but there have been clear indications he will be much more than that. Still, he would be attractive to other clubs in that his salary cap hit will be just $1.5 million next season and he an unrestricted free agent in 2013.
There will be less to figure out if it becomes clear that van Riemsdyk doesn work up the middle.
And though van Riemsdyk has almost zero experience at the position in the NHL, you can fault Carlyle for wanting to try him there. There nothing about a roster, whether Burke is able to improve it or not, that should be set in stone when the Leafs are coming off an 80 point, 13th place, non playoff spot.
Carlyle can leave any stone unturned. Whether van Riemsdyk is capable, we will know long before the season opener.
DOAN NOT IN LEAFS' PLANS?
A couple of players linked to the Maple Leafs in rumours and trade speculation are unlikely to wind up in Toronto.
Terry Bross, the agent for Phoenix Coyotes captain, told the Sun on Friday afternoon via e mail that he has not heard from the Leafs regarding Doan.
The Coyotes winger is a free agent and is expected to start fielding fake hermes bag offers next week if the team ownership issue remains uncertain.
And Vancouver Canucks goalie Roberto Luongo, an interview with the The Fox radio station in Vancouver, said he knows it is time to move on after six years with the Canucks.
okay with that, Luongo said. had a great six years with Vancouver. Unfortunately, I was not able to bring a Stanley Cup, which is my biggest regret. Florida is definitely one of the spots I would be willing to go to. It my home in the off season and makes sense for family reasons. (But) I have not made any decisions whatsoever. It has to be a place I am comfortable with. did not discuss the idea of a trade to the Leafs. He did seem open to the idea of being dealt to the Chicago Blackhawks, and said his preference would be to play in a hockey market.
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van Gisbergen always had the raw speed
The last New Zealander to win an Australian V8 title was Jim Richards in 1991. Many have come close since, including Greg Murphy, who finished second twice. This year's champion, Shane van Gisbergen, was also second in 2014 and has not been outside the top six since 2010.Richards, ever a keen observer of the sport, tagged van Gisbergen as someone to watch a while ago. He was pleased another Kiwi has been able to emulate his success, albeit two plus decades later."It's terrific that another Kiwi has got his hands on another V8 trophy," said Richards. "It's very hard for a young Kiwi to come over here, to get involved with a top team, and challenge for a title."There are so many good Aussie guys that people here have watched for years. Shane was quite successful early on in his career and that's what's bought him to where he is now."He always had raw speed but he had to control some things he did in a race. He used to make some silly mistakes early on that even he admitted to. At Teckno, he started to get better, and arriving at Red Bull, he's matured even more to join Jamie [Whincup] as one of the two best drivers in the category."Triple Eight owner Roland Dane is man of few words, but they are Hermes belt replica always poignant.Since taking over in 2003, he has steered the team to six Supercars titles and six Bathurst 1000 wins.It wouldn't be too long a bow fake hermes brown belt whosale to draw to say Dane knows a thing or two about what makes a good driver and he was more than happy to snap up van Gisbergen."The guys [team] ran a great strategy for him and he did an awesome job," said Dane. "There was some pretty diabolical blocking going on at the end but he got the better of him [James Courtney]. There's nothing like cheering fake hermes black belt on a local lad who happens to be the defending champion.Supercars CEO James Warburton praised imitation hermes belt on sale van Gisbergen's achievement and what it means for the sport."Look, it's absolutely fantastic. Shane is such a flamboyant character and I thought Saturday just went to prove how good he is," said Warburton."From the sport's point of view, it's always great to see a new star being born. It's also great for our fans and will generate even more interest than we already have in New Zealand."We have a range of very good Kiwi drivers and next year at Pukekohe will be a great event."Our Regional News StoriesThe Northern AdvocateBig haul at Special Olympics Swim CarnivalFar North based swimmers performed well at the Special Olympics Swim Carnival.Our Features Top StoriesDrivenWhat's it like driving James Bond's Lotus Espirit? Never meet your heroes? Well, it's not always the case.
The last New Zealander to win an Australian V8 title was Jim Richards in 1991. Many have come close since, including Greg Murphy, who finished second twice. This year's champion, Shane van Gisbergen, was also second in 2014 and has not been outside the top six since 2010.Richards, ever a keen observer of the sport, tagged van Gisbergen as someone to watch a while ago. He was pleased another Kiwi has been able to emulate his success, albeit two plus decades later."It's terrific that another Kiwi has got his hands on another V8 trophy," said Richards. "It's very hard for a young Kiwi to come over here, to get involved with a top team, and challenge for a title."There are so many good Aussie guys that people here have watched for years. Shane was quite successful early on in his career and that's what's bought him to where he is now."He always had raw speed but he had to control some things he did in a race. He used to make some silly mistakes early on that even he admitted to. At Teckno, he started to get better, and arriving at Red Bull, he's matured even more to join Jamie [Whincup] as one of the two best drivers in the category."Triple Eight owner Roland Dane is man of few words, but they are Hermes belt replica always poignant.Since taking over in 2003, he has steered the team to six Supercars titles and six Bathurst 1000 wins.It wouldn't be too long a bow fake hermes brown belt whosale to draw to say Dane knows a thing or two about what makes a good driver and he was more than happy to snap up van Gisbergen."The guys [team] ran a great strategy for him and he did an awesome job," said Dane. "There was some pretty diabolical blocking going on at the end but he got the better of him [James Courtney]. There's nothing like cheering fake hermes black belt on a local lad who happens to be the defending champion.Supercars CEO James Warburton praised imitation hermes belt on sale van Gisbergen's achievement and what it means for the sport."Look, it's absolutely fantastic. Shane is such a flamboyant character and I thought Saturday just went to prove how good he is," said Warburton."From the sport's point of view, it's always great to see a new star being born. It's also great for our fans and will generate even more interest than we already have in New Zealand."We have a range of very good Kiwi drivers and next year at Pukekohe will be a great event."Our Regional News StoriesThe Northern AdvocateBig haul at Special Olympics Swim CarnivalFar North based swimmers performed well at the Special Olympics Swim Carnival.Our Features Top StoriesDrivenWhat's it like driving James Bond's Lotus Espirit? Never meet your heroes? Well, it's not always the case.
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Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk
Design A cross sectional analysis using routinely collected hospital episode statistics was performed. A multiple logistic regression model was used to estimate the likelihood of women having a caesarean section given their maternal characteristics (age, ethnicity, parity, and socioeconomic deprivation) and clinical risk factors (previous caesarean section, breech presentation, and fetal distress). Adjusted rates of caesarean section for each NHS trust were produced from this model.Setting 146 English NHS trusts.Population Women aged between 15 and 44 years with a singleton birth between 1 January and 31 December 2008.Main outcome measure Rate of caesarean sections per 100 births (live or stillborn).Results Among 620604 singleton births, 147726 (23.8%) were delivered by caesarean section. Women were more likely to have a caesarean section if they had had one previously (70.8%) or had a baby with breech presentation (89.8%). Unadjusted rates of caesarean section among the NHS trusts ranged from 13.6% to 31.9%. Trusts differed in their patient populations, but adjusted rates still ranged from 14.9% to 32.1%. Rates of emergency caesarean section varied between trusts more than rates of elective caesarean section.Conclusion Characteristics of women delivering at NHS trusts differ, and comparing unadjusted rates of caesarean section should be avoided. Adjusted rates of caesarean section still vary considerably and attempts to reduce this variation should examine issues linked to emergency caesarean section.Introduction Since the 1970s, many developed countries have experienced substantial growth in the rates of caesarean section.1 2 3 In England, for example, the rate of caesarean sections has increased from 9% in 1980 to 24.6% in 2008 9.4 5 6 Various reasons have been suggested for this increase, including rising maternal age at first pregnancy, technological advances that have improved the safety of the procedure, changes in women's preferences, and a growing proportion of women who have previously had a caesarean.7 8Nonetheless, there is concern about whether the current high rates of caesarean section are justified because the procedure is not without risk.9 Women may experience complications after caesarean section such as haemorrhage, infection, and thrombosis,10 and they have an increased risk of complications in subsequent pregnancies (such as uterine rupture and placenta praevia).11 12 13 Neonatal complications, although infrequent, include fetal respiratory distress syndrome, pulmonary hypertension, iatrogenic prematurity, and difficulty with bonding and breast feeding.8 9 14Adding to these concerns is evidence of considerable variation in rates of caesarean section within various countries,15 16 17 including the United Kingdom. In 2000, rates of caesarean section for singleton pregnancies in National Health Service (NHS) maternity units in England and Wales ranged from 10% to 43%.5 In April 2004, the National Institute for Health and Clinical Excellence (NICE) published guidance on caesarean section with the aim of ensuring consistency and quality of care.4 However, recent figures for births in England during 2008 9 show that rates of caesarean section still vary substantially among NHS trusts.6 These figures also appeared to show a north south divide, with higher rates in the south of England.The publication of the 2008 9 figures led to debate about potential causes of the variation in rates of caesarean section. These included differences in the clinical need of local populations, an increase in the number of women without risk factors requesting caesarean sections, a lack of midwives, and different attitudes and practices among professionals.18 19 How much these competing interpretations contributed to the variation is unclear. However, differences between local populations could have been discounted if the figures had been adjusted for maternal characteristics and clinical risk factors.We describe an analysis of NHS trust and regional rates of caesarean section for singleton pregnancies in England to examine whether the variation can be explained by maternal characteristics and clinical risk factors. We use funnel plots to illustrate whether the variation exceeds that expected from random fluctuations alone, and we extend previous work on rates of caesarean section in England5 by examining whether the variation is greater among women having an elective caesarean section or those having an emergency procedure.MethodsThe study used data from the hospital episode statistics database, which contains records of all patient admissions to NHS hospitals in England. Its core fields contain patient demographics and region of residence, and hospital administrative and clinical details. Diagnostic information is coded using the international classification of diseases, 10th revision (ICD 10), and operative procedures are described using the UK Office for Population Censuses and Surveys classification (OPCS), 4th revision. Hospital episode statistics also include additional fields (the "maternity tail") that capture information specific to deliveries, including onset of labour, parity, birth weight, and length of gestation. However, only around 75% of delivery records in the database have information in the maternity tail.DefinitionsWe extracted from the hospital episode statistics database records of women who delivered in English NHS acute trusts between 1 January and 31 December 2008. We restricted the sample to women aged between 15 and 44 years who had a singleton birth, and to NHS trusts whose obstetric units had more than 1000 deliveries in the 12 month period. Deliveries were included if the record contained information about mode of delivery in either the maternity tail or the procedure fields (OPCS codes: R17 to R25). The method of delivery was obtained primarily from the procedure fields. Where data had not been entered to these fields (0.6% of women), information was taken from the maternity tail. An elective caesarean section was defined by OPCS code R17, or by "mode of delivery" code 7 when data were obtained from the maternity tail. An emergency delivery was defined by codes R18 or 8, respectively.Data on maternal age at delivery, ethnicity, and the NHS trust and region of treatment were obtained from the core fields of the hospital episode statistics. Parity was obtained from the maternity tail. Where parity was not available, a woman was labelled as multiparous if she was found to have had a delivery episode in the previous 10 years of data (April 1997 to December 2007). Otherwise, she was assumed to be nulliparous (the median interval between first and second births is three years20). Among the 193637 women with parity data in the maternity tail, there was 84% agreement between the nulliparous and multiparous values derived from the maternity tail and those in imitation hermes belt sale historical data (kappa=0.69). The majority (92%) of disagreements were because a previous pregnancy could not be identified in the historical data.Risk factors for caesarean section were identified using all ICD 10 diagnosis fields (see web appendix for exact definitions), which had been adapted from a previously published classification system.21 A previous caesarean section was defined if any diagnosis code indicated a "uterine scar from previous surgery" (ICD 10: O34.2) among multiparous women or if a woman had delivered by caesarean according to the previous 10 years of hospital episode statistics. Among the 312407 multiparous classifications, there was 91% agreement between the coding of a "uterine scar" and a previous caesarean section in the historical data (kappa=0.66). Most (90%) disagreements arose because a previous caesarean section was found in the historical data for a woman without the coding for a scar.Finally, socioeconomic deprivation was defined using a five category indicator that was derived from the English Indices of Deprivation 2004 ranking of the English super output areas.22 The categories were defined by partitioning the ranks of the 32480 areas into quintiles (for example, 0 20th percentiles, 20 40th percentiles) and were labelled 1 (least deprived) to 5 (most deprived). Women were allocated a category on the basis of their region of residence. Where this was missing (1.1% of women), a woman was allocated to the deprivation category that was most common among the women delivering at their NHS trust.Statistical analysisThe unadjusted rate of caesarean sections for each NHS trust was expressed as a percentage of all live or stillborn births.Multiple logistic regression was used to estimate the probability of a woman having had a caesarean section on the basis of her age, ethnicity, level of socioeconomic deprivation, and clinical risk factors for caesarean section. Interactions between maternal age and the clinical risk factors were examined but were not included in the final model because they did not significantly improve the model's fit (likelihood ratio test, P value>0.3). The ability of the logistic model to discriminate between women who had a vaginal delivery and those who had a caesarean section was summarised using the C statistic. A C statistic of 0.5 indicates that the model discriminates no better than chance alone, whereas a value of 1.0 indicates perfect discrimination.23 Hermes belt replica The probabilities of caesarean section for women who delivered at the same NHS trust were summed to give the trust's predicted rate of caesarean section. Risk adjusted rates of caesarean section for each NHS trust were produced by dividing the trust's unadjusted caesarean section rate by its predicted rate, and multiplying this ratio by the national caesarean section rate. An equivalent process was used to produce adjusted rates for rates of emergency and elective caesarean section. However, because there were now three outcomes (vaginal delivery, elective caesarean section, and emergency caesarean section), we used multinomial logistic regression to estimate the probability of each mode of delivery.Funnel plots were used to examine the variation among NHS trusts in both crude and risk adjusted rates of caesarean section.24 These plots "test" whether the rate of caesarean sections of a NHS trust differs significantly from the national rate for England, assuming the trust's rate is only influenced by sampling variation (that is, random errors). The plot contains two funnel limits. Assuming differences arise from random errors alone, the chance of the trust being within the limits is 95% for the inside funnel and 99.8% for the outer funnel. We measured the amount of variation between NHS trusts above that expected from sampling variation by using a random effects approach.24 This estimates an "overdispersion" term that, when added to the sampling variance of each NHS trust, would inflate the funnel limits to fit the observed distribution of caesarean section rates.Differences between groups were tested using the 2 test. All P values were two sided, and those lower than 0.05 hermes men belt replica were judged to be statistically significant. To account for a lack of independence in the data of women treated in the same trust, the standard errors of the regression model coefficients were calculated using a clustered sandwich estimator. STATA (version 10) was used for all statistical calculations.ResultsBetween 1 January and 31 December 2008, 620604 singleton births took place at 146 NHS trusts among women resident in England. Of these, 397573 (64.1%) were normal vaginal deliveries and 75305 (12.1%) were vaginal deliveries in which medical instruments were used. The average age of these women was 28.9 years (SD 6.0 years) and, among the 552290 women with known ethnicity, 124004 (22.5%) were not white.There were 147726 caesarean sections during this period, giving an overall national caesarean section rate of 23.8% for women in England with singleton births. These 147726 caesarean sections consisted of 57892 (9.3%) elective and 89834 (14.5%) emergency procedures.Association Hermes belts replica paris between caesarean section and patient factorsThe proportion of women who had a caesarean section differed according to maternal characteristics and clinical risk factors (table 1). A quarter (25%) of nulliparous women had a caesarean section, whereas only 9% of multiparous women underwent a caesarean section if they had no history of caesarean delivery. Women were more likely to have had a caesarean section if they had previously had a caesarean (71%), their baby had a breech presentation (90%), or they had placenta praevia or placental abruption (85%). Among the 46748 women with a previous caesarean section and who delivered by caesarean, 32493 (70%) had an elective procedure. Similarly, 11151 (57%) of the 19656 women who delivered a breech baby by caesarean had an elective procedure. Overall, 72% of elective caesarean sections (41709/57892) were performed for breech presentation or because of a previous caesarean section.Table 1 Unadjusted rates of caesarean section according to maternal characteristics and clinical risk factorsView this table:View popupView inlineA total of 313987 women, 51% of the overall sample, had none of the specified clinical risk factors for a caesarean section. Just 15431 (4.9%) of these women had a caesarean delivery. These caesarean sections consisted of 4499 (29%) emergency deliveries and 10932 (71%) elective procedures. The proportion of women with no clinical risk factors who had a caesarean section increased with maternal age, ranging from 1.7% (387/22812) for women aged under 20 years to 9.2% (5021/54288) for women aged 35 years or over.Table 2 summarises the risk of a caesarean section associated with the maternal characteristics and clinical risk factors studied. The likelihood of a caesarean section was higher in older women, independent of other risks, and in Afro Caribbean women. The odds ratios of caesarean section were greatest for women who had placenta praevia or placental abruption, previously had caesarean section, or had breech presentation. The influences of other obstetrical complications such as dystocia and fetal distress were significant but less marked. Overall, the regression model discriminated well between women who did and those who did not deliver by caesarean (C statistic=0.86).
Design A cross sectional analysis using routinely collected hospital episode statistics was performed. A multiple logistic regression model was used to estimate the likelihood of women having a caesarean section given their maternal characteristics (age, ethnicity, parity, and socioeconomic deprivation) and clinical risk factors (previous caesarean section, breech presentation, and fetal distress). Adjusted rates of caesarean section for each NHS trust were produced from this model.Setting 146 English NHS trusts.Population Women aged between 15 and 44 years with a singleton birth between 1 January and 31 December 2008.Main outcome measure Rate of caesarean sections per 100 births (live or stillborn).Results Among 620604 singleton births, 147726 (23.8%) were delivered by caesarean section. Women were more likely to have a caesarean section if they had had one previously (70.8%) or had a baby with breech presentation (89.8%). Unadjusted rates of caesarean section among the NHS trusts ranged from 13.6% to 31.9%. Trusts differed in their patient populations, but adjusted rates still ranged from 14.9% to 32.1%. Rates of emergency caesarean section varied between trusts more than rates of elective caesarean section.Conclusion Characteristics of women delivering at NHS trusts differ, and comparing unadjusted rates of caesarean section should be avoided. Adjusted rates of caesarean section still vary considerably and attempts to reduce this variation should examine issues linked to emergency caesarean section.Introduction Since the 1970s, many developed countries have experienced substantial growth in the rates of caesarean section.1 2 3 In England, for example, the rate of caesarean sections has increased from 9% in 1980 to 24.6% in 2008 9.4 5 6 Various reasons have been suggested for this increase, including rising maternal age at first pregnancy, technological advances that have improved the safety of the procedure, changes in women's preferences, and a growing proportion of women who have previously had a caesarean.7 8Nonetheless, there is concern about whether the current high rates of caesarean section are justified because the procedure is not without risk.9 Women may experience complications after caesarean section such as haemorrhage, infection, and thrombosis,10 and they have an increased risk of complications in subsequent pregnancies (such as uterine rupture and placenta praevia).11 12 13 Neonatal complications, although infrequent, include fetal respiratory distress syndrome, pulmonary hypertension, iatrogenic prematurity, and difficulty with bonding and breast feeding.8 9 14Adding to these concerns is evidence of considerable variation in rates of caesarean section within various countries,15 16 17 including the United Kingdom. In 2000, rates of caesarean section for singleton pregnancies in National Health Service (NHS) maternity units in England and Wales ranged from 10% to 43%.5 In April 2004, the National Institute for Health and Clinical Excellence (NICE) published guidance on caesarean section with the aim of ensuring consistency and quality of care.4 However, recent figures for births in England during 2008 9 show that rates of caesarean section still vary substantially among NHS trusts.6 These figures also appeared to show a north south divide, with higher rates in the south of England.The publication of the 2008 9 figures led to debate about potential causes of the variation in rates of caesarean section. These included differences in the clinical need of local populations, an increase in the number of women without risk factors requesting caesarean sections, a lack of midwives, and different attitudes and practices among professionals.18 19 How much these competing interpretations contributed to the variation is unclear. However, differences between local populations could have been discounted if the figures had been adjusted for maternal characteristics and clinical risk factors.We describe an analysis of NHS trust and regional rates of caesarean section for singleton pregnancies in England to examine whether the variation can be explained by maternal characteristics and clinical risk factors. We use funnel plots to illustrate whether the variation exceeds that expected from random fluctuations alone, and we extend previous work on rates of caesarean section in England5 by examining whether the variation is greater among women having an elective caesarean section or those having an emergency procedure.MethodsThe study used data from the hospital episode statistics database, which contains records of all patient admissions to NHS hospitals in England. Its core fields contain patient demographics and region of residence, and hospital administrative and clinical details. Diagnostic information is coded using the international classification of diseases, 10th revision (ICD 10), and operative procedures are described using the UK Office for Population Censuses and Surveys classification (OPCS), 4th revision. Hospital episode statistics also include additional fields (the "maternity tail") that capture information specific to deliveries, including onset of labour, parity, birth weight, and length of gestation. However, only around 75% of delivery records in the database have information in the maternity tail.DefinitionsWe extracted from the hospital episode statistics database records of women who delivered in English NHS acute trusts between 1 January and 31 December 2008. We restricted the sample to women aged between 15 and 44 years who had a singleton birth, and to NHS trusts whose obstetric units had more than 1000 deliveries in the 12 month period. Deliveries were included if the record contained information about mode of delivery in either the maternity tail or the procedure fields (OPCS codes: R17 to R25). The method of delivery was obtained primarily from the procedure fields. Where data had not been entered to these fields (0.6% of women), information was taken from the maternity tail. An elective caesarean section was defined by OPCS code R17, or by "mode of delivery" code 7 when data were obtained from the maternity tail. An emergency delivery was defined by codes R18 or 8, respectively.Data on maternal age at delivery, ethnicity, and the NHS trust and region of treatment were obtained from the core fields of the hospital episode statistics. Parity was obtained from the maternity tail. Where parity was not available, a woman was labelled as multiparous if she was found to have had a delivery episode in the previous 10 years of data (April 1997 to December 2007). Otherwise, she was assumed to be nulliparous (the median interval between first and second births is three years20). Among the 193637 women with parity data in the maternity tail, there was 84% agreement between the nulliparous and multiparous values derived from the maternity tail and those in imitation hermes belt sale historical data (kappa=0.69). The majority (92%) of disagreements were because a previous pregnancy could not be identified in the historical data.Risk factors for caesarean section were identified using all ICD 10 diagnosis fields (see web appendix for exact definitions), which had been adapted from a previously published classification system.21 A previous caesarean section was defined if any diagnosis code indicated a "uterine scar from previous surgery" (ICD 10: O34.2) among multiparous women or if a woman had delivered by caesarean according to the previous 10 years of hospital episode statistics. Among the 312407 multiparous classifications, there was 91% agreement between the coding of a "uterine scar" and a previous caesarean section in the historical data (kappa=0.66). Most (90%) disagreements arose because a previous caesarean section was found in the historical data for a woman without the coding for a scar.Finally, socioeconomic deprivation was defined using a five category indicator that was derived from the English Indices of Deprivation 2004 ranking of the English super output areas.22 The categories were defined by partitioning the ranks of the 32480 areas into quintiles (for example, 0 20th percentiles, 20 40th percentiles) and were labelled 1 (least deprived) to 5 (most deprived). Women were allocated a category on the basis of their region of residence. Where this was missing (1.1% of women), a woman was allocated to the deprivation category that was most common among the women delivering at their NHS trust.Statistical analysisThe unadjusted rate of caesarean sections for each NHS trust was expressed as a percentage of all live or stillborn births.Multiple logistic regression was used to estimate the probability of a woman having had a caesarean section on the basis of her age, ethnicity, level of socioeconomic deprivation, and clinical risk factors for caesarean section. Interactions between maternal age and the clinical risk factors were examined but were not included in the final model because they did not significantly improve the model's fit (likelihood ratio test, P value>0.3). The ability of the logistic model to discriminate between women who had a vaginal delivery and those who had a caesarean section was summarised using the C statistic. A C statistic of 0.5 indicates that the model discriminates no better than chance alone, whereas a value of 1.0 indicates perfect discrimination.23 Hermes belt replica The probabilities of caesarean section for women who delivered at the same NHS trust were summed to give the trust's predicted rate of caesarean section. Risk adjusted rates of caesarean section for each NHS trust were produced by dividing the trust's unadjusted caesarean section rate by its predicted rate, and multiplying this ratio by the national caesarean section rate. An equivalent process was used to produce adjusted rates for rates of emergency and elective caesarean section. However, because there were now three outcomes (vaginal delivery, elective caesarean section, and emergency caesarean section), we used multinomial logistic regression to estimate the probability of each mode of delivery.Funnel plots were used to examine the variation among NHS trusts in both crude and risk adjusted rates of caesarean section.24 These plots "test" whether the rate of caesarean sections of a NHS trust differs significantly from the national rate for England, assuming the trust's rate is only influenced by sampling variation (that is, random errors). The plot contains two funnel limits. Assuming differences arise from random errors alone, the chance of the trust being within the limits is 95% for the inside funnel and 99.8% for the outer funnel. We measured the amount of variation between NHS trusts above that expected from sampling variation by using a random effects approach.24 This estimates an "overdispersion" term that, when added to the sampling variance of each NHS trust, would inflate the funnel limits to fit the observed distribution of caesarean section rates.Differences between groups were tested using the 2 test. All P values were two sided, and those lower than 0.05 hermes men belt replica were judged to be statistically significant. To account for a lack of independence in the data of women treated in the same trust, the standard errors of the regression model coefficients were calculated using a clustered sandwich estimator. STATA (version 10) was used for all statistical calculations.ResultsBetween 1 January and 31 December 2008, 620604 singleton births took place at 146 NHS trusts among women resident in England. Of these, 397573 (64.1%) were normal vaginal deliveries and 75305 (12.1%) were vaginal deliveries in which medical instruments were used. The average age of these women was 28.9 years (SD 6.0 years) and, among the 552290 women with known ethnicity, 124004 (22.5%) were not white.There were 147726 caesarean sections during this period, giving an overall national caesarean section rate of 23.8% for women in England with singleton births. These 147726 caesarean sections consisted of 57892 (9.3%) elective and 89834 (14.5%) emergency procedures.Association Hermes belts replica paris between caesarean section and patient factorsThe proportion of women who had a caesarean section differed according to maternal characteristics and clinical risk factors (table 1). A quarter (25%) of nulliparous women had a caesarean section, whereas only 9% of multiparous women underwent a caesarean section if they had no history of caesarean delivery. Women were more likely to have had a caesarean section if they had previously had a caesarean (71%), their baby had a breech presentation (90%), or they had placenta praevia or placental abruption (85%). Among the 46748 women with a previous caesarean section and who delivered by caesarean, 32493 (70%) had an elective procedure. Similarly, 11151 (57%) of the 19656 women who delivered a breech baby by caesarean had an elective procedure. Overall, 72% of elective caesarean sections (41709/57892) were performed for breech presentation or because of a previous caesarean section.Table 1 Unadjusted rates of caesarean section according to maternal characteristics and clinical risk factorsView this table:View popupView inlineA total of 313987 women, 51% of the overall sample, had none of the specified clinical risk factors for a caesarean section. Just 15431 (4.9%) of these women had a caesarean delivery. These caesarean sections consisted of 4499 (29%) emergency deliveries and 10932 (71%) elective procedures. The proportion of women with no clinical risk factors who had a caesarean section increased with maternal age, ranging from 1.7% (387/22812) for women aged under 20 years to 9.2% (5021/54288) for women aged 35 years or over.Table 2 summarises the risk of a caesarean section associated with the maternal characteristics and clinical risk factors studied. The likelihood of a caesarean section was higher in older women, independent of other risks, and in Afro Caribbean women. The odds ratios of caesarean section were greatest for women who had placenta praevia or placental abruption, previously had caesarean section, or had breech presentation. The influences of other obstetrical complications such as dystocia and fetal distress were significant but less marked. Overall, the regression model discriminated well between women who did and those who did not deliver by caesarean (C statistic=0.86).
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Veteran rinks favoured to bring home gold from Canadian junior curling championships
Experience tends to go a long way at a Canadian Junior Men's and Women's Curling Championship.
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Horgan's team of third Jacob Horgan, second Nicholas Bissonnette and lead Maxime Blais remains intact after last year's silver medal finish to Manitoba's Matt Dunstone. This is also Horgan's fourth trip to nationals.
Curling fans will recognize the name as the Horgans are younger brothers to Tracy Fleury and Jennifer Wylie (both nee Horgan), who have competed at two Scotties Tournament of Hearts and numerous Grand Slam events.
"We've been working hard for a while now and reaping rewards," imitiaton hermes bag Tanner, who is coached by his father Gerry, told CBC Radio. "With the defending champions not coming back this year, I would see us seeded first going in. It's pretty amazing that we can even call ourselves the first seed going in. That's an amazing accomplishment in itself."
The team has patterned itself after Brad Jacob's Olympic gold medal rink, also based out of Northern Ontario.
Clarke and her third Karlee Burgess and second Janique LeBlanc are also back from their 2016 Canadian and World gold medal finishes with former skip Mary Fay, who stepped away from the game to focus on university studies. The team has added Emily Lloyd at lead. "So it was more about building a new team dynamic this year, that was the hard part.
"As difficult as it was to move on and try to find another player, by changing our mindset a bit and looking at it as a new team for this season, we've really developed a new dynamic that's working really well for us," added Clarke who joined the team last season.
It was the first time Nova Scotia had won a provincial junior title since Jill Mouzar accomplished the feat in 2004, also in Victoria. skips Corryn Brown (with Nanaimo's Marka Van Osch at third) and Tyler Tardi should also battle for the top prizes and the right to advance to the 2017 World Junior Curling Championships in Gangneung, South Korea.
Brown is the 2013 Canadian champion along with her lead Samantha Fisher. team. team that finished second nationally to Fay last year.
Tardi and his crew of third Sterling Middleton, second Jordan Tardi and lead Nicholas Meister won bronze at last year's Canadian juniors, losing the semifinal to Dunstone.
There are many other capable teams among the 14 junior women's rinks and 13 junior men's foursomes (Yukon did not field a replica birkin handbags men's team for this U 21 championship, just for the U 18 event).
Ryan knocked off Calvert this season and for that reason alone should be considered a contender here. Saskatchewan, Alberta and Ontario are also traditionally strong provinces.
This is the third time the national junior championships visit Victoria; the last time was 2004 when both the men and women competed. It was also here in 1979 when the provincial capital played host to the junior fake hermes bag men's championship.
Experience tends to go a long way at a Canadian Junior Men's and Women's Curling Championship.
For that reason alone, teams skipped by Northern Ontario's Tanner Horgan and Nova Scotia's Kristin Clarke are among the favourites as the 2017 championships begin Saturday at Archie Browning Sports Centre fashion cheap hermes handbags and Esquimalt Curling Club.
Horgan's team of third Jacob Horgan, second Nicholas Bissonnette and lead Maxime Blais remains intact after last year's silver medal finish to Manitoba's Matt Dunstone. This is also Horgan's fourth trip to nationals.
Curling fans will recognize the name as the Horgans are younger brothers to Tracy Fleury and Jennifer Wylie (both nee Horgan), who have competed at two Scotties Tournament of Hearts and numerous Grand Slam events.
"We've been working hard for a while now and reaping rewards," imitiaton hermes bag Tanner, who is coached by his father Gerry, told CBC Radio. "With the defending champions not coming back this year, I would see us seeded first going in. It's pretty amazing that we can even call ourselves the first seed going in. That's an amazing accomplishment in itself."
The team has patterned itself after Brad Jacob's Olympic gold medal rink, also based out of Northern Ontario.
Clarke and her third Karlee Burgess and second Janique LeBlanc are also back from their 2016 Canadian and World gold medal finishes with former skip Mary Fay, who stepped away from the game to focus on university studies. The team has added Emily Lloyd at lead. "So it was more about building a new team dynamic this year, that was the hard part.
"As difficult as it was to move on and try to find another player, by changing our mindset a bit and looking at it as a new team for this season, we've really developed a new dynamic that's working really well for us," added Clarke who joined the team last season.
It was the first time Nova Scotia had won a provincial junior title since Jill Mouzar accomplished the feat in 2004, also in Victoria. skips Corryn Brown (with Nanaimo's Marka Van Osch at third) and Tyler Tardi should also battle for the top prizes and the right to advance to the 2017 World Junior Curling Championships in Gangneung, South Korea.
Brown is the 2013 Canadian champion along with her lead Samantha Fisher. team. team that finished second nationally to Fay last year.
Tardi and his crew of third Sterling Middleton, second Jordan Tardi and lead Nicholas Meister won bronze at last year's Canadian juniors, losing the semifinal to Dunstone.
There are many other capable teams among the 14 junior women's rinks and 13 junior men's foursomes (Yukon did not field a replica birkin handbags men's team for this U 21 championship, just for the U 18 event).
Ryan knocked off Calvert this season and for that reason alone should be considered a contender here. Saskatchewan, Alberta and Ontario are also traditionally strong provinces.
This is the third time the national junior championships visit Victoria; the last time was 2004 when both the men and women competed. It was also here in 1979 when the provincial capital played host to the junior fake hermes bag men's championship.
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What is the possible sentencing for a 2nd DUI charge? My first was in Indiana, and the second in Ohio.
I go to court in 2 weeks for OVI and DUS in Van Wert, Ohio. I'm an Indiana resident and was on probation for my first DUI in Indiana when I was arrested fake hermes bag in OH. I pled guilty Hermes birkin bags fake to the probation violation in IN and received 270 days of house arrest that I'm now serving. If I pay the maximum on the fine in OH could the prosecutor lower the jail time, probation, or classes? Is a $1600 fine and 60 days in jail and license suspension a reasonable sentence to request if probation and classes are dropped? My BAC was .10 and .104 respectively for my DUI offenses and was arrested Aug 2013 and convicted Nov 2013 for the first one. I would like to just do 30 60 days in jail, a license suspension, and pay a fine and be done with it. Is this possible to avoid probation and classes?
I was charged with an OVI last Nov 2010 and it was suppose to be lowered to a Physical Control with a 1 year license suspension since I refused. Well the year has pased and I just recieved a letter from the BMV that states what I need to do to get my license back including: imitiaton hermes bag File of SR22, Remedial Driving Course, and Driver License Exam, as well as the $475 reinstatement fee. My question is that on the letter that I just recieved it says "First OVI". I was under the impression that it was lowered to physical control. Can anyone clear this up? Does a charge of physical control still mean an OVI to the BMV and is an OVI on my record or should it say on the letter physical control and no OVI on my record?
Physical Contol is a separate statute Ohio Revised Code Section 4511.194
The length of suspension is determined by.
I live in Ohio I replica birkin handbags have an OVI case misdemeanor the prosecution has continued to at least three times
I was pulled over because I was falling asleep at the wheel the police officer assumed I was under the influence and I was given a piss test which they State I failed in the THC level was higher than legal amount they have not provided my attorney with any numbers of that but have continued to case more than 3 times in Ohio my understanding was each side gets three continuances how many continuances can a prosecutor have before they have to dismiss the case
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