Tuesday, February 26, 2013

Cortisone can increase risk of acute pancreatitis

Feb. 25, 2013 ? A new study from Karolinska Institutet in Sweden shows that cortisone -- a hormone used in certain medicines -- increases the risk of acute pancreatitis. The results are published in the scientific journal JAMA Internal Medicine. According to the researchers, they suggest that patients treated with cortisone in some forms should be informed of the risks and advised to refrain from alcohol and smoking.

Acute pancreatitis is the most common disease of the pancreas and is caused by a sudden inflammation of the pancreas. Most patients recover without complications. However in 15 to 20 per cent of patients the disease develops to a life-threatening condition. The most common causes of the disease are gallstones and high alcohol consumption, but in a quarter of patients the causes are unknown.

Previous studies based on individual cases have indicated a link between acute pancreatitis and some medicines, such as preparations containing cortisone. Endogenous cortisone derives from an adrenal hormone and is related to stress and the regulation of the circadian rhythm. The most common form in humans is cortisol (or hydrocortisone). Synthetic cortisone is used to treat a number of medical conditions, such as asthma and autoimmune diseases (e.g. rheumatic diseases).

The present study is the first systematic study to demonstrate the relationship between medical cortisone and acute pancreatitis. Six thousand patients diagnosed with acute pancreatitis between 2006 and 2008 were compared with 61,000 healthy controls. The results show that people treated with cortisone in tablet form ran a 70 per cent higher risk of developing acute pancreatitis. This connection was observed after three days' medication, substantiating the evidence that the causal factor was the cortisone rather than the treated disease per se.

"However, there was no observable increase in risk for people who used aerosol cortisone, such as asthma inhalers," says the study's principal author Dr Omid Sadr-Azodi. "But people who start a course of cortisone are recommended to refrain from drinking and smoking, which are risk factors for acute pancreatitis."

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The above story is reprinted from materials provided by Karolinska Institutet.

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


Journal Reference:

  1. Omid Sadr-Azodi, Fredrik Mattsson, Tomas Sj?berg Bexelius, Mats Lindblad, Jesper Lagergren & Rickard Ljung. Association of Oral Glucocorticoid Use With an Increased Risk of Acute PancreatitisA Population-Based Nested Case-Control StudyGlucocorticoid Use and Risk of Acute Pancreatitis. JAMA Internal Medicine, 2013; : 1 DOI: 10.1001/jamainternmed.2013.2737

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

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

Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/top_health/~3/68T5CrOrPbQ/130225210321.htm

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Reflected light

A Christian Science perspective.

By the editors of the Christian Science Sentinel / February 25, 2013

At sunrise one morning, a tall vase of hydrangeas in a west-facing Victorian parlor caught shafts of light that brought out all the colors and threw entrancing shadows across a cherry-wood table.

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Later that day, the top of a cypress in a planter facing east in a row of elegant brownstone houses that the sun had long since left, glowed gold ? revealing what looked suspiciously like a smile.

Reflection from high windows opposite those grateful recipients had transformed their appearance, along with those of other windows all the way down that avenue to the house where the founder of the Monitor, Mary Baker Eddy, taught many classes. For those windows, sunrise and sunset had momentarily been reversed ? freed of the restraints of time ? confirming that there are no holds on beauty or goodness! City canyons that normally would never see the sun glowed in reflected light.

Humanly speaking, clouds and the revolution of the earth would sometimes interrupt such activity, but those remarkable moments do point us toward deeper consideration of the role of reflection ? not sun-made or man-made, but God-made. At any time we are flawless reflectors, inseparable from our source, divine light, Truth. As the Apostle Paul wrote in the eighth chapter of his Epistle to the Romans: ?Nothing in all creation can separate us from God?s love for us? (verse 39, Contemporary English Version).

Mrs. Eddy explained further: ?Few there are who comprehend what Christian Science means by the word reflection. God is seen only in that which reflects good, Life, Truth, Love ? yea, which manifests all His attributes and power, even as the human likeness thrown upon the mirror repeats precisely the looks and actions of the object in front of it? (?Miscellaneous Writings 1883-1896,? p. 23).

Our inseparability from our divine source was further clarified when Mrs. Eddy wrote that as images of Love we have not ?a single quality underived from Deity? and possess ?no life, intelligence, nor creative power of [our] own,? but reflect ?spiritually all that belongs to [our] Maker? (?Science and Health with Key to the Scriptures,? p. 475). And this, we learn, includes good health, harmonious relationships, and peace of mind.

It doesn?t matter where and when the sun rises and sets, or whether clouds blow our way or not. God remains the source of our light and life, and our ability to reflect His goodness cannot be impaired or interrupted. All we need are open arms, a clear surface, stillness, and the wisdom to look in the right direction to become aware of it. As willing reflectors, we are reached by the light wherever we are.

Given the richness and abundance of God?s resources, just think of the scope we all have to live lives that stretch way beyond that analogy of sunlight on tall buildings. It?s our union with the Christ ? ?the spiritual idea of divine Love? (Science and Health, p. 38) ? that makes the difference. It allows us to mentally step inside God?s embrace and draw all those around us into the warmth and security of a permanently sunlit place.

From an editorial in the Christian Science Sentinel.

Source: http://rss.csmonitor.com/~r/feeds/csm/~3/pTkZ3uMnKcM/Reflected-light

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Monday, February 25, 2013

Catholic Church Fills Growing Void in Africa

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Source: www.nytimes.com --- Saturday, February 23, 2013
With 16 percent of the world?s Catholics now living in Africa, the Church?s future, many say, lies in the continent. ...

Source: http://www.nytimes.com/2013/02/24/world/africa/catholic-church-fills-growing-void-in-africa.html?partner=rss&emc=rss

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EPA findings at toxic California Superfund site concern area residents

By Stephen Stock and David Paredes, NBCBayArea.com

Some residents who live around Moffett Federal Airfield near Mountain View, Calif., say they are scared. Others say they?re not worried at all.

Depending on whom you talk to, the Environmental Protection Agency?s findings of higher than expected levels of TCE in the air and in the groundwater near the Mountain View property is either a cause for big concern or no big deal.

But one thing is certain. Everyone is talking about the new test results from the EPA showing a presence of toxic chemicals in the air and in the groundwater in and around the Middlefield, Ellis, Whisman (or M-E-W) Superfund site.

According to the EPA, the underground Superfund site include a wide variety of toxic chemicals including PCE and vinyl chloride, chemicals left over from the budding semi-conductor industry that got its start in the buildings along Middlefield and Whisman Roads and Ellis Street.

The chemical of most concern and most quantity in the toxic underground plume is a chemical called trichloroethylene, known as TCE.?It's a cleaning solvent once commonly used by the military and the budding semi-conducting industry 30 years ago.

The EPA says that TCE is a toxic solvent that causes cancer in people and heart deformities in unborn babies. According to EPA experts the toxic plume has been lurking underground for decades ever since nascent semi-conductor companies apparently dumped or allowed TCE and other chemicals to leak into the ground.

According to EPA officials the United States military also used TCE to clean airplanes and vehicles during that same time period.

The plume extends from under the runway at Moffett Field a mile and a half south and west under Highway 101 and past Middlefield Road. To the north it goes to Whisman Road and south to just past Ellis Street.

The plume of mostly TCE is believed by EPA investigators to be about a half-mile wide at its widest point.

After NBC Bay Area?s Investigative Unit began asking questions in April 2012 about possible health effects of the TCE plumes, the Cancer Prevention Institute of California (CPIC) opened its own probe.

After exhaustive research and analysis of three decades worth of health data, California?s state cancer registry announced that it found a higher than expected number of people living in neighborhood surrounding the M-E-W Superfund site who had contracted a group of cancers the registry?s scientists call non-Hodgkin lymphoma.

The higher than expected incidence of these cancers occurred during the years 1996 to 2005.

NBC Bay Area

Now the EPA admits that until recently it had somehow missed some ?hot spots? of higher than acceptable levels of TCE in groundwater and in the air in several homes and more than 20 commercial buildings in the area. Two of the hotspots were found by EPA investigators along Evandale Avenue outside the original plume area.

That concerns some residents who live on that road. Residents like Theresa Larrieu, who has lived in a home along Evandale with her family for a quarter century. Larrieu said that the family always knew the M-E-W Superfund was nearby but figured it didn?t directly affect them since it wasn?t right next door. The Superfund site was far enough away, Larrieu thought, to be present but not an impact on her family?s health or life. Now, with these new EPA test results, the TCE plumes appears to actually be right next door and it may even be under Larrieu?s home. The EPA has conducted air, water and soil tests in and around the home but the results have not come back as of this writing.

Larrieu says she's worried and is holding her breath waiting on the results of those air and water sample tests the EPA took from her home. ?Scared. Nervous. Worried. Very worried,? Larrieu said when asked to describe her emotions. ?(There?s) way more suspense than I need in my life.?

?Your first thought is your health, is this affecting us is this affecting other neighbors that I know had health issues,? said Larrieu.

The EPA shares Larrieu?s concerns and M-E-W Superfund Site manager Alana Lee emphasizes they are working hard to address and clean up the mess. ?We cleaned up over 5 1/4 billion gallons of contaminated water and over 110,000 pounds of toxic contaminant,? said Lee.

But Lee also said that the EPA also missed these hot spots of TCE both in groundwater and in the air inside some buildings along Evandale Avenue including two homes outside the original plume area.

?The concentration (found there) is very high,? said Lee, ?A very high concentration.?

How high?

According to documents from test results, the highest TCE levels that the EPA measured in ground water in the area reached 130,000 parts per billion. The EPA considers anything over 5 parts per billion unsafe.

In the commercial buildings nearby, including two now occupied by Google, EPA tests found TCE in the air at levels 26 times higher than the level considered by the EPA to be acceptable and safe.

?Once we found these concentrations, which were a surprise, we took immediate action,? said Lee.

EPA

Bruce Panchal?s home is one of the two houses located on Evandale where the EPA found high levels of TCE. The companies responsible for the toxic chemical cleanup installed a series of four pipes in and around his home to ventilate the toxic TCE fumes leeching from the ground away from the house?s interior to the outside.

Even so Panchal said he?s not worried. ?They found a high concentration and with the system it pumps out all the fumes so it safe,? said Panchal.

Panchal and his family have lived in his home along Evandale for 45 years. He said he worked for the budding semi-conductor businesses that got their start in his neighborhood. He even said he handled the chemicals now in question and dumped them in the ground back then.

Despite the new contraptions now pumping air away from the inside of his house, he says he isn?t worried about his or his family?s health. ?I?m living proof that they have an issue with the fumes but it is not death defying or a detriment to your health,? said Panchal.

EPA officials said they also found high levels of TCE in more than twenty different commercial buildings between Whisman Road and Ellis Street. Included among those buildings are two new office complexes for Google employees where, the EPA says, renovations and construction allowed higher than expected levels of TCE to leech from the ground through the buildings? concrete slabs and into the air inside.

It is in some of these buildings where EPA investigators found levels of TCE vapors in the interior air that were as much as 26 times higher than acceptable safe levels with air conditioning systems off.

The EPA says it has systems in place in and around those buildings to keep vapors outside.

Google tells us they take this matter seriously and they?ve already taken measures to ensure that the buildings and the work area is safe.

Theresa Larrieu worries that it may be too late to keep her family from feeling the health effects of this toxic plume. She wonders how long they may have been exposed to these vapors and chemicals that went undetected until recently.

?It is scary,? said Larrieu. ?I?m very scared. I have children. I have grandchildren.?

Larrieu also remains concerned that not even the EPA can say how long the fumes have been leeching into the neighborhood or how long she and her family have unknowingly been exposed.

When we asked the EPA if they knew exactly how long have these newly discovered TCE hot spots had been there the EPA?s Superfund Site manager Alana Lee said, ?We don?t know.?

When we asked whether the toxic chemicals migrate underground or traveled down Evandale Avenue or whether those chemicals had been lurking there underground along with the rest of the toxic plume for decades, Lee had the same answer. ?We don?t know.?

The EPA said it will take decades more to clean up this toxic mess.

Source: http://usnews.nbcnews.com/_news/2013/02/23/17068747-epa-findings-at-toxic-california-superfund-site-concern-area-residents?lite

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Meet the cross-subsidy, an increasingly painful way to pay for ...

This is the third in a series of articles addressing a largely hidden crisis: A decade of social-service cuts and rising poverty have left Minnesota schools ?which turn no child away ?struggling to serve a growing number of students whose severe mental-health issues and cognitive disabilities aren't being addressed anywhere else.

The scrimping, finessing and begging that Keith Lester has done during the eight years he has been superintendent of Brooklyn Center Schools would be comical if it didn?t involve the fates of children and the livelihood of teachers.

His three schools are attractive, so much so that 40 percent of the district?s 2,600 students are open-enrolled from other communities. Lured by a holistic approach to supporting kids and International Baccalaureate programming, they bring precious state tuition dollars.

Test scores are on the rise, in no small part because of his efforts to get outsiders to provide a full array of in-school supports including medical, dental and mental-health care and all-day preschool.

Still, his budget does nothing but shrink. In a good year he has to find about $1 million to cut. In the bad years ? most of them since state financing began shrinking a decade ago ? it?s more like $2 million.

Lester spends a lot of time thinking out of the box. The first five years he was there, there were no librarians in his three schools. In 2010 he got a grant to hire one ?for a single academic year.

In 2008, he lost a teacher budget line but got a grant to hire a teacher. The grant was for arts instruction, though, so even though he hired a dance teacher he had to lay off an English teacher.

Painful cuts, impoverished students

In 2011, he had to cut all 11 of the teachers who coached the district?s struggling elementary pupils in math and reading. Their intensive work had been paying off with rising test scores.

The district has been in statutory operating debt ? a bureaucratic way of saying financial life support ? since 2000. He gets $2,000 a head less state aid for his 1,700 pupils than Minneapolis and St. Paul, even though his student body is just as impoverished.

And Brooklyn Center?s property tax base is modest, to put it kindly. Lester had to go to voters nine times to get his last levy ? the lowest in the metro area ? renewed.

When he started in 2005, about 12 percent of Lester?s students needed special education services. Meeting their needs typically costs about twice as much as general ed students, but it can be much, much more.

Even if it were a place where Lester thought to cut, he couldn?t. Disabled children can be convenient political targets, so the law is set up to protect their rights. All are entitled to a free and appropriate education, no matter its cost.

Many chose his school for its supports

Many of the families that have chosen Lester?s schools in part because they need the health-care and other supports they can find literally just down the hall from their child?s classroom are particularly needy. Special-ed students now make up more than 20 percent of the district?s population.

Never mind that the special-education services are mandated by law, neither the state nor the federal government has ever reimbursed schools anything approaching the true expense.

And so to meet the needs of his most vulnerable kids, Lester has always had to shift money from the state aid he gets for all students. Because of the rest of the budgetary landscape, over the last 10 years the amount he?s had to divert has risen 163 percent to about $1,000 per pupil.

In fact, the amount Lester has to shift from general ed to special ed is typically more than his overall budget deficit. In 2011, he needed to make up a $2 million shortfall. The gap in special-ed reimbursement that year was $2.233 million.

If the state filled the gap ...

Expressed another way, if the state of Minnesota began paying full freight the district could get back in the black for the first time in 15 years. Lester could hire a librarian, recall the laid-off English teacher and bring back the literacy coaches.

Lester is retiring at the end of the year. The payback of this most hidden of school funding shifts would mean he could hand his successor a school system poised to become the envy of its wealthier neighbors.

* * *

Barring some budget-healing magic, Minnesota schools this year are poised to skitter off a fiscal cliff few people know exists. Between rising need and lagging state aid, the amount of funding they will be forced to divert to pay for special education will reach an average of $834 per student.

Even schools that are far wealthier than Brooklyn Center?s will have no choice but to use, on average, 16 percent of the $5,224 per pupil the state gives them to make up for a shortfall that is projected to keep growing. That?s money that cannot be used to prevent teacher layoffs, reduce class sizes or restore disappearing ?extras? like art and music.

Brooklyn Center is not the only community where the subsidy has topped $1,000 per pupil for several years. A $147-a-head increase is expected this year alone. By 2015, the shortfall is anticipated to have mushroomed to $2 billion per budget cycle.

A primary reason for continuing funding challenges

Known in education circles as the cross-subsidy, the special-education funding deficit is the primary reason Minnesota school districts face funding challenges year after year, public-school advocates say. Eliminating the cross-subsidy would do more to put schools back in the black than repaying 2011?s budget-balancing shift, putting more money into the general fund or passing operating levies.

How has a problem ? and potential solution ? of this magnitude largely stayed hidden from public view for years? The short answer is because it is a terrifically complicated, politically expedient place to hide the true extent to which funding for Minnesota schools has been cut over the last decade.

Gov. Mark Dayton?s proposed budget would put $125 million toward closing the funding gap as well as a number of structural changes that will help direct the 13 percent boost to the districts with the most need.

It?s a welcome start, said Scott Croonquist, the executive director of the Association of Metropolitan School Districts and the person who is best able to describe the cross-subsidy?s many wrinkles. Policymakers should adopt the budget, but they should also begin to address problems that have plagued special ed since its inception.

A look back

Until 1975, most of the country?s then 4 million children with disabilities were either warehoused in ?classrooms? where little education took place, or in institutions where it wasn?t even paid lip service.

Most of these kids had profound and obvious disabilities like Down syndrome. Most children who would now be diagnosed with autism or a mental illness were simply written off as difficult or badly behaved.

In the wake of the civil rights movement, federal courts decreed that all students ? including those in a coma and those considered uneducable ? were entitled to an education, and in the least restrictive environment. The laws that were subsequently written took pains to protect disabled children.

Administrators could not decide that meeting a particular student?s needs was too costly and, to eliminate any incentive to rid their budgets of red ink by chopping spending on the vulnerable, they must maintain their overall special-ed budget.

A sweeping mandate, but few federal dollars

In short, the federal government created a sweeping mandate ? one that most people approved of ? but it has never paid more than a fraction of the cost. Initially the U.S. Congress set a goal of paying for 40 percent of the cost of the new programming, but only once in the ensuing four decades have reimbursement levels topped 20 percent.

Flush with new education funding from the 1971 Minnesota Miracle, Minnesota already served disabled kids. The state?s commitment makes it responsible for 68 percent of special-ed teacher salaries and 50 percent of the main services as well as hefty chunks of costs like transportation.

It should have been enough. But like Congress, the Legislature has never appropriated enough money to reimburse schools. Instead, it budgets a fixed amount that?s pro-rated by districts? enrollment, rather than the number of special-ed students served or the complexity of their disabilities.

This has always created two funding shortfalls: A gap between the state?s legal commitment and the amount of aid the Legislature appropriates for distribution; and a larger gap between what districts are obligated to spend and the global funding available.

An uneven burden, with disincentives

Adding to the pain, the burden is uneven and disincentives abound. Some districts have disproportionate concentrations of needy kids. They may serve an impoverished, fragile population, they may serve as a sort of regional hub for kids with complex issues or a reputation for getting good outcomes may have made them a magnet for families in search of help. But the separate pot of ?excess cost? aid that was supposed to smooth the iniquities also has been underfunded.

Until 2003, the gap between the true cost and federal and state aid hovered around $350 million. High though the budget hit was, it at least held fairly steady. That year, however, a combination of structural changes to Minnesota?s tax system crafted by former Gov. Jesse Ventura and subsequent cost-cutting by then-Gov. Tim Pawlenty started the cross-subsidy?s upward spiral.

An attorney with expertise in education finance, Jerry von Korff serves on the St. Cloud Area School Board. Because the district was one of the aforementioned regional magnets for kids needing specialized services, its cross-subsidy was the largest of any of the state?s districts of substantial size.

In 2004, St. Cloud was forced to divert $569 per student to make up a total special-ed deficit of more than $5 million. The district immediately started looking for ways to freeze expenditures, and von Korff began talking to lawmakers and other education policy types.

An expedient place to obscure the extent of defunding

Legislators listened, said retired Sen. Mindy Greiling, the Roseville DFLer with perhaps the best institutional memory of recent school funding issues ?and mostly shrugged. The cross-subsidy, she said, became the most expedient place to obscure the extent of the defunding.

Mindy Greiling

Mindy Greiling

Even as class sizes were mushrooming and teachers disappearing, legislators frequently voted in small increases in general education funding. Back in their home districts after each session, they would tout any small upticks ? the last two were $50 a head?as proof that education remained a priority, without mentioning that the hundreds of dollars their community was spending on its cross-subsidy.

?Lawmakers quickly learn there?s no political profit in addressing the cross-subsidy,? she said. ?It leaves you less to put on the formula.? The formula being the bottom-line, annual minimum dollar amount the state reimburses districts for every student.

Nor were school administrators ready to acknowledge to a frustrated public that the bare-bones cutting was because up to 20 percent of each child?s funding was being spent on a small number of intensely needy kids.

'School districts can't talk about this'

?School districts can?t talk about this,? said Greiling. ?If you say there?s plenty of money for the schools but for the cross-subsidy, then you set up a dynamic of ?why should they get a class size of 12 while my kid is in this overstuffed classroom???

Over the last decade, the before-inflation special-ed shortfall has eaten all but half a percent of increases in overall state school funding, according to von Korff?s research. During that time, the cross-subsidy has almost doubled, rising to $600 million in 2011. (For purposes of simplicity, these numbers correspond to calendar years. State reports often use fiscal years, and educators often account for costs according to academic years.)

And arguably that figure is artificially low. In 2007, the Legislature provided some temporary relief. And in 2011, an influx of federal stimulus aid ? again, one-time money ? offset the shortfall by almost $150 per pupil.

Even with the federal aid on board, in 2011 St. Paul Public Schools had the largest cross-subsidy at $36 million, or $838 per student, compared to $505 in 2004. The Anoka-Hennepin?s $31 million gap required a shift of $697 a head, vs. $446 in 2004.

Minneapolis Public Schools? $34 million diverted $904 per student, up from $533. Rosemount-Apple Valley Eagan?s $23 million shortfall created a cross-subsidy of $720, compared to $440 in 2004.

Columbia Heights had highest shift in metro

As a per-pupil deficit, Columbia Heights had the highest shift in the metro area at nearly $1,100 per student, more than three times the $334 it diverted in 2004.

Among the several Greater Minnesota districts with eye-popping shortfalls, Red Lake stands out. In 2004, its cross-subsidy was $352. By 2011, the amount had risen to $1,144.

All told, 11 Minnesota districts shifted more than $900 per student into the cross-subsidy and 22 more than $800. With the stimulus dollars gone and Dayton?s proposed relief theoretically arriving in the second year of the next budget, those shortfalls are guaranteed to skyrocket.

* * *

At the moment, the accepted answer to spiraling costs and funding shortfalls is to do more with less. And the hardest part of the cross-subsidy conversation education advocates are attempting to start at the Capitol this year is explaining that in recent years educators have found lots of efficiencies ? and costs have still mushroomed.

When the laws mandating special-education services were written, the majority of the institutionalized students who were to be welcomed into schools had developmental disabilities. Little was known about brain disorders like autism, and legions of kids with challenging behavior were perceived as disciplinary cases, not students struggling with mental illness.

Hand-in-glove with the cross-subsidy, caseloads have shot up in recent years. Between 2001 and 2011 the number of Minnesota children with autism spectrum disorders, which can present some of the thorniest neurobiological challenges, rose from 3,800 to almost 15,000.

Nearly 125,000 children now qualify

Overall, the special-ed student population has risen from 13 percent to 15 percent of the state?s student body over the last decade. Nearly 125,000 children now qualify for services.

The percentage of students who qualify for special education services is on the rise.

During the same period, cuts to social services and health care mean schools are also scrambling to meet the needs of a mushrooming number of kids with severe mental illnesses. Many of them have special-education diagnoses.

?We can?t do more with less because we?re getting better at identifying kids [with unmet needs] and at serving them,? said Greiling. Nor is eliminating the ?maintenance of effort? laws (which is fraught with small caveats) that require districts to maintain spending levels the answer.

Which is not to say that costs cannot be addressed. St. Cloud?s systematic efforts to hold costs steady, for example, has gone from having one of the worst cross-subsidy problems in the state to a fairly commonplace one. Still, its relatively modest 41 percent increase means it must shift $801 per pupil.

* * *

The first Friday after New Year?s, Jason Backes got a new student. An autism specialist in a program where he works for kids with severe disabilities and mental-health needs, Backes had been prepping for Thomas? arrival for some time.

When the bus arrived, the boy was so agitated he tried to hit, kick and bite anyone who got near him. Backes climbed on board, armed with an iPad.

The staff ?innovation coach? at a program for students with multiple, intense challenges, Backes had spent some time getting to know Thomas (who has been given a pseudonym) on paper. He had a plan for delivering the teacher a relatively settled, teachable kid.

According to the information supplied by Thomas? home school district, which couldn?t meet his needs, he needed visual and not verbal cues, and was calmed only by physical activity. So Backes made him a movie.

Costs are astonishingly high

The exact details of Thomas? situation would identify him, but for the sake of illustration assume that like many of his classmates he has a long ride on a bus where he is the only student and that he has both a driver and an aide to keep him safe, a teacher who works exclusively with him?and perhaps another aide ? and a dedicated, specially equipped classroom.

The free and appropriate education Thomas is rightfully entitled to under U.S. law is astonishingly expensive. All that one-on-one staffing can cost upwards of $100,000 a year. Other kids who can be transported together and can work in small-group classrooms may require an outlay of $40,000-$50,000.

In generations past, kids with such intense needs didn?t go to school. They were institutionalized ? warehoused is a more honest way of putting it ? at a cost to taxpayers that was every bit as steep. Meanwhile, the human cost was incalculable.

In the past, educators have protectively shied away from talking publicly about kids like Thomas. They are vulnerable, and rhetorical support for their right to be included as full members of society has always outpaced the willingness to confront the scope of the need.

Frightful though the cost of these specialized interventions is, there are ways, such as clustering kids with ?low-incidence? diagnoses in specialized programs, to simultaneously hold down costs and provide services that are effective.

Intermediate District 287
MinnPost photo by Bill KelleyNorth Education Center in New Hope, where a consortium of west metro school districts operates the Students with Unique Needs program.

Backes? movie showed what it?s like to go to school at the North Education Center in New Hope, where a consortium of west metro school districts operates the Students with Unique Needs program. Its pupils typically have more than one neurobiological issue or mental illness, including profound autism, fetal alcohol syndrome, anxiety, obsessive-compulsive and bipolar disorders and schizophrenia.

Other programs operated by Intermediate District 287 serve children who have a complex mix of cognitive disabilities and mental illnesses. The brand-new North Education Center is the crown jewel of its facilities.

It has innovative features like walls that can be reconfigured at a moment's notice to accommodate a constantly changing population. There are spaces that can be made soothing to kids who have sensory challenges. There is state-of-the-art security, shatter-proof glass and doors that can?t be slammed.

Concentrated expertise

Most important, there?s concentrated expertise. The sooner a student?s needs are identified and addressed, they greater the chance they can be returned to ?regular? school and the higher the likelihood they will earn a high school diploma and enter the work force.

While a very few kids always will need intensive support, in his seven years with District 287, Backes has graduated numerous Thomases back into less restrictive, less costly programs.

Backes filmed the doors Thomas would walk through and the hallway on the other side, where colored strips of carpeting delineate paths for students who need hyper-structured routines. His trip would end in a room where a swing hangs from the ceiling. Unlike a conventional desk, the setup would allow him the constant movement that keeps him calm enough to work.

Backes had sent the video to Thomas? family, so the boy already had seen it when he arrived at school. As Backes screened it again ? and again, and again ? on the iPad on the bus in front of the doors in question, Thomas slowly stopped lashing out.

?Once he got involved in some physical activity, once he got into the classroom and into the swing, he was able to calm himself,? said Backes. ?After half an hour, he was comfortable and ready to try school.?

What Thomas and his teachers need most is a paradigm shift among policymakers. Unless they are willing to confront the true cost of educating Minnesota?s most fragile students, they say, the unmet need will swamp public education.

Source: http://www.minnpost.com/learning-curve/2013/02/meet-cross-subsidy-increasingly-painful-way-pay-special-ed

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Wang pushes Chinese cycling into new era at Tour de Langkawi

Talented climber blazes to race lead atop Cameron Highlands

When the rider wearing the white jersey of the best Asian rider, Meiyin Wang took off in the day's early breakaway at Le Tour de Langkawi, he wasn't thinking about the stage win. Wang was just sticking to the pre-race plan: go on the attack and show-off Chinese cycling to the world stage.

The heavily-stacked ProTeam and Pro-Continental field were happy to let Wang and his breakaway companions their time in the spotlight for the most of the the 140.km stage and allowed the gap to balloon to over 12 minutes. His time would be over when they chose, or so they thought.

The 24-year-old was clearly the strongest from the five-man attack group and when the road tilted up toward the Cameron Highlands Wang was off on his own. The rider who hails from Qufu ? the birthplace of Confucius in the Shandong Provence only needed to ascent approximately 1,500m before cresting the finish line. He would also need to ride the final 40km on his own, which the bunch felt was highly unlikely.

The chasing field, whittled to less than 30 riders by the top could do nothing to stop the talented climber who simply maintained his advantage all the way to the line. The stage win and yellow jersey is not just a first for Wang but also for Chinese cycling. He's the first Chinese rider to win a stage at Langkawi and is now poised to become the first Asian rider to claim the Langkawi title.

"It was a very good day," said Wang through his teammate, translator and former ProTeam rider Fuyu Li.

"Our plan was not like this. We just tried to breakaway but not with me. Another two guys tried to breakaway but they couldn't get away so I jumped. I just tried but it turned out that I won today.

"It was not so easy but I tried to do my best. I want to show-off Chinese cycling. I want to show everyone for the Chinese [people]."

Entering the breakaway for the second time since the tour started is in part a small way of saying thank you to the organisers for giving them a chance to compete in one of Asia's most prestigious races, said Wang.

"I'm very thankful that our small team was invited to come to this race.

"I just wanted to show myself for Chinese cycling today but the race has only just begun. We will have to see after this stage if we receive more invitations [to other races on the Asia Tour]."

The rider who started his career in mountain biking and spent two years riding for Marco Polo in 2009 and 2010 told Cycingnews that his biggest goal is to join the top ranks of the WorldTour and that the terrain of Cameron Highlands was the ideal way for him to display his potential.

"My favourite type of stage is something like today, especially when it's hard like the Cameron Highlands; rolling and small mountains is what I like," he said.

"My dream is to go to a ProTeam, of course I would I want to one day go to the Tour de France, Giro or the Vuelta a Espana."

Wang will start the fourth stage with a 2:43 advantage over his nearest rival and with the majority of the pre-race favourites over three minutes in arrears, Wang has the potential to make history in Langkawi by becoming the first Asian or Chinese rider to win the 2.HC race.

Source: http://feedproxy.google.com/~r/cyclingnews/news/~3/JJJblsMmXqw/story01.htm

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Sunday, February 24, 2013

Williams' 46 points lift New Mexico

Mike Rosario scored 15 points and Patric Young added 14 on Saturday night to pace a balanced attack that helped No. 5 Florida rebound from one of its two Southeastern Conference losses with a 71-54 victory over Arkansas.

Rodney McGruder scored 20 points and No. 13 Kansas State stayed in the race for their first regular season conference championship since 1977 with an 81-69 victory over Texas on Saturday night.

Johnathan Loyd had season highs of 15 points and nine assists to lead No. 23 Oregon to a 77-64 victory over Stanford on Saturday night.

Source: http://www.fantasysp.com/news/cbb/1525167/williams-46-points-lift-new-mexico

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