Travel Italy – Rome, Islands and Coasts

June 4 | 7:00 pm - 8:30 pm

Always wanted to go to Italy, but don't know where to start? Join Kerri Wood of Adventure On Travel for a free seminar that will teach you the tips and tricks to create your own Italian adventure of a lifetime.

In this fun, informative session Kerri will share with you the best ways to stay within your budget and maximize your precious vacation time. Learn to experience Italy instead of just being another tourist; immerse yourself into this culturally rich country! At the seminar you will learn how to: - Plan your trip to fit your style and budget - Choose the perfect accommodations and dining - Get around Italy with ease - Pack for any length of trip - Visit the best tourist sites the easy way - Avoid pickpockets - Decide where to fly in and out of - Manage the details -- money, documents, reservations, laundry etc. Space for this seminar is limited so place your reservation before it fills up. Parking is Free at the Library. We look forward to seeing you there!

Who: Adventure On Travel Location: Kirkland Library Address: 308 Kirkland Ave. Kirkland, WA 98033

Phone: 360-303-5444 Email: kerri@adventureontravel.com Website: adventureontravel.com/toursandevents Cost: Free Ticket Website:adventureontravel.com/toursandevents

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Travel Italy - Rome, Islands and Coasts

Bogged down by health care in Mass.

Gov. Deval Patrick wants Massachusetts to crack the code on health care costs, a punchy slogan he uses when hes promoting nationally the Bay States cost-containment efforts. But transforming his ambition into policy has produced some messy sausage-making in his state Legislature.

Key stakeholders arent sure whether the springtime rush to craft a state approach to health care costs will create a national model much the way Massachusettss 2006 coverage expansion signed by Gov. Mitt Romney helped create a framework for President Barack Obamas 2010 national health law. In fact, some are wondering whether the cost-savings effort will even work in Massachusetts.

That remains to be seen. Hopefully, the final product is reasonable and we can all adjust, said Richard Aghababian, president of the Massachusetts Medical Society.

Hospitals, doctors and insurers have ferociously lobbied to protect their industries, and lawmakers crafting the bill are feeling the effects of the tug of war.

One thing we have learned so far is that its a lot more complicated than just expanding access to health coverage, said Sen. Richard Moore, a Democrat who helped negotiate the contours of the 2006 law signed by then-Gov. Mitt Romney and is now helping shape the second stage of Massachusetts reform.

Lawmakers in both the Massachusetts House and Senate say their plans could save $150 billion over the next 15 years, slowing health care cost growth to a speed that matches or even trails the states economic growth rate. To achieve this, the proposals nudge the health care industry to embrace new payment models, de-emphasizing the current fee-for-service system that rewards doctors for the volume of services they provide.

But deep fissures have developed. Unlike the Senate, for example, the House would slap a luxury tax on hospitals that command higher reimbursement rates and use the money to boost providers that are underpaid. The House bill also sets a more aggressive cost-control target and forces hospitals to negotiate individually rather than in groups to set reimbursement levels with insurers.

Patrick, an Obama campaign surrogate, has argued that solving soaring health costs in Massachusetts could vindicate the national health law. Romney, on the other hand, has taken flak from conservatives for fathering Massachusettss health care law particularly its individual mandate. And while he has vowed to repeal the federal health law, hes defended the state reform, arguing that its popular and hasnt added much to the states fiscal burden. A successful cost-control effort could lend credence to those claims.

But that doesnt solve the question of whether the effort will be successful.

Continued here:

Bogged down by health care in Mass.

How ’Death Panels’ Can Prolong Life

Illustration by Bloomberg View

By the Editors 2012-06-03T22:00:06Z

Average life expectancy is one of two statistics commonly used to compare the health-care systems of different nations. (The other is infant mortality.)

One of the puzzles about the U.S. system is that we spend far and away the most money per capita for health care, but we rank 50th in average life expectancy -- after Macau, Malta, and Turks and Caicos, among others.

We are all familiar with statistics about how much of health-care spending takes place in the last year of life, and with stories about old people who are tortured with costly treatments they dont want and which prolong dying but dont extend life in any meaningful sense. (Michael Wolffs confessionary tale about his mother in New York magazine is a vivid example.)

Certainly, ailing old people should be allowed to die in peace, if thats what they want, and not be subject to excruciatingly painful surgeries and drugs that will do nothing for them. These are more the fault of lawyers than doctors. In our experience, doctors can be all too cool and rational in their thinking about the end of life. Its fear of lawsuits (or, in a few cases, trolling for customers) that prevents doctors from behaving rationally when prescribing treatment for the old and terminally ill.

But not providing treatment to people who dont want it wont save enough money to rescue the U.S. health-care system. Nor will eliminating new and expensive pills, and other therapies, that do no good at all or are no better than existing therapies.

So what do we do about old people who, on balance, would rather get even older -- whatever that means in terms of quality of life -- than give up? This is one of the indelicate, unmentionable questions in the health-care debate.

The slope here is slippery indeed. You start by obeying the wishes of someone with at best two months to live, who wants to trade them in for one month with no pain and no intrusive treatments. Next youre assuming that this is what someone who had expressed no preference (and is now demented or sedated) would have wanted. Then you are subtly, or not so subtly, pressuring her, or her children, to get with the program. Or you are even enacting regulations that deny Medicare reimbursement for treatments that dont meet some criterion of benefit.

In short, all the Republican talk during the health-care- reform debate about death panels was melodramatic and unfair, but not ridiculous. One way or another, holding down health-care costs will require policies that deny treatment to people who want it. And want it because it will extend their lives.

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How ’Death Panels’ Can Prolong Life

Health care: June 4

East Tennessee Medical Group's Diagnostics Department has received accreditation from the Intersocietal Accreditation for Computed Tomography.

Gaye Fortner has been promoted to CEO of Healthcare 21 Business Coalition. She was previously senior vice president and chief operating officer.

Kevin Miller has been promoted to vice president of supply chain management for Covenant Health, succeeding Gaye Jolly, who has taken the position of chief administrative officer at Roane Medical Center. Miller was previously director of materials management at Parkwest Medical Center.

Dr. John Osborn has been named president of the Tennessee Dental Association. He practices in Maynardville.

Select Specialty Hospital has earned Quality Respiratory Care Recognition from the American Association for Respiratory Care.

Jennifer Speigner has joined Homewood Residence Deane Hill as executive director. She was previously executive director of Galleria Woods in Bimingham, Ala.

Tony Spezia has been named one of the 200 Non-Profit Hospital, Health System CEOs to Know by Becker's Hospital Review. He is president and CEO of Covenant Health.

Dr. Bhavana Vora has joined Summit Medical Group and will practice family medicine in Harriman. She previously practiced at Ambulatory Care Center of Wartburg.

The University of Tennessee Medical Center announces its 2012 Nurse Excellence Award winners: Donna Coffey, Rachel Cooley, Jeanne Downing, Joan Fedrigon, Diane Harper, Connie Harrill, Jami Johnson, Clay Kyle, Carrie Linebaugh, Anthony Parton, Randi Ray, Tammy Seay, Jennifer Sexton, Jessica Whaley, Kristy Williams and Andrea Young.

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Health care: June 4

Marfan Syndrome [Marfan Syndrome] – Video

02-06-2012 12:29 Full Article: Free iPad 3: Get An iPad3: Marfan Marfan Syndrome Syndrome dr Syndrom National Marfan Foundation National Marfan Association Connective tissue disorder medical media systems promotional products physical examination aortic dissection bedside examination physician assistant Marfan syndrome physical diagnosis nurse practitioner connective tissues instituto bernabeu genetic disorders medical education inherited genetic Marfan's syndrome advance practice Marfans syndrome in skeletal system jonathan larson Abraham Lincoln Jonathan Brett Peter Corrigan history-taking medical media Mafan syndrome Dr. andrew hypermobility heart sounds february 17 interviewing zoomcatalog syndrome NHS Choices Joey Ramone examination educational non-profit Rzepecki Modified Capsular alex jones Foundation dissection pediatrics television conspiracy interviews illuminati Nonprofit Tension with diagnosis education physician excavatum illnesses Fukushima communism physical aneurysm Genetics Clinic medicine findings symptoms genetics Jonathan skeleton recovery maverick brighton Criminal military analysis politics

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Marfan Syndrome [Marfan Syndrome] - Video

Freedom of Press in Moldova still a matter of concern

The media market of the Republic of Moldova is quite rich, although there are some issues regarding it. The most difficult part can be found in Moldovas separatist region of Transnistria which does not administrate the zone.

The case of Ernest Vardanean is the most resonant incident which deals with freedom of press. Journalist Vardanean was sentenced to 15 years in prison on charge of spying for Moldova. He was pardoned one year later by the so-called president of Transnistria, at that time Igor Smirnov. Ernest Vardanean was in prison since April 2010.

The worst incidents the Moldovan media experienced took place during the violent riots of April 2009, when thousands of people took to the streets contesting the result of the elections. The protesters, mainly teenagers, organized the protest on the internet. When the number of demonstrators increased significantly, the leadership shut down the main social networks, such as FaceBook, Twitter, Odnoklassniki (a popular Russian social network).

During the protests, which turned violent, several bloggers were beaten up, local and foreign journalists detained and the transmission of some opposition TV channels has been cut off. Their websites were suspended and the access to internet was restricted in some places.

Moldovas well known Pro TV channel had their broadcasting cut off and the website unavailable, because it was an important criticizer of the leadership. They had to switch their updates on the website of Pro TV Bucharest (Romania) during the demonstrations.

Other media outlets, such as UNIMEDIA news portal launched an English version of the website providing live updates from the ground in two languages (Romanian and English). They were also supposed to change the domain because the previous version was temporarily blocked by the Security Service of Moldova.

International correspondents from AP, AFP, and Reuters were barred from entering the country, while others were expelled from Moldova.

According to Reporters without Borders, Moldova ranks the 53rd level out of 179 in the latest worldwide index on freedom of press. Moldova scored 3 points and a status of partly free press for 2011 from Freedom House.

The United Nations Mission to Moldova believes that the country still deals with serious issues, such as threats to journalists for reporting fairly, the freedom of the media to broadcast on difficult thematic issues is violated, and sometimes there is no respect for diversity of opinion, including as a regulatory issue.

We have been supporting a number of efforts in the area of freedom of the media, such as expert international law advice in the matter of a ban on Moldova 1 broadcasting a film on LGBT rights, as well as support for the reform of the public broadcaster TeleRadio Moldova, Claude Cahn, the UN Human Rights Advisor told Moldova.ORG.

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Freedom of Press in Moldova still a matter of concern

MMAFighting: Coker vows Cyborg-Rousey fight

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MMAFighting: Coker vows Cyborg-Rousey fight

Scott Coker Says Cyborg Vs Rousey at 135 Will Happen: Fan Reaction

Strikeforce champion (145), Cris "Cyborg" Santos won Gold at the IBJJF jiu jitsu competition on Saturday, June 2 and then wasted no time using that platform to call out current Strikeforce champion--at 135--Ronda Rousey. Strikeforce CEO, Scott Coker, in an interview with MMAFighting's Ariel Helwani, said he wants to see that fight happen.

Rousey vs Cyborg

Strikeforce is focused on the 135 division. Cyborg is the champion of the 145 division. Scott Coker thinks a match between Rousey and Cyborg is "...inevitable. I think that fight will happen at some point...That conversation will happen once she's back and ready to fight. Her and Ronda at 135? That might be the highest rated show on Showtime for the year or the past fights we've done...Women's fights always rate well on Showtime...Ronda's always delivered. That armbar is unbelievable. She proved with Miesha, she's proven with the other girls--she can fight a wrestler, she can fight a striker. Fighting Cyborg? That's a whole 'nother level. I think that Sean is trying to put that fight together."

Scott Coker Believes Ronda Rousey vs. Cris Cyborg Will Happen video

That fight will be well worth the wait.

But first, Cyborg has to complete her time on suspension. She is not eligible to compete in MMA until mid-December. That might mean fans will have to wait until 2013 to see this fight happen. That's not all bad. Rousey will need time to increase the level of her striking skills to make it through the first round of punches and kicks from Cyborg.

Meanwhile Cyborg's purple belt ground game is getting better and better.

Cyborg on Twitter

Cris Cyborg has been busy tweeting and generating fan interest in a Strikeforce war between her and Ronda Rousey. She tweeted her appreciation to fans and sponsors, "Again, thank you for everyone who help me in IBJJF. My trainers sponsors and everyone who believe in me. I come back soon and make u all proud. (photo) http://fb.me/1z0qnr7Df"

Cyborg's opponent at the Worlds competition, Hillary VanOrnum, tweeted, "@criscyborg It was an honor to fight you yesterday. I hope I made you work very hard for gold! I would love to train mma & bjj with you!"

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Scott Coker Says Cyborg Vs Rousey at 135 Will Happen: Fan Reaction

Nassau County Health Officials Re-Open 19 Long Island Beaches

Nassau County Beach (Photo Credit: discovery)

UNIONDALE, N.Y. (CBSNewYork) Health officials have re-opened 19 Long Island beaches that were closed on Saturday because of concerns about bacteria in the water after heavy rains.

This is routine through the bathing season, Nassau Health Department Spokeswoman Mary Ellen Laurain told 1010 WINS on Saturday. We start monitoring the beaches beginning in April through September, so this is as a precautionary measure because storm water runoff can impact the water quality.

The following beaches have re-opened:

Nassau County North Shore beaches *Centre Island Sound *Creek Club *Lattingtown Beach *Laurel Hollow Beach *Morgan Sound *North Hempstead Beach Park *Piping Rock Beach Club *Prybil Beach *Ransom Beach *Roosevelt Beach *Sea Cliff Village Beach *Soundside Beach *Stehli Beach *Tappen Beach

Nassau County South Shore beaches *Biltmore Beach Club *Hewlett Point Beach *Island Park Beach *Merrick Estates Civic Association *Philip Healey Beach

OK, now get off the couch and get on the beach! Offer your thoughts and comments in the section below

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Nassau County Health Officials Re-Open 19 Long Island Beaches

The Early Space Age

Editor's note: Every Sunday, Fortune publishes a story fromour magazine archives. This week, Elon Musk's company SpaceX celebrated the landing of the Dragon capsule, the world's first commercial spacecraft, marking a new era in space exploration in which private companies will step in to help NASA push the final frontier. This week's classic turns to 1959, ten years before the Apollo 11 mission landed on the moon. Companies were starting to build the crafts that would enable U.S. astronauts to fly. Then as now, scientists and government officials debated the costs and benefits of space travel and the possibility of discovering life.

"...Suppose when we get to the moon we find sitting in the middle of a crater a strange little marker bearing a carefully chiseled but totally incomprehensible inscription," one scientist told Fortune writer Bello; "Then space would really get exciting."

The space business, not counting missiles, already amounts to a billion dollars a year. U.S. industry is at work on rocket engines of awesome power, and on a vehicle to carry a man to the moonand back.

By Francis Bello

FORTUNE -- Anyone who has wondered what it was like to live in the era that followed Columbus' voyage to America now has his chance to find out. Then, as now, thoughtful men disputed the merits of pressing into the unknown, argued that the possible fruits could not justify the cost, warned that the hazards to life and limb were immense. And then as now, the young, the venturesome, and the insatiably curious plunged ahead. "What we are witnessing," says one prominent member of the President's Science Advisory Committee, "is another irresistible urge of the human race. The justifications given for going into space have no more relevance than the desire for spices had for the discovery of America."

Privately, and sometimes openly, many scientists deplore the fact that enormous funds are going into space when there are so many unfinished problems, both scientific and human, lying much closer at hand. One persuasive answer to this viewpoint is offered by Herbert F. York, the young physicist who is Director of Defense Research and Engineering. "Everyone would agree," he says, "that we should be trying to raise the standard of living in India, and building dams in the Middle East. But no one is asking us to choose between dams and space--we could easily afford both. The space effort isn't a plot; it's something that appeals to a great many people for a great many reasons."

No one has responded to space more spontaneously and enthusiastically than U.S. industry. And the vigor of the response is out of all proportion to the money to be made in the space business, at least. in the foreseeable future. Companies have been setting up "space" and "astro" divisions (see box, page 88) with much the same exuberance with which they created atomic and nuclear divisions five or six years ago. (This article is not concerned with military missiles except as they can be used as power stages for space propulsion.) Space, however, is much less hedged about with secrecy than the atom was in 1953 and 1954, and it offers a far wider range of technical challenges. Moreover, the investment needed to make a useful contribution to space technology, especially its electronic aspects, is far smaller than that needed to contribute to nuclear technology. For example, the instruments that James Van Allen used to detect the great belts of radiation that now bear his name were built in a basement of the physics department at the State University of Iowa.

The Space Age has already created sharp geographical rivalries. Southern California, particularly Los Angeles, sees an opportunity to be to space what Pittsburgh is to steel and Detroit to the automobile. California's claim to be the heartland of the space industry is only slightly diluted by the presence of Patrick Air Force Base at Cape Canaveral in Florida, of Redstone Arsenal in Huntsville, Alabama, and of Martin's Titan ICBM plant near Denver. Canaveral can be explained away as an accident of geography that provided a matchless pattern of islands for down-range tracking stations. (And, of course, California's Vandenberg Air Force Base and the Pacific Missile Range will eventually rival Canaveral in size and importance.) The selection of Redstone Arsenal as the home of the Army Ballistic Missile Agency can be explained largely by its proximity to Canaveral and to the Pentagon. And as for Martin in Denver--at least this old Baltimore outfit had to come two-thirds of the way to the Coast.

The cosmic testing range

Progress in space technology will dramatize a nation's total technological capabilities in a way that nothing else ever could. In the momentous years ahead, the world may compare U.S. and Soviet industrial and scientific resources less and less in terms of steel, oil, and electric-power production, and more and more in terms of the number, weight, and complexity of vehicles the two countries have been able to thrust into outer space.

The rest is here:

The Early Space Age

Omega XL Announces New Study: High Sugar Diet Sabotages Memory, Omega-3’s Can Offset Damage

FORT LAUDERDALE, Fla.--(BUSINESS WIRE)--

According to a new study published in the Journal of Physiology (http://jp.physoc.org/content/early/2012/03/31/jphysiol.2012.230078.abstract), the American diet is laden with staggering amounts of sugar and high fructose corn syrup. Between soft drinks, candies, desserts, and processed foods the average Americans consumption of high fructose corn syrup amounts to roughly 35 pounds in a year, with cane sugar totaling another 47 pounds. Volumes of published research has shown a direct connection between these sugars and metabolic conditions such as obesity, elevated triglycerides and diabetes, however there is no data on such high sugar intake and its impact on mental health.

Over a five-day period, researchers Fernando Gomez-Pinilla and Rahul Agrawal, from the University of California at Los Angeles, trained two groups of rats, twice a day, to navigate a maze. Then, for a subsequent six-week period, the rats were fed a fructose solution in place of drinking water, while the second group was also given the omega-3 fatty acid docosahexaenoic acid (DHA) and flaxseed oil (a rich source of omega-3 alpha-linolenic acid, which mammals convert less efficiently to DHA). Considering brain tissue is roughly 40% DHA, researchers observed that the chemical connections between brain cells effecting learning and memory might be protected from the perceived dumbing effects of fructose by the omega-3 fatty acids.

After six weeks, the researchers tested the rats in their ability to recall landmarks that enabled them to navigate the maze and escape. The omega-3 fed group was able to recall the exit route and escape the maze faster than the group receiving only sugar. The brains of the rats were later examined. The rats fed only fructose had brains exhibiting signs of declined synaptic activity, as well as signs of insulin resistance, which regulates synaptic function and controls blood sugar. The scientists concluded that diets high in sugar and high fructose corn syrup disrupt memory and learning, however omega-3 fatty acids can help, at least partly, offset the disruption.

According to researcher Gomez-Pinilla, one gram per day of Omega-3 fatty acids can protect the brain from fructoses dumbing effects. Its like saving money in the bank, he said in a statement. You want to build a reserve for your brain to tap when it requires extra fuel to fight off future diseases.

Omega XL is a bestselling super Omega 3 supplement that contains the patented stabilized marine lipid extract PCSO-524 derived only from the New Zealand green-lipped mussel with 30 healthy fatty acids including DHA and EPA. Omega XL, manufactured exclusively by Great HealthWorks Inc., is the most widely available omega-3 fish oil supplement containing the potent PCSO-524 marine lipid extract. To find more information about Omega XL and PCSO-524 visit http://www.OmegaXL.com.

Source: Journal of Physiology

Metabolic Syndrome in the brain: Deficiency in omega-3 fatty acid exacerbates dysfunctions in insulin receptor signaling and cognition

http://jp.physoc.org/content/early/2012/03/31/jphysiol.2012.230078.abstract

Fernando Gomez-Pinilla and Rahul Agrawal

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Omega XL Announces New Study: High Sugar Diet Sabotages Memory, Omega-3’s Can Offset Damage

Nutrition talks with patients: option or obligation?

Ethics Forum. Posted June 4, 2012.

Nutrition is a major factor in an increasingly complex equation that determines overweight and obesity in the United States. Are physicians prepared to help patients improve this aspect of obesity prevention?

Reply:

Being overweight or obese increases the risk for many chronic health conditions. Even in the absence of excess weight, unhealthy food choices and physical inactivity are associated with major causes of morbidity and mortality, including cardiovascular disease, hypertension, type 2 diabetes, osteoporosis and some types of cancer. The high prevalence of these diseases begs that counseling in nutrition be offered as a part of good medical care. In many cases, such counseling becomes a necessity.

Recently, the Centers for Medicare & Medicaid Services announced that Medicare will pay for obesity counseling if it is coordinated by a primary care physician. CMS determined that the evidence is adequate to conclude that intensive behavioral therapyfor obesity, defined as a body mass index 30 kg/m2, is reasonable and necessary for the prevention or early detection of illness or disability and is appropriate for individuals entitled to benefits under Part A or enrolled under Part B and is recommended with a grade of A or B by the [U.S. Preventive Services Task Force].

More people seek medical care services from a primary care physician than from any other source. Hence, the primary care physician should be the one to initiate discussions about nutrition. Perhaps the best time to do it is when explaining the management of the many chronic conditions that diet can affect, such as hypertension, hyperlipidemia and overweight.

Some points that physicians should share with patients:

The U.S. Dept. of Health and Human Services has developed evidence-based guidelines for nutrition and physical activity to promote health and reduce chronic disease risk. The recommendations of the Dietary Guidelines for Americans are exemplified by the Dietary Approach to Stop Hypertension (DASH) eating plan, which, in clinical trials, demonstrated health benefits, including lowering blood pressure, improving blood lipids and reducing cardiovascular disease risk and mortality. The Physical Activity Guidelines for Americans also contain recommendations for reducing chronic disease risk and managing weight.

The U.S. Preventive Services Task Force has determined that intensive behavioral dietary counseling is beneficial for adult patients with certain risk factors for cardiovascular disease or other diet-related chronic conditions (a grade B recommendation), but also that there is insufficient evidence to support routine counseling in unselected patients (grade I statement insufficient evidence available). A grade B recommendation also was given to screening adults for obesity and offering intensive counseling and behavioral interventions for obese adults. An I statement was given for counseling and screening overweight adults.

Whether physicians should be the ones to provide intensive counseling, however, is a little less clear. Because nutrition education is severely limited in most medical schools, the primary care physician may not be the person most qualified for the task. On average, medical students receive less than 20 contact hours of nutrition instruction during their medical school training. Hence, many do not feel equipped to give sound nutritional advice. In a recent survey of primarycare physicians, 78% said they had no prior training on weight-related issues; and 72% of those said no one in their office had weight-loss training.

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Nutrition talks with patients: option or obligation?

Volunteer, 85, awarded Governor's Medallion

If longevity and dependability are the stuff of an effective volunteer, then James Sifford certainly has the right stuff.

This fall, he'll have completed his 22nd year of service to the Second Harvest Food Bank of Northwest North Carolina. The work which Sifford, 85, has done most Tuesday afternoons in retirement involves critical recordkeeping tasks in distribution. The food bank distributes food to 400 partner-agency programs.

This past April, Gov. Bev Perdue recognized Sifford as one of the state's top volunteers, awarding him a Governor's Medallion in a ceremony coordinated by the N.C. Commission on Volunteerism and Community Service.

"It's an honor to have won it," Sifford said recently. He added that he enjoys volunteering at the food bank.

"I feel like it's a group thing where everybody's on the same page," he said. "Everybody's working for the same goal. Most people feel it's a real needed thing."

Clyde Fitzgerald, the executive director of the food bank, said his organization has been blessed and privileged to have Sifford as a volunteer.

Sifford "knows the roles that he has to follow and the job he does for us in the distribution area," Fitzgerald said. "We count on that. I don't know what we'd do without Jim."

Fitzgerald said Sifford's role "is to take several days' worth of paperwork and properly input it to the computer," so that partner agencies know "how many pounds of food they've got and how much money they've saved by getting it here." The agencies then supply this information to funders.

So far in 2012, Fitzgerald said, the food bank saved its partner agencies "over $35 million in food-acquisition costs because they got it from us."

"The way we communicate that to them is on each order and on each shopping trip," Fitzgerald said. "Jim is critical to our ability to do that."

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Volunteer, 85, awarded Governor's Medallion