Sarah Palin Bikini Video, Beauty Pageant

Sarah Palin is still on the minds of a lot of American’s; usually the losing ticket sort of fades away into obscurity, but not if you’re one Sarah Heath Palin who just happened to model in a bikini back in 1984 in a beauty pageant. Read more, see photos and bikini video below.

Bikini or not, Sarah Palin is still a favorite of conservatives, and still a favorite target of the left. Like I stated earlier, how many of you thought Lloyd Benson was a viable threat after he and Dukakis were defeated back in ’88? How many conservative hit pieces were there on Geraldine Ferraro after the 1984 election? Not many if any at all.

For some reason though, the left wing media and the democratic party are still gunning for Sarah Palin. Conservatives disagree on whether or not she is the right person to lead the Republicans back from the wilderness; my guess is if she puts on that bikini again, she would have more than just conservatives following her anywhere.

The very reason that this bikini, beauty pageant video is still making the rounds like it is, is the fact that the left wing media is still trying to discredit Sarah Palin. The only possible reason is that they saw just what a potential danger she is to their current stranglehold on power. Sarah Palin is a natural leader, whether she’s wearing a skirt, bikini, or blue jeans she has a natural ability to lead people.

Unfortunately for Sarah Palin, many Americans today still put a lot of stock into what the media has to say. The media should have lost credibility on the subject of Sarah Palin after they went after her daughter, publically ridiculing and making a mockery of her failed relationship. If the truth were known, the media probably has a bit of blame in that as well. How many teenage kids could put up with that kind of scrutiny and pressure?

Readers here at Right Pundits are free to make their own choices; make their own decisions. Do you like Sarah Palin? Do you respect her? Does the fact that she competed in a beauty pageant 24 years ago and you can see a woman who is governor of a state and was very close to being Vice-President in her bikini make her have less credibility with you?

Before you answer the last question; think about your life now, then think about it 24 years ago. How much of what you did 24 years ago do you want the world to know? Bikini video not withstanding.

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Birth Story #83: A Uterine Inversion

Sometimes the third stage of labor is more memorable than the birth of the infant. In the middle of the night, it is so easy to let down your guard after the crying infant is placed in its mother's arms, but there is much more to to birth than that. I've had some placentas give me more grey hairs than the babies who preceded them. Here's one story.

Graciela was a young second-time mother who was admitted to my residency hospital one evening before I arrived for my night float shift. At my residency program, interns ran Labor and Delivery when they were on call or night float, so my first responsibility was "running the board," or reviewing the progress of the laboring women whose names were written on a huge dry-erase board in the doctor's charting room. The outgoing intern told me about the six or so women who were hoping to have their babies before daybreak. One of them was Graciela. She'd been admitted at 4 centimeters of dilations and had progressed to 7 centimeters within a few hours, so her labor looked promising. She was very stoic and hadn't asked for any fentanyl for pain, but had an IV in so she could receive antibiotics for group beta streptococcus (GBS) positive status.

I had to run around to the other rooms, but by the time I went to check on Graciela she was already looking transitional. She had her eyes closed and made strange, keening noises that sounded grunty at the end. Her nurse and I looked at each other. She might be complete, the look said. This was her second birth, so things might move quickly from now on out. I pushed aside any thought of leaving the labor room to take care of the other hundred or so things that needed my attention and pulled out a few pairs of gloves in case I needed them.

I did. With her next contraction, Graciela bore down hard. Her vulva began bulging almost immediately. "Call Dr. Covarrubias," I told the nurse, thinking we'd need an attending there soon. Every resident delivery must be supervised by an attending physician, and all interns develop a pretty good sense of when to call.

I didn't even have time to put on my gown before Graciela's baby was crowning. The next push brought the head, and the body slipped out easily behind it. "Felicitaciones," I told the weary mother, and laid her baby girl on her chest.

Dr. Covarrubias hadn't arrived yet, but that was no big deal because the birth had gone so smoothly. I grabbed the plastic tub we used to catch the placenta and an extra Mayo clamp. There was a little gush of blood and the umbilical cord lengthened, two signs that the placenta was ready to be delivered. I gave the cord a little tug. Nothing. I waited a moment, then gave it another tug. The placenta slipped out easily.

Almost done, I thought. I was examining Graciela to see if she had any lacerations. This is a tender procedure in the minutes after a woman has given birth, when her vulva is sore from having stretched during crowning, so I was taking my time. Graciela and Juan, her husband, were cooing over the baby girl, and I was counting myself lucky that my night was starting with such a nice smooth birth, when suddenly there was a huge gush of blood.

"I think we need to start some Pit," I said to Graciela's nurse. Pitocin is used after delivery of the placenta to control uterine atony and staunch postpartum bleeding. Graciela's nurse, Bonnie, had the Pitocin ready and injected it into a bag of LR. The blood kept coming. I massaged Graciela's abdomen, which made her wince. The uterine fundus felt good and firm, although it seemed a bit lower than usual, but the blood kept coming. I looked up and saw the Pitocin was wide open.

Time to do some bimanual massage. This technique requires the operator to place one gloved hand in the vagina (sometimes two fingers is sufficient, other times the entire hand is necessary) and one hand on the abdomen, and compress the uterus between them. (This article in the American Family Physician discussed management of postpartum hemorrhage; Figure 2 shows an illustration of bimanual massage.) This helps a boggy, uncontracted uterus clamp down and close off all the bleeding vessels that remain open after delivery of the placenta if the uterus does not clamp down by itself. It is spectacularly unpleasant to the woman, so I was careful to explain what I was doing to Graciela.

Instead of the floppy uterus I was expecting to feel, instead I felt a meaty, rough, apple-sized mass in the vagina. Something was wrong here. Blood still poured from Graciela, despite appropriate management to this point. By this time, extra nurses had arrived to help with the unexpected crisis.

I had more than a bit of sweat on my brow by the time Dr. Covarrubias arrived. He took a look at the blood on the floor and my flushed face and still remained calm. "What's going on?" he asked.

I told him. I estimated there had already been 1200cc of blood loss already. "There's something weird about her uterus," I said, with classic intern's naivety. "It doesn't feel right. Will you check?" I stepped away from Graciela. She was moaning in discomfort and Juan had his arms wrapped around her shoulders.

Dr. Covarrubias got his gloves on while I asked the nurses to give Graciela some fentanyl and explained to her why Dr. Covarrubias was going to examine her and why we were worried about her bleeding. Dr. C examined her gravely.

"Her uterus is inverted," he said matter-of-factly. I'd never encountered this before, but I'd read about it. Occasionally as the placenta detaches from the inside of the uterus, it will pull on the fundus, or the upper portion of the uterus, which then turns inside out and can even be pulled all the way out of the introitus of the vagina. This site has good illustrations of the phenomenon. In Graciela's case, the inside-out fundus was still high in the vagina--I'd felt it as the rough-textured, meaty mass when I was examining her.

"OK, what do we do?" I asked.

"I'm going to try to reduce it here," he said. "Otherwise we'll have to take her to the OR to get it back into place." He paused and I knew he was thinking of the delay waiting for the OR team to arrive would mean for the patient, if the bleeding could not be controlled. Even as we bustled around Graciela, she had lost at least another 500cc of blood.

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He replaced his examining hand in the vagina and instantly Graciela started climbing out of bed. "Never mind the fentanyl," I told the nurses. "Give her some morphine."

"How much?" one of them asked. Graciela was yelling now. The intensity of the exam was overwhelming her, and yet this was a true obstetrical emergency and we didn't have time to give her deeper anesthesia.

"Ten," I said. "And two of Ativan." I went around to Graciela's head and held her hand as Dr. C continued his attempts to replace the uterus. This brought me face to face with the IV pump.

"Dr. Covarrubias," I said, "Do you want the Pitocin on?"

He looked up. "It's on?" he asked.

"Yes. I started it when the bleeding began."

"Turn it off," he said--still calm but edgier than usual for him. "I need the uterus to relax."

Even with the Pitocin off, the uterus remained stubbornly inside-out. "Give her some terbutaline," said Dr. C. Terbutaline is a beta-agnoist which relaxes the uterine muscle. It is used to stop preterm contractions but here Dr. C was going to use it to relax the uterus entirely.

That did the trick. Once the terbutaline was in and the morphine was effective, Dr. C gently pushed the inverted uterus up into Graciela's pelvis. I could see her entire abdomen rise upward as the uterus settled back into place. Graciela was breathing rhythmically, using techniques which had served her so well in labor. I told her it was over, she was safe, and I believed it myself because I could see her bleeding had finally tapered down to a trickle.

Graciela did well. Her bleeding remained under control and even though she had a pretty good drop in hematocrit the next morning, no transfusion was necessary because she remained asymptomatic. For a long time I thought I'd made a mistake with that second tug on the umbilical cord, but since then I've been involved with a couple other cases of inversion in which the woman pushed the placenta out by herself, so there is no correlation between pulling on an umbilical cord and uterine inversion. One thing I did learn from Graciela's case is that you're not "done" with a birth until the woman is a few hours post-delivery, and there have even been a few cases in which I would have extended the period of surveillance to several days post-delivery, but I'll save those for future posts.
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Higgs decays to photon pairs!

It was with great pleasure that I found yesterday, in the public page of the DZERO analyses, a report on their new search for Higgs boson decays to photon pairs. On that quite rare decay process -along with another not trivial decay, the reaction- the LHC experiments base their hopes to see the Higgs boson if that particle has a mass close to the LEP II upper bound, i.e. not far from 115 GeV. And this is the first high-statistics search for the SM Higgs in that final state to obtain results that are competitive with the more standard searches!

My delight was increased when I saw that results of the DZERO search are based on a data sample corresponding to a whooping 4.2 inverse-femtobarns of integrated luminosity. This is the largest set of hadron-collider data ever used for an analysis. 4.2 inverse femtobarns correspond to about three-hundred trillion collisions, sorted out by DZERO. Of course, both DZERO and CDF have so far collected more than that statistics: almost five inverse femtobarns. However, it always takes some time before calibration, reconstruction, and production of the newest datasets is performed… DZERO is catching up nicely with the accumulated statistics, it appears.

The most interesting few tens of billions or so of those events have been fully reconstructed by the software algorithms, identifying charged tracks, jets, electrons, muons, and photons. Yes, photons: quanta of light, only very energetic ones: gamma rays.

When photons have an energy exceeding a GeV or so (i.e. one corresponding to a proton mass or above), they can be counted and measured individually by the electromagnetic calorimeter. One must look for very localized energy deposits which cannot be spatially correlated with a charged track: something hits the calorimeter after crossing the inner tracker, but no signal is found there, implying that the object was electrically neutral. The shape of the energy deposition then confirms that one is dealing with a single photon, and not -for instance- a neutron, or a pair of photons traveling close to each other. Let me expand on this for a moment.

Background sources of photon signals

In general, every proton-antiproton collision yield dozens, or even hundreds of energetic photons. This is not surprising, as there are multiple significant sources of GeV-energy gamma rays to consider.

Electrons, as well as in principle any other electrically charged particle emitted in the collision, have the right to produce photons by the process called bremsstrahlung: by passing close to the electric field generated by a heavy nucleus, the particle emits electromagnetic radiation, thus losing a part of its energy. Note that this is a process which cannot happen in vacuum, since there are no target nuclei there to supply the electric field with which the charged particle interacts (one can have bremsstrahlung also in the presence of neutral particles, in principle, since what matters is the capability of the target to absorb a part of the colliding body’s momentum; but in that case, one needs a more complicated scattering process, so let us forget about it). For particles heavier than the electron, the process is suppressed up to the very highest energy (where particle masses are irrelevant with respect to their momenta), and is only worth mentioning for muons and pions in heavy materials.
By far the most important process for photon creation at a collider is the decay of neutral hadrons. A high-energy collision at the Tevatron easily yields a dozen of neutral pions, and these particles decay more than 99% of the time into pairs of photons, . Of course, these photons would only have an energy equal to half the neutral pion mass -0.07 GeV- if the neutral pions were at rest; it is only through the large momentum of the parent that the photons may be energetic enough to be detected in the calorimeter.
A similar fate to that of neutral pions awaits other neutral hadrons heavier than the : most notably the particle called eta, in the decay . The eta has a mass four times larger than that of the neutral pion, and is less frequently produced.
And other hadrons may produce photons in de-excitation processes, albeit not in pairs: excited hadrons often decay radiatively into their lower-mass brothers, and the radiated photon may display a significant energy, again critically depending on the parent’s speed in the laboratory.
All in all, that’s quite a handful of photons our detectors are showered with on an event-by-event basis! How the hell can DZERO sort out then, amidst over three hundred trillion collisions, the maybe five or ten which saw the decay of a Higgs to two photons ?

And the Higgs signal amounts to…

Five to ten events. Yes, we are talking of a tiny signal here. To eyeball how many standard model Higgs boson decays to photon pairs we may expect in a sample of 4.2 inverse femtobarns, we make some approximations. First of all, we take a 115 GeV Higgs for a reference: that is the Higgs mass where the analysis should be most sensitive, if we accept that the Higgs cannot be much lighter than that: for heavier higgses, their number will decrease, because the heavier a particle is, the less frequently it is produced.

The cross-section for the direct-production process (where with X we denote our unwillingness to specify whatever else may be produced together with the Higgs) is, at the Tevatron collision energy of 1.96 TeV, of the order of one picobarn. I am here purposedly avoiding to fetch a plot of the xs vs mass to give you the exact number: it is in that ballpark, and that is enough.

The other input we need is the branching ratio of H decay to two photons. This is the fraction of disintegrations yielding the final state that DZERO has been looking for. It depends on the detailed properties of the Higgs particle, which likes to couple to particles depending on the mass of the latter. The larger a particle’s mass, the stronger its coupling to the Higgs, and the more frequent the H decay into a pair of those: the branching fraction depends on the squared mass of the particle, but since the sum of all branching ratios is one -if we say the Higgs decays, then there is a 100% chance of its decaying into something, no less and no more!- any branching fraction depends on ALL other particle masses!!!

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Radford University Shooting News!

VIDEO! Here is late breaking video of the Radford University shooting that left one person dead and Radford on lock down. Radford University is confirming tonight that the shooting happened off campus, the victim is dead, and Radford is on lockdown for concern the shooter may have now entered university grounds.

Radford issued the following statement late tonight to local press:

Police are searching for a man in connection with a shooting earlier this evening in East Radford.

The suspect is described as a young black man, who is tall and slim, wearing a camo jacket and possibly has a goatee beard. He was last seen traveling west on foot on Jefferson St.

Radford University Shooting News
The suspect is considered armed and dangerous.

The public is advised to stay inside and lock their doors.

Anyone who sees someone matching this description is asked to call 911.

Further information will be sent out as available.

Here are the latest unconfirmed details from local press:

Shooting believed occurred at: Calhoun and Madison.
The shooter: tall and slim, perhaps goatee, in camo jacket, shirtless, walking towards Jefferson Street.

Watch below breaking video from local WDBJ7

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NBA "STAR" PAUL DAVIS ON MILLIONAIRE MATCHMAKER

I use the term "star" here very loosely, like Paris Hilton loose.

Hell, Paul Davis isn't even on a NBA squad right now as he tries to return from a bum knee.

And I don't know anything about this show or its participants but anytime, and I mean anytime Paul Davis is being interviewed, its a must watch/listen.

Trust me, not only does he sound like Frankenstein but he has the personality of a wet napkin.

And to think, when he was in college at MSU, he was pulling this fine tail.


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