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Lions Eye Bank of Delaware Valley, Pennsylvania

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Penn Medicine, Pennsylvania

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Treating Your Emergency with Urgency

Treating Your Emergency with Urgency

Saint Francis Healthcare provides fast access to the latest technologies and medical experts. For example, stroke patients can reach an MRI or CAT scan within 8 minutes. A procedure can start within 45 minutes of arrival.

Our dedicated team will also treat you with understanding and empathy. We care about your feelings as well as your physical health.

32 Minute Average Wait Time*

*Arrival to Room, January-April 2015

SaintFrancisHealthcare.org/emergency

Meet our ER team and learn more about our ER at

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Saint Francis Healthcare, Delaware

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The Tatnall School, Delaware

Calendar

College Preparatory Education for Age 3 to Grade 12

TATNALL


Development


TATNALL1501 Barley Mill Road | Wilmington, Delaware 19807

Telephone: (302) 998-2292 | Fax: (302) 892-4322 | www.tatnall.org

Our GOAL this year is $650,000.

Balance Our Budget

To balance Tatnalls budget, we rely on the endowment draw and gifts from generous donors to provide the remaining 15% each year.

Tatnall tuition covers 85% of the operating budget.

Your gift to The Fund for Tatnall supports our mission of developing inquisitive, competent and motivated students in a rapidly evolving world of opportunity and challenge.

We invite your tax-deductible contribution by:

Check (written to The Tatnall School)

Credit card (MasterCard, Visa and Discover)

Securities (Contact the Development Office for transaction details.)

Donate or pledge

securely online at

www.tatnall.org. To

learn more about The

Fund for Tatnall, visit

our website or contact

Yvonne Deadwyler,

director of giving, at

(302) 892-4386. Our

fiscal year ends on

June 30, 2014.


Development

As you prepare for the holiday season and prepare to ring in the New Year, there is still time to make your 2013-2014 academic year gift to The Fund for Tatnall and have it credited towards your 2013 tax return! The Development Office is accepting gifts through Tuesday, December 31. All tax-deductible contributions received by then will be entered and receipted for the 2013 calendar year.

Ways to Give: Check Contributions: Checks received in envelopes postmarked prior to

December 31 will be acknowledged and receipted for 2013.

Credit Card Contributions: Gifts made online or mailed and received on or before December 31 will be counted for 2013.

Gifts of Appreciated Securities: Stocks will need to be transferred into our account before the end of the business day on Tuesday, December 31, to count as a 2013 contribution. Please call (302) 892-4333 for transfer instructions.

Like us on Facebook!We invite you to give this holiday season!

Seasons Greetingsfrom

As always, thank you for your generous support. We wish you and your family all the holiday cheer of the season and a happy New Year!

The Tatnall School Development Office

#Giving uesday

www.givingtuesday.org

GIVE NOW!

There s sti ll time

If you have not already made an online gift in support of Tatnall, it is not too late!

Thank you to the many donors who have already participated on this national day of philanthropy!

Support The Tatnall School this holiday season and throughout the year when you shop using any of the programs listed below. Simply register

Tatnall as your organization of choice and a percentage of your purchase will be donated back to the school by these retailers.

FORWARDFORWARD

When you do your holiday shopping with AmazonSmile,

Amazon will donate 0.5% of the purchase price to

The Tatnall School.

When you shop with your Target REDcard, 1% of

your REDcard purchases will be donated to

The Tatnall School .

The Tatnall School receives a donation when you

search the Web or shop at more than

5,000+ online stores.

REDcard

Three ways to make your gifts count twice this holiday season!

Thank you and best wishes for a safe, happy and healthy holiday season!

CLICK HERE CLICK HERE CLICK HERE

Thank You!Founders Day and Homecoming Weekend

were a huge success thanks to YOU! From the

Grandparent Social to the alumni tent and

packed gymnasium on Founders Day, our

busiest weekend of the fall was a great display

of Tatnall tradition and spirit.

We appreciate all the volunteers, school clubs,

fans, family members, alumni and faculty and

staff whose behind-the-scenes hard work made

for a wonderful weekend. With picture-perfect

weather, outstanding sports victories and

fellowship, this years Homecoming Weekend

was one for the records.

See you next year!

The Advancement Office

Stay Connected!

Click here to view photo galleries.

@TatnallSchool and @TatnallCharlieThe Tatnall School


Summer Programs

Register online at www.tatnall.org/summer.

Did you know Tatnalls campus is home to three pools? With swimming built into each days schedule, campers will love learning pool safety, improving their swimming skills, cooling off on hot summer days and playing water games with their friends.

Tatnall Torpedoes Swim TeamSince 1975, kids ages 5 through 18 have enjoyed excellent coaching and the camaraderie of competitive swimming in the Brandywine Swim League.

Preseason dates: June 8-12

Preseason practices: 4:30 to 5:45 p.m.

Season dates: June 15-July 25

Season practices: 7:30 to 8:45 a.m. and 4:30 to 5:45 p.m.

Fees: $80 for one child and $65 for each additional child; in addition, associate membership costs $125 (if not a Tatnall student or current camper)

Swim Clinic Open to all! Improve your flip turns, starts and technique!

Dates: June 8-12Time: 1 to 4 p.m.Fee: $160

Make a Splash This Summer

Tatnall Preschool Nature Camp(PreK-Grade 1)Dates: July 6-10Half day: 9 a.m. to noon ($215) Full day: 9 a.m. to 3 p.m. ($330)Explore backyard plants and animals with Tatnall Preschool science teacher Nancy Flanagan in Tatnalls Preschool wildlife habitat and science lab. Observe and discover life cycles of butterflies, frogs, trees and vegetables. Activities will also include hikes to streams, woods and meadows. Please bring a backpack with a water bottle, sunscreen with insect repellent, an extra set of clothes and shoes, raincoat, bathing suit/towel for water sprinkler play and lunch if you stay until 3 p.m.

Note: Drop-off and pick-up will be at the Preschool building. If you have signed up for Extended Camp before and/or after Nature Camp, then drop-off and pick-up will be from the Lower School. Please drop off at Lower School by 8:30 a.m.; later, drop off at the Preschool. Minimum enrollment 5, maximum 12.

Bird Quest A Birding Adventure Camp (Grades 5-9)Dates: June 15-19Time: 9 a.m. to 3 p.m. Fee: $380Explore the amazing world of birding on our beautiful Tatnall campus and work with some of Delawares most renowned bird experts and celebrities! We will investigate woods, fields, wetlands and streams as we search Tatnalls 110 acres and our adjacent 90-acre Downs Conservancy for song birds, water birds, hawks and vultures. We have partnered with the Delaware Museum of Natural History for a behind-the-scenes tour of its world-class bird skin collection. We will take a boat ride to Pea Patch Island to visit the heron rookery and meet the American Birding Association president, Jeff Gordon. Jim White from the Delaware Nature Society will give us a guided birding tour of the Downs Conservancy property. Hank Davis, renowned bird photographer, will teach bird photography skills, and Dave

Panichelle, a member of Tatnalls operations staff, will add his wide expertise to our birding adventures.

Add birding apps, games and swimming, too. If you love being outdoors and exploring new challenges, this camp is for you!

Introduction to Fly Fishing(Grades 5 12)Dates: June 29 to July 3Time: 9 a.m. to 3 p.m.Fee: $300Fly fishing is both an art and a science and is one of todays most popular outdoor activities. Students will learn the fundamentals of fly casting and fly fishing in this hands-on seminar. Classes include subjects such as equipment, casting concepts, basic casting instruction, knot tying and rigging, aquatic entomology, what fish eat, fly tying, fish behavior, reading the water youre about to fish, fly fishing etiquette, books, websites and more. Included is a field trip to White Clay Creek for some on-stream instruction and fishing. A handbook is included, and all equipment is provided for the class. Instructor is Tatnalls Dave Panichelle, who brings 52 years of experience and 30 years of fly fishing instruction to this fun and informative class. This camp could be the start of a lifelong hobby.

Montana Fly Fishing(Grades 9-12 with accompanying adult)August 3-7, depending on packageLooking for a summer getaway? Head west to the great state of Montana and go fly fishing with Tatnall Lower School science teacher and licensed Montana fishing outfitter, Greg Mentzer. Greg is owner of Montana River Guides, a USCG captain and certified fly casting instructor and has been guiding on the Missouri River since 1985. He has teamed with Joe Bloomquist, licensed Montana fishing/hunting outfitter, owner of Missouri River Lodge and X-Stream Fly Fishing and USCG captain, to offer one of the finest fly fishing trips in North America. The price includes all lodging at Missouri River Lodge, meals, guides, flies, rods, reels and instruction. A 50% deposit is required to book and reserve your dates. This trip is designed for folks with little-to-no fly fishing experience to advanced anglers.

Contact Greg Mentzer for additional information and costs at [email protected] or 302-892-4370. Visit montana-river-guides.com and www.missouririverlodge.com for more details.

Specialty Camps Ecosystem Explorers at The Tatnall School (Grades 6-8)Dates: August 3 to 7Time: 9 a.m. to 4 p.m.Fee: Delaware Nature Society Member/Non-Member: $330/$385Max: 13Leader: David Pragoff, Delaware Nature SocietyWith its 110-acre campus, adjoining 90-acre Downs Conservancy nature preserve and more than two miles of trails, The Tatnall School has a wealth of wonderful habitats to explore! Join Delaware Nature Society staff to discover the wildlands surrounding Tatnall and the abundance of wildlife that call the property home. Dip into the streams and pond to see if theyre healthy. Wander the natural woodlands and meadows, as well as Tatnalls traditional gardens, arboretum and Certified Wildlife Habitat. Take a trip to the DuPont Environmental Education Center on the Wilmington Riverfront to kayak the Christina River and tidal marsh to investigate urban wildlife. This program is made possible through a partnership between The Tatnall School and Delaware Nature Society. Participants meet at the Tatnall Middle School building and will spend time at the schools outdoor pool. Before and/or aftercare is available.

Register at www.delawarenaturesociety.org/SummerCamp.

Day Camp Swim Lessons and Pool Protocols All campers are encouraged to swim as part of their Tatnall summer experience. Due to their wide age and ability range, all campers will be expected to participate in swim lessons unless other arrangements have been made with our coordinator ahead of time.

Lessons will be conducted by lifeguards trained in swim instruction.

Each week, there will be three lesson days, one organized game day (water polo, sharks and minnows, relays, etc.) and free-swim Fridays.

All lessons will be held in the competition pool that ranges from 3 to 10 feet deep.

Lessons will be conducted in small groups based on ability. Preschool swimmers will focus on basic swimming technique in order to swim confidently without assistance. Day campers and novice swimmers will focus on a variety of strokes.

Swim team members will be in a separate group and focus on specific techniques, starts and turns.

Register online at www.tatnall.org/summer

Exciting Summer Camps and Enrichment Classes

for Ages 3 Grade 12

Register online at www.tatnall.org/summer

Come explore our 110-acre campus!

2015

Day Camps (ages 3- 8th grade) Hornet Sports Camps Swim team/lessons Science and technology Music, theater and art programs Enrichment classes and much more!

(302) 892-4347 | www.tatnall.org/summer

June 17 August 23, 2014

From swimming and sports, to arts and technology, create a summer of memories. Our 110-acre campus provides a one-of-a-kind experience for kids of every age and interest.

Register today!


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TATNALL

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TATNALL

Genius Starts HereGenius Starts HereDr. Terry Plank, Class of 81Dr. Terry Plank, Class of 81

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TATNALL

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Academic Excellence, Endless Opportunity

October 26 - All-School Open HouseThe Tatnall School invites you to explore our 110-acre campus this fall to

see how our top-notch teaching staff, enriching environment and inspiring curriculum will guide your childs educational journey.

Come explore Tatnall in October:

www.tatnall.org


TATNALL

RSVP at 302-892-4285 or www.tatnall.org/admissions.

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Open Enrollment

Roper St. Francis, South Carolina

Mission and Vision

Augusta Health, Mission and Vision Brochure

Augusta Health, Get Health Brochure

Augusta Health

78 Medical Center Drive

Fishersville, VA 22939

Phone: (540) 332-4000 Staunton

Phone: (540) 932-4000 Waynesboro

Toll-Free: 1-800-932-0262

www.augustahealth.com

Mission ValuesVision

Our

Excellence

We believe that as a healthcare system, our performance standards must be at the highest levels at all times; therefore, we commit to excellence in all that we do. We recognize that aspiring to excellence is a journey that requires constant innovation and openness to change. We know that education is core to promoting excellence and that ongoing learning is essential for all healthcare professionals. Finally, our commitment to excellence is inspired by strongly held beliefs in clinical quality and safe patient care.

Teamwork

The strength of Augusta Health is based on our commitment to teamwork. We have the greatest success in fulfilling our mission and serving our community when we work together, and have a collective stake in our successes and failures. When we work together we are capable of reaching the highest levels of performance and producing the best possible health outcomes for and service to our community.

Patient- and Community-Centeredness

We believe that the patient is at the center of all that we do and the sole reason we exist. We recognize that the patient is an integral member of a family, and the family is part of our community. For these reasons, we must always prioritize our services and clinical care in the interest of being patient-, family-, and community-centered.

Ease of access and availability of services are important, but so is providing a warm and compassionate environment. We listen thoroughly to patients and families, recognize the stress they may be under, and treat them with dignity and respect. We organize our systems and processes around the needs of the patient, family, and community, and not our convenience as providers.

Professionalism

We highly value our employees, medical staff, and volunteers, and we consider us all as healthcare professionals, regardless of our roles in the healthcare system. Therefore, we believe our conduct, ethics, and behaviors must reflect integrity at all times. To this end, we pledge to stay current with education and do our jobs as best we can, ensuring our competency to patients, one another, and the community at all times. Professional appearance, attitude, and behavior throughout the organization are what the community expects and what we demand of ourselves.

Culture of Trust and Respect

Value and Viability

Community Health and Engagement

Physician Network

Services and Facilities

Integrated Health Records

Partnerships

Clinical Quality

Primary Care Coordination

The Best Community Health System

in Virginia

Strategic PlanAt Augusta Health, we believe our actions should be guided by an established set of core

values that serve as an inspiration for all, reflect who we are, and represent what we aspire to be. Our

values are patient- and community-centeredness,

professionalism, excellence, and teamwork. As

stewards of a healthcare system that exists to

serve the community, we believe these values

should guide our actions and behaviors at all times.

We recognize that while it is important for us to

embrace change, Augusta Health values symbolize

constancy and our foundation. As we embrace these

values, we will achieve our goal of being the first

choice for healthcare services for our community,

and we pledge to hold true to these values at

all times.

To that end, these organizational values have

been developed by the people of Augusta Health:

employees, medical staff, volunteers, and leaders

who interact with patients and families every day.

These values were affirmed by the Augusta Health

Board of Directors, a group of voluntary community

leaders and physicians directly representing the

community and who serve as vigilant guardians to

ensure our communitys needs are being met by

Augusta Health at all times.

Culture of Trust and Respect

Value and Viability

Community Health and Engagement

Physician Network

Services and Facilities

Integrated Health Records

Partnerships

Clinical Quality

Primary Care Coordination

The Best Community Health System

in Virginia

Culture of Trust and RespectDevelop a work-place culture of high expectations for employees, physicians, and leaders that promotes trust, mutual respect, and professional growth.

Physician Network ExpansionCreate a robust network of physicians committed to one anothers success and that of Augusta Health.

PartnershipsSecure affiliations and partnerships that strengthen Augusta Health and its community of physicians.

Clinical QualityContinue to measure and advance high-quality clinical care that is patient-centered and cost-effective.

Primary Care CoordinationExpand and strengthen our primary care network.

Services and FacilitiesInvest in service lines and facilities that secure our position as a preferred community health system.

Integrated Health RecordsConnect all our caregivers with timely, accessible, and useful clinical information.

Community Health and EngagementEngage through clinical programs and outreach efforts to improve our communitys health in measurable ways.

Value and ViabilityAchieve sustainable revenues and a competitive cost structure.

Our vision is to be the best community health system in Virginia.

All of us, the people of Augusta Health, have made a personal commitment to achieving our vision. Our path forward is defined in our strategic plan.

The mission of Augusta Health is to promote the health and well-being of our community through access to excellent care.

Research Brochure

6

Born Too Soon

7

It has long been known that the fetal adrenal gland plays an important part in the birth process . Studies done in the 1950s found that the fetal adrenal gland was significantly larger in babies who went into spontaneous labor, whether preterm or term . Two recent studies have suggested that sonographic measurement of the gland early in the third trimester may very accurately predict spontaneous preterm birth .

If confirmed, this study will help demonstrate that, in fact, the baby sends a key signal to begin its own birth process, stated Dr. Hoffman.

Department of Obstetrics and Gynecology and the Division of Education and Research, researchers at eight centers are examining whether ultrasound measurement of the fetal adrenal gland can accurately predict preterm birth .

This study, which is being conducted at sites including Columbia University, the University of Pennsylvania, Northwestern University and others, will perform a single measurement of the fetal adrenal gland at approximately 28 weeks in about 2,000 women . The study is sponsored by the NIHs Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) .

Global Focus

Being born too soon can set the stage for a lifetime of serious health consequences and developmental challenges for many children around the world .

Preterm babies are not only more likely to die in the first 30 days after being born, but are much more likely to suffer chronic medical conditions and learning difficulties when compared to infants born at full-term . Even small disparities at the time of birth can result in important differences in IQ and development .

It is for these reasons that researchers at Christiana Care have worked to understand the mechanisms of preterm birth, design strategies to prevent its

Fetal Adrenal Gland Study Explores New Marker for Prematurity

occurrence and develop better ways to care for those babies who are born prematurely . This work, which is often done with collaborators such as the World Health Organization (WHO), National Institutes of Health (NIH) and other private foundations and academic partners (Columbia University, University of Delaware), holds the potential to affect the rates and impact of preterm birth locally, nationally and internationally .

Researchers at Christiana Care, one of the largest delivering maternity hospitals in the Northeast, are uniquely positioned to contribute to the research of preterm birth and pilot efforts to improve care for some of the most vulnerable children .

As the primary cause of perinatal mortality, preterm birth remains the critical challenge in obstetrics, driving the rate of neonatal death and disability .

Despite several promising treatment strategies to prevent preterm birth (administrating exogenous progesterone and/or providing cervical support through cerclage), the rate of preterm births in the U .S . remains at more than 11 .5 percent . This is in large part due to our limited ability to accurately identify women at high risk for preterm birth . This has led researchers at Christiana Care to examine new biomarkers for preterm birth .

In a trial led by Matthew K. Hoffman, M.D., MPH, FACOG, Vice Chairman of Christiana Cares

Reducing Preterm Births and Mortality Rates of Babies Born Too Soon

13.0%

12.5%

12.0%

11.5%

11.0%

10.5%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Source: National Vital Statistics Report, http://www .cdc .gov/nchs/data/nvsr/nvsr62/nvsr62_09 .pdf#table01

Preterm Birth Rates in the U .S .

Do Fetuses Trigger Their Own Births?Early studies indicate that the fetal adrenal gland plays an important role in both term and preterm spontaneous birth. Fetal adrenal glands contain a fetal zone that seems to grow prior to spontaneous birth. Christiana Care researchers are studying whether the growth of the fetal adrenal gland can be used as an indicator of pending preterm birth.

Ove

rvie

w

The Role of the Fetal Adrenal GlandActivation of hypothalamic-pituitary-adrenal axis and endocrine signaling between the placenta and the fetal adrenal gland play an important role in initiation of labor . The biochemical activation of the fetal adrenal gland is associated with a significant enlargement of the total glandin particular, the fetal zone . Two published studies using different measurement techniques by Turan et al . demonstrate high sensitivity and specificity for spontaneous preterm birth among symptomatic women (N=126 & 74) .

Placenta

MaternalDHEAS

CRH

ACTH

Estriol andestetrol

Estrone andestradiol

DHEASDHEAS

160H-DHEAS and15,160H-DHEAS

Late gestationfetal cortisol

+

Fetal liver Fetal adrenalglands

Fetal pituitary

gland

1

Perspectives on Womens, Infants and Childrens Health:

A Research Review

Womens, Infants and Childrens Health at Christiana Care

Summer 2014

Christiana Care Health System, Delaware

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