1. Magazine/Publication Designs SUSAN SMERKER
g raphic de sign
The following pages are excerpts from Savoy Magazine and Emerge Magazine.
My professional graphic design experience includes over 20 years in the magazine/
publishing industry.
SAVOYUSHER’SNEWALBUMDEBUTSAT#1ONBILLBOARDCHARTSUMMER2012
SUMMER 2012 $4.99
www.savoynetwork.com
CAM NEWTON
AND GATORADE
Form Multi-year
Partnership
The Iconic
Howard Theatre
Re-opens
UsherHis New Album,
Looking 4 Myself
Debuts at #1on the
Billboard Top 200 Chart
Grants
$125,000 to Small
Businesses
Urban
Entrepreneurs
Series
SAVOYSum2012CoverFINAL.indd 1 7/13/12 2:10 PM

2. 138 Savoy Summer 2015
technology
The Apple Watch—its most personal device ever—featuring revolutionary new
technologies and a pioneering user interface with a beautiful design that honors the
rich tradition of precision watchmaking. Apple Watch introduces a specially designed
and engineered Digital Crown that provides an innovative way to scroll, zoom and
navigate.The Digital Crown is Apple’s most revolutionary navigation tool since the
iPod® Click Wheel and iPhone® Multi-Touch™. Apple Watch will enable you to
communicate in new ways right from your wrist by sending and receiving messages,
answering calls to your iPhone, and with Digital Touch, sending something as
personal as your own heartbeat. Apple Watch also introduces comprehensive health
and fitness apps that can help people lead healthier lives.
“Apple introduced the world to several category-defining products, the Mac, iPod,
iPhone and iPad,”said Tim Cook, Apple’s CEO.“And once again Apple is poised to
captivate the world with a revolutionary product that can enrich people’s lives. It’s
the most personal product we’ve ever made.”
“With Apple Watch, we’ve developed multiple technologies and an entirely new
user interface specifically for a device that’s designed to be worn. It blurs the bound-
ary between physical object and user interface,”said Jony Ive, Apple’s SeniorVice
President of Design.“We’ve created an entire range of products that enable unparal-
leled personalization.”
Apple Watch introduces a revolutionary design and iOS-based user interface creat-
ed specifically for a smaller device. Apple Watch features the Digital Crown, an inno-
vative way to scroll, zoom and navigate fluidly, without obstructing the display.The
Digital Crown also serves as the Home button and a convenient way to access Siri®.
The Retina® display on Apple Watch features Force Touch, a technology that senses
the difference between a tap and a press, providing a new way to quickly and easily
access controls within apps. Apple Watch introduces the Taptic Engine and a built-in
speaker that together discreetly enable an entirely new vocabulary of alerts and noti-
fications you can both hear and feel. Apple custom-designed its own S1 SiP (System
in Package) to miniaturize an entire computer architecture onto a single chip. Apple
Apple UnveilS
Apple’S MoSt
perSonAl
Device ever
APPLE WATCH
By Paris N. Clark
Summer 2015 Savoy 139
APPLE WATCH
Watch also features Wi-Fi 802.11b/g and Bluetooth 4.0 to pair
seamlessly with your iPhone.
Apple Watch comes in three distinct collections—Apple
Watch, Apple Watch Sport and Apple Watch Edition—avail-
able in two different sizes, 38 mm and 42 mm.The beautiful-
ly designed and durable enclosures are crafted from custom
alloys of polished or space black stainless steel, space gray or
silver anodized aluminum and 18-karat rose or yellow gold.
Apple also created an entire range of watch straps: the high-
performance elastomer Sport Band; the Milanese Loop in a
flexible magnetic stainless steel mesh; the Leather Loop in
soft, quilted leather that conceals magnets for quick fasten-
ing and adjustment; the leather Modern Buckle, which closes
with a solid metal clasp; the leather Classic Buckle; and
the stainless steel Link Bracelet. Apple Watch comes with a
unique charging system that combines Apple’s MagSafe®
technology with inductive charging for a quick connection
that snaps into place.
Apple Watch is an extremely accurate timepiece that’s also
customizable for personal expression. Apple Watch comes
with 11 watch faces ranging from traditional analog faces to
new faces like the dynamic Timelapse face; the Astronomy
face with its interactive, real-time 3D model of the earth,
sun, moon and planets; and the Solar face, a contemporary
sundial. Apple Watch can be personalized in appearance and
capability with additional information such as upcoming
events, moonphases or your activity level, enabling millions
of possible configurations.
Taking advantage of its location on your wrist, Apple
Watch provides timely information that can be viewed at
a glance. Smart Replies and dictation let you respond
quickly to messages, and with Handoff, you can start
a message on your Apple Watch and continue where
you left off on your iPhone. Swipe up from the
watch face for Glances that quickly show you in-
formation you care about, such as your current
location, stocks or your next meeting. Pressing
the side button brings up Friends, a view of
your favorite people, so you can contact them
quickly and easily. Digital Touch allows you
to send a sketch, a gentle tap, an audio
message through Walkie Talkie or even
your own heartbeat. Apple Watch lets you
interact quickly and conveniently with the
world around you, so you can pay for coffee
using Apple Pay™,* board a plane with a Pass-
book® boarding pass, control your Apple TV® or
get directions.
Apple Watch includes a groundbreaking Activ-
ity app designed to help motivate you to be more
active throughout the day, and an all-new Work-
out app designed to provide the metrics you need
during dedicated workout sessions. Apple Watch
uses the accelerometer, a built-in heart rate sensor,
GPS and Wi-Fi from your iPhone to provide a com-
prehensive picture of your daily activity.The Activity
app measures three separate aspects of movement:
calories burned, brisk activity and how often you stand
up during the day.The Workout app provides goal-setting
and pacing during popular session-based workouts, such as
running and cycling.The companion Fitness app on iPhone
collects your activity data so you can see your activity history
in greater detail. Apple Watch uses this history to suggest
personal, realistic goals, reward fitness milestones and keep
you motivated.
Apple introduces WatchKit, providing new tools and APIs
for developers to create unique experiences designed for the
wrist. With Apple Watch, developers can create WatchKit
apps with actionable notifications and Glances that provide
timely information. Starting later next year, developers
will be able to create fully native apps for
Apple Watch. S
The
Apple
Watch
blurs the
boundary
between
physical
object
and user
interface.
— Jony Ive,
Senior Vice PreSident
of deSign, APPle

3. 38 SAVOY Summer 2011
AAlicia Keys Released a Special 10th Anniversary Edition of Groundbreaking
Debut Album Songs in A Minor
savoynetwork.com SAVOY 39
Keep a Child Alive Foundation
is Saving Lives in
Africa
AAlicia Keys’
Singer, songwriter and producer, Alicia Keys released a special
10th Anniversary Deluxe and Collector’s edition on J Records/
Legacy Recordings of her recently released, groundbreaking
debut album songs in A minor.
The original release of songs in A minor sold more than 12
million albums worldwide and garnered Keys with her first five,
of 14 total, Grammy Awards including Best New Artist, Best
Song of theYear for“Fallin,”and Best R&B Album. With the
10th Anniversary Editions, Keys’fans will be able to rediscover
this seminal album and explore previously unreleased and
original bonus material, such as the tracks“A Woman’s Worth”
remix featuring Nas;“Juiciest”mix tape version;“Fallin”the Ali
soundtrack version; and the previously unreleased“Typewriter,”
“If I WasYour Woman”Original Funky Demo version and
“Butterflyz (The Drumline Mix).”
The Deluxe Edition two-disc set and Collector’s Edition three-
disc set features very special packaging and an enhanced booklet
featuring new liner notes from Keys.The Collector’s Edition also
includes a documentary, specifically created for this release with
brand new interviews with Keys and other album collaborators,
reflecting on the making of songs in A minor (to see a trailer for
the documentary, visit http://bit.ly/akaminor). For the first time, a
vinyl version of the original album
will also be made available. Further
exciting details on the Deluxe and
Collector’s editions can be seen on
www.aliciakeys.com.
“It’s incredibly surreal for me to
be celebrating the 10th anniversary
of songs in A minor,”says Keys.
“Looking back on the journey,
I’m truly moved by my fans and
friends who’ve been with me and
have supported me throughout my
career.This album is possibly the
most precious to me, as your first
album only happens once, and so
songs in A minor will always hold a
special place in my life that’s filled
with amazing memories. I’m so
proud that the songs are still being
enjoyed around the world, and I’m
crazy excited to share, through the
10th Anniversary Edition, songs
never heard before, and even more
of my debut album with you.”
Keys commemorated the 10th
Anniversary by performing an intimate concert for her fans
at NewYork City’s historic Beacon Theatre. The show, titled
“Piano & I: A One Night Only Event With Alicia Keys,” featured
Keys accompanied only by her piano.The night of songs and
storytelling took the audiences through the entire songs in A
minor album as well as many of Alicia’s classic hits that followed.
Alicia’s Keep a Child Alive Foundation is saving lives in
Africa. The seed of Keep a Child Alive was sown in Kenya in
2002 by Leigh Blake. Royalties from Leigh Blake’s previous
fundraiser, Red Hot & Blue, built the AIDS Research and
Family Care Clinic in Mombasa. A woman named Anne walked
in to the clinic, desperate to obtain the anti-retroviral drugs
her three-year-old son Brine needed to survive. At the time
the medication’s high cost was an impossible dream for most
Africans to afford, and Leigh was so moved by this woman and
her courage that she decided to pay for them. Alicia Keys and
Leigh Blake officially launched Keep a Child Alive Foundation
in 2003 together.
Word of the children’s desperate need for medication spread
among Leigh’s friends and colleagues, and soon they were
offering to do the same. Alicia Keys passion for the issue drove
her to become its first Global Ambassador.
What started out as a very
personal incident between two
mothers has become a tremendous
initiative for change. With over
4000 children and family members
on ARV treatment, over 250,000
people under our care, three
orphanages receiving funding, and
major clinic sites in expansion,
Keep a Child Alive is making a
direct impact in the lives of so
many who need help.
In addition to her Keep a
Child Alive Foundation, Ms.
Keys participated in the United
Nations 33rd celebration of World
Gratitude Day by sharing what
she is grateful for in their book,
On Gratitude: Sheryl Crow, Jeff
Bridges, Alicia Keys, Daryl Hall,
Ray Bradbury, Anna Kendrick,
B.B. King, Elmore Leonard, Deepak
Chopra and 42 More Celebrities
Share What They’re Most
Thankful For. S
Alicia Keys Released a Special 10th Anniversary Edition of Groundbreaking
Debut Album Songs in A Minor

4. 160 SAVOY savoynetwork.com
TECHNOLOGY
LENOVO ANNOUNCES a new ThinkPad
laptop series designed to push ThinkPad
design and innovation to the edge.
Simply called “ThinkPad Edge,” the 13,
14 and 15 inch models are designed
specifically for small to medium sized
business (SMB) customers. The 13 inch
model represents the first ThinkPad
laptop to offer AMD dual core processor
technology and to be offered on AMD’s
VISION Pro Technology. In addition
to performance, the new laptops are
designed with style and affordability
in mind for today’s budget-conscious
customers. For example, they include
new, rich and vibrant color choices and a
new contemporary keyboard.
Sophisticated
and Simple Design
The ThinkPad Edge Series laptops reflect
a new progressive and strikingly clean
appearance while retaining ThinkPad
durability and reliability. For example,
the laptops include spill-resistant
keyboards and value-added ThinkVantage
Technologies like the Active Protection
System and Rescue and Recovery.
PRICING: $549
LENOVO Pushes
ThinkPad Brand to the EDGE
Introduces First
ThinkPad Laptops
Featuring VISION Pro
Technology from AMD,
Expands Retail Business
with Best Buy with New
ThinkPad Edge Laptops
BY KRISTY FAIR
g

5. 64 SAVOY | savoynetwork.com
TRAVEL S P O N S O R E D C O N T E N T
Life in The Islands
Of The Bahamas is as
culturally diverse as it is
vibrantly beautiful, from
the carefree Out Islands
to exciting Nassau/
Paradise Island and Grand
Bahama Island. With
world-class restaurants,
award-winning spas and
resorts, an assortment of
physical activities such as
deep-sea fishing, golf and
scuba diving, and miles
of white and pink sandy
beaches that are lined
by the clearest waters in
the world, the Bahamas
offers visitors the oppor-
tunity to do everything or
nothing at all.
With 700 islands sprin-
kled out over 100,000
square miles of ocean,
the Bahamas also offers
visitors the largest assort-
ment of vacation spots of
any tropical destination.
The islands are as distinct
as they are similar. And
once you set foot on
one, chances are you’ll
learn even more about
yourself.
Easy access to the Ba-
hamas is a key reason for
this tropical
playground’s appeal as
a year-round vacation
destination. Just a short
hop by jet from Miami
or a memorable voyage
by cruise ship, private
or charter boat, the
Bahamas can be reached
quickly by air or by sea.
Visitors from the U.S. also
enjoy the convenience of
not having to exchange
currency before leav-
ing for vacation in the
Bahamas. Items such
as perfume, jewelry,
crystal and fine china,
and leather goods are
duty free and cost 25-
50 percent below U.S.
prices in the Bahamas.
Christian faith-based
groups and organizations
from around the world
have also found spiritual
reawakening in the Baha-
mas. As one of the most
popular destinations for
weddings, honeymoons
and worship gatherings,
the Bahamas has played
host to some of the
most influential spiritual
BAHAMAS
Experience Beauty
and Diversity in the
Islands of the

6. 70 SAVOY | savoynetwork.com savoynetwork.com | SAVOY 71
TRAVEL S P O N S O R E D C O N T E N T
Summertime in Washington, D.C. is the perfect time to experience the
city’s family-friendly attractions, historic sites, unique museums and galleries,
as well as its vibrant dining and nightlife scene. With fireworks lighting up
the Lincoln Memorial and Washington Monument, Fourth of July in the Dis-
trict is a rite of passage for any American. In addition, the city’s many unique
neighborhoods welcome scores of travelers and locals to street-facing patios
for cool breezes, iced coffees and al fresco dining.
Aside from the Fourth’s fireworks on the National Mall, celebrating the
birth of the nation and the “spirit of independence“ in the nation’s capital
also amounts to free concerts on the Capitol lawn, America’s National
Independence Day Parade and some very American reading – The Declara-
tion of Independence, Constitution and Bill of Rights are all free to read at
the National Archives.
From the White House and the U.S. Capitol to presidential monuments and
Smithsonian Institution museums, the city is full of awe-inspiring sites, attrac-
tions and historic buildings, most of which can be seen for free. A visit to the
Supreme Court Building or the vast network of the Smithsonian Institution
facilities allows for memorable and life changing experiences. Museums like
the National Portrait Gallery offer exhibits that will create lasting memo-
ries long after you leave, such as “American Cool,” which boldly identifies
America’s 100 coolest icons.
From a static gallery to a pop-up museum celebrating cultural diversity, the
free Smithsonian Folklife Festival is a marquee event of summer, highlighting
different cultures and unique customs right on the National Mall. In addition
to having a scenic and walkable downtown, Washington, D.C. has a wealth
of character-rich neighborhoods, each with something fresh and exciting to
offer. The Annual D.C. Jazz Festival features more than 125 performances –
Thanks to hot
new spots and
summer fun,
Cap City goes
bolder than ever.
DC
DESTINATION
the majority of them free – at venues throughout
D.C. One historic thoroughfare, H Street, is making
a comeback with a variety of new restaurants,
gastro pubs and bars that highlight local flavor.
U Street, a special neighborhood that was once
hailed as “Black Broadway” for its jazz venues, has
recently experienced a renaissance and restoration
where live music continues to thrive. Also, cafes and
thrift shops line this historic area along with a
famous eatery. This local landmark has been visited
by President Barack Obama in recent years as well
as Rev. Dr. Martin Luther King decades ago. For
even more international flavor, 14th Street has be-
come another dining destination with inspired res-
taurants including Le Diplomate, Barcelona, Doi Moi
and others that provide a global dining experience
up and down a mile long stretch. This boulevard of
unique offerings is a welcome complement to the
more than 170 embassies in D.C. which reinforce
the important connection.
As an international beacon and the nation’s capi-
tal, Washington, D.C. has many cultural treasures
that are easily accessible thanks to public transpor-
tation, a bike share program and supreme walkabil-
ity. Celebrate the nation’s birthday among figures of
American history, and get out into the city and see
why locals are so in love with D.C. S
“
”
IN
ADDITION TO
HAVING A SCENIC
AND WALKABLE
DOWNTOWN, D.C.
HAS A WEALTH OF
CHARACTER-RICH
NEIGHBORHOODS,
EACH OF WITH
SOMETHING FRESH
AND EXCITING TO
OFFER.

7. | SAVOY 7574 SAVOY | savoynetwork.com
TRAVEL S P O N S O R E D C O N T E N T
SOUL-STIRRING HISTORY
You don’t have to go far to find history in Philadelphia.
It’s everywhere. So step into one of the many museums
and get an inside look at our nation’s past. Slavery at
Jefferson’s Monticello uncovers the lives of six enslaved
families who lived and worked at Thomas Jefferson’s
plantation. The National Constitution Center exhibit
tells the stories of the Hemmings and other families with
objects that represent each family’s trade. During the bleak
days of Jim Crow, Black-owned family farms and gardens
helped sustain the African- American community. More
Places of Our Own, featuring Syd Carpenter’s sculptures,
will be on display at The African American Museum
in Philadelphia. The exhibit evokes the strength
of the African-American farmers who, against the
odds, thrived and survived in the segregated South.
While in historic Philadelphia, be sure to make
time to see the iconic sites—Independence Hall,
the Liberty Bell and the President’s House—that
boast powerful connections to our past.
FUN & FUNKY FESTIVALS
Philadelphians love festivals. Annual celebrations
pay homage to world cultures, music, movies, food
and our very own red, white and blue. Summertime
throw downs will definitely heat up your trip.
Taking place on June 8, the Odunde Festival
marks the coming of another year for African-
Americans and African people with a procession,
ceremonial offering, live music and dance and a
sprawling African marketplace so large it takes over
block after block along South Street.
Every Fourth of July, America’s birthplace throws
the biggest birthday party of all. Wawa Welcome
America! rocks the city with fireworks, parades,
movies, live concerts and more from June 28-July
4 — all for free.
Cool breezes, soulful music and festivities await
when the PECO Multicultural Series hits Penn’s
Landing. Celebrate global cultures every weekend
from June through August with entertainment,
music and food from the Caribbean, Africa and
other exotic locales.
For films by up-and-coming Black filmmakers,
head to the BlackStar Film Festival, where you’ll
catch screenings of hundreds of curated films, meet
the filmmakers and join in discussions.
FOOD THAT’S WORTH THE TRIP—
AND THE CALORIES
As Bon Appétit said, “Turns out that in Philly,
there’s way more to obsess over than cheesesteak.”
Translation: You’ll want to make plenty of time to
taste the authentic flavors of Philly foods during
your stay. That means eating at a sidewalk café, a
restaurant run by a big-name chef and plenty of
other places that serve up deliciousness.
Take rich Southern cuisine, hot rhythm-and-blues
G.WIDMANFORVISITPHILADELPHIA™
“ ”
TURNS OUT
THAT IN PHILLY,
THERE’S WAY MORE
TO OBSESS OVER
THAN CHEESESTEAK.
PHILADELPHIA
city of
brotherly
love
DO YOURSELF A FAVOR. PUT PHILADELPHIA ON YOUR SUMMER
“MUST-DO” LIST. WARM WEATHER AND A WALKABLE DOWNTOWN
MAKE IT EASY TO STROLL THE STREETS, IMMERSING YOURSELF IN
THE CITY’S AND THE NATION’S MOST HISTORIC MOMENTS.

8. TECHNOLOGY
PRICE: $129.95
156 SAVOY savoynetwork.com
The new Audio-Technica ATH-ANC1 is
designed for unmatched convenience.
It folds for easy storage and travel in
its included carrying pouch. Its active
noise-cancelling circuitry is located
in an external module attached to
its connecting cord, for extremely
lightweight on-ear wear. The ATH-
ANC1 features soft, long wearing
ear pads for complete comfort, even
on long trips or extended listening
sessions. Audio-Technica’s acclaimed
active noise-cancelling (ANC)
technology to block out up to 85% of
outside noise, while delivering clear
and natural sound.
Like all Audio-Technica QuietPoint
headphones, including the recently
introduced ATH-ANC7b, winner of
a CEA Innovations 2010 Design and
Engineering Award, the ATH-ANC1
detects environmental noise using
miniature built-in microphones,
and applies a corresponding
sound-cancelling signal. Although
compact, the headphones deliver
powerful, immersive sound, thanks
to their precision high-efficiency
full-range drivers and premium
internal components. They’re ideal
for traveling, jogging or any other
private listening, and for use with
the Apple® iPod®, iPhone™ and
iPod touch®, portable music players,
computers, in-flight entertainment
systems and other devices.
Unlike some other noise-cancelling
headphones, the ATH-ANC1 (and
all Audio-Technica noise-cancelling
headphones) work even without
batteries or when the noise-cancelling
feature is turned off. In addition to
its travel pouch, the ATH-ANC1 comes
with a 1.6-foot extension cord, an
airline adapter and an AAA battery. S
Audio-Technica
Ultraportable
ATH-ANC1
Headphones{

9. emergingfactor.com emerge 1918 emerge emergingfactor.com
> Find relevant music for your media projects...
eclectic, hand-selected music collection for every occasion
ENTREPRENEUR DUO LAUNCHES
The Music Bed
In the industry today, there aren’t
a lot of options for photographers,
videographers and production
companies to find good music for
their media needs. It’s either the
same overused stock music or paying
thousands to license music from a
big-name artist - which is obviously not
practical for non-broadcast projects.
Daniel McCarthy and Nic Carfa, both
photographers and videographers,
found themselves in this same
predicament of not being able to
find current, unique music that was
affordable. To solve this problem, they
spent over a year scouting out the best
indie and mainstream artists to create
the comprehensive music licensing
resource The Music Bed.
The Music Bed is a boutique
collection of hand-selected music
ranging from up-and-coming
independent artists to established
artists who are signed to a label.
The music can be used in any non-
broadcast photography, videography,
wedding, non-profit and ministry
projects. For browsing ease, the music
is conveniently categorized by genre,
mood, and even for what types of
projects it would make a perfect fit.
The collection encompasses a diverse
mix of genres with everything from the
folk/rock vibe of Thad Cockrell and
Benjamin Dunn, to the more acoustic
sounds of Brooke Annibale and Us And
Our Daughters, to the pop/rock feel
of Dave Barnes, Ben Rector and Green
River Ordinance. Instrumental tracks
are also available from select artists.
“It was something we needed,”
says McCarthy. “We saw friends and
colleagues who needed it, too. The
Music Bed was born out of need, along
with our passion for music.”
McCarthy and Carfa are strong
believers in licensing music, as it is the
right thing to do. At The Music Bed, a
song can be licensed for a one-time use
for only $49. For $79, a song can be
licensed for unlimited use for one year.
“These musicians have created works
of art they are willing to share with
people to use in their works of art,”
says McCarthy. “Music as art is no less
tangible than a painting or a photo.
People have spent time, thought and
energy in creating something that
means something special. We believe
that they, like any other artist, should
be fairly compensated and recognized
for their work.” e
Nic Carfa and
Daniel McCarthy,
Founders of The
Music Bed
START-UP
BY BETH HUTSON
A Unique,
Affordable Music
Collection as a
Fresh, Creative
Resource for Fellow
Photographers and
Videographers

10. Newsletter Design SUSAN SMERKER
grap h ic de s ign
THE OFFICIAL PUBLICATION FOR MARYLAND ONCOLOGY HEMATOLOGY
The Affordable Care Act (ACA) was created
with the goals to expand healthcare access, con-
trol costs and improve quality. Signed by Presi-
dent Obama in 2010, it introduced the possibility
of unprecedented access to healthcare to pa-
tients throughout the United States. This legisla-
tion, which contains over a thousand pages of
provisions and requirements, represents the larg-
est overhaul of the US healthcare system since
the introduction of Medicare in 1965, 45 years
earlier.
Of the ACA’s numerous requirements of em-
ployers, patients and insurance companies, one
of the most important is the requirement that in-
surers provide coverage regardless of pre-existing
medical conditions. For the first time, patients
must be offered coverage despite previous dis-
ease diagnoses. This is vitally important to the
tens of thousands of Americans who suffer with
chronic conditions such as vascular and kidney
disease.
Although there is continuing debate regard-
ing the ACA, it is clear that more patients today
have healthcare insurance coverage than ever be-
fore. An extensive study by the Rand Corporation
(Modern Healthcare, May 6, 2015) reports that 17
million more Americans have health insurance
coverage since the launch of the ACA. This
tremendous increase in patients with coverage
has resulted in the demand for enhanced access
to both primary care and specialty services.
The ACA also encourages the use of safe and
cost effective healthcare delivery models. The
goal is to reduce the growth of healthcare spend-
ing that accounts for 17.4% of the Gross Domes-
tic Product (Congressional Budget Office, Decem-
ber 2014). It appears that the emphasis on cost
effectiveness is working. The 2013 rate of growth
was only 3.6%, the lowest increase ever recorded
(Health Affairs, December 2014).
The Center for Vascular Medicine (CVM) is com-
mitted to the ACA goals of expanding access to
coverage, controlling costs and improving qual-
ity. Our clinical offices in Greenbelt, Annapolis,
Prince Frederick, Glen Burnie and, Silver Spring
offer patients from a wide geographic regios con-
venient access to board-certified vascular special-
ists. Patients requiring treatment for venous and/
The Center for Vascular Medicine
Meets the Triple Aim of the
Affordable Care Act
BY JEANNE SANDERS, RN, FACHE
VICE PRESIDENT, CENTER FOR VASCULAR MEDICINE
WINTER 2016 VOLUME 1 n NUMBER 3
The knowledge To heal.
The compassion To care.
KASHIF ALI, MD
THOMAS A. BENSINGER, MD
CHERYL A. AYLESWORTH, MD
HARVEY I. KATZEN, MD
EDWARD J. LEE, MD
OUR
PHYSICIANS
INCIRCULATION
www.mdonc.com
Post-Thrombotic Syndrome:
A Costly Complication of DVT
BY GAURAV LAKHANPAL, MD, FACC, RPVI
REFERENCES: Kahn SR, Partsch H, Vedantham S, et
al. Definition of post-thrombotic syndrome of the leg
for use in clinical investigations: a recommendation
for standardization. J Thromb Haemost 2009; 7:879.
Porter JM, Moneta GL. Reporting standards in
venous disease: an update. International Consensus
Committee on Chronic Venous Disease. J Vasc Surg
1995; 21:635.
Franzeck UK, Schalch I, Jäger KA, et al. Prospective
12-year follow-up study of clinical and hemodynamic
sequelae after deep vein thrombosis in low-risk pa-
tients (Zürich study). Circulation 1996; 93:74.
Bergan JJ, Schmid-Schönbein GW, Smith PD, et
al. Chronic venous disease. N Engl J Med 2006;
355:488.
Prandoni P, Kahn SR. Post-thrombotic syndrome:
prevalence, prognostication and need for progress.
Br J Haematol 2009; 145:286.
Yamaki T, Nozaki M, Sakurai H, et al. High peak
reflux velocity in the proximal deep veins is a strong
predictor of advanced post-thrombotic sequelae. J
Thromb Haemost 2007; 5:305.
Nicolaides AN, Hussein MK, Szendro G, et al.
The relation of venous ulceration with ambulatory
venous pressure measurements. J Vasc Surg 1993;
17:414.
Araki CT, Back TL, Padberg FT, et al. The signifi-
cance of calf muscle pump function in venous ulcer-
ation. J Vasc Surg 1994; 20:872.
Welkie JF, Comerota AJ, Katz ML, et al. Hemody-
Post-thrombotic syndrome is the development of symptoms
and signs of chronic venous insufficiency following deep vein
thrombosis (DVT). It is a common, burdensome, and costly
complication. The term “post-thrombotic” replaces the prior
terminology “postphlebitic” syndrome.
Pathophysiology: Post-thrombotic syndrome develops as a
consequence of long-standing venous hypertension. A com-
bination of reflux due to valvular incompetence, and venous
hypertension due to thrombotic obstruction, is thought to con-
tribute to post-thrombotic syndrome. Acute DVT causes ob-
struction of venous outflow, which can be partial or complete.
The inflammatory response to acute thrombosis and the pro-
cess of recanalization directly damages venous valves.
Reflux occurs early, progressively increasing from 17t of pa-
tients at one week to 69s at one year following the diagnosis
of DVT.
Epidemiology: The reported incidence of post-thrombotic
syndrome varies widely. Among studies that use validated di-
agnostic criteria, the incidence is approximately 50t in the first
year in spite of anticoagulation. Severe post-thrombotic syn-
drome occurs in 5% to 10t of patients.
Risk factors: Patient-specific factors that may increase the risk
for post-thrombotic syndrome include pre-existing primary ve-
nous insufficiency, older age, obesit, and varicose veins. There
does not appear to be a consistent relationship between gen-
der and the development of post-thrombotic syndrome.
The development of recurrent ipsilateral DVT is strongly asso-
ciated with the risk for the post-thrombotic syndrome.
Proximal DVT increased the risk for post-thrombotic syndrome
twofold compared with distal DVT. The risk of post-thrombotic
syndrome is greater in patients who do not maintain adequate
anticoagulation during initial treatment for their DVT. The use
of thrombolytic therapy to treat acute proximal DVT may de-
crease the risk of post-thrombotic syndrome by reducing clot
burden or possibly preventing proximal vein valve dysfunction;
however, it is not clear whether the benefits outweigh the risks
involved.
Clinical Feature: Symptoms and signs can include extremity
pain, venous dilation, edema, pigmentation, skin change, and
venous ulcers. Edema occurs in approximately two-thirds of
patients with post-thrombotic syndrome, skin pigmentation in
about one-third, and venous ulceration in less than 5t.
Diagnosis: The diagnosis of post-thrombotic syndrome is
predominantly clinical. Venous imaging, typically duplex ultra-
sound, may be useful for patients in whom the clinical signs of
chronic venous insufficiency are not obvious, those with a clini-
cal history that suggests DVT but that did not undergo studie,
ann those with severe symptoms.
Treatment: Conservative management includes exercise, limb
elevation, compression therapy, and possibly pharmacologic
therapy.
Venous intervention: Endovascular or surgical interventions
in appropriately selected patients with venous obstruction
or reflux may decrease the incidence of recurrent ulceration
and skin changes and improve quality-of-life in patients with
chronic venous disease. Occluded or stenotic iliac vein seg-
ments can be treated using percutaneous angioplasty with or
without stenting, venous bypass, or endophlebectomy. Surgi-
cal vein bypass is an option for selected patients tion has failed
to restore flow; however, it is limited to certain.
www.mdonc.com www.mdonc.com
With advances in the medical field and pro-
longed survival rates, hemodialysis patients are a
rapidly growing population that provides a unique
set of challenges to outpatient vascular laborato-
ries. End stage renal disease (ESRD), the last stage
of chronic kidney disease, occurs when the kidneys
are functioning below 10% of their normal func-
tion and can no longer support a person’s day to
day life. Currently, hemodialysis allows more than
550,000 patients in the United States to system
changes that suppo live with the disease.
Fistula-First Catheter-Last Workshop Coalition
The Fistula-First Catheter-Last Workshop Coalition,
formed in 1995, is important in the management
of hemodialysis access patients today. Its mission
is focused on supporting the renal community and
ESRD networks to improve vascular access out-
comes. This group realizes that appropriate vascular
access is the lifeline for these patients and that the
development and implementation of sustainable
system changes that support arteriovenous (AV) fis-
tula placement in suitable hemodialysis patients is
key. At the same time, this approach reduces cen-
tral venous catheter use.
The use of an AV fistula leads to lower infection,
hospitalization and mortality rates while preserv-
ing vital Medicare measures. Here at the Center for
Vascular Medicine (CVM), we meet this challenge
head-and special services that maintain this group
of complex patients.
Initial Consultation
At the initial consultation, the vascular team as-
sesses the patient and formulates an appropriate
operative plan to ensure appropriate care given the
patient’s clinical scenario. As outlined in the Fistula
First initiative, all attempts are made to use an au-
togenous vein as a source of conduit if at all pos-
sible. To that end, all patients undergo noninvasive
venous duplex ultrasound to evaluate the size of
the basilic and cephalic veins as possible conduits
for hemodialysis.
In addition, the patient undergoes duplex ultra-
sound of the subclavian and jugular veins to assess
for patency. Many of these chronic patients may
have had central lines for hemodialysis in the past
and to that end these veins may be scarred or dam-
aged. This allows the clinician to glean additional
information about the condition of the central ve-
nous vasculature, which may be helpful in preop-
erative planning as well as determining a possible
source of the problem if the access does fail.
Based on the finding of the initial assessment and
noninvasive evaluation, the patient is scheduled for
one of three vascular procedures to provide access
for hemodialysis. Ideally, the patient is scheduled for
an autogenous arteriovenous fistula where a surgi-
cal connection is made between an artery and vein
either at the wrist, forearm or upper arm. Autog-
enous arteriovenous fistulas have the highest pa-
tency and lowest infection rates.
Operative Procedure
If an appropriate vein for creating an autogenous
fistula is found, the next step is to place a synthet-
ic AV graft. In this instance, a synthetic graft joins
the artery to the vein to provide a location where
the graft can be accessed for dialysis. Finally, if no
suitable conduit is available for creating an arte-
riovenous fistula and no vein is available for graft
placement, then a tunneled catheter can be used
for dialysis. Perioperative PeriodAfter the procedure
is performed, the patient is seen again. n the post-
operative period for a post-op check to inspect the
surgical incisions and evaluate the access site.
Current Strategies for
Managing Hemodialysis Patients
in the Outpatient Setting
BY MICHAEL D. MALONE, MD, FACS
Currently,
hemodialysis
allows more
than 550,000
patients
in the United
States to
live with the
disease.
The Center for Vascular Medicine
(CVM) has been recognized as a national
leader in the utilization of intravascular
ultrasound (IVUS) in the outpatient set-
ting due to the expertise of its physicians.
CVM has become a national training site
for physicians that wish to expand their
knowledge of this diagnostic technology.
In an effort to provide the highest quality
of care to patients, CVM has been utiliz-
ing IVUS for over two years as a standard
diagnostic tool for those suffering from
Deep Venous Disease.
What is IVUS?
Intravascular ultrasound, which uses a
catheter equipped with a camera to visu-
alize a vessel from the inside, was first in-
troduced to vascular medicine providers
in the late 1980’s inserted via a sheath,
id is valuable in assessing the patency of
a vessel and determinine the possibil-
ity anr degree of obstructhe purpose of
stent sizing. CVM has applied this tech-
nology as a diagnostic modality for deep
vein disease.
Many patients may suffer from venous out-
flow obstruction (i.e. iliac vein compression)
for years without a diagnosis. They typically
will present with the following symptoms:
IVUd provides a three-dimensional view
of the interior of vessels, allowing physi-
cians to determine the presence and de-
gree of venous disease. In addition, and
perhaps more importantly, this technol-
ogy will determinr whether the compres-
sion is intrinsic o. extrinsic. What is the
difference? Intrinsic obstruction occurs
due to a problem from within the vessel
and extrinsicsobstruction results from an
external structure causing compression.
Both will cause an increase in resistance.
Intravascular Ultrasound – Cutting-Edge
Technology Provides Life-Changing Results
BY VINAY SATWAH DO, FACOI, RPVI
www.mdonc.com
Maryland Oncology Hematology is
united in healing with The US Oncol-
ogy Network. The US Oncology Net-
work unites one of the nation’s largest
community-based cancer treatment
and research networks to expand pa-
tient access to high-quality care and
advance the science of cancer care.
As a member of The US Oncology Net-
work, our physicians and clinicians are
united with more than 1,000 physi-
cians and 10,000 cancer professionals
from across the country.
UNITED IN HEALING
WITH THE US
ONCOLOGY NETWORK
Aquilino Cancer Center
9905 Medical Center Dr.
Ste 200
Rockville, MD 20850
301-424-6231
Clinton
8926 Woodyard Rd., Ste
101
Clinton, MD 20735
301-868-7911
Columbia
10710 Charter Dr., Ste
G020
Columbia, Maryland 21044
410-964-2212
Laurel
7350 Van Dusen Rd.,Ste
370
Laurel, MD 20707
301-933-3216
Lanham
8116 Good Luck Rd., Ste
100
Lanham, MD 20706
301-474-0427
Wheaton
2730 University W Blvd
Ste 400
Silver Spring, MD 20902
301-942-9220
Silver Spring
12210 Plum Orchard Dr.
Ste 211
Silver Spring, MD 20904
301-933-3216
Johns Hopkins Medicine
Healthcare & Surgery
Center
6420 Rockledge Dr.
Ste 4200
Bethesda, MD 20817
301-929-0765
OUR LOCATIONS

11. SUSAN SMERKER
grap h ic de s ign
Brochure
pus
l e h i g h a r t a l l i a n c e . o r g
TheStoryBehind
theLehighArtAlliance
Founded in 1935 by Professor Garth How-
land of Lehigh University, the LAA continues
as an organization for amateur and profes-
sional artists in the Lehigh Valley, and as a
cultural and educational entity for the people
of the area.
The LAA has always attempted to serve both
the artist and the community equally. Juried
exhibitions give the artist an opportunity to
display their work, and give the appreciators
of art an opportunity to view what regional
artists are producing. Various Lehigh Val-
ley institutions have graciously contributed
the use of their exhibition space to the LAA.
Among these are the Allentown Art Museum,
The Baum School of Art, Lehigh University,
Moravian College Payne Gallery, Muhlenberg
College, and The Banana Factory.
Our Mission
The mission of the Lehigh Art Alliance is to
support local artists with exhibition oppor-
tunities as well as to offer exposure through
our website lehighartalliance.org. Our Flash
News e-mails provide information about local
art events and publicize the activities and ac-
complishments our members.
Exhibition of an artist’s work through the
LAA’s shows often leads to opportunities to
exhibit in the community. Examples include
LAA small group shows at the Nurture/Nature
Center in Easton, the Nazareth Arts Center
and the Bethlehem City Hall Rotunda.
Allentown Art Museum
Community Gallery
31 N. 5th St.
Allentown, PA
Banana Factory
25 West 3rd St.
Bethlehem, PA
Baum School of Art
510 Linden St.
Allentown, PA
Bethlehem City Hall Rotunda
10 East Church St.
Bethlehem, PA
Lehigh University
Siegel Gallery, Mountaintop Campus
111 Research Dr.
Bethlehem, PA
Muhlenberg College
Martin Art Gallery
2400 Chew St.
Allentown, PA
Moravian College
Payne Gallery
1200 Main St.
Bethlehem, PA
Nurture Nature Center
518 Northhampton St.
Easton, PA
Nazareth Center for the Arts
30 Belvidere St.
Nazareth, PA
LehighArtAlliance
ExhibitionVenues
l e h i g h a r t a l l i a n c e . o r g
TheStoryBehind
theLehighArtAlliance
Founded in 1935 by Professor Garth How-
land of Lehigh University, the LAA continues
as an organization for amateur and profes-
sional artists in the Lehigh Valley, and as a
cultural and educational entity for the people
of the area.
The LAA has always attempted to serve both
the artist and the community equally. Juried
exhibitions give the artist an opportunity to
display their work, and give the appreciators
of art an opportunity to view what regional
artists are producing. Various Lehigh Val-
ley institutions have graciously contributed
the use of their exhibition space to the LAA.
Among these are the Allentown Art Museum,
The Baum School of Art, Lehigh University,
Moravian College Payne Gallery, Muhlenberg
College, and The Banana Factory.
Our Mission
The mission of the Lehigh Art Alliance is to
support local artists with exhibition oppor-
tunities as well as to offer exposure through
our website lehighartalliance.org. Our Flash
News e-mails provide information about local
art events and publicize the activities and ac-
complishments our members.
Exhibition of an artist’s work through the
LAA’s shows often leads to opportunities to
exhibit in the community. Examples include
LAA small group shows at the Nurture/Nature
Center in Easton, the Nazareth Arts Center
and the Bethlehem City Hall Rotunda.
Allentown Art Museum
Community Gallery
31 N. 5th St.
Allentown, PA
Banana Factory
25 West 3rd St.
Bethlehem, PA
Baum School of Art
510 Linden St.
Allentown, PA
Bethlehem City Hall Rotunda
10 East Church St.
Bethlehem, PA
Lehigh University
Siegel Gallery, Mountaintop Campus
111 Research Dr.
Bethlehem, PA
Muhlenberg College
Martin Art Gallery
2400 Chew St.
Allentown, PA
Moravian College
Payne Gallery
1200 Main St.
Bethlehem, PA
Nurture Nature Center
518 Northhampton St.
Easton, PA
Nazareth Center for the Arts
30 Belvidere St.
Nazareth, PA
LehighArtAlliance
ExhibitionVenues
“Artevokesthemysterywithoutwhichtheworldwouldnotexist.”— RENÉ MAGRITTE
JointheLehighArtAlliance!
Join the Lehigh Art Alliance! For information, see our website: lehighartalliance.org
LAA Membership Form
Membership runs from January 1 to December 31
Mail to: Lehigh Art Alliance,
Patti Tinsman-Schaffer, 591 Dotts Street,
Pennsburg, PA 18073
____ Individual $25 ____ Over 62 yrs. $20
o Renewal o New Member
Name:
Address:
Home Phone:
Cell:
Preferred contact: o Home phone o Cell phone
E-mail:
Benefits of becoming an LAA member include:
n participating in juried exhibitions
n competing for corporate-sponsored awards
n having your art featured on the LAA website
n having an LAA website linked to your website
n meeting other Lehigh Valley artists
n receiving Flash News e-mail updates about
artists’ activities and other art-related news
and events in the Lehigh Valley
Members must be at least 18 years old and
reside within 35 miles of the centers of Allentown or
Bethlehem. For more information, see our website
or contact Wendy Steed at 610-360-9092

12. Print ads SUSAN SMERKER
grap h ic de s ign
Logos SUSAN SMERKER
g raphic de sign
www.fairgroundfarmersmkt.com
Supermarkets have
Branches.
We have Roots.
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Tuesday, December 22 & Wednesday, December 23 - 8am to 8pm
Thursday, December 24 - 8am to 4pm
Closed Christmas Day
Saturday, December 26 - 9am to 6pm
Wednesday, December 30 - 8am to 8pm
Thursday, December 31 - 8am to 5pm
Closed New Years Day
Saturday, January 2 - 9am to 6pm
1825 CheW STreeT AlleNToWN PA BeTWeeN 17Th & CheW
610.432.8425
Allentown Fairgrounds Farmers Market
Daily Drink Specials
Monday
Blue Moon Pounders $2.75
Tuesday
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Thursday
Miller lite 16oz draft $2.75
Friday
Yuengling lager Pints $2.75
Saturday
Coors light Bottles $2.75
Sunday
Coors light Pints $2.75
PitChers $5.50
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Allentown
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501 Broad Street
Emmaus
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