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Gloucester Daily Times
---- — Sales information, compiled from Registry of Deeds, is provided under copyright by Banker and Tradesman, Boston.
35 Beach St.: Allan A. Houle from C&R Realty Trust and Christina L. Centofanti on Dec. 11 for $755,000.
18 Crooked Lane: Kevin S. Potter from Open Meadow Realty Trust and Cary L. Johnson on Dec. 28 for $420,000.
15 Butler Ave.: Cyrus C. Bent and Andrea M. Bent from Thomas K. Hoff and Leslie Hoff on Dec. 28 for $750,000,
52 Bridge St.: David D Turnbull and Susan B. Turnbull from Charles W. Gardiner and Jane L. Gardiner on Dec. 21 for $1 million.
11 Bennett St.: Sarah A. Mellish from Thomas W. Sherman and Anne B. Sherman on Dec. 21 for $846,000.
13 Hickory Hill Road: Carl Graves and Julia Graves from John F. Brown and Janyce H. Brown on Dec. 24 for $1,287,000.
20 Hickory Hill Road: Nathanial Langman from Brian E. Setzer and Julie M.Setzer on Dec. 24 for $615,000.
29 Central St.: Windover Elm Street Properties from Secher Realty Trust Arthur A. Secher on Dec. 28 for $675,000.


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The Dolphins re-signed DE Lionel Dotson and OLB Erik Walden on Tuesday and cut recently acquired DE Clifton Geathers.
Dotson, a seventh-round pick in 2008, didn't make the 53-man squad and signed a practice-squad offer from the Broncos. Walden has been a primary member of the Dolphins' special-teams unit in his two seasons.
The way we see it
Both players re-signed add to positions where guys were hurt Sunday. Rookie DE Jared Odrick has a deep thigh bruise and likely will not play in Week Two. OLB Ikaika Alama-Francis missed Week One's game because of an illness. Walden should be a big help on special teams, as returner Clifton Smith rarely had room to run against the Bills. The Dolphins also continued to stay young in their acquisitions as opposed to re-signing veteran DEs Marques Douglas or Charles Grant.

subset: commoncrawl


text: The Idea of Being Somebody (TIOBS®) is hosting a fresh new event for Columbus this 4th of July. The Columbus Connect was made for the ambitious and purpose driven Columbus residents who enjoy cookouts, free food, music, and good people. This roof top cookout will be held at Callahan's on Park St. in the Arena District. The Columbus Connect is also the kick off event for the Ohio Homecoming. #SupportOhio and checkout all of the Ohio Homecoming events.


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The Bridge in the Rain (after Hiroshige), 1887
Vincent van Gogh (1853-1890)
The Bridge in the Rain illustrates Van Gogh's interest in Japanese art. He painted this scene after a woodcut by Utagawa Hiroshige, which he had in his own collection. The borders are filled with calligraphic figures borrowed from other Japanese prints. Van Gogh made two other paintings in the same fashion: The Courtesan (after Eisen) and Flowering Plum Tree, after another print by Hiroshige. One distinction with regard to the originals is the use of color: Van Gogh used different, brighter colors, or enhanced the color contrasts.
The influence of Japanese prints remains visible in Van Gogh's later works, especially in his strong outlines and color contrasts, and in the way he cropped his compositions.


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News, sport and entertainment from Chorley and the surrounding villages
Chorley 0 North Ferriby United 1 (From Chorley Citizen)
When news happens, text CIT and your photos and videos to 80360. Or contact us by email or phone.
Chorley 0 North Ferriby United 1
6:50am Monday 19th November 2012 in Chorley FC
A LAST-minute goal strengthened North Ferriby's title challenge but dealt a damaging blow to Chorley's fading promotion hopes.
In a very competitive game, the Humbersiders needed all their resilience and steel to extend their unbeaten run to 15 matches, playing all the second half with only 10 men.
They lost midfielder Steve Ridley to a second caution just before half-time but a tactical switch to stiffen their central defence enabled them to stage a successful shut-out as Chorley toiled in vain to pierce a solid defensive screen.
After a cagey opening, the Magpies gradually got on top and Dale Whitham twice drove inches over the bar.
Then Adam Roscoe saw a close-range volley blocked in the jaws of goal. Ferriby almost snatched the lead early in the second period when Ryan Kendall cut in but was foiled by Jack Cudworth.
With time running out, and Ferriby content to retain possession out on the right wing, Steve Flitcroft needlessly conceded a free-kick.
When the ball came in Cudworth could only partially clear and Liam King fired the winner through a crowd of players.
A chance came Chorley's way in stoppage time but Ciaran Kilheeney glanced a back-post header wide.
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Rafael Anaya, originally from Mexico, has joined entertainment lighting supplier TMB's LA sales department. Anaya has an associate's degree in electronics with a wide background in the repair and maintenance of electrical/optical/mechanical equipment of all kinds. He began in the medical equipment industry, then became chief technician, then South American sales director for MoboLaser, which allowed him to develop a relationship with TMB.
"Rafael proved himself to TMB as a vendor, working with all kinds of technically complex products and helping us take really good care of our customers," says Tommy Stephenson, TMB's sales manager. "Once the discussion about him joining us started—in a bar way south of the border—there was never any question. His technical expertise will be a real asset to many of our customers around the world and his awesome skills on the dance floor (or table) just add the finishing touch."


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Lisa Curtis
Volunteer: Lisa Curtis
After graduating from college, I joined the Peace Corps as a Municipal and Community Development Volunteer in Niger. Although Niger is best known for being one of the poorest countries in the world, I loved my experience there and cannot put into words the pain that I felt when the Peace Corps program was evacuated due to a terrorist attack in the capital city. I then flew to New Delhi, India for a family friend's wedding and obtained a three month internship at Start Up! a venture capital firm focused on social entrepreneurship. Currently, I am back in Alameda and working at a youth leadership program called Summer of Solutions in Oakland. After the summer ends, who knows where I'll go...
Originally from the San Francisco Bay Area, I spent four years in Walla Walla, Washington attending Whitman College. While there I served as the Campus Sustainability Coordinator and was an active member of the climate change club. I'm interested in community organizing and spent a lot of time working in lower-income neighborhoods in Walla Walla to decrease crime and increase civic engagement, particularly among the Latino population. I helped found Whitman eJustice which combined my interest in environmental issues and poverty alleviation by distributing energy efficient light-bulbs in few of the neighborhoods where I had previously worked. I'm also interested in international development and especially in increasing off-the-grid, renewable sources of energy in developing countries as a means to increase economic productivity and solve our climate crisis. In 2008, I helped start a biodigester project in Kakamega, Kenya that uses cow dung as an alternative source of fuel to wood harvested from the tropical rainforest. I have done quite a bit of youth organizing, as the North American Youth Representative for the United Nations Environment Programme and a youth delegate to conferences everywhere from Copenhagen to South Korea. I also had the privilege to serve as an intern in the White House Office of Political Affairs, an experience that has greatly increased my interest in public policy.
Contributions from Lisa Curtis
Goodbye Niger
It was too green. The cows were too fat, the children too clean, the roads too well-paved. I turned to Mariah, my bus buddy on for the two hours from the airport in Casablanca to Rabat, the capital of Morocco. "Are we really still in Africa?" "I'm not really sure of anything anymore," she wearily responded. It had been four sleepless days since Peace Corps had announced that we were leaving Niger. Ten anxious days since terrorists with ties to Al Qaeda had kidnapped two Fr...
Making an Improved Cookstove
This is a picture of me and a bunch of my favorite Nigerien children whom I was teaching how to make an improved cookstove out of mud and dung.


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|McNay Family Director of Yale Sailing
|Previous College:
|Yale '89
Zack Leonard has been the Head Varsity Sailing Coach at Yale since 2002. Leonard has led the program to five national championships and to the 2009 Fowle Trophy for team of the year in college sailing. As an undergraduate at Yale, Leonard was named an All-American and served as the captain of the sailing team. Leonard started his collegiate coaching career in 1987 when he led the US Coast Guard Academy varsity sailing team during a leave of absence from Yale. From 1989 to 1992 he was head sailing coach at Brown University where the team won a Fowle Trophy. After a break from coaching, Leonard returned to Yale in the fall of 2000. Under his guidance, the Yale team began to steadily climb the national rankings. In 2002 the team was promoted from club to varsity status. During his tenure at Yale, Leonard has led the team to five ICSA National Championships and a total of 29 podium finishes at the national championships. Most recently, in the spring of 2014, Leonard coached the Bulldogs to wins at the Team Racing and Co-ed Dinghy National championships and a repeat win of the Fowle trophy. Since 2004 the Yale sailing team has produced 72 All-American Sailors. Yale student-athletes have also been successful in Olympic level competition. Isabelle Kinsolving '02 represented the United States in the 2004 Athens Olympics in the Women's 470 class, finishing 5th, while Stuart McNay '05 and Thomas Barrows '10 represented the United States and US Virgin Islands at the 2008 Beijing Olympics. Mcnay again represented the US at the London Olympics along with Yalie Sarah Lihan. Leonard is a 4 time US Team Racing Champion (Hinman Trophy) and the UK Team Racing Champion (Wilson Trophy). He's won US and Canadian National Championships in the Tornado and a US title in the Vanguard 15. Outside college coaching, Leonard has served as the head coach of the US International 420 team since 2001, a coach of the US Olympic Sailing team at numerous world championships and a coach for the US squad at the 1993 Goodwill Games. During 2011 Leonard served as coach of the Women's 470 Class for the US Olympic team. Leonard was named the 2006 National Coach of the Year by US Sailing's Olympic Sailing Committee and currently serves as a member of the US Olympic Sailing Committee.
|Assistant Coach
As an Undergraduate Bill Earned All-American honors in 1991, 92 & 93. After graduating St. Mary's College of Maryland, Bill became the Varsity Dinghy Coach for the US Coast Guard Academy from 1996-2000. Healy also coached numerous US Youth Championships and a Youth World Championship. After a short stint outside the coaching world, Bill became the Assistant sailing coach for the Bulldogs in 2003. Since then the Elis have won eight National Championships. Healy is also an accomplished sailor. Having won just about every major U.S. International 420 regatta, Healy is a perfect match for the fleet of Yale 420's. In 1994 Healy was a member of the US Sailing 470 Team and is National, North American or Mid-Winter champions in 5 different sailing classes.
|Assistant Coach
Thomas Barrows graduated from Yale in 2010 and was the recipient of the Neely Mallory award, the most prestigious award given to a male athlete at Yale. Barrows won 2 high school national championships for the Antilles School in St. Thomas, USVI and twice won his division at the College Nationals. He was awarded All-American 4 times, and named College Sailor of the Year. Outside of college and high school sailing Barrows has actively campaigned in the laser and 49er class. In 2007 he won the laser North American Championship and in 2008 he represented the US Virgin Islands in the Olympics. He is also a US Team Racing Champion. In the fall of 2010 Barrows was an assistant coach for the Yale Sailing team, and he has also been a coach in numerous advanced racing clinics around the country.


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Brian May supports campaign against badger cull
Music legend Brian May says the fight against culling badgers will continue despite the defeat in the courts. The Queen star was speaking at a rally in Bristol to launch a new national campaign called Stop the Cull.
The campaign is a united response by leading animal welfare charities opposed to the proposed badger cull, which is due to take place in Somerset and Gloucestershire later this month.


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I've got a problem during the install of Autodesk Revit 2013 x64 Update1 . It causes an installation error. Error Code :1624
What can i do ? On aother machine de Service Pack installed just fine.
Regards, Jordi
Solved! Go to Solution.
Hello Jordi
I've seen other cases where this error occurs when the update fails to find the original install files. If you installed from a DVD, you may want to pop it into the DVD player and then try running the update again. If that doesn't resolve the problem, please post the install log file associated with the update (it should be located in the Windows temp directory) and I can see if it holds any clues.
Tony Michniewicz
Autodesk Revit QA
Thanks Tony,
I'll give it a try.
I am having a similar problem, I have Revit 2013 (student version) and cannot install the update. I have followed the instructions on the Autodesk website and as it is the student version it is downloaded from the student centre. The message I get is as follows:
"The Update Release could not be installed because the expected Autodesk product could not be located on your computer. Make sure that you are using the correct Update Release fro the product."
Any help would be appreciated - crashes when doing floors and filled regions is driving me crazy.
I managed to figure it out - I forgot I did the OneBox install. Installed the correct update and all sorted.
Yea this was wrecking my head. There are two different download sites –
Revit standalone:
Update 1: http://usa.autodesk.com/adsk/servlet/ps/dl/item?si
Update 2: http://usa.autodesk.com/adsk/servlet/ps/dl/item?si
as part of the design suite
update 1: http://usa.autodesk.com/adsk/servlet/ps/dl/item?si
update 2: http://usa.autodesk.com/adsk/servlet/ps/dl/item?si
Depending on which you have installed one will work – the other you get 'cannot install as expected Autodesk product cannot be located on your computer' error message
Autodesk should make this known on both pages. Would avoid needless confusion and frustration.
I made a copy of the dvd from the network to my local drive. (for a faster installation) Later on I removed the install files from my local drive. That's the problem.... You've to leave the original install files on it's original place. ( I restored them from the recycle bin......and problem solved)
Regards, Jordi


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II. Monitoring, Surveillance, and Diagnostic Testing
Definition of Terms
As they are used in relation to dialysis vascular access, the following terms will apply:
MonitoringThis term refers to the examination and evaluation of the vascular access by means of physical examination to detect physical signs that would suggest the presence of pathology.
SurveillanceThis term refers to periodic evaluation of the vascular access by means of tests, that may involve special instrumentation, for which an abnormal test result suggests the presence of pathology.
Diagnostic TestingThis term refers to testing that is prompted by some abnormality or other medical indication and which is undertaken to diagnose the presence of pathology.
Monitoring Dialysis AV Grafts
Physical examination
of an access graft should be performed weekly and should include, but not be
limited to, inspection and palpation for pulse and thrill at the arterial, mid,
and venous sections of the graft. (Opinion)
Fig III-1. Arterial and venous pressure monitoring.
The Work Group recommends
an organized monitoring approach with regular assessment of clinical parameters
of the AV access and dialysis adequacy. Data from the clinical assessment and
dialysis adequacy measurements should be collected and maintained for each patients
access and made available to all staff. The data should be tabulated and tracked
within each dialysis center as part of a Quality Assurance/Continuous Quality
Improvement (QA/CQI) program. (Opinion)
Table III-3. Access Flow Protocol Surveillance
Access flow measured by ultrasound dilution, conductance dilution, thermal dilution, doppler or other technique should be performed monthly. The assessment of flow should be performed during the first 1.5 hours of the treatment to eliminate error caused by decreases in cardiac output related to ultrafiltration. The mean value of 3 separate determinations performed at a single treatment should be considered the access flow.
AV Graft and AV Fistula
Access Flow less than 600 mL/min, the patient should be referred for fistulogram.
Access Flow less than 1,000 mL/min that has decreased by more than 25% over 4 months should be referred for fistulogram.
Surveillance of AV Grafts
Prospective surveillance of AV grafts for hemodynamically significant stenosis, when combined with correction, improves patency and decreases the incidence of thrombosis. (Evidence) Techniques, not mutually exclusive that can be used in surveillance for stenosis in AV grafts include, in order of decreasing preference:
A. Intra-access flow (Protocol provided in Table III-3) (Evidence)
C. Dynamic venous pressures (Protocol provided in Table III-5) (Evidence)
Other studies or information that can be useful in detecting AV graft stenosis include:
D. Measurement of access recirculation using urea concentrations (see Guideline 12: Recirculation Methodology, Limits, Evaluation, and Follow-up) (Evidence)
E. Measurement of recirculation using dilution techniques (nonurea-based) (Evidence)
F. Unexplained decreases in the measured amount of hemodialysis delivered (URR, Kt/V) (Evidence)
G. Physical findings of persistent swelling of the arm, clotting of the graft, prolonged bleeding after needle withdrawal, or altered characteristics of pulse or thrill in a graft (Evidence/Opinion)
H. Elevated negative arterial pre-pump pressures that prevent increasing to acceptable blood flow104,105 (Evidence/Opinion)
I. Doppler ultrasound (Evidence/Opinion)
Diagnostic Testing in AV Grafts
Persistent abnormalities in any of these parameters should prompt referral for venography. (Evidence)
Table III-4. Static Intra-Access Pressure (IAP) Surveillance Protocol
1. Establish a baseline when the access has matured and shortly after the access is first used. Trend analysis is more useful than any single measurement.
2. Assure that the zero setting on the pressure transducers of the dialysis delivery system being used has been calibrated to be accurate within ±5 mm Hg. If uncertain check the calibration (Step 8).
3. Measure the mean arterial blood pressure (MAP) in the arm contralateral to the access.
4. Enter the appropriate output or display screen where venous and arterial pressures can be visualized (this varies for each dialysis delivery system). If a gauge is used to display pressures, the pressure can be read from the gauge.
5. Stop the blood pump and cross clamp the venous line just proximal to the venous drip chamber with a hemostat (this avoids having to stop ultrafiltration for the brief period needed for the measurement). On the arterial line, no hemostat is needed since the occlusive roller pump serves as a clamp.
6. Wait 30 seconds until the venous pressure is stable, then record the arterial and venous intra-access pressure (IAP) values. The arterial segment pressure can only be obtained if a pre-pump drip chamber is available and the dialysis system is capable of measuring absolute pressures greater than 40 mm Hg.
7. Unclamp the venous return line and restore the blood pump to its previous value.
8. If uncertain about the accuracy of the zero value on the pressure transducers, clamp the tubing from the drip chamber(s) to the pressure transducer protector(s). Pull off the pressure protector(s) from their nipples and record the zero value(s), P0 (these are usually close to zero, but may deviate by 10 mm Hg or more below or above zero). Replace the pressure transducer(s) protector(s) and unclamp the line(s).
9. Determine the offset pressure(s), Poffset, between the access and the drip chamber(s) either by direct measurement (A) or using a formula (B) based on the difference in height between the top of the drip chamber and the top of the arm rest of the dialysis chair (Δ).
A. Measure the height from the venous or arterial needle to the top of the blood in the venous drip chamber in cm. The offset in Hg = height (cm) x 0.76. For practical purposes the same value can be used for both if the drip chambers are at the same height.
B. Use the formula, offset in mm Hg = 3.6 + 0.35 x Δ. The same value can be used for both if the drip chambers are the same height. If the drip chambers are not at equal heights, the arterial and venous height offsets must be determined individually. In a given patient with a given access the height offsets need to be measured only once and then used until the access location is altered by construction of a new access.
10. Calculate the normalized arterial and venous segment static intra-access pressure ratio(s), PIA.
Arterial PIA = (arterial IAP + arterial Poffset - arterial P0)/MAP
Venous PIA = (venous IAP + venous Poffset - venous P0)/MAP
NOTE. If the P is less than zero, algebraically subtracting a negative number is equivalent to adding the absolute number.
Interpretation: Venous outlet stenosis can be detected with venous PIA alone. Trend analysis is more useful than any single measurement. The higher the degree of stenosis at the outlet, the greater is the venous (PIA) pressure ratio. Strictures between the area of arterial and needle cannulation cannot be detected by measuring venous (PIA) pressure alone (1). Detection of these lesions requires the simultaneous measurement of pressures from both the arterial and venous needles. Central stenoses that have collateral circulation may have "normal pressures," but these usually present with significant ipsilateral edema. Accesses can be classified into the categories listed in the table below using the equivalent PIA ratios from the arterial or venous needles; the criteria must be met on each of two consecutive weeks to have a high likelihood of a 50% diameter lesion. The criterion in bold type is the primary criterion for the location of the stenosis, the other is supportive.
Access Type Graft Graft Native Native Normalized PIA Arterial Ratio Venous Ratio Arterial Ratio Venous Ratio Normal 0.35-0.74 0.15-0.49 0.13-0.43 0.08-0.34 Stenosis Venous outlet >0.75 >0.5 >0.43 or >0.35 Intra-access >0.75 and <0.5 >0.43 and <0.35 Arterial Inflow <0.3 NA <0.13 + clinical findings NA
Patients who develop a progressive and reproducible increase in venous or arterial segment > 0.25 above their previous baseline irrespective of access type are also likely to have a hemodynamically significant lesion. Intra-access strictures are usually characterized by the development of a difference between the arterial and venous pressure ratios > 0.5 in grafts or >0.3 in native fistula.
Table III-5. Dynamic Venous Dialysis Pressure Surveillance Protocol
Establish a baseline by initiating measurements when the access is first used.
Measure venous dialysis pressure from the hemodialysis machine at Qb 200 mL/min during the first 2 to 5 minutes of hemodialysis at every hemodialysis session.
Use 15-gauge needles (or establish own protocol for different needle size).
Assure that the venous needle is in the lumen of the vessel and not partially occluded by the vessel wall.
Pressure must exceed the threshold three times in succession to be significant.
Assess at the same level relative to hemodialysis machine for all measurements.
Interpretation of Result: Three measurements in succession above the threshold are required to eliminate the effect of variation caused by needle placement. Hemodialysis machines measure pressure with different monitors and tubing types and lengths. These variables, as well as needle size, influence venous dialysis pressure. The most important variable affecting the dynamic pressure at a blood flow of 200 mL/min is the needle gauge.9,129 It is essential to set thresholds for action based on machine manufacturer, tubing type, and needle gauge.
Using 15-gauge needles, the threshold that indicates elevated pressure (and therefore the likely presence of a hemodynamically significant venous outlet stenosis) for Cobe Centry 3 machines is a pressure of 125 mmHg, whereas the threshold for Gambro AK 10 machines is a pressure of 150 mmHg. Data for Baxter, Fresenius, Althin, and other dialysis machines are not available but are likely to be similar to those of the Cobe Centry 3 if the same gauge venous needle is used. Trial and error at each institution will determine each units threshold pressure.
Trend analysis is more important than any single measurement. Upward trends in hemodialysis pressure over time are more predictive than absolute values. Each unit should establish its own venous pressure threshold values.
Patients with progressively increasing pressures or those who exceed the threshold on three consecutive hemodialysis treatments should be referred for venography.
Rationale Physical examination can be used as a monitoring tool to exclude low flows associated with impending graft failures.106-108
Access flow determines the characteristics of pulse, thrill, and bruit. Palpable thrill at the arterial, mid, and venous segments of the graft predicts flows >450 mL/min.108 A pulse suggests lower flows. An intensification of bruit suggests a stricture or stenosis.108
In dialysis AV grafts, thrombotic events result primarily from progressive
venous outflow stenosis.9,13,66,103,109-113
Thrombotic events that cannot be resolved are the leading cause of access loss.
These stenoses are caused by intimal and fibromuscular hyperplasia in the venous
outflow tract, typically at the vein graft anastomosis.9,13,66,103,
As such stenoses increase in severity, they cause an increase in intra-access
pressure with an accompanying decrease in blood flow.114
It has been shown that when access flow is measured repeatedly, trends of decreasing
flow are predictive of access stenosis.115
Grafts with access blood flows less than 600 mL/min have a higher rate of access
thrombosis than grafts with flow rates greater than 600 mL/min.116-118
Recently, several investigators have shown that a trend of decreasing access
flow is more predictive of venous stenoses than any single measurement of access
flow (see Table III-3). The measurement of access flow
has also been shown to be a valuable tool in determining the success of a therapeutic
intervention. Failure to increase access flow by at least 20% following an intervention
reflects failure of the intervention to correct the underlying problem.208,209
|Table III-6. Patient Education Basics
All patients should be taught how to:
1. Compress a bleeding access
2. Seal the site of a central venous catheter (CVC) with ointment to keep air embolus from entering
3. Wash skin over access with soap and water daily and before dialysis
4. Recognize signs and symptoms of infection
5. Select proper methods for exercising AV fistula arm with some resistance to venous flow
6. Palpate for thrill/pulse daily and after any episodes of hypotension, dizziness, or lightheadedness
7. Listen for bruit with ear opposite access if cannot palpate for any reason
All patients should know to:
1. Avoid carrying heavy items draped over the access arm or wearing occlusive clothing
2. Avoid sleeping on the access arm
3. Insist that staff rotate cannulation sites daily
4. Insure that staff are using proper techniques in preparing skin prior to cannulation
5. Report any signs and symptoms of infection or absence of bruit/thrill to dialysis personnel immediately
Because the development and severity of stenosis evolve to varying degrees among patients over time, the likelihood of detecting a hemodynamically significant stenosis increases if the Surveillance test is repeated. Therefore, surveillance should be performed at intervals of 1 month or lessdepending on the complexity and costto detect access dysfunction early and to permit sufficient lead-time for intervention. The Work Group concluded that trend analysis may be as important as any individual value for any monitoring technique.
Intervention with percutaneous transluminal angioplasty (PTA) or surgical revision to correct stenoses dramatically reduces the rate of AV graft thrombosis and loss.9,103,109,113,119
Sequential timely repetitive measurement of access flow is the preferred method for surveillance of AV grafts. To date, Doppler flow,115- 117,120 ultrasound dilution,118,121,122 and magnetic resonance123 have been the most extensively evaluated. All require specialized devices. Although Doppler studies can be predictive of access stenosis and the likelihood for failure,120,121 frequency of measurement may be limited by expense. In addition, inter-observer variability in measurement of Doppler flow in some instances can reduces the reliability of Doppler flow measurement.124 Variation in Doppler flow measurements performed by machines produced by different manufacturers also occurs. Magnetic resonance flow is accurate but expensive. Both Doppler flow and magnetic resonance are difficult to perform during dialysis sessions. In contrast, flow measurements performed by ultrasound velocity and other techniques using blood dilution are reliable and valid118,121,122 and can be done on-line during dialysis, thereby providing rapid feedback. The Work Group expects that, as technology improves, online access flow measurements using dilution technology will become more clinically applicable, and could supplant all other techniques by permitting accurate and inexpensive repetitive measurements at monthly intervals.
The Work Group believes that the value of routine use of any technique for detecting anatomic stenosis without concomitant measurement of access flow, venous pressure, recirculation, or other physiologic parameter has not been established.
Prospective Surveillance using dynamic or static venous dialysis pressures
detects outflow stenoses. Both methods have acceptable sensitivity and specificity,
are inexpensive, and are readily available.103,119
Using a standardized protocol (eg, measurements made with blood pump flow rates
of 200 mL/min), dynamic venous pressure monitoring is easily performed with
available methodology and existing equipment. Measuring venous pressure is the
least expensive method of Surveillance for stenosis.103,119
A protocol is provided in Tables III-4 and III-5.103,119
These techniques have been validated in prospective trials9,103,109,119,125,126
and are recommended weekly. Venous pressures (dynamic) while less predictive
than flow measurements, have been validated and should continue to be used until
flow measurements are widely available. Shortcomings of dynamic venous pressure
techniques are the need to standardize for blood tubing, needle size, and hemodialysis
Table III-7. Protocol for Urea-Based Measurement of Recirculation
Perform test after approximately 30 minutes of treatment and after turning off ultrafiltration.
1. Draw arterial (A) and venous (V) line samples.
2. Immediately reduce blood flow rate (BFR) to 120 mL/min.
3. Turn blood pump off exactly 10 seconds after reducing BFR.
4. Clamp arterial line immediately above sampling port.
5. Draw systemic arterial sample (S) from arterial line port.
6. Unclamp line and resume dialysis.
7. Measure BUN in A, V, and S samples and calculate percent recirculation (R).
Recirculation Formula:
Surveillance protocols that use static venous dialysis pressure (ie, venous dialysis pressure at zero blood pump flow) are even more strongly predictive of outflow stenoses than dynamic pressure measurements, but these approaches currently require specialized devices.9,114 The Work Group believes that measurement of static pressure every 2 weeks is the maximum frequency feasible with current hemodialysis staffing patterns. New techniques, however, may eliminate these shortcomings.127 If it becomes possible to adapt existing hemodialysis machines for static pressure measurement, then weekly measurement will be appropriate.
Trends in either dynamic or static venous dialysis pressure measurements are more predictive of access stenosis than any single pressure measurement.9,103,119 (See protocol provided in Tables III-4 and III-5.)
Increases in urea recirculation are also predictive of venous stenoses.113,128 However, the Work Group believes that recirculation is a relatively late predictor of access dysfunction. Urea measurement for the calculation of recirculation must be done under standardized conditions. Nonurea-based recirculation measurements are very accurate but require specialized devices (see Guideline 12: Recirculation Methodology, Limits, Evaluation, and Follow-Up).
Unexplained decreases in delivered dialysis dose, as measured by Kt/V or URR, are frequently associated with venous outflow stenoses.113 However, many other factors influence Kt/V and URR, making them less sensitive and less specific for detecting access dysfunction.
Regular assessment of physical findings (Monitoring) may supplement and enhance an organized surveillance program to detect access dysfunction.103,107,108 Specific findings predictive of venous stenoses include: edema of the access extremity, prolonged bleeding postvenipuncture (in the absence of excessive anticoagulation), and changes in the physical characteristics of the pulse or thrill in the graft.103,108 Physical examination is a useful screening tool to exclude low flow (<450 mL/min) in grafts with impending failure.106-108 A palpable thrill at the arterial, mid-graft, and venous segments is associated with flow >450 mL/min.108 Conversion of thrill to pulse indicates lower flows. Intensification of bruit (higher pitch) indicates a stenosis.106,107 Therefore, in the context of proper needle position, an elevated negative arterial pre-pump pressure that prevents increasing the blood flow rate to the prescribed level is also predictive of arterial inflow stenoses.
When a test indicates the likely presence of a stenosis, venography or fistulography are used to confirm the lesion.
In addition to monitoring conducted by the professionals on the healthcare team, the patient and the patients caregivers should be educated about simple emergency procedures and basic care of the access site (see Table III-6).
Monitoring Primary AV Fistulae for Stenosis
Primary AV fistulae should be monitored as outlined for dialysis AV grafts (see Guideline 10: Monitoring Dialysis AV Grafts for Stenosis). (Opinion)
Direct flow measurements, if available, are preferable compared to more indirect measures. (Evidence)
Methods appropriate for monitoring stenosis in grafts (eg, static and dynamic venous pressures) are not as accurate for monitoring in primary AV fistulae. (Evidence) Recirculation and Doppler analysis are of potential benefit. (Opinion)
Rationale In primary AV fistulae, inadequate flow through the access is the primary functional defect predictive of thrombosis and access failure. Thus, flow measurements should be used when available to monitor for stenosis and thrombosis in AV fistulae.121,122 Stenoses in AV fistulae tend to occur more centrallyin the outflow tract at areas of vein bifurcation, pressure points, and venous valvesrather than in close proximity to the venous outlet (as is the case with grafts).9,114 As a result, collateral veins draining an AV fistula develop, preventing a marked increase in pressures.9,114,130 Indirect measures of flow, such as dynamic and static venous dialysis pressure, are therefore less predictive of thrombosis and access failure in AV fistulae compared to AV grafts. Measurement of recirculation, on the other hand, becomes a more useful screening tool in AV fistulae compared to AV grafts because flow in AV fistulae, unlike AV grafts, can decrease to a level less than the prescribed blood pump flow (ie, less than 300 to 500 mL/min), while still maintaining access patency115,130 (see Guideline 12: Recirculation Methodology, Limits, Evaluation, and Follow-Up). Since pressure measurement and recirculation may be late predictors of access dysfunction in AV fistulae, Doppler ultrasound may be useful despite its increased cost. However, the absence of validation studies precludes Work Group recommendations at this time.
Recirculation Methodology, Limits, Evaluation, and Follow-Up
Recirculation should be measured using a nonurea-based dilutional method or by using the two-needle urea-based method. The three-needle peripheral vein method of measuring recirculation should not be used. (Evidence)
Any access recirculation is abnormal. Recirculation exceeding 10% using the recommended two-needle urea-based method, or 5% using a nonurea-based dilutional method, should prompt investigation of its cause. (Evidence)
If access recirculation values exceed 20%, correct placement of needles should be confirmed before conducting further studies. (Evidence/Opinion)
Elevated levels
of access recirculation should be investigated using angiography (fistulography)
to determine whether stenotic lesions are impairing access blood flow. (Evidence)
|Fig III-2. Access and cardiopulmonary recirculation. The figure shows a simplified sketch of the dialysis circuit with an AV access depicting local access recirculation (dotted line with arrows) and cardiopulmonary recirculation. Cardiopulmonary recirculation is associated with an arteriovenous difference in BUN (100 versus 95 mg/dL) which results from dialyzed blood "short circuiting" the capillaries where blood is "refilled" with urea (95 to 99.4 mg/dL); this "short circuiting" decreases dialysis efficiency. This sketch includes regional blood flow inequalities and the resulting impact on BUN in veins draining poorly perfused (BUN >99.4 mg/dL) and well-perfused (BUN <99.4 mg/dL) areas. This venovenous disequilibrium increases late in dialysis when greater differences develop in urea concentrations among the regions of the body, a consequence of varying urea washout (regional blood flow model).134 Reprinted with permission.134
Rationale The three-needle, peripheral vein method for measuring recirculation overestimates access recirculation in an unpredictable manner and requires unnecessary venipuncture.131-133 This is illustrated in Fig III-2,134 which shows both the effect of regional blood flow differences (venovenous disequilibrium) and the effect of the return of a fraction of dialyzed blood to the dialyzer without passage through the tissues first (arteriovenous disequilibrium or cardiopulmonary recirculation). Because of these effects, the peripheral venous blood urea nitrogen (BUN) is substantially greater than the BUN in arterial blood. The use of a peripheral venous sample in place of an arterial sample overestimates actual access recirculation.
The urea-based method described uses two needles and avoids overestimation of recirculation (see Table III-7). The recommended approach for this method is simple and is based on two considerations. The dead space of arterial lines to the sampling port is less than 12 mL. Access recirculation generally does not occur (except for reversed needles) unless access blood flow rates are less than dialyzer blood pump flow rates.130 This conclusion is supported by studies using nonurea-based methods that show that recirculation is absent (0%) in a properly cannulated, well-functioning access.135-138 A blood flow rate of 120 mL/min for 10 seconds will clear the arterial line dead space. Sampling at this time will provide arterial blood prior to onset of rebound. The results using the recommended two-needle method should average zero (−5% to +5%) in patients with unimpaired accesses. Although nonurea-based dilutional methods are more accurate and avoid problems with cardiopulmonary recirculation, they require specialized devices,138 which limit their applicability.
New vascular accesses are at particular risk for reversed needle placement due to a lack of familiarity with the access anatomy. Whenever possible, an access diagram that depicts the arterial and venous limbs should be obtained from the surgeon who constructed the access to aid in proper cannulation. If not available, the anatomy can be deduced by temporarily occluding the graft at its midportion. The portion retaining a pulse is the arterial limb.
The amount of recirculation occurring with reversed needles is usually substantial (>20%). However, even with ideal sample timing and proper cannulation, laboratory variability in urea-based measurement methods will produce variability in calculated recirculation.137 Therefore, individual recirculation values <10% using urea-based methods may be clinically unimportant. The Work Group believes they do not prompt further evaluation. Values >10% using urea-based recirculation measurement methods do require investigation. However, the Work Groups opinion is that values >5% using nonurea-based dilution techniques are a reliable indication of an abnormality and should prompt investigation into the cause.
Access recirculation in a properly cannulated access is a sign of low access blood flow130 and is a marker for the presence of vascular access stenoses. Such stenoses can be corrected, thereby decreasing the risk of access thrombosis and prolonging access longevity.128
Angiography/fistulography are used to establish the presence of the stenosis (see Guideline 10: Monitoring Dialysis AV Grafts for Stenosis, and Guideline 17: When to Intervene Dialysis AV Grafts for Venous Stenosis, Infection, Graft Degeneration, and Pseudoaneurysm Formation).
© 2001 National Kidney Foundation, Inc
web version created by cyberNephrologyTM and The Nephron Information Center


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Palindromic rheumatism is closely linked to rheumatoid arthritis, which damages joints by causing chronic inflammation. Right now, though, there's no reliable way to predict how quickly palindromic rheumatism will progress — or whether it will get worse at all.
Palindromic rheumatism causes sudden attacks of joint pain and swelling, typically in the hands and feet. An episode of palindromic rheumatism may last from just a few hours to several days.
The frequency of attacks also varies. Some people experience more than one episode a week, while others have only three or four a year. Between attacks, pain and swelling completely disappear, and the affected joints look normal on X-rays.
An unknown number of people with palindromic rheumatism go on to develop rheumatoid arthritis, but the progression may take several years. In one study, 40 out of 60 people newly diagnosed with palindromic rheumatism had chronic joint inflammation within 10 years. Progression to rheumatoid arthritis was less common in other studies with shorter follow-up periods.
Drugs originally designed to combat malaria are often helpful in reducing the frequency and duration of attacks. These drugs also appear to reduce the likelihood that palindromic rheumatism will progress to rheumatoid arthritis.


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We are Lions of Judah, unique individuals, women who are younger, older, from small communities and large. We are from North America, South America, Europe, Africa and of course, Israel. We are all philanthropists, whether we think of ourselves that way or not. We are mothers, daughters, sisters, aunts, and friends. We are brought together by a commitment to Jews around the world and the people of our community.
We can make a difference. We can lead politically. We can laugh at ourselves. We can envision the future, a Jewish future for the next generation.
We do what it takes to get the job done! We do more with less in these challenging times, and we are the engines that run. We do more than we realize.
The Lions of Sarasota-Manatee attend an annual Lion of Judah luncheon featuring a guest speaker or entertainment. Past venues have been the Ritz Carlton Beach Club and the newly built Sarasota Yacht Club. Already vital components of Federation's Annual Campaign, Lions attending the luncheon have generously supported worthwhile projects impacting women, children and families. Past projects include Yesodot in Kiryat Yam, Israel a comprehensive enrichment program that gives immigrant children living in absorption centers a supportive learning environment to begin their new lives with hope and confidence and Orr Shalom, an organization providing residential and therapeutic services to children who have been removed from their homes due to severe abuse and neglect in Israel. Lions participate in other events which may be held throughout the year.
Lions of Judah are eligible to attend the bi-annual Lion of Judah Conference bringing 2,000 Lions together from across North America and Israel.
For more information about the Lion of Judah program,
please contact Ilene Fox at 941.371.4546 x110.


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Television Blog
Pharrell Williams Cries After Seeing Oprah's 'Fans Across The World Singing Happy' Videoby Jeff Frieders
Pharrell seems like a pretty genuine guy... This interview was shown on Oprah Prime this past Sunday night. "Clap a...Read More »
MTV Paul Walker Tributeby Matty D
It been a few months... never knew the guy.. but seeing all his movies.. you feel you know him! Get More: 2014 MT...Read More »
Girl Meets World's Trailer (VIDEO)by Jess Kelley
Cory and Topanga reunite! Sneak a peek at Ben Savage and Danielle Fishel in the long-awaited Boy Meets World spin-off! Sho...Read More »
Letterman to Retire in 2015. Here's Why He'll Be Missed:by Ryder
Late Show Legend Dave Letterman will retire in 2015, something he announced at a taping of his April 3rd 2014 show. Check it out -...Read More »
Ten Things You Didn't Know About "Game of Thrones"!by Susan Kennedy
Ron Swanson 30 min Super Cut Because... Awesome.by Ryder
Because you can never have to much mustache. Bookmark and pull up whenever you need a dose of manliness:Read More »
30 Years Later, Kevin Bacon Is STILL The Man!by Doc Murphy
Hard to believe it's been 30 years since 'Footloose'. Seems like yesterday...especially if you watched "The Tonight Show" last Frid...Read More »
Seth Meyer's New Segment "Warning Labels"by Susan Kennedy
Seth Meyers is just starting to get into the niche of his new late night talk show and I think the new ideas he and his writers are ...Read More »


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Treasures from the PastNautiloids are a group of marine molluscs that possess a chambered external shell. They flourished during the early Paleozoic era, about 400-500 million years ago, where they constituted the main predatory animals. Some 2,500 species of fossil nautiloids are known, but only a handful of species survive today. These straight-shelled examples of Geisenoceras from Morocco are beautifully polished to show off their inner chambers and structures. Sold in a package of five, each unique piece averages 1 1/2" to 2" in length.
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Local chefs face off in Girl Scout cookie challenge at Just Desserts
HOUSTON (January 2010) – On Thursday, January 21, eight celebrity chefs from around Houston faced off in a pallet-pleasing competition at the Hyatt Regency Hotel in downtown Houston. The challenge? Create an original dessert using a common ingredient: Girl Scout cookies. No, it wasn't an episode of Iron Chef America. It was Just Desserts 2010.
More than 100 guests attended Girl Scouts of San Jacinto Council's Just Desserts, an annual donor appreciation event where some of Houston's top chefs are paired with Girl Scouts to serve up original dessert creations and vie for the title of Best Use of Cookie, Most Delicious, Most Camp Friendly, Most Fun Table Display, Girl Scout Judges Favorite, Most Creative Recipe, Best Dessert Presentation, Celebrity Judges Favorite and People's Choice Award.
This year's participants included chefs from the George R. Brown Convention Center, Dessert Gallery, *17, Hyatt Regency, Hyatt Hill Country, Stella Sola, Oh La La Dessert Boutique and chef Rebecca Mason. Amy's Ice Cream finished off each dessert with a sweet side of Caramel DeLite-infused vanilla ice cream.
Girl Scouts were paired with members of the media who served as the completion's judges, which included Sharron Melton of ABC-13, Houston Chronicle writer Douglas Britt, KPRC Local 2's Amy Davis and Teresa Bryne-Dodge of My Table magazine. The girl judges were all top cookie sellers, having each sold more than 1,000 boxes of cookies last year.
This year's winners included:
- Best Dessert Presentation – George R. Brown Convention Center (Caramel DeLites)
- Most Creative Recipe – Dessert Gallery (Thin Mint)
- Best Use of Cookie – *17 (Peanut Butter Sandwich)
- Most Fun Table Display – Hyatt Regency (Lemonades)
- Celebrity Judges Favorite – Hyatt Hill Country (Thanks-a-Lot)
- Girl Scout Judge Favorite – Stella Sola (Daisy Go Round)
- Most Delicious – Rebecca Mason (Shortbread)
- Most Camp Friendly – Oh La La Dessert Boutique (Peanut Butter Patties)
- People's Choice Award – George R. Brown Convention Center
Girl Scouts is the premier leadership organization for girls. Girl Scouting builds girls of courage, confidence, and character, who make the world a better place. Chartered by GSUSA to provide Girl Scouting locally, Girl Scouts of San Jacinto Council is one of the largest Girl Scout councils in the country serving more than 72,000 girl members and 17,000 adults in 26 southeast Texas counties. For more information call 1-800-392-4340 or visit www.gssjc.org.
GSSJC | Communications Department
3110 Southwest Freeway Houston, TX 77098


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The wait is over! Download the BeerAdvocate app on iTunes or Google Play now.
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Epic Mosaic - Epic Brewing Company
Displayed for educational use only; do not reuse.
Ratings: 7 | Reviews: 4 | Display Reviews Only:
Reviews by Hoptron_3000:
3.28/5 rDev -12.1%
Poured from 500ml bottle.
A: Super clear, must be filtered. No yeast in bottom of bottle. Nice small fluffy white head with awesome lacing.
S: A bit of pine and a bit of citrus. Lemon/Hay?
T: Super clean. A bit of pine and citrus. Would love to have a little more flavour.
M: Great dry crisp finish.
O: Nice beer but not spectacular.
06-16-2013 04:08:32 | More by Hoptron_3000
More User Reviews:
3.75/5 rDev +0.5%
09-28-2013 12:53:48 | More by aztraz
3.75/5 rDev +0.5%
Pours dark amber, very dark for an IPA, with a fading head.
Nose shows tea, sweet clean malt, herbal hops, spicy malt and caramel.
More sweet malt as flavours with some fruit cake and golden syrup notes. Also some peach and apple.
Carbonation seems a bit full on.
11-12-2013 03:01:01 | More by CrazyDavros
4/5 rDev +7.2%
05-01-2014 14:14:04 | More by Kroehny_Loves_Hops
3.4/5 rDev -8.8%
Another new hop I'm trying for the first time and have not heard heaps about it anyway it pours the lightest amber hue with a sudsy two finger head and nice tight lacing around the rim,the smell is definitely different it's a combination of lemon sherbet,cough medicine,toffee malts are predominant aswell as a weird toffee apple/candied fruit hint in the background,mouthfeel is just under medium bodied and very carbonated maybe a tad too much and the taste is really really different to any other hop I've tasted it starts off with sweet guava,toffee apple,lemon sherbet,boiled candy,caramel and finished with a bittersweet medicinal hit of apple and guava and to be honest as far as hops go this one def leaves me gobsmacked still trying to explain the aroma and taste and even though this is just an average AIPA I want to try more of this hop in different brews cheers.
06-12-2013 13:33:43 | More by ADZA
3.43/5 rDev -8%
Pours a golden amber. Good head/lacing.
Smell is hoppiness but also a decent amount of malt. The hoppiness reminds me of previous reviews of this beer- Sorachi Ace-like. Lemon, lemon sherbet, even dishwasher-liquid.
As the beer warms, I also get toffee apple. Some guava.
Taste is overwhelmingly lemon/dishwasher-y. Not in a particularly bad way, but definitely in a one-note way. Quite buttery in the hop/malt combination.
Mouthfeel is more about the malt. Some guava.
Not a bad beer but there's too much malt flavour for a relatively fresh American IPA, and the hop itself alone is not all that satisfying. I expect a bit more from Epic and Armageddon blows this out of the water. Not sure how enthused I am for the continuance of this single hop series.
04-27-2013 09:36:46 | More by danieelol
4.5/5 rDev +20.6%
09-23-2013 13:09:25 | More by Newenglandcraftbrew
Epic Mosaic from Epic Brewing Company
- out of 100 based on 7 ratings.


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Branstad's Condition of the State address Tuesday evoked various responses from politicians and non-politicians alike.
"The Governor outlined a path to real property tax reform and relief," said House Speaker Kraig Paulsen, a Republican from Hiawatha. "I am pleased that the Governor is strengthening the commitment to spending less and returning any overpayment to Iowans. If Democrats are willing, we have a real opportunity to work together and move Iowa forward."
Majority Leader Linda Upmeyer, a Republican from Clear Lake, agreed with Paulsen.
"We look forward to tackling tax relief and education reform with Governor Branstad," she said. "He is listening to Iowans and providing leadership on the issues that we all care about. Given the governor's message and the message of legislative leaders, we have the opportunity to move forward with an efficient and focused session."
Senate Republican Leader Bill Dix of Shell Rock said Branstad's plan was "good for all Iowans."
"Most importantly, Governor Branstad has returned fiscal sanity to our state budgeting practices," Dix said. "He continues to create a state budget that spends less than it takes in and protects our rainy day funds. Like Iowa families, Iowa government has tightened its belt and should continue to live within our means. That sort of responsible leadership is good for all Iowans.
"Senate Republicans agree, the tax burden on Iowa taxpayers should be lowered," Dix continued. "Certainly, property taxes are too high and should be addressed. We must focus on providing real tax relief that empowers hard working Iowans who pay their own bills as well as those of government, to create jobs, educate their children, and save for their future."
"There is broad agreement, Iowa's education must be reformed, and we thank the Governor for starting the discussion today. We will work to restructure a system that produces world class students and world class employees for Iowa jobs with Iowa employers."
On the other side of the aisle, State Sen. Jack Hatch, a Democrat from Des Moines, said "there are obviously areas of agreement" between him and Branstad, but that he had concerns with how Branstad would approach health care.
"The absence of a clearly articulated way forward on health care as we undertake the hard work in health care is just astonishing," Hatch said. "It's hard to believe the Governor is dodging health care at this important moment, as we work to implement the nation's new health care law.
"We have been working on an Iowa model for health care reform for six years, and at points Governor Branstad has been an ally," Hatch continued. "He knows better than to say all we can do is recruit physicians and make it harder for consumers to recover medical damages following malpractice."
Sue Dvorsky, chairwoman of the Iowa Democratic Party, said Branstad's speech sounded "out of touch."
"While The Iowa Democratic Party agrees that Iowa has tremendous opportunity to grow, Governor Branstad's plan -- as he laid it out today -- continues to strike an out-of-touch chord on key issues that the majority of Iowans are concerned with," Dvorsky said. "Most notably, he failed to address ways to increase Iowans access to healthcare, he provided merely a status-quo approach to job creation, he did not discuss tax cuts for working Iowa families, and, perhaps worst of all, the governor offered a major retreat on the state's commitment to Iowa school children.
"In two years, Governor Branstad has failed to put forth a budget plan that adequately funds the type of environment which supports teacher development and increases student achievement," Dvorsky continued. "His announcement today that we do away with allowable growth only continues this trend of a sharp decline in funding for K-12 education.
"There are ways to capitalize on the full state treasury which would support Iowa's efforts to advance education policy and simultaneously grow the Iowa's workforce and, thus, support the middle class. If the Governor wants to retain students and create jobs, a stronger commitment to public -- and higher -- education is something the governor should consider as a core priority of his administration. So far his record on education has not matched his rhetoric and it sends a very discouraging message to Iowans about his commitment to advancing this issue in a meaningful way."
Progress Iowa, a 510(c)4 political advocacy organization, further slammed Branstad's speech, calling it misleading.
"Governor Branstad continues to ignore reality and mislead Iowans," said Matt Sinovic, executive director of Progress Iowa. "Instead of making up statistics, the Governor needs to take responsibility for what is actually happening in our state. Wages for middle and working class Iowans are stagnant, and are likely to stay that way if the Governor's top priority is to falsify statistics to hide his broken campaign promises.
"Long lasting job creation must start with the rebuilding of our middle class, not just corporate tax giveaways," Sinovic added. "The Governor's plans are doomed to fail if he continues to put politics ahead of working Iowans."
Others were happy that Branstad mentioned specific policies in his speech. The Iowa Board of Regents commended Branstad for supporting Iowa's public universities.
"We are extremely pleased the Governor's budget proposal for Fiscal Year 2014 includes the necessary funding to enable the Board of Regents to freeze tuition rates for in-state undergraduate students next fall," said Bob Donley, executive director of the Board of Regents. "This is a tremendous win for Iowa's students and families and the Board is committed to working with the General Assembly to ensure these funds are approved.
"In particular, the Board would like to thank the Governor for including the special appropriation for the University of Northern Iowa, and for continued support for the Regent Innovation Fund," Donley continued. "This fund is enabling Iowa's public universities to bring new technologies to market faster, as well as helping Iowa's communities reach their full economic potential.
"Finally, we are grateful the Governor recognized the importance of providing state funding for need-based financial aid to Iowa students attending the public universities. We will continue to advocate for a solution that allows the Regent universities to provide the assistance necessary to keep college affordable for Iowa students."
The Iowa Association of School Boards expressed a mix of thanks and concern over the appropriation of allowable growth in K-12 public education.
"While we appreciate his commitment to improving education, we are very concerned about his intent to delay establishment of the FY 2014 and 2015 allowable growth rates until the education reform package is adopted," said IASB Executive Director Tom Downs.
"School boards should not have to wait any longer to find out what their funding will be beginning July 1," added IASB President Patti Fields of Iowa City. "Budgets must be passed and certified by April 15; collective bargaining agreements have to be approved; curriculum needs to be purchased; and staffing decisions need to be made. Districts must have funding information in order to plan for next school year. Frustration with this process can be heard at board tables all over the state."
Iowa Secretary of Agriculture Bill Northey also thanked the governor for including $2.4 million and $4.4 million for agriculture water quality in 2014 and 2015, respectively, in his budget goals.
"Gov. Branstad and Lt. Gov. Reynolds have been strong supporters of the Iowa Nutrient Reduction Strategy and I appreciate them including funding to move forward with implementing some of the needed water-quality focused conservation practices in their budget for fiscal years 2014 and 2015. These funds, if approved by the legislature, will be used to educate farmers about the positive water quality impacts of a number of on-farm conservation practices and support the construction of these practices with cost share funding."
The National Federation of Independent Business, a small business advocacy group, applauded Branstad's proposal for long-term property tax reform.
"Iowa's broken property tax system is the single biggest concern for
small businesses and we're highly encouraged by the Governor's blueprint
and his call for action," said NFIB State Director Kristin Failor. "There have been many narrowly focused attempts over the years but they've largely failed because they didn't deal with the whole problem. The Governor today proposed a much more comprehensive reform that doesn't shift costs and offers significant relief."
"There's a very sharp focus on providing relief to small businesses and industrial companies," Failor continued. "That's a very important feature and it's exactly what Iowa needs to be more competitive in a region where the states around us are moving very aggressively to attract businesses."


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HOUSTON (AP) — Kinder (KIN'-der) Morgan Energy Partners LP will spend $106 million to buy land in Texas and build new storage tanks and a barge dock.
The Houston-based pipeline company on Monday announced it will purchase about 20 acres next to its Pasadena terminal. The land will be used for a future crude condensate and refined products terminal with a connection to the Explorer Pipeline.
Kinder Morgan also will build nine tanks with a total storage capacity of 1.2 million barrels at its Galena Park terminal and build a barge dock capable of handling up to 50 barges per month. The goal is to help relieve congestion in the Houston Ship Channel.


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Famous Gymnasts
- Gymnasts: 1989 and Earlier (11)
- Gymnasts: 1990-1999 (16)
- Gymnasts: 2000-2009 (29)
- Gymnasts: 2010 On (31)
- Interviews (14)
The Top 10 American Gymnasts of All Time
Gymnasts to Watch for the 2016 Olympics
The up-and-coming stars to keep your eye on for the next Olympics, and the years before
The 10 Most Famous American Gymnasts
From Mary Lou Retton to Gabby Douglas -- these are the gymnasts that everyone knows.
Gymnasts on Twitter
A directory of gymnasts and coaches who tweet.
The Latest on Gabby Douglas' Comeback
Olympic champion gymnast Gabby Douglas is back training, working toward a comeback for the 2016 Rio Olympics. Can she do it? We have the latest news, as well as the challenges and opportunities she may face.
Gabrielle Douglas
All about the 2012 Olympic all-around champ and member of the Fierce Five.
Gabby Douglas Photos
A gallery of shots from Olympic all-around champ Gabby Douglas' career.
Mary Lou Retton
The 1984 Olympic all-around champion is perhaps the most famous American gymnast of all time.
Male Gymnasts to Watch for the 2016 Rio Olympics
The gymnasts that could be major players int he years leading up to Rio 2016.
Nadia Comaneci
The most recognized name in gymnastics, Comaneci won five Olympic gold medals and was the first gymnast to score a perfect 10.0 in Olympic competition.
Shawn Johnson
Johnson won four medals in Beijing, including gold on balance beam. She's one of the most popular US gymnasts of all time.
Gallery of Shawn Johnson Photographs
A slideshow of images of the world and Olympic champion.
Tim Daggett
Daggett won a gold medal with the 1984 Olympic team, and is a commentator for NBC.
Nastia Liukin
The 2008 Olympic all-around champion has brought home tons of other world and Olympic medals as well.
Kim Zmeskal
The three-time national champ was also the first American world all-around champion.
Nastia Liukin Photo Gallery
Beautiful shots of the world and Olympic gold medalist, through the years.
Aly Raisman Photos
A gallery of two-time Olympic gold medalist Alexandra (Aly) Raisman.
Alicia Sacramone
Alicia Sacramone is a world champion on vault and 2008 Olympic medalist. Find out all about her gymnastics accomplishments, cool skills, and her life outside the gym.
Shannon Miller
One of the most decorated American gymnasts of all time, Miller has won seven Olympic medals and nine World Championships medals.
Alexandra Raisman
Aly Raisman finished 3rd at the 2011 US nationals, and was a 2010 world team member.
Jordyn Wieber
The 2011 world all-around champ was also a member of the 2012 Olympics' gold-medal squad, the Fierce Five.
Gymnast: Jana Bieger
Bieger was a three-time silver medalist at the 2006 world championships and an alternate to the 2008 Olympic team.
Dominique Dawes
Olympic champion Dominique Dawes won the team gold with the Magificent Seven in 1996, and qualified to three Olympic teams in all.
Dominique Moceanu
Moceanu was the youngest member of the 1996 US Olympic team that won gold.
Viktoria Komova
2012 Olympic gymnastics hopeful Viktoria Komova should help lead the Russian team in London.
Larisa Iordache
A team bronze medalist in 2012, Iordache has also won multiple medals at the European Championships.
Kerri Strug
Kerri Strug is best known for the vault she performed on an injured ankle to help the US women win gold in 1996. Here's more on her career.
Chellsie Memmel
Chellsie Memmel won two world gold medals in 2003, and was the 2005 world all-around champion. Find out more about her gymnastics career, her life, and the cool skills she performs.
Aliya Mustafina
Mustafina became world all-around champion in 2010, dominating the competition with two gold and three silver medals.
Gymnast: Vitaly Scherbo
Scherbo is considered one of the best male gymnasts of all time: he won 10 Olympic medals during his career, and dominated the 1992 Games with six golds.
Jonathan Horton
Jonathan Horton led the US team to a surprise bronze medal at the 2008 Olympics.
Jake Dalton
Bio of 2012 Olympian and University of Oklahoma gymnast Jake Dalton
Carly Patterson
Patterson won the 2004 Olympic all-around gold, and is now working to launch a singing career. Find out about her gymnastics accomplishments and life after the Olympics.
Sam Mikulak
All about 2012 Olympian and Michigan gymnast Sam Mikulak
Kohei Uchimura
Uchimura won the world all-around title three times in a row, from 2009-2011.
Cathy Rigby
Cathy Rigby was the first American woman to win a world medal. She later became a renowned actress, as well.
Amanda Borden
Bio of 1996 Olympic team captain Amanda Borden.
Jacyie Phelps
Bio of the 1996 Olympic team member, and 1994 and 1995 world team member.
Amy Chow
Amy Chow was a member of the 1996 Olympic team that won gold -- and the 2000 team that took the bronze.
Paul Hamm
In 2003, Hamm became the first US man to become World All-Around Champion. In 2004, he won the Olympic all-around title as well. Hamm has done it all in the sport of gymnastics, and was training for more gold in 2008 before an injury derailed him.
Blaine Wilson
The five-time US national champ, gymnast Blaine Wilson also qualified onto three Olympic gymnastics teams.
Svetlana Khorkina
The Russia gymnast was a three-time world champion and two-time Olympic champion.
Gymnast: Terin Humphrey
Olympic gymnast Terin Humphrey won two silver medals at the 2004 Athens Olympics, and was a member of the 2003 world team that won gold.
Tasha Schwikert
A member of the 2000 Olympic team and an alternate to the 2004 team, Schwikert was also a two-time national all-around champion, in 2001 and 2002.
Courtney McCool
McCool was a member of the 2004 Olympic team and the winner of the 2004 Athens test event.
Gymnast: Annia Hatch
Gymnast Annia Portuondo Hatch competed for both Cub and the United States, and won a silver medal with the American team at the 2004 Olympics.
Mohini Bhardwaj
Bhardwaj won the silver medal with the 2004 Olympic team, and was a star on the UCLA gymnastics team as well.
Kristen Maloney
Olympic gymnast Kristen Maloney was a two-time national champ in the late '90s, and a star gymnast for UCLA in the early 2000s.
Tasha Schwikert
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According to Spokane, Washington's Spokesman-Review, Republicans in the Idaho state legislature rushed a bill through in the final days of the legislative session to pay the Idaho Republican Party $100,000 in attorney's fees and legal costs for a primary election lawsuit that it brought against the state and won. 81% of…
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text: INTRODUCTION This route was begun as a direct up the North Face. After about ten pitches of climbing, the melting central face caused a change of plan. A traverse was made over to the safer northeast rib and that was followed to the top. This grade VI, 5.10, has probably not had a second ascent. The Northeast Rib might be a lot better than some past AAJ and magazine articles have suggested. Stories about loose rock and rotten rock may have come from the first climber to talk to Bob and Dave, afterward in Petersburg. I have wondered for decades if a misunderstanding possibly occurred. Back home in Wenatchee, I was one of the first climbers to see the team's slides and remember a more positive impression of the northeast rib. Bob and I worked together in the orchards of Wenatchee. The late Dave Stutzman and I met on the Gold Wall in Yosemite, two years earlier. September, 1977, right after their slides were developed, I lucked out getting invited to the first showing. Included in the tale were pictures of two training climbs; an early, or first, hammerless ascent of Slesse's Northeast Buttress, and the second ascent of the Lowe-Abalakov grade VI on Bonanza. For more than three decades the one detail that remains strong in my mind is that Bob and Dave thought the Northeast Rib of the North Face was the best of the three. APPROACH There are some photos of old maps posted in the photo gallery with the approach marked. To hike in, like the first ascent team did, means taking a risk with the normally bad weather. Nowadays, getting from boat to glacier is looking difficult on peakfinder. Today, most parties are flying in with Temsco Helicopters. ROUTE DESCRIPTION Can't really say a lot with certainty about a route that has not seen a second ascent. I'm not posting this route to suggest doing the direct start, too many proven risks to be attractive to most climbers. My hope is that the upper half of Plumb and Stutzman's route will turn out to be a quality climb. The convexity of the Plumb-Stutzman's northeast buttress seems a lot safer than the concave southeast face of Beckey's route, which has both rockfall and snow-slide problems. The East Ridge Direct seems safe too, but descending the direct route is not usually done. My idea for the best way to climb the Thumb is to fly in during a nice dry spell, climb the 2,000 foot northeast rib to the summit in rock shoes, and rappel the route back to the stashed glacier boots. I'm pretty sure the 5.10 on Plumb-Stutzman was up on the northeast rib. The direct start on the north face was too wet to rate, 5.9 waterfalls while carrying huge packs is what I remember Bob and Dave's slides showed. No cams around in those days. Maybe the northeast buttress will feel easier with modern gear. After warming up in the North Cascades, the team rode up on the inside passage ferry to Petersburg. Then a fisherman was found who gave them a ride to the Baird Glacier estuary. He also loaned them a radio to call for pickup. On the approach map, I'm only 50% sure of where the boat got them to shore in Thomas Bay. A brief summary of the teams schedule during ten days of the best weather anyone in Petersburg could remember; five days up the Baird to basecamp in the Witch's Cauldron, three days on the route, two days back to camp and on to Thomas Bay. WEATHER AND TRANSPORTATION To see Alaska's current weather use the FAA aviation cameras . Getting to know the dozens of webcam sites throughout Alaska can help decide when to book a flight for "smash and grab" mountaineering. Temsco Helicopters has a long history of flying climbers in from Petersburg. The nearest Canadian aviation service I could find is Prism Helicopters, with an office in Stewart, BC. In the early 1970's, the team that made the first ascent of the Cat's Ears used a float plane to get to the Witch's Cauldron. After a wild ride into the 'Cauldron, dropping boxes of gear onto the glacier from fifty feet up, with occasional down-drafts shaking the plane, they were dropped off at Scenery Lake. Steep brushfighting led to a col, traverse, and descent into the Witches Cauldron. Same exit.


text:
ANDERSON — Madison County Sheriff Ron Richardson said that for the second year in a row, the number of people drinking and driving has dropped.
"People are paying attention to all the advertisements and either being smart and staying somewhere if they are drinking, having a designated driver or calling a taxi," he said.
From 8 p.m. New Year's Eve to 8 a.m. New Year's Day, there were 23 arrests in Madison County and only six were alcohol-related, Richardson said.
Of those six, four arrests were for people driving while intoxicated or impaired.
That's a drop from 2013, when there were eight alcohol-related arrests for the same period of time.
"Over the years we have seen a reduced rate in the number of people driving while intoxicated," Richardson said.
Rose Beeman, owner of Rose's Taxi, said it was a busy night.
"We had an excellent night last night and now we are recovering from working so hard," she said with a laugh Wednesday.
Beeman said she ran four cabs and had two dispatchers on duty and her business was busy from 9 p.m. New Year's Eve to 6 a.m. New Year's Day.
"It was a very calm, good night and people were courteous," she said. "They were drinking but it was a good crowd and we had no problems."
Beeman said several fares were for out of town and some were even out of the county.
"We made trips to Middletown, Yorktown, to Indianapolis and we even went to Fishers twice," she said.
In the end, paying for a taxi will cost quite a bit less than paying an attorney to defend against DUI charges, Richardson said.
Like Traci L. Moyer on Facebook and follow her @moyyer on Twitter, or call 648-4250.


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By Maureen Hayden
CNHI Statehouse Bureau
The Indiana General Assembly has slogged its way through hundreds of bills since convening in January but in some critical ways, the real work has just begun.
Friday marked the beginning of the "conference committee" negotiations sprint to the April 29 finish line to the 2013 legislative session. It's the period when the key members of the House and Senate have to work out their chambers' differences on bills that have been significantly altered as they've moved through the legislative process. It's the agreed-upon final version that gets sent to the governor's desk.
"Now the real session starts," said Senate Appropriations Chairman Luke Kenley, a veteran Republican lawmaker from Noblesville. As the Senate point man on the $30 billion budget bill, he's likely to face one of the tougher conference-committee negotiation sessions ahead.
No matter that the Senate, the House and the governor's office are all Republican-controlled; Kenley's Senate spending plan differs from the House spending plan, which differs from the spending plan put forth by Gov. Mike Pence.
"We've all laid out our plans: the House has said what they think, and we've said what we think and Governor's staff has said what they think," Kenley said. "And now we go into session to figure out what the answer is."
Plenty of legislative work has already been done. Combined, legislators in the House and Senate filed more than 1,200 bills and resolutions this session. As of Friday, they had passed more than 300 bills out of their respective chambers.
The numbers will go up some — since Monday is the last day for the House to pass Senate-approved bills — but about 200 bills that were passed by one chamber have been amended by the other.
Some of the differences are small enough that legislators can simply concur with the changes and get on with it.
But others will need to be pounded out through the more intense conference committee process, during which lawmakers from both parties try to hammer out a deal that both chambers will accept.
Some long days lie ahead: On a range of issues, from arming school staff to rewriting the criminal code to expanding the school voucher program, the House and Senate have come up with significantly different provisions for the same bill.
"It can get a little tense at times, but it's a fundamentally healthy part of process," said Republican Senate Tax and Policy Chairman Brandt Hershman of Buck Creek.
"There will be differences of opinion between the parties and within parties, just like there are differences of opinion between friends and within families," Hershman said. "I think that in itself is a good thing, as well. It's not a sign of discord; it's a sign of principled positions on the issues."
Maureen Hayden covers the Statehouse for the CNHI newspapers in Indiana. She can be reached at firstname.lastname@example.com.


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Cloud Cult: "Love" (2013) CD Review
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Cloud Cult had its late-night television debut on
Last Call With Carson Daly
. A friend and
I were at that taping, and that was my introduction to this wonderful band.
Since then, I�ve immersed myself in several of Cloud Cult�s recordings. And
yes, this is the kind of music you want to immerse yourself in, sink into, and
explore. This band has its own particular sound, creates its own universe. The
sound can be dense and intricate, gorgeous and moving, but always, always
They�ve become known for their live shows, where they
have artists paint to the music. And no, they�re certainly not the first band
to do this. But theirs is the kind of music that lends itself to this sort of exploration
and interpretation in other art forms. The paintings are then auctioned off, so
fans can take home a singular souvenir of the concert.
Cloud Cult is also known for its environmentally friendly
CD packaging. The case for
made of 100% post-consumer recycled paperboard, and the plastic CD tray is made
from recycled plastic with at least 35% post-consumer materials.
All of that is wonderful. But of course what is most
important is the music.
some excellent material, my favorites being "You're The Only Thing In
Your Way," "Good Friend" and "Meet Me Where You're Going." All of the
songs on this album were written by Craig Minowa.
�You�re The Only
Thing In Your Way�
opens with
a beautiful, sad tune titled �You�re The Only Thing In Your Way.� This is a
seriously strong track, and is one of my favorites. It begins like a folk tune,
with acoustic guitar and vocals, his voice right in your ear as he sings �
Drive, baby, drive, until your trouble�s
gone/Run, baby, run, until it all goes numb
This one really hits me, in part because of
the lines, �
Nothing here can get in your
way/You�ve come too far to care what they say/Now you�re the only thing in your
.� But of course sometimes that�s the toughest, most formidable
obstacle. I absolutely love this song.
�It�s Your
�It�s Your Decision� begins with strings, sounding
gorgeous. This song starts slowly, with the lines �
Will you sink today/Or let it float away/It�s your decision
.� Then
there are wonderful touches on piano as the song builds with the drums � until
it bursts to another plateau. It has a great, powerful build. Turn this one up,
let it sweep you up in its arms and carry you. �
I�ve got work to do/Disarming land mines/If I hold it in, I�ll just
blow up again/My trigger finger�s twitching
�Love And The
First Law Of Thermodynamics�
�Love And The First Law Of Thermodynamics� is a really
interesting instrumental track that takes you on a journey. Close your eyes,
and see what imagery it evokes for you.
�Good Friend�
�Good Friend� is probably my favorite song on this album.
I seriously dig the drums on this track. They kick off the song with a great,
powerful groove. The lyrics are good as well: �
We are not broken ones/Just shattered pieces of the same bright
sun/Trying to figure out which way to run/And we can�t do this alone/All I need
is a good, good friend/To get me through this
.� And this song itself has a
friendly feel to it. It is a song to make you feel closer to the rest of
humanity, a sort of reminder that our basic needs are the same. It�s a song to
remove all the layers of nonsense we coat ourselves with.
�Meet Me Where
You�re Going�
�Meet Me Where You�re Going� is another of my favorites.
It has a friendly folk feel, with positive lyrics like, �
Every day with you I say I do/And it means so much more each time
This is a song to raise one�s spirits and bring people together. It�s a sweet
love song, with a pretty a cappella section where the voices blend well
�Sleepwalker� features some cool percussion to kick it
off. The song is a call to those who sleepwalk through their lives to wake up
before it�s too late. Craig Minowa asks, �
is your passion? Where is your wonder? Where is your thankfulness?
� The
song soon explodes with a heavy energy, and even has some techno elements. It then
becomes quiet, intimate again �
�Where is
your joyfulness? Where is your empathy?
� It�s a fantastic song.
�The Show Starts
with �The Show Starts Now,� which features the line �
I want to be the guy who lives in the moment, not so lost in my mind
That�s a line I can relate to. It turns out not to be all that easy, at least
as I�ve found it. �The Show Starts Now� also has some wonderfully aggressive
CD Track List
You�re The Only Thing In Your Way
It�s Your Decision
Complicated Creation
All The Things We Couldn�t See
The Calling
LoveAnd The First Law Of Thermodynamics
Good Friend
Meet Me Where You�re Going
It Takes A Lot
The Show Starts Now
is scheduled
to be released on March 5, 2013 through Earthology Records, the band�s own
(Note: I've also posted this review on my music blog:
Cloud Cult: "Love."
Comment or View Comments »
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