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Updated: The Great American Beer Festival 2012 calendar of awesome events
Updated with new events: Tourists may go to Rome to see the Coliseum, but it's the side streets, the adventures and the hidden cafes that typically fill their cameras and their post-trip stories. The same is true of the week surrounding the Great American Beer Festival. The event is the centerpiece, but there is so much more to do and see. (Visit our original GABF calendar here.)
Attendees of last year's fest take some time out.
It wasn't always that way. Just a few years ago, you could count the number of craft beer-related venues and events inspired by the GABF on one hand. But times have changed, and it's now almost impossible to list every party, dinner, tap takeover, pub crawl, beer class, rare beer rollout and meet-the-brewer night in town -- let alone attend them all. But you can certainly try. Here is a rundown of some of the coolest places to drink good beer in Denver during GABF week. We'll keep updating this list as we hear more. Cheers.
See also:
- Fifteen non-Colorado breweries to try at GABF
- Twelve beers to track down in Denver outside the Great American Beer Festival
- The Great American Beer Festival is sold out, but these hot events around it aren't...yet
The Falling Rock Taphouse gets the week started right with its 15th Annual GABF Kick-off Party, starting today around 5 p.m. When the countdown clock that has been going since January 2 reaches 000:00:00:00, the dean of Denver beer bars will tap ten special kegs it's been saving.
Wynkoop Brewing releases an uniquely ballsy and indigenous stout today at 5 p.m. that has been crafted with roasted bull testicles. Seriously. The brewer's ultra-popular Apil Fool's spoof (and the amazing video that accompanied it) have turned into reality; the beer features flavors of roasted malts, coffee and nuts. Or does it?
Boulder's West End Tavern and bar manager Caroline Johnson will host the Great California Beer Dinner today at 6:30 p.m. It includes a four-course menu from chef Chris Blackwood paired with beers from Stone (16th Anniversary, 21st Amendment, UnReal Black Ale), Firestone Walker (DBA, Wookey Jack), Moylan's (Hop Craic, Barrel-Aged Kiltlifter) and Marin Brewing (San Quentin's Breakout Stout, Star Brew Triple Wheat Ale). Moylan's brewmaster Denise Jones and Marin brewmaster Arne Johnson will lead the beer-tasting and discussions about brewing, the inside baseball of GABF Week and designing award-winning beers. Tickets are $45.
Oskar Blues and the Crafty Ladies Beer Club will descend on Highland Tap & Burger tonight at 6 p.m. to tap First Lady, a special Gubna-Dale's Pale Ale firkin, along with various other Oskar Blues beers. Chris "The Gubna" Katechis will also be there, grilling up his signature beer can chicken and corn on the cob.
Twisted Pine Brewing in Boulder re-releases Ghost Face Killah, the spiciest beer in the world. A small quantity will be available each day throughout the week, and purchases will be limited to four bottles per customer.
Tuesday, October 9
Hops & Pie taps a great lineup of brews from Florida's Cigar City all day today. The beers include Jai Alai IPA, Maduro Brown, Cubano Espresso Brown, Raspberry Saison and Peach IPA.
Beers Made by Walking -- the program that invites brewers to make beer inspired by nature hikes and urban walks -- will tap ten of its beers today from 5 to 8 p.m. at the Wynkoop Brewing Company. Over the past summer, ten Colorado breweries attended hikes as part of the program, identifying edible and medicinal plants along the way and then using them in their beers. For $15, you get to try four-ounce pours of all ten beers; you also get a special drinking glass made for the event. Participating breweries: Crooked Stave, Lone Tree Brewing, New Belgium, Oskar Blues, Phantom Canyon, Pikes Peak Brewing, Ska Brewing, Strange Brewing, Trinity, Wynkoop.
Strange Brewing will tap several kegs of beer made by Tim and Harry for its recurring One Barrel Wednesday series. There will be live music from Indigent Row at 6:30 p.m.
Last year, the Rackhouse Pub brought in Gwen Conley, the Sensory Goddess for California's Lost Abbey/Port Brewing Company (and GABF beer judge), to teach a class on Sensory Training 101. It sold out in three days. This year, Rackhouse owner Chris Rippe plans to take you back to school with not one, but four days of beer classes taught by some of the most knowledgable people in their fields. Oh, and there will be beer drinking as well -- but each class is limited to just sixty tickets. Today's class is Sensory Training 101, in which Conley gives you a full education in palate development, flavor recognition, style guidelines and overall beer enjoyment. It takes place from 6:30-8:30 p.m.; tickets, $35, are available at www.brownpapertickets.com/producer/25220.
Falling Rock Taphouse will tap the famed Goose Island Bourbon County Stout today at 5 p.m., along with Lolita, Juliette, Madam Rose and Bourbon County Coffee Stout.
Renegade Brewing will release its first-ever beer in a bomber bottle today, barrel-aged Elevated Wood, a version of Renegade's double IPA that has been aging for six months in bourbon barrels. Bombers go on sale at 1 p.m.; the tapping is at 6.
The Cheeky Monk welcomes Ginger Johnson today from 7-9 p.m. She'll talk about women in beer and Belgian beers, specifically St. Hildegard of Bingen. There will also be a tasting of some of their favorite Belgian brews. Tickets are $25.
The Kitchen Denver will host an Afternoon Brewmaster and Founder Meet and Greet with Jolly Pumpkin, Crooked Stave and Upslope Brewing from 3 to 5 p.m. Specialty barrel aged wild ales and beers from all three of these progressive breweries will be available to purchase, in addition to beer flights and food pairings.
Ernie's Pizza starts GABF week right by tapping some Boulder Beer beers, including its porter, and hosting some brewers from 5:30 to 7:30 p.m.
Location Info
Falling Rock Tap House
1919 Blake St., Denver, CO
Category: Music
Euclid Hall Bar & Kitchen
1317 14th St., Denver, CO
Category: Restaurant
Highland Tap and Burger
2219 W. 32nd Ave., Denver, CO
Category: Restaurant
West End Tavern
926 Pearl St., Boulder, CO
Category: Music
Wynkoop Brewing Company
1634 18th St., Denver, CO
Category: Music
Rackhouse Pub - CLOSED
208 S. Kalamath St., Denver, CO
Category: Music
The Cheeky Monk
534 E. Colfax Ave., Denver, CO
Category: Music
Stoney's Bar and Grill
1111 Lincoln St., Denver, CO
Category: Music
Star Bar
2137 Larimer St., Denver, CO
Category: Music
Blake Street Tavern
2301 Blake St., Denver, CO
Category: Music
Los Lagos
5072 W. 92nd Ave., Westminster, CO
Category: Restaurant
Osteria Marco
1453 Larimer St., Denver, CO
Category: Restaurant
1530 Blake St., Denver, CO
Category: Restaurant
La Abeja Bakery
508 E. Colfax Ave., Denver, CO
Category: Restaurant
Highland Tap and Burger
2219 W. 32nd Ave., Denver, CO
Category: Restaurant
Lucky Pie Pizza & Tap House
1610 16th St., Denver, CO
Category: Restaurant
The Kitchen Next Door
1035 Pearl St., Boulder, CO
Category: Restaurant
Renegade Brewing
925 W. 9th Ave., Denver, CO
Category: Music
River North Brewery
2401 Blake St., Denver, CO
Category: General
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- Cooking Time:
- Servings:
- Preparation Time:
- 4 skinless chicken breast halves, with ribs
- 2 skinless chicken thighs, with bones
- 1/2 teaspoon salt, plus 1 teaspoon
- 1/2 teaspoon freshly ground black pepper, plus 1 teaspoon
- 1/4 cup olive oil
- 1 red bell pepper, sliced
- 1 yellow bell pepper, sliced
- 3 ounces prosciutto, chopped
- 2 cloves garlic, chopped
- 1 (15-ounce) can diced tomatoes
- 1/2 cup white wine
- 1 tablespoon fresh thyme leaves
- 1 teaspoon fresh oregano leaves
- 1/2 cup chicken stock
- 2 tablespoons capers
- 1/4 cup chopped fresh flat-leaf parsley leaves
- Season the chicken with 1/2 teaspoon salt and 1/2 teaspoon pepper. In a heavy, large skillet, heat the olive oil over medium heat. When the oil is hot, cook the chicken until browned on both sides. Remove from the pan and set aside.
- Keeping the same pan over medium heat, add the peppers and prosciutto and cook until the peppers have browned and the prosciutto is crisp, about 5 minutes. Add the garlic and cook for 1 minute. Add the tomatoes, wine, and herbs. Using a wooden spoon, scrape the browned bits off the bottom of the pan. Return the chicken to the pan, add the stock, and bring the mixture to a boil. Reduce the heat and simmer, covered, until the chicken is cooked through, about 20 to 30 minutes.
- If serving immediately, add the capers and the parsley. Stir to combine and serve. If making ahead of time, transfer the chicken and sauce to a storage container, cool, and refrigerate. The next day, reheat the chicken to a simmer over medium heat. Stir in the capers and the parsley and serve.
NotesI have been on a major search to find new ways to prepare that old standard chicken. Maybe you will find some inspiration in this one. Recipe credit goes to Giada De Laurentiis.
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Oil on Water #1
April 20, 2010 | Category: Oil on Water
Tags: Black and White, canon, oil, rebel, water
2 Comments
Kimon June 13th, 20101
I was doing a search about the oil spill and came upon this site. I have to say what a pleasant diversion from such a sad thing to such a nice site. Beautiful photography!
Kim´s last blog post ..Rain Water Onion Tank
Stephen Van Tuylon June 18th, 20102
Thanks Kim!
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text: I have three Labradors. The old guy's exercise used to consist almost solely of running with me, on leash (the dog was on leash, not me; though I'm sure his perception has it reversed). Then I had kids and somehow also ended up with 18-month and 8-month-old dogs. Instead of running on leash, the younger generation tends to tumble around in the field behind our house in one giant ball of kids-n-dogs, meeting passersby and cooperating to hunt field mice and each other.


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Hannon upbeat about Harbour 2000 Guineas participation
10th November, 2011 - Posted by Elliot Slater - Comments Off
Richard Hannon's high-class juvenile Harbour Watch, unbeaten in all three outings this season but an absentee from his intended final start of the campaign the Group 1 Dewhurst Stakes at Newmarket last month after suffering a setback in training, may yet make the starting line-up for the Qipco 2000 Guineas at Newmarket in May, writes Elliot Slater.
Ante-post markets and horse racing betting circles for the first colts' classic of the 2012 season were thrown into turmoil when news broke that Harbour Watch may not make the big race, but a month on from his HQ absence Hannon feels that all is not lost for the son of Acclamation who put up a series of fine performances earlier this season to stamp himself a genuine contender for honours in the top grade next term.
Horse racing betting news reports that Hannon's charge is now recovering well from his leg injury and he refused to rule out the possibility that owner Robin Heffer's horse would re-appear on the Rowley Mile early next campaign. The facile winner of a Salisbury maiden contest on his racecourse bow at the Wiltshire track in mid-June, Harbour Watch then stepped up in class to defeat the very classy Burwaaz (subsequently a short-head second to Requinto in the Group 2 Flying Childers Stakes at Doncaster), in a Newmarket conditions event three weeks later.
On what transpired to be his final outing of his juvenile season Harbour Watch justified even money favouritism and cruised to an impressive victory under Richard Hughes over Bannock in the Group 2 Tanqueray Richmond Stakes at Glorious Goodwood, catapulting himself to the head of the ante-post market for next year's 2000 Guineas. Subsequent performances by the brilliant Camelot, Nephrite and Dabirsim have seen the Goodwood winner moved down the ante-post list, but should he return to full fitness then Hannon's colt could well play a major role in the destiny of the mile classic next spring.
Posted on: November 10, 2011 - 2:54 pm
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text: Rosberg: What Sebastian's car can do in the corners is madness 19 November, 2013 Sebastian Vettel with Nico Rosberg Nico Rosberg has described the performance of Sebastian Vettel's Red Bull as crazy, in the aftermath of the World Champion's record breaking eighth consecutive win of the season at the United States Grand Prix. After a weekend of disappointing pace in Austin, Mercedes driver Rosberg admitted that watching onboard footage of Formula 1's dominant champion did not cheer him up. "I just sit and think 'Are you crazy? How does that work?'" Rosberg told Bild. "What Sebastian's car can do in the corners is madness," he added. On Sunday, Vettel surpassed Michael Schumacher's record of seven wins on the trot in a single season. The statistic was one of the only talking points of the United States Grand Prix, with the possible exception of Red Bull's new all-time pitstop record of 1.923 seconds. Sebastian Vettel's Red Bull has 'wings' according to his rivals Part of the reason for the questionable spectacle in Austin was undoubtedly because of Vettel's imperious dominance. "I have to admit," Mercedes' Toto Wolff told Austrian journalists, "when the audience can predict the winner with 90 per cent probability, this might be seen as boring." But some blame should fall on Pirelli's shoulders, after the Italian marque – tired of the constant criticism of its heavily-degrading tyres – made an ultra-conservative Hard compound choice for the weekend. Formula 1 has been warned by Pirelli that if the lack of cooperation remains the same up and down pitlane, fans will have to get used to the spectacle of one-stop races in 2014. "It will be a topic of conversation in the coming weeks," Ferrari boss Stefano Domenicali is quoted by L'Equipe, "because we cannot always have races where the show is absent." (GMM) Subbed by AJN. Tweet Related NewsHorner claims Renault is 75 bhp down on MercedesRosberg reveals ERS error cost him lead in AustinHamilton: I want to win the last two racesRosberg: Still many points to be had and a lot can happenRicciardo: I'm really happy with third placeHamilton: Papa always said drive it like you stole itHamilton confident practice glitch is minorVettel to qualify in Austin out of respect for fansConfirmed Vettel will start from pitlane in AustinMercedes: We cannot sit back, it can still go wrong Badman Jose Methinks its time to bring back traction control, actually one team already has… LotusFan At the US GP they showed a little more of Vettel then we normally see of him driving at the front. Also looking at his lap times and radio messages from Rocky it is obvious that his car has a lot of pace compared to everybody else and by lap 10 he had pulled a 4 sec gap. Then all he has to do is incrementally increase the gaps and keep the car on the road and not even drive at full speed. Rocky keeps telling him to drive at certain delta times and take care of tyres etc. With a car with that pace, one wonders if what he is doing is really superhuman. He is keeping it mistake free and executing well. But would not an Alonso or Raikkonen do the same in that car? Then of course we will have the familiar argument of but why is Webber not winning also. Webber makes poor starts, gets himself in traffic and on these Pirelli tyres suffers high degradation and all kinds of strife. Vettel is very very good but dont think he is some superhuman doing an extraordinary job. He has the car to do it in McLarenfan Martin Brundle was saying that both Webber & Vettel were on the power so much earlier than any other car and with the added affect of the airflow the exhaust = down force pinning it to the track then with the cut to 4 cylinders at the corner allowing the throttle power to ease on they are off in to the distance but after Brazil its a new era. TWD superhuman driving a supercar….that is the perfect equation for this matter. Richard Piers It was some years later that we learned that Bridgestone made special tyres for Michael Schumacher. What will we learn in the future that ensured Vettel's pre-eminence. The difference is just too much. Good he may be but it is much too soon to say great. MacStar yeah yeah why blame Pirelli for a flying Redbull! These guys have found a sweet spot and it's beautiful to watch that car pull the gap at the front. It looks like the only F1 car out there! And Webber? Well……. Grosjean showed him didn't he? Imagine Grosjean in that car, what a thought! Anthony Make the races longer. Make the fuel tanks smaller. Not trying to bail out Pirelli but there are a lot of things that could change to make F1 exciting again. That's beside the point, send could easily win as many championships as he wants, red bull is that good and HE is that good. quattro @TWD "superhuman driving a supercar…." The 2nd part of your statement is for sure true as it can be measured and proven. The "superhuman" part on the other hand is more of wishful thinking on your behalf than anything else, as there is nothing you can use to prove it in the slightest. As a matter of fact ANYONE driving a "supercar" (and certainly it is established that the reddull of vettels is just that) is EXPECTED to and WILL come on top when competing with drivers driving "standardcars" – no superpowers needed there really. The ironi is actually that if you really want to find superhumans you will have to look for him/them in the other group – the drivers driving only standardcars and still doing amazing stuff and even beating the supercar of vettel. Tip: Look in the results of 2010 and 2012 – You will find real superhuman-achievements jl @quattro. I agree your last words, I found Vettel won championship in 2010 and 2012. that superhuman, with so many incident and engine failure, young age, he won. case closed the fan thank God 2013 is over in a few days time. Troy F Collins We HAD close racing this year up to about Silverstone……then things became more…. shall we say….processional The tires were a big factor as to this change….. the fan what I mean to say that Seb rapped up the title early and Lewis just has to accept that he was beaten and cannot moan no more. Taskmaster Making changes to a sport to fake competitiveness results in what we call Indy Car and NASCAR, so let's not go down that road, please. When drivers, like Rosberg, are unable to keep beat another, it's part of their wiring to attribute it to the competitors car – it's a natural ego thing. Being beaten by a car is more palatable than being beaten by another driver. What gets ignored here is that Vettel has always done well in the medium and slow corners – where, as Carroll Smith taught, saving 10% in the slowest sectors where you spend more time is worth much more than being 10% faster in the quickest sectors, where you spend little time. If you look at sector times, this is exactly what Vettel does from T1 in the opening lap on, and why he can be .4s a lap quicker and 35MPH slower at the same time. This is not all a car thing, its also a driver thing. Schumacher was the same, as was Senna, owning the slowest twisty bits at the cost of a few thousandths in the fast bits to take wins from the fastest MPH cars on track. Boycotthehaters "Vettel is very very good but dont think he is some superhuman doing an extraordinary job. He has the car to do it in." You HAVE to believe that because the alternative would make you have a breakdown. badman jose Methinks that Mercedes should be exposed. Adios Jose fools HINT* "What Sebastian's CAR can do." Another German (Country Rival) crediting the car and NOT Vettel. This coming from Rosberg is quite enough to tell the trolls here that its mainly the car not the driver. Is that what he is insisting including the whole paddock except RB? IMO….YES! Boycottthebull I took Rosbergs comments to be a Vettel dig trying to imply how amazing the car was rather than its driver. As a result of the conservative tyre choice the Austin race was a bit boring though it did seem to be a bit of a convoy for most of it. Makes me of two minds whether the current tyre regulations are good or not. Edein To anyone saying a nascar race is boring, means they've never watched one. The overtaking is far more exciting than the synthetic DRS sail by. Rockie @Fools Why is it always what Vettel's car can do? Is it that no one rides on board with Webber? Why not what the Red bull car can do in corners? This is where the problem lies whilst they all sit back and believe its the car and not trying to improve their own individual performance they are kidding themselves, all the while they are doing this Vettel is getting better. While being worried about what Vettel's car is doing this same drivers are under performing against their team mates. I mean where did Rosberg qualify with respect to Hamilton as good as Alonso is what is the difference between him and Massa in qualifying? Food for thought! Boycotthehaters "This coming from Rosberg is quite enough to tell the trolls here that its mainly the car not the driver. Is that what he is insisting including the whole paddock except RB?" Why do jackasses like you always insist that you speak for "the paddock"? The paddock can and does speak for itself, and it says the complete opposite of what you want it to say. Just a few more weeks and "the paddock" will vote Vettel as the best driver of the season by a huge margin. And you'll sit in your corner muttering to yourself. sunny stivala Jose, is Jackson still ok? Red Bull Cheats @Boycotthehaters Perhaps you forgot last year where the paddock voted Alonso #1 driver, again… Many in the paddock have commented on Vettel's car, the sound, the exhaust, the way he can miss the apex and bang over curbs and still be on pole. Loads have commented about Webber not getting the same treatment. Illegal ride height adjustment, traction control. This noise has been going on for 4 years. Perhaps there is some truth to it, like Schumacher's special Bridgestone tires… Taskmaster Noises, rumors, and denigrating remarks without actual evidence or official action are just that, noises. The inter-web breeds hack conspiracy theories like mold on stale bread, doesn't mean its good eating – except for those who relish watching a sport they believe to be completely corrupt – which is really strange IMHO. Edein: Yes NASCAR is indeed exciting – been to dozens of races. It's structured to be fun in the sun with a beer in the hand. It's a stadium sport that has lucky dog rules, lots of long yellows to bunch traffic up, and debris flags at crucial moments to make sure nobody is left behind. This does not mean applying this cooked-for-entertainment approach is good for F1, or even desirable. Ukwhite Some people hatred is beyond comprehension… That shoul hurt Red Bull Cheats Lots of noise and rumors that Piquet Junior crashed on purpose to let Alonso win. Then the rumors became facts. Harry Gillespie Sad to read the comments from the likes of Rosberg and others who are amazed at what sebastians can do on the corners ect, I always thought that it was a combination of a well designed and set up car and a very fast alert driver, but to some total commitment, dedication and hours of hard work from design, factory through team to driver is simply BORING and CHEATING with booing at the celebrations, average pilots fly average planes. Vettel has the same mindset as Senna had and when he was at one with the car he was untouchable and it wasn't a red bull. If Ferrari or any other team build a winning car for the next 4 years and they win with the same driver will that also be boring and cheating. Red Bull Cheats @Harry Gillespie, there are lots of documented events where Red Bull cheated, got caught and didn't get punished. Look it up on Google if you want to know what happened. It's not jealousy, it is fact. Glenn @Harry Gillespie ues but senna could also take a bad car and still win races mainly in the 1993 season when williams were using the active suspencion Red Bull Cheats. I got it all arseways! Red Bull never cheated, but they bent the rules. And that makes a big difference. But I do say these stupid things every day. Red Horizon There is a concrete possibility that Red Bull has really found a system that simulates traction control, the clues are there (the behavior of the car when cornering, engine noise), but if FIA says that it's all legal, as it happened, there's nothing more to do. You just have to congratulate Red Bull-Renault and go to work to beat them. End of story. Raza I totally agree Red Horizon, there are a lot of very clever people out there who could make square wheels go fast, and others who with a cut here a stitch there make Bob your Auntie. Red Bull are legal absolutely 99.9% and it's no secret. Sebastian has that big Red Rampant Bull nearly on top of him and the thought of that is giving him wings simples that is how he is flying, and that is also how there is as much bullshit flying about on and after raceday. Badman Jose Vettel, is he really the WDC? .. its traction control .. KERS or some other ingenious electronic control gadget, its still illegal….Traction control is not permitted.. Jose Candor Badman Jose obviously you have not been watching–yes Vettel is WDC and the rest of your post is guess work and speculation, if or until concrete evidence is found of cheating then Red Bull and Vettel should be congratulated on their achievments. Have you forgotten how Vettel performed in a Torro Rosso even winning a Gran Prix or did you not watch that either


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Monday, July 26, 2010
Sneak Attack: 10 Questions With Rogue Games
They also have two much-anticipated releases coming up, both with Thousand Suns Revised and the brand new Shadow, Sword & Spell (which, I have to tell you, is as exciting a fantasy RPG as I've read in a good while). Rich was kind enough to answer 10 questions about their upcoming products, Jamie Mal's Dwimmermount, and more on this small press publisher's philosophy and future.
Rich, first, congratulations on the ENnies recognition. Is this your second time being named in the awards announcement? Not too bad for a relatively "small-press" company, I'd say.
Thanks. Yes, this is the second time. Our first nomination was for the cover of Thousand Suns, and that was a surprise. The second nomination was another shock. James Maliszewski (business partner and co-Rogue) and I never thought we would be here when we started in 2007. Hell, we never thought people would notice us. It is humbling to see that we are not only still doing this, but gamers like what we do.
Shadow, Sword & Spell (SS&S) is up next for Rogue Games, right? Why will people wanting to check out this fantasy game versus the others on the market?
Yes. Shadow, Sword & Spell is the next game for us. When we started James and I wanted to do games that applied to us. That is why we went with Colonial Gothic and Thousand Suns. We love fantasy and when we worked together at Zeitgeist Games when they had Dave Arneson's Blackmoor, we had lengthily discussions on what we liked and did not like about fantasy. For the longest time we held off on pulling the design trigger on the game, but eventually, we realized we had a different vision for the game, and a clear goal in what we wanted to create. This leads me into the second part of the question.
I think one of the appeals of Shadow, Sword & Spell is the approach. From day one, what we really wanted to do was create a fantasy game that was humancentric and inspired by pulp fantasy. The three writers, for us, who are important for the genre, and the inspiration for the game is Howard, Lovecraft and Smith. What we really strived to do is create a game that would allow you to run a fantasy game similar to how these three wrote. It is fantasy filtered through the Three's lens.
The first release of SS&S is the Basic Game, right? What will be included in that, and what are plans for the "Expert" followup?
To be honest, Basic would be the only book you need. In designing and writing the game we wanted a game that was complete. Everyting from a setting to monsters is in the book. Basically "Basic" is all about the early years of being a hero. Think of Howard's Conan stories of a youth. He is still learning about the world. Basic takes this approach. It stands alone.
Expert is the End Game. Using Expert you will find rules and guidelines of running games when a hero becomes powerful and gains their own domain. Expert, in many ways, is influenced by Howard's Kull, in that the Kull stories are about a hero who gains a throne. So Expert is the end game, but it introduces more powerful topics and rules that do not fit with Basic. You will find Relics, as well as rules on creating items of magical power, monster design, and a mass combat system which will allow you to run battles easily.
Expert and Basic is all you will need and using them you could easily create a campaign that is either focused on a small area or allow you to have a world spanning game.
You've released the Revised version of Colonial Gothic, and are also working on Thousand Suns Revised. What can purchasers/users of the original Thousand Suns expect from this?
James has said that Thousand Suns Revised is being done because he wants the game clearer and cleaner. We have learned a lot since we've released the game, and we want to take those lessons and make the game better. Nothing is changing when it comes to the rules. If you like the original book, that is still valid and anything new we add will be given to you for free. Yet, if the denseness of the game puts you off, we hope that a cleaner version invites you to take a second look.
Basically, we do not want anyone to feel as if they are getting ripped off. The game is the same, and the Revised is being done because we want to make the game cleaner and clear up a lot of over writing.
So in short, expect a clearer game that is not as sprawling as the first.
OK, I have to ask, for all the grognards, and Grognardia fans: what's going on with Dwimmermount?
I do not know what you are talking about. :P
Dwimmermount, as many know, is James' sandbox megadungeon. We never thought we would release it, but demand for it became to much to ignore. The plan is, at least currently, is to release the first five levels at the end of the year. James is writing the book now, and it is moving fast. Eventually the whole thing will be released, but we are starting small. What James wants to do is create a supplement that shows you how megadungeons work.
I know you'll be at Gen Con this year (booth 1539). What will Rogue Games have going on at Gen Con?
Selling games. :)
Every year Gen Con grows more and more chaotic for me. I am running a pick up game the night before the con starts, and I might be running another pick up game on Friday. Basically when I am not in the booth, I am in a meeting.
Paizo Publisher Erik Mona has said some extremely complimentary things towards Rogue Games. That had to feel pretty good.
Yeah. Here comes the word many people hate that I use, but I was humbled.
This hobby and business is such a thankless thing sometimes. You design in a vacuum, and sometimes you wonder if people realize what you do. When someone like Erik Mona mentions you and complements what you do, it is nice, but it is humbling. We just try to design games that are fun and are games we would want to run. We hope we live up to all the good words people say about us. In the end, however, it is about the games. If people play them and have fun, then we did our job.
If you could, talk about community and fan support. What can a small press publisher to offer a better or different experience than some of the larger companies? What can you do to stand out in those areas?
This is a good question. My rule of thumb with Rogue Games is very simple: Treat people they way you want to be treated.
This hobby is so small, that it is very easy to forget that without a community of gamers, we could not do what we do. Smaller companies have one advantage that the larger ones do not have, and that is our size. Because we are small, we can interact directly with the customer. James and I answer all emails within 24 hours. I reply to messages via twitter and IM. It is important to keep the channels of communication open, and we really strive to let people know what is going on. Customer Service is the key, and many forget this. For us smaller publishers, this is the one area we can really stand out.
The big way we can stand out is our approach to selling our product. We can be more personal.
Back to the ENnies for a minute: as a publishers, have you noticed an uptick in interest or sales on products nominated or mentioned by the ENnies?
Somewhat. What I notice more, however, is the uptick whenever we release a new title. What is more noticeable is web traffic post announcement. When the ENnies nominations were announced I did not know until I checked my daily webstats. I saw a spike, and that clued me in something was up. Nominations and awards a good, but for us, releasing new product is our biggest uptick.
What else is coming up for Rogue Games?
A lot. :)
This year we have Dwimmermount. Next year three will be three new Colonial Gothic releases (New France, French Indian War, and Flames of Freedom: Philadelphia), at least two Shadow, Sword & Spell releases (Expert and either city or a campaign), and Thousand Suns (two releases). There might be some other things, but these are big ones.
In short, we're going to be busy.
EDIT: Wanted to add that Shadow, Sword & Spell will be available at Gen Con Indy!
4 comments:
Why didn't you ask for a release date of Shadow, Sword & Spell? Or is that so widely known that it doesn't warrant mention?
And the following is not your fault but it might be of interest to anyone who wants to find out more about SS&S:
The interview contains a link to the Shadow, Sword & Spell homepage. That page is extremely sparse on info, and in addition the download link for the character sheet is broken.
- July 26, 2010 at 12:47 PM
- Richard Iorio II said...
SS&S is out next month. In fact it will be at GenCon. Once GenCon is over the pre-order goes live.
The SS&S page will be filled out once GenCon is over.
- July 26, 2010 at 3:01 PM
- Zachary The First said...
@Gabriel: Sorry, the sheet link worked ok for me. Thanks for the feedback!
- July 26, 2010 at 8:33 PM
errata: The honorable mention for the ENnie Awards of Rogue Games' Colonial Gothic Revised was in the "best writing" category, not "best rules". Not that there's anything wrong with their rules, mind you ;-)
- July 27, 2010 at 5:50 PM


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EHR Design Flaws Contribute to Patient Harm in the ED
"It doesn't promote patient safety if you can't talk about it. And if you do something that changes the EHR in a good way, you should be able to publish that so it can be disseminated to other systems."
The silence has prevented quantification of the problems that might provoke the vendors to make their systems more foolproof, Pines says.
Kevin Baumlin, MD, vice chair of the emergency department and director of informatics at Mount Sinai Hospital in New York who is a member of the ACEP panel, emphasized that there's no question electronic health records have improved healthcare.
In one example, clinical decision support at his hospital has "saved 70 lives" of patients with severe sepsis, simply by triggering earlier recognition of the problem and thus, earlier rescue.
"But the reason why we're going through this process (installing EHR systems) is to reduce our errors, not make more of them. We wrote this article to say, 'Hey, let's be careful we're not creating a whole different set of errors while we're getting rid of old errors and error types."
The report outlines four types of "pitfalls" commonly seen in EHR systems and makes seven recommendations to address the issues.
1. Communication Failure
A physician may enter into the electronic record an order that he or she already gave the nurse verbally, thereby inadvertently giving the patient more than the intended dose. The report gives this example:
"The loud moaning draws you into room 10, where you find a patient rocking back and forth, holding his right flank. 'He says it is his kidney stones,' informs the nurse. After a cursory examination, you ask the nurse to give him 1 mg of hydromorphone to ease his obvious discomfort. You then receive an urgent request to reevaluate a critical patient. Finally, you sit down at a computer station to chart and enter orders for the patient with a presumed kidney stone.
Comments are moderated. Please be patient.
Pat (7/2/2013 at 2:24 PM)
Nowhere in this report do I see the nursing side of it all expressed. We find things every day that we intervene for before they happen. Human error is present of course, but most of these problems are generated because of the electronic charting. Please include nurses when you look at these problems. They are the ones who are having to deal with catching problems, etc. Several problems required communication but the electronic chart is not the panacea for quality care that everyone wanted it to be. Nurses are so often left out of the equation and they are the key to patient care.
Grif (6/26/2013 at 1:30 PM)
This article brings up some good points, however, the majority of the issues the author attributes to an EHR system are simply brought on by human error. The seven suggestions showcase this fact by primarily addressing preventive actions the ED could be taking.
Mary K (6/26/2013 at 11:39 AM)
The example given for "1. Poor Communication" is incredibly bad. The only time a provider should be giving a verbal order is in case of an emergency (e.g., running a code). Pain for a kidney stone does not equate to an emergency (although it raises everybody's stress levels and it FEELS like an emergency). This is a COMPLETE BYPASS of patient safety[INVALID][INVALID]there is no written order, there is no way for the nurse to verify allergies, to verify the medication and dosage, and how can s/he document giving the dosage if it was verbal? I would not want to be treated in this ED because staff are taking shortcuts in the pretext of alleviating suffering.
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- Dr. Oz gets fact-checked and the results aren't pretty
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Latest Blog Posts
Metro Opens its Doors to Students in Grades 6-8
Metro Early College High School, which had served only Franklin County high-school students until this school year, is expanding its program to serve students in grades 6 through 8 in and around Franklin County. http://www.dispatch.com/content/stories/local/2013/04/10/metro-opens-doors-to-middle-school-students.htmlRead Article
Metro Update: May 19
Welcome New PTSO Officers We would like to thank the outgoing officers of the PTSO and welcome new officers for the 2014-2015 year. The officers elected at the recent meeting are: Pamela Rodier, President Adrian Petrescu, Vice President William Fiorella, Treasurer Jared Gardner, Secretary Mark your calendar now and plan to join us for monthly PTSO...Read Article
Summer Opportunities
Summer Opportunities for Metro Students *See Ms. Mechling or the Student Support Center for more information. email@example.com or firstname.lastname@example.com List of all OSU Camps http://sites.ehe.osu.edu/p12/files/2014/03/2014-OSU-camp-listings.pdf Franklin Park Conservatory Summer Camps http://fpconservatory.org/The-Experience/Classes/For-Kids/Summer-Camps Columbus Metro Parks-Nature Adventure Camps What: Opportunity to discover and experience nature in an engaging, hands-on group setting. Where: Columbus Metro Parks When: Various...Read Article
Metro Update: May 14, 2014
Regular Class Day Monday We are sending a mid-week update to pass along some tidbits of information. First, please make note that Monday is a regular class day at Metro. The original school calendar listed May 19 as a virtual day, but that plan was changed. Students should be aware, but we apologize for not clarifying this with...Read Article
Metro Update: May 12, 2014
PTSO Meeting Tomorrow The PTSO invites you to their monthly meeting May 13 at 6:30pm. Mr. Neugebauer will be speaking about the Gateway process. In addition, the PTSO will be electing new officers, including Vice President, Secretary and Festival of Friends Chair. If interested in being considered, send a paragraph stating why you would be...Read Article
Metro Update: May 5, 2014
PTSO Meeting; New Officer Openings The PTSO invites you to their monthly meeting May 13 at 6:30pm. Mr. Neugebauer will be speaking about the Gateway process. The PTSO is also looking for interested parents to apply for officer openings. Positions include vice-president (will transfer to president in 2015-2016 school year), secretary and Festival of Friends...Read Article
Metro Update: April 28, 2014
Metro Middle School Expanding We are pleased to announce that the Metro Middle School program will be expanding to include additional students next fall. We are opening admissions to more 6-8 grade students, so if you know families that would like to apply, encourage them to do so now. Student interviews are being scheduled for the evenings of...Read Article
Metro Update: April 21,2014
PTSO & Festival of Friends Update The next meeting of the PTSO will be May 13 at 6:30pm. All interested parents, staff members and students are welcome to attend. The PTSO is accepting nominations for the positions of vice president and secretary. If you are interested or would like more information, contact them at email@example.com Special thanks...Read Article
Metro Update: April 14, 2014
Schedule for the Week Metro will have regular classes Monday, Tuesday and Wednesday of this week and conduct classes virtually on Thursday. Thursday will follow a typical virtual day schedule. DESIGN students will NOT meet virtually but should report to Dublin for class as usual. The shuttle from Metro will be available on its regular...Read Article
Junior Spring Presentation
JUNIORS!! Here is a link to a presentation Ms. Mechling created concerning, ACT/SAT, Naviance, what college to choose from, and etc. This will help guide you from your junior to senior year and into college. Link: Junior Spring PresentationRead Article


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Back to Basics
May/June 2011
Editor's Note
Revisiting Underlying Principles
by Jim Wiandt
Is Core Investing Dead?
by Agustin Fleites
Don't be distracted by market crises.
Considering Global Fixed Income
by Christopher Philips, Joseph Davis, Andrew Patterson and Charles Thomas
Does it belong in every portfolio?
The Power Of Passive Investing
by Richard Ferri
Allocate your assets strategically, not tactically.
The Appeal Of Core And Satellite
by David Blitzer
Can core-satellite strategies coexist with MPT?
The Core Of The Matter
by Journal of Indexes Staff
A glittering panel considers how to invest.
Calendar Spreads In China Stock Index Futures
by Ron Slivka, Xin Li and Yikai Zhang
China's market needs this common futures strategy.
Respect Your Elders
by Heather Bell
Investment wisdom passed to another generation.


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Just days after Mayor Bill de Blasio launched his Vision Zero initiative aimed at cutting traffic-accident related deaths, the number of road fatalities continues to rise.
Early this morning, a cyclist was struck and killed by a bus in Harlem.
Police say 45-year-old Pedro Santiago was riding his bike along West 125th Street near Lenox Avenue when he crossed in front of the Bx15 bus heading in the same direction.
According to officials, Santiago hit the driver's side of the bus, near the front tires, and was pinned. He was taken to Harlem hospital where he was pronounced dead.
The MTA says the bus driver was taken to St. Luke's Hospital to be checked out.
Police say there were less than a handful of people on the bus, none were injured.
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Turkey is stepping up its bid to enter the European Union. The Turkish government has proposed a package of constitutional changes that are supposed to bring Turkey in line with Europe, politically and economically.
It suggested some of the changes could be enacted just 30 days after they are passed into law.
But critics say the moves are more about curbing the role of the judiciary and cementing the ruling party's power domestically, than helping the country get into the EU.
Just how will the party push through its new amendments? And at what price?
Joining the programme are Cuneyt Yuksel, the vice-president of the political and legal affairs of the AK party, Yusuf Kanli, the editor-in-chief of the Turkish Daily News, and Fadi Hakura, a Turkish affairs expert in the European programme at Chatham House.This episode of Inside Story aired from Wednesday, March 24, 2010.
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Some residents have voiced their concerns regarding a large number of fish that have been found dead in some of our local canals. The City researched this matter and in speaking to the Sunshine Control Water District, staff was notified that the deaths of these fish were caused by the extreme cold weather South Florida experienced in the past few weeks. This was not a result of any toxic situation. Sunshine Control Water District is currently in the process of collecting the fish and taking them to a site for burial.
If you have any other questions, please call 954-426-2105.


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The Thomas J. Bergmann Memorial Scholarship honors Dr. Tom Bergmann, assistant dean of the College of Business and professor of management, who died of cancer in 2003. As a teacher and College of Business leader, Tom inspired and motivated hundreds of undergraduate, graduate, and continuing education students. Tom's scholarship is awarded annually to a junior or senior UW-Eau Claire business student who shows potential for leadership in the field of human resources management. A $25,000 endowment will allow us to award $1,000 annually to a student -- we are only $3,500 away from that goal.
Please join Tom Bergmann's colleagues, family, friends and former students for an afternoon of golf and socializing. We couldn't think of a better way to remember Tom and raise money for his HR scholarship, too!
Pine Meadow Golf Course
Tuesday, May 23, 2006
4324 Fairfax Park Drive
Eau Claire, WI
3:00 - 6:30 pm
Dinner at 5:30 pm
» Complete the RSVP form to attend (PDF 37KB)
Pine Meadow Golf Course is a 9-hole, par 3 course that accommodates golfers of any ability.
We will play a team scramble (up to four members per team). You can build your own team or we can put one together for you. Prizes will be given for individual and team performances.
New this year -- a special putting contest for golfers and non-golfers.
A raffle will be held for Timberwolves tickets, PGA tour tickets, and much more.
Golfers: $50 ($25 for green fees, prizes, refreshments, and dinner, $25 contribution to the Thomas Bergmann HR scholarship)
Dinner only: $15
Contributions to Tom's scholarship can be made on the RSVP form.
Please make your check payable to the UW-Eau Claire Foundation.


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Now that we have a lot more data in the hopper, it's beginning to look like social media isn't the magic pill many people thought it would be when it comes to marketing.
Today, we have numbers from Outbrain. This is the company that makes the "You Also Might Like" widget that suggests related content at the bottom of a blog post. They examined traffic from 100 million sessions across more than 100 premium publishers in order to find out how people are discovering content and what happens when they get there.
As we've seen from other surveys, the majority of traffic comes from search engines (41%) and content sites (31%). They say social media sends 11% of the traffic, which is better than the 1% ForeSee suggested, but it's still not fabulous.
The bigger bad news is that once those social media butterflies land at your site, they don't stay long.
If you're looking for "hyper-engaged" readers, those that click through five or more pages on your site, forget the guy who came from Twitter. A link from another content site is three times more likely to be engaged, and someone coming in from search, is also above average.
These results shouldn't be surprising to anyone. We know that social media is all about instant gratification. It's the salmon puff on a cocktail party tray. It comes by, it looks good, you grab it. Doesn't mean you'd like to have an entire meal of nothing but salmon puffs, right?
Search, on the other hand, is like going out to dinner. You have a need (hunger), you find a good place, you sit down and you dine for a half hour or more. (It's lunch time, folks, can't help the food analogies.)
What this means for marketers is that you have to grab visitors in the first few seconds when they hit your site, or those who came in from social media will be lost.
You can see more results from this study at the Outbrain blog and thanks to eMarketer for the heads up.


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Posted by Reviewer2600885 on Sep 17, 2011
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This is the best one of all the oils - for my skin. I use it every day on my face and neck. No clogging
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Purchased at iHerb
This is great on my skin, and also for my boyfriend who's got atopi dermatitis.
Great oil.
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Purchased at iHerb
I like this oil for my neck and arms.


text: David Ansen (Newsweek, 12/22/08) has a point when he says that the movie Borat "epitomized the [Bush] era." But he strikes a jarring note when he says: Racism, misogyny and homophobia come pouring out of the mouths of [Sasha] Baron Cohen's unsuspecting dupes, and in a time of political correctness, when the slightest suggestion of bias on the lips of a public figure gets raked over the media coals, there was something fantastically liberating (and frightening) about seeing the national id so baldly exposed. Presumably Ansen's thinking of someone like Don Imus, who was "raked over the media coals" not […]


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Smoothing frizzy hair provides a sense of control, even if you live on the rim of an active volcano. Get explosive good looks with this Groupon.
Choose Between Two Options
- $99 for one keratin straightening treatment (up to a $200 value)
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Some hair-straightening products that claim to be formaldehyde-free include aldehyde compounds, which are similar to the carcinogen formaldehyde. Side effects may include nosebleeds, headaches, vomiting, and respiratory problems, among others. Learn more about the health risks here.
Arco Hair Company
With more than a decade of experience in the beauty industry, salon owner and certified colorist Natalie Harvey gives her clients fresh, new looks with her hairstyling services. She started her career at a young age and soon found herself teaching other stylists her techniques. Now, at Arco Hair Company, she calls on these experiences to lead a team of such maverick hair experts as Courtney Bass. After training under acclaimed St. Louis stylists, Courtney steeped himself in the Los Angeles fashion industry, honing a sense for cuts and color that challenged the style status quo. Today, Natalie, Courtney, and the rest of Arco's style team create fresh new looks with Schwarzkopf Professional color and the GKhair smoothing system.
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Welcome International Customers
We're excited to share our jewelry collection with you!
Just choose your country and currency to personalize your shopping experience.
We're excited to share our jewelry collection with you!
Just choose your country and currency to personalize your shopping experience.
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Our uber-luxurious 160.00 emerald bead and 4.70 ct. t.w. diamond buckle bracelet features a multi-strand design that's an absolute show-stopper. With round faceted emerald beads and brilliant-cut round diamonds. Foldover clasp, 18kt white gold bracelet.
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Diamond Diamond: The hardest and most brilliant of all gemstones, a diamond can make the heart race with its pure and fiery spark. An ancient symbol of love, a diamond is the preferred gemstone for tokens of affection, such as rings, earrings, necklaces and bracelets. Diamond is the birthstone for April. (Quantity: 269, Shape & Cutting Style: Round Brilliant, BRILLIANT: A gemstone cut to enhance brilliance without sacrificing much carat weight. Typically has 58 facets. Color Grade: H-I, Clarity: I1-I2, Weight: 4.70 ct. t.w.)
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Emerald (Color: Green, Shape & Cutting Style: Round Faceted Bead FACETED BEAD: A stone with a drilled hole and a faceted surface. Strung together to decorate bracelets, necklaces, and earrings. , Weight: 160.00 carats, Size: 3-5 mm)
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Regulation of phosphate transport by fibroblast growth factor 23 (FGF23): implications for disorders of phosphate metabolism
- Jyothsna Gattineni,
- Michel Baum
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There are a number of hypophosphatemic disorders due to renal phosphate wasting that cannot be explained by elevated levels of parathyroid hormone. The circulating factors responsible for the phosphaturia have been designated as phosphatonins. Studies of patients with tumor-induced osteomalacia and other genetic diseases of phosphate metabolism have resulted in the identification of a number of hormones that regulate phosphate homeostasis, including matrix extracellular phosphoglycoprotein (MEPE), secreted frizzled-related protein 4 (sFRP-4), dentin matrix protein 1 (DMP1), fibroblast growth factor 7 (FGF7), fibroblast growth factor 23 (FGF23), and Klotho. Our understanding of the actions of these hypophosphatemic peptides has been enhanced by studies in mice either overexpressing or not expressing these hormones. This review focuses on FGF23 since its regulation is disordered in diseases that affect children, such as X-linked hypophosphatemia, autosomal dominant and recessive hypophosphatemic rickets as well as chronic kidney disease. Recent studies have shown that FGF23 is unique among the FGFs in its requirement for Klotho for receptor activation. Here, we also discuss new potentially clinically important data pointing to the receptor(s) that mediate the binding and action of FGF23 and Klotho.
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- Forster IC, Hernando N, Biber J, Murer H (2006) Proximal tubular handling of phosphate: A molecular perspective. Kidney Int 70:1548–1559
- Levi M, Lotscher M, Sorribas V, Custer M, Arar M, Kaissling B, Murer H, Biber J (1994) Cellular mechanisms of acute and chronic adaptation of rat renal P(I) transporter to alterations in dietary P(I). Am J Physiol 267:F900–F908
- Murer H, Forster I, Hernando N, Lambert G, Traebert M, Biber J (1999) Posttranscriptional regulation of the proximal tubule NaPi-II transporter in response to PTH and dietary P(I). Am J Physiol 277:F676–F684
- Segawa H, Kaneko I, Takahashi A, Kuwahata M, Ito M, Ohkido I, Tatsumi S, Miyamoto K (2002) Growth-related renal type II Na/Pi cotransporter. J Biol Chem 277:19665–19672
- Segawa H, Yamanaka S, Ito M, Kuwahata M, Shono M, Yamamoto T, Miyamoto K (2005) Internalization of renal type IIc Na-Pi cotransporter in response to a high-phosphate diet. Am J Physiol Renal Physiol 288:F587–F596
- Hernando N, Forgo J, Biber J, Murer H (2000) PTH-Induced downregulation of the type IIa Na/P(i)-cotransporter is independent of known endocytic motifs. J Am Soc Nephrol 11:1961–1968
- Yang LE, Maunsbach AB, Leong PK, McDonough AA (2004) Differential traffic of proximal tubule Na + transporters during hypertension or PTH: NHE3 to base of microvilli vs. NaPi2 to endosomes. Am J Physiol Renal Physiol 287:F896–F906
- Zhang Y, Norian JM, Magyar CE, Holstein-Rathlou NH, Mircheff AK, McDonough AA (1999) In vivo PTH provokes apical NHE3 and NaPi2 redistribution and Na-K-ATPase inhibition. Am J Physiol 276:F711–F719
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- Title
- Regulation of phosphate transport by fibroblast growth factor 23 (FGF23): implications for disorders of phosphate metabolism
- Journal
Pediatric Nephrology
Volume 25, Issue 4 , pp 591-601
- Cover Date
- 2010-04-01
- 10.1007/s00467-009-1273-z
- Print ISSN
- Online ISSN
- Publisher
- Springer-Verlag
- Additional Links
- Topics
- Keywords
- Hypophosphatemia
- Klotho
- Proximal tubule
- Sodium phosphate cotransporter
- Industry Sectors
- Authors
- Jyothsna Gattineni (1)
- Michel Baum (1) (2)
- Author Affiliations
- 1. Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, 75390-9063, TX, USA
- 2. Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, 75235-9063, TX, USA


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Sick Sinus Syndrome
Sick sinus syndrome (SSS) is not one specific disease. It is the term is used to describe several heart rhythm disorders. Sick sinus syndrome disorders include:
- Bradycardia —abnormally slow heart rate
- Tachycardia —abnormally fast heart rate
- Bradycardia-tachycardia—the heart alternates between too fast and too slow
This disorder can be treated very effectively. If you think you may have this condition, you should contact your doctor to discuss treatment.
|Anatomy of the Heart
|Copyright © Nucleus Medical Media, Inc.
SSS is caused by a problem with the electrical signals of the heart. The problem begins in an area of the heart called the sinoatrial (SA) node. This node is considered to be the heart's natural pacemaker. When the SA node is defective, the heart's rhythms become abnormal. The dysfunction in the SA node can be due to:
- Intrinsic causes (problems within the heart tissue), such as degeneration of the sinus node, long-term illness, or even surgical injury
- Extrinsic causes (outside factors acting on the heart tissue), such as exposure to toxins or certain pharmacological agents
Risk Factors
SSS is fairly rare. It occurs most often in elderly people and those who have had damage to the heart tissue. Both men and women seem to be affected equally. Although rare, infants and children can have SSS. In this case it is usually due to congenital abnormalities in their heart. Some of the risk factors for sick sinus syndrome include:
- Age 50 and older, and especially age 65 and older
Some medications may worsen symptoms:
- Calcium channel blockers
- Beta-blockers
- Antiarrhythmics
- Digitalis
Often, patients with SSS have no symptoms at all. Some patients do experience cardiac symptoms. This may include a period of very rapid heart beats followed by very slow heart rate. Many of the symptoms of sick sinus disorder are mild and nonspecific. Some symptoms associated with SSS include:
- Heart palpitations
- Chest pain
- Fainting or dizziness
- Confusion or light-headedness
- Facial flushing
- Fatigue
These symptoms may be caused by other, less serious health conditions. If you experience any one of them, see your doctor.
SSS may go undetected for some time. The symptoms are similar to ones for many disorders. Your doctor can do tests that will help to give a more definitive diagnosis. Most likely, your doctor will ask about your symptoms and medical history. A physical exam will be done. Some additional tests may include the following:
- Electrocardiogram (ECG) —measures the electrical activity of the heart and can detect abnormal heart rhythms
- Holter monitoring—continuous monitoring to observe episodes of tachycardia and bradycardia over an extended period of time
- Electrophysiology study (EPS)—invasive test where electrical wires are placed into the heart to test the conduction system of the heart
For people with no symptoms, treatment may not be needed. SSS is a progressive disorder. It can further weaken the muscles of the heart in people with previous heart damage. This can lead to heart failure. As a result, people with symptoms are treated. Most treatment plans involve separate therapy for bradycardia and tachycardia. Talk with your doctor about the best plan for you. Treatment options include the following:
Pacemaker Insertion
A pacemaker is a small, battery-operated device. Electrodes from the pacemaker are placed in the right side of the heart. Signals are sent to the electrodes to stimulate the heart. It helps to maintain a normal heartbeat by sending electrical impulses to the heart. It is a very effective treatment of the bradycardia. People with implanted pacemakers have a very good prognosis.
Medication may be given to control tachycardia. It is most often given to people with a pacemaker.
Unfortunately, for most people, SSS is not preventable. I may not be caused by prior damage or scarring to the heart tissue. However, some strategies for minimizing your chance of developing this condition include:
- Make sure to get treatment for any heart disorders you might have.
- Make sure any doctor you see is aware of your heart conditions. Some medications should be avoided.
- Michael J. Fucci, DO
- Reviewed: 12/2013
- Updated: 01/14/2014
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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Route Grade Votings
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8m. The wide crack is well named - you have been warned.
Felt nice to me, not my kind of climb though...not as hard as The Be All which never seems to dry out!
Ooops meant to say The End All which is grim. The Be All is okay.


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Pura d'or Organic Lavender Vanilla Conditioner
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- El Centro vacacional
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The Resort at Tapatio Springs hosts is monthly Member Appreciation Night, Wednesday, May 23 from 5:00-7:00pm. All members are welcome, come out and spend some time with good friends and the family of Tapatio!
With all of the new members, it is a great time to get to know each other :)