text: No recent wiki edits to this page. SummaryNFL Street 3 is the third game in the NFL Street franchise. As in other Street games, the rules have been tweaked from the standard rules of football to allow more flair and bombast to the game, such as eliminating out-of-bounds. It's notable for adding a couple new features to the series.Gamebreakers - Super moves that have a low chance of failing. Can include passes, tackles, jukes, and jumps.Jumping - NFL Street 3 added the ability to jump off of walls and other objects scattered on the fields.The cover athlete is Chad Johnson (before he had his name legally changed to Ochocinco). Clinton Portis, running back for the Washington Redskins, also shows up in the game's opening cinematic with Chad.Game ModesNFL Street 3 has several game modes to choose from:Standard - Normal street football match.Bank - a competition to achieve the most style points (not necessarily touch downs).Play Elimination - Starting a game grants a player a finite number of plays to use, each of which can be eliminated from the playbook if it gains zero or negative yards. The goal is to eliminate all of the plays of your opponent.Pick-Up Game - Pick teams from all available NFL players, not limited to their team affiliation.Time Attack - Possessions are timed. If the player scores, the remaining time is added to their score.Yards for Points - Points are gained by gaining yardage: 2 points per yard on a run play, 1 point per yard on a pass play. Negative yardage subtracts from your score.FieldsThere are several fields to choose from:Georgia - A scraggy field beneath a highway overpass. Home of the Atlanta Falcons.Illinois - A snowy street in front of the Chicago Theater. Home of the Chicago Bears.Ohio - A skyscraper under construction. Home of the Cincinnati Bengals.Texas - A desert airfield hangar. Home of the Dallas Cowboys.New York - A snowy street during a blizzard in downtown New York. Home of the New York Giants and New York Jets.Michigan - A hot and muggy warehouse. Home of the Detroit Lions.Florida - A rain-slick freight dock. Home of the Miami Dolphins and the Tampa Bay Buccaneers.Washington, D.C. - An underground subway tunnel. Home of the Washington Redskins.Colorado - A rundown drive-in out in the mountains. Home of the Denver Broncos.California - Exclusive to the Playstation 2, a dusty field in the middle of Fort Mason. Home of the San Francisco 49ers. Exclusive to the PSP, a dock on the island of Catalina was used instead. Home of the San Diego Chargers.AwardsNFL Street 3 received the award for Best Alternative Sports Game of 2006 for PlayStation 2 from IGN.TriviaOriginally, the San Francisco field was going to be an abandoned prison yard on Alcatraz Island. This was vetoed by the NFL to not give the impression that NFL athletes were somehow seen as thugs or prisoners.The Catalina Island field was to be included on the PS2 originally. Later, the decision was made to make it a PSP exclusive field and the art had to take a serious hit to work with PSP limitations.


text:
Hostelito Inn
Av alcade 409, Centro Turistico, Guadalajara, Mexique, Distance du centre-ville : 1.7km
Hostelito Inn is a not a average property. It's situated in the heart of Guadalajara, Mexico, but really in the center of down town right where you want to be - all main amenities are just walking distance.
It has 6 bedrooms (2 ensuite), 3 bathrooms, 2 of which are complete with shower, a equipped kitchen free to use anytime, a communual area to eat, read or watch tv and a terraza with hamocks (excellent for sunbathing or just CHILLAXING!!!!!!)
The hostal is very nicely decorated to give it a homely feel but it also has a traditional Mexican feel.
Also included in the hostal is cable tv, use of wireless internet. There is also cafeteria service with mexican food and drink!!
Hostelito Inn is right in the heart of Guadalajara, we are just 5 blocks from all the main tourist attractions such as the cathedral, teatro Degollado, Mercado Libertad, Palacio Federal, Plaza de la Bandera, Prks, Museums, Galleries, Trendy restaurants and cafes, well EVERYTHING !!!!
We are also right in the center of all the major bus routes and the underground is just a couple of blocks away. If you prefer to walk, behind the property is a walk way just for pedestrians, away from all the traffic, which takes you right through the city and is full with shops and restaurants all the way!
At Hostelito Inn we can always guarantee you a friendly and enjoyable stay.
From the airport the easiest way to get here is by taxi, make sure is an official aiport one, the ride should last arround 30 min and cost no more than 200 pesos, tell the driver to take you to EL SANTUARIO TEMPLE is a very famous temple in city center and we are just 1block fom there. Also you can take a bus from the hotel rigth infront of the airport and that bus will take you to la central de autobuses vieja (the old bus station) and from there you culd walk to 16 de septiembre avenue and take a bus in direction of La Catedral (make sure the bus you take go all the way to 'el santuario' just ask the driver) or you could take a taxi from the old bus station and it will be cheaper.
If coming from the bus the new bus station take the TUR bus, is a green color one, ask the driver to get you off at the 'el santuario' stop and we are just right infront of it , the ride should last 60 min and the fare is only 10 pesos per head. if any problems just give us a call and we will be glad to help.
Disponibilité et tarifsPour vérifier la disponibilité et les prix, veuillez sélectionner vos dates puis cliquez sur "Mettre à jour les dates"
Installations & Politiques Auberge
- Accueil 24h/24
- Sécurité 24h/24
- Location de vélos
- Parking à vélos
- Petit déjeuner non inclus
- Télévision par câble
- Café
- Salle commune
- Plans de ville gratuits
- Accès gratuit à Internet
- Wifi gratuit
- Douches chaudes
- Accès à Internet
- Cuisine
- Casiers
- Casiers à bagages
- Terrasse extérieure
- TVA inclue
- Serviettes incluses
Politique d'annulationCette propriété a une politique d'annulation de 1 jours. Si vous n'annulez pas dans cet intervalle de temps, vous devrez payer des frais d'annulation du montant de la première nuit de votre séjour.
ItinéraireVoir le planCacher la carte
Hostelito Inn in GUADALAJARA MEXICO: accommodation Center 6 blocks vom Historico,Sehr Zentrale lage, nurein paar blocks. UNIVERSITATEN-Mussen-Theater-Limousin. USW 409...AV.ALCALDE ANGEBOTE FUR RENT bis Woche oder Monat web http://www.wix.com/hostelitoinngdl/hostelitoinn

subset: commoncrawl


text:
When you go to a hospital to be treated for an illness, you don't expect to be given a worse one.
But that's exactly what has been happening to some people who have been treated with supposedly sterilizing wipes manufactured by Triad. At a Colorado Children's Hospital late last year, a 10-year-old boy with leukemia was being fitted with a medical port for the delivery of chemotherapy drugs when he fell victim to an all-encompassing bacterial infection that nearly killed him.
Months afterwards, his family was told the bacteria, Bacillus cereus, was introduced to the boy's system in the hospital via the use of Trius sterilizing alcohol wipes. The hosiptal was using over 2,500 of these wipes a day and was seeing an alarming increase in infections of the unusual bacteria before determining that the wipes were the cause.
The discovery of the contamination and subsequent notification of the FDA has led to a series of recalls of not only the sterile wipes, but of other products manufactured at the Triad plants, including lubricating jelly manufactured as far back as 2007.
The recalls are so widespread, in fact, that any medical product you may use on a regular basis or even have acquired in the last several years should be inspected to determine if it contains any of these Triad products.
What is more troubling, however, is that the FDA had found serious violations of process at the plant where the wipes were manufactured up to 18 months prior to the wipes being recalled – and did nothing about it.
"Procedures designed to prevent microbiological contamination of drug products purporting to be sterile are not followed," said the FDA inspection report as early as July 2009. But there's no record of the company being warned about their infractions, and no record of the lapses being fixed.
The FDA is defending their actions, stating there was no indication of any danger prior to the reports from the Colorado hospital of contaminated wipes. However, the obvious question remains that if products that are intended to be used in a sterile environment are not beng made sterile, how can there be no problem?
Hundreds of infections resulting from the use of the sterile wipes have been recorded since the recall, including the case of a man who is now permanently disabled after contracting a Bacillus cereus infection, as well as that of a two-year-old boy who died of meningitis after contracting the same infection.
If you have any Triad products in your home, or if you see Triad products being used in your healthcare facility, stop using them immediately and consult the recall list prior to proceeding. Better to be safe than sorry.
Related Stories:
FDA to Issue New Guidelines Regarding Agricultural Use of Antibiotics
Coming Soon: An iPhone/iPad Radiology App for Mobile Diagnoses
Read more: colorado childrens hospital, fda, health policy, hospitals, infections, recall, triad
Photo credit: Centers for Disease Control's Public Health Image Library (PHIL), with identification number #1059.
Something needs to be done to make our hospitals safer. When I went in for surgery a few years ago, it took me 2 weeks to recover from surgery and an additional 6 weeks to recover from an infection received from my hospital stay!
All UK hospitals are rife with "hospital aquired infections" such as MRSA & other "super bugs". Nurses are just too busy to do much cleaning & the domestics employed to do it are bound by rediculous rules.E.G. Domestics are not permitted to clean up any human bodily fluids which means spillages of blood, vomit, faeces & urine are left for the nurses because of these stupid "health & safety" rules. Nurses do not have the time to go & get the right cleaning products & usually end up giving the spillage a quick wipe up. Disease is the consequence.
thats gross.. and sad. i think that hospitals need to use new whipes everytime.
Bottom line: If you get sick, do not go to a hospital!! Escecially the ER.
I thought it was weird because Bacillus cereus is usually food-borne pathogen.
That explains why there were no Walgreens brand wipes when I replenished my stock this week. How the hell are we supposed to learn of these recalls?
Thank you Olivia S for listing affected brands.
You would expect that doctors, nurses and all other hospital personnel to get sick ... and die. Is there any record that in the last decade this has been the case? I would be interested to learn whether infections due to MRSA and othe bacteria/ viruses are on the rise in hospitals and clinics.
As someone mentioned, the FDA is big pharma's baby. Nothing new there. I find it rionic that the FDA will walk through broken glass to spit on alternative treatments in the US, but can't even get their own constituencies in compliance.
In this instance, isn't it possible to sue the FDA for not doing anything about it since, as the article states, things meant to be sterile weren't and that much was obvious? Just a thought...
Is nothing safe anymore?
Disclaimer: The views expressed above are solely those of the author and may
not reflect those of
Care2, Inc., its employees or advertisers.
Thanks for sharing.
Thank you for this interesting article.


text:
A premiere manufacturer of corrugated boxes and products servicing many leading Fortune 500 companies with facilities across the nation that deliver on
time every time.
• Value is created through innovation, quality manufacturing, professional service and unsurpassed pricing.
• The IPC team are talented experienced people that have a can-do attitude with
a tremendous work ethic.
• IPC is one of the nation's leading minority
owned and operated full-spectrum corrugated manufacturing
companies with continued growth over the last five years.
• Sales revenue exceeds $100 million per year &
on an annual basis IPC markets over 150,000 tons of containerboard
IPC's innovative approach begins with out of the box thinking designed to deliver the highest quality product with the strongest price-value equation in the industry.
• IPC operates through a simple philosophy of providing extraordinary
service to the client with a commitment to helping minority and
disadvantaged communities at the same time.
• IPC is a Charter Member of the National Minority Supplier
Development Council's Corporate Plus Program.
• The ownership and management team at IPC truly believe......Dreams can become reality.


text:
No eBook available
Secularism, Women & the State: The Mediterranean World in the 21st Centuryedited by Barry Alexander Kosmin, Ariela Keysar
Get Textbooks on Google Play
Rent and save from the world's largest eBookstore. Read, highlight, and take notes, across web, tablet, and phone.
Go to Google Play Now »


text:
August 31 September 6, 1998
|Album (2 total albums)
|Music by
|Format(s) /
|Related Title(s)
|Romani kris
|Ferenc Kiss
|MP3 | iTunes
|View Movie
|Star Trek: The Next Generation - Volume Four
GNP Crescendo
|Jay Chattaway
Alexander Courage
Jerry Goldsmith
|CD | MP3 | iTunes | Official Site
|View TV Series
September 7 13, 1998
|Album (2 total albums)
|Music by
|Format(s) /
|Related Title(s)
|The Red Violin
Sony Classical
|John Corigliano
|CD | MP3 | iTunes
|View Movie
|Somewhere In Time
Varese Sarabande
|John Barry
|View Movie
September 14 20, 1998
|Album (5 total albums)
|Music by
|Format(s) /
|Related Title(s)
|Rush Hour - Clean
Def Jam
|Lalo Schifrin
Various Artists
|CD | Cassette
|View Movie
|Rush Hour - Explicit
Def Jam
|Lalo Schifrin
Various Artists
|CD | MP3 | iTunes | Vinyl | Cassette
|View Movie
|Rush Hour - Original Score
Aleph Records, Inc.
|Lalo Schifrin
|CD | iTunes
|View Movie
|The Disasters! Movie Music Album
Silva America
|7 related composers
|View 7 Movies
|Scooby-Doo's Snack Tracks: The Ultimate Collection
Rhino Records
|Various Artists
|CD | Cassette
|View 6 Titles
Most albums are released on a Friday of any given week. Prior to July, 2015, albums were generally released on Tuesdays.
Titles are sorted by week (or day if viewing a single week), then by:
Albums related to recent new releases (titles released in the previous 12 months, indicated in bold).
Whether the album appears on the schedule for the first time (indicated by larger artwork) or not (smaller artwork indicates the album has been previously released in another format).
Format descriptions in bold ("CD | MP3", etc.) indicate that format was released on that day or week. Non-bold links indicate that format for the album was released on a different date, but the link is provided for your convenience.
Click on the 'CD' or 'MP3' links in the 'Format(s) / Purchase' column to view or purchase the album from Amazon.com, or the 'iTunes' link to purchase from Apple's iTunes store.
Current Soundtrack Release Schedule
Jun 2015 Soundtrack Schedule
Jul 2015 Soundtrack Schedule
Aug 2015 Soundtrack Schedule
Upcoming Soundtrack Releases TBD
This time period in:
Theatrical Movies | Home Video


text:
Today is an interesting milestone for me as an active homebrewer and a drug policy expert. As of July 1st 2013, it is now finally completely legal to brew beer at home in all 50 states. A new homebrewing law in Mississippi, the last remaining hold out, goes into effect today. One could argue alcohol prohibition in the United States didn't fully end until today.
This event is useful to keep in mind when talking about what qualifies as marijuana legalization or when marijuana prohibition will finally "end."
Some have criticized Washington State's new marijuana law as not true legalization because it sets limits on how much a person can possess, keeps homegrowing illegal and doesn't allow marijuana smoking establishments. These significant restrictions are very similar to those put on alcohol for years after the 21st Amendment was ratified.
Alcohol prohibition didn't suddenly end when the 21st Amendment was ratified. The 21st amendment was more of a critically important step in what has been a decades-long process of slowing unwinding the policy.
The 21st Amendment actually left the decision up to the states, and several states kept prohibition going for years afterwards. It wasn't until 1966 that Mississippi became the last state to finally repeal its prohibition. Even when prohibition was finally repealed, in many states big restrictions remained in place for decades. Kansas didn't allow bars until 1986, and brewing your own beer at home was technically illegal in Mississippi and Alabama until this year. In fact, roughly one tenth of counties in the United States are still technically "dry," meaning they prohibit the sale of alcohol.
The end of marijuana prohibition is almost guaranteed to take a similar path. Legalization will go state by state, and even after marijuana is technically legalized in a state, it will probably face huge restrictions at first. As people become more comfortable with marijuana legalization, these restrictions — like possession limits and home-growing bans — will likely be slowly phased out.


text:
32217-012: Improving Capacity in Performance-Based Public Finance Management Implementation
Project Data Sheet (PDS): Overview
The TA will enhance the application of the performance based budget framework in line departments of the National and State Governments. The TA will also assist in overseeing application of the performance based budget framework developed under the previous budget-related technical assistance focusing on integrating the results of the budget round and the improvements in management process that will become clear from the application of the new budget processes. The TA will address issues ... Read More
Micronesia, Federated States of
|Project Number
|Type or Modality of Assistance
Technical Assistance
|Public sector (Sovereign)
|Approval Number
TA No. 3431
|Approval Date
|25 Apr 2000
Public sector management
|Public Expenditure and Fiscal Management
Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.
The Public Communications Policy (PCP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.
In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
View the latest procurement notices for Goods, Works and Related Services, or Consulting Services.


text:
If it has wheels, you can race it. Mike Haag keeps you up to speed on the racing scene in and around South Texas in his Motorsports blog.
Posts filtered on Tag
Dallas Cowboys Cheerleaders to participate in opening ceremonies at Formula One race
AUSTIN – The Dallas Cowboys Cheerleaders will be participating in the opening ceremonies on Sunday at the Formula 1 United States Grand Prix at the Circuit of The Americas. The cheerleaders will be part of a drivers' parade along the Circuit's main straightaway. The opening ceremonies will also include a performance by the University of […] [Read More]


text:
LeBron James The Journey now playing on Streetball.
Watch the new basketball highlight video of The Journey of LeBron James - the 2013 NBA Finals MVP, NBA Champion and NBA MVP.
Views: 234
LeBron James has triumphed at every level of his career despite the hiccup of "The Decision." I think people are over it now and realize LeBron is a great person. Make sure to watch this video of King James and his Journey to become a 4-Time NBA MVP, 2-Time NBA Champion and 2-Time NBA Finals MVP. LeBron James will continue to dominate the NBA for a number of years. He is The Best Player on the Planet. Great streetball video - Hard Work pays off. Streetball 4 Life.
Diggin the new basketball video with music by Miami's DJ Khaled along with Drake. LeBron James is STREETBALL.
Awesome mix, got my attention for the entire time, even being 8 minutes long


text:
On Wednesday, August 15th, it was reported by the Associated Press that the chairman of the Kansas State Board of Education had called for a review of homeschooling in Kansas and possible legislative intervention to ensure that homeschooled children in Kansas are receiving an education approved by state government officials.
The Libertarian Party of Kansas strongly opposes this call for government intervention, along with the entire mindset that says government employees are somehow more qualified than the parents of Kansas to raise their own children.
Libertarians stand in support of the state government's role of protecting individuals, both children and adults, from clear cases of harm. However, they do not believe that parents teaching a curriculum that state employees have not explicitly approved rises to the level of harm to these children. Libertarians know that the ultimate right and responsibility of choosing appropriate education for children belongs in the hands of those children's parents.
Kansans must unite to protect the rights of all parents to raise and educate their children as they see fit. A single set of state mandated curricula and teaching methods cannot account for all learning styles and individual interests. It is a simple truth that "one size fits all", never truly fits all. That truth is equally valid in the education of our children.
Stacey Davis, Policy Researcher for The Libertarian Party of Kansas, encourages Kansas legislators to resist political pressure to complicate the lives of the thousands of successful homeschooling Kansas families by introducing additional regulations. Many of these families have already chosen to make difficult sacrifices to do what they believe is best for their children and additional reporting or testing requirements will only take these parents' time away from their children.
The Libertarian Party also encourages state legislators to make expanded school choice for all Kansas families a priority in the coming session. For the last two sessions, the Kansas House has considered legislation based upon The Kansas Education Liberty Act (KELA). KELA is model legislation created by the Libertarian Party of Kansas and has garnered growing support of Kansas legislators. Legislation based upon KELA fell just short of passage in the house last session.
Mr. Stacey Davis
Policy Researcher, Libertarian Party of Kansas


text:
Birzeit University. Located 26km
north of Jerusalem in the Israeli-occupied West Bank, Birzeit University
is an independent Palestinian institution. The site is one of only a
few sources of information on Palestine from Palestine on the internet.
The web site includes information about Birzeit, information on
information technology in Palestine, University Archives, and
Palestinian Archives. For information contact the Webmaster or the Public Relations Office. Birzeit
sends out human rights action requests and press releases and a human
rights newsletter among other articles and information. Additional
information is available on on human rights at the university
and the Women's Studies
program. A listserv is being designed and will be running soon.
Institute for Palestine Studies.
Al-Quds is a bulletin board system
that will deals with Palestinian issues. Yaser K. Doleh is the maintainer of
this site.
Baraka, a Palestinian bulletin board system,is for the support of Non-Governmental Organizations that includes the Alternative Information Center, the Jerusalem Media and Communication Center, and the Mandela Institute for Political Prisoners.
Fertile Crescent Home Page. Mirror.
Friends of Palestine Homepage (Washington State University).
General Union of Palestinian Students (United Kingdom).
Islamic Association for Palestine.
The Israel/Palestine Center for Research and IPCRI London are think tanks on Palestinian and Israeli issues.
The Jewish Arab Dialogue in Europe Project is a United Nations affiliated non-governmental organization.
Palestinian Development Information Network.
Palestine-Net is a very lively and active discussion list for friends of the Palestinian people. News, debates, and friendly discussion is the norm. Send subscription request to the P-Net Steering Committee. The body of the message should be subscribe P-NET firstname lastname. Other important addresses:
Ammar Maraqa's Home
Palestinian Test Page by Isam G. Ishaq.
Table of Contents


text:
Parks Canada
Home > Archaeology > Digging Contributions to the Centennial > April : Archaeology and the World Heritage > Red Bay National Historic Site of Canada
Red Bay National Historic Site of Canada, found on the south-eastern shore of Labrador is an extraordinary archaeological site. It is now on Canada's Tentative List for consideration as a United Nations Educational, Scientific and Cultural Organization (UNESCO) World Heritage Site. Its fascinating story has been painstakingly reconstructed and presented in a five volume archaeological report that has been produced in 2007. This research provides strong evidence of Red Bay's worthiness for inclusion.
The exploration and management of Red Bay tells a true story of partnership. Parks Canada's Underwater Archaeology Service, in agreement with the Province of Newfoundland and Labrador, began work at Red Bay in 1978 on the excavation and study of the remains of 16th century Basque whaling ship believed to be the San Juan. This project quickly became one of the largest of its kind in the world, as well as an international benchmark in the discipline. The Basque province of Gipuzkoa, Spain, where the San Juan was built, launched and outfitted, has also been a major partner, making important scientific contributions.
In the 1990s, due the importance of the San Juan site and the quality of the research and conservation being done, UNESCO approached Parks Canada if they could for permission to use the outline of the stern of the reconstructed model of the galleon as its logo for underwater cultural heritage. The San Juan is now the symbol for all heritage shipwrecks in the world.
The main focus of underwater archaeological research at Red Bay was the excavation of the 16th-century Basque ship on the site. Its remains covered an area of almost 400m2. The combination of information from the excavation and from the drawings of individual wood pieces led to the assemblage of a model ship, whose image is known around the world, thanks to Canada Post who issued a commemorative postage stamp in 1987.
The study of cask used to transport the whale oil reinforced the interpretation of the function of the vessel, but also provided insight into the way these containers were transported and stowed. The study even allowed the verification of certain data on the ship's tonnage through experimental archaeology.
Red Bay National Historic Site is a significant example of how Parks Canada continues to fulfill its mandate to preserve and present Canada's history for the benefit of all Canadians. Parks Canada's goal is to ensure that our national historic sites are conserved and that the heritage values and resources that make them exceptional are retained.
History and archaeology Red Bay National Historic Site of Canada
Teacher Resource Centre Red Bay
Tell me more about Red Bay
Artefacts from Red Bay
Parks Canada, The Underwater Archaeology of Red Bay, Editors: Robert Grenier, Marc-André Bernier, Willis Stevens, 2007, 5 vol.


text:
The Perfect Accessory
Laundry Pedestal – Graphite Steel
WDP4VCOLOR : Graphite Steel White Wild Cherry Red
$249.99Suggested Price
LG ElectronicsWDP4V
Overall Rating:
Rating Snapshot (6 reviews)
5 stars
4 stars
3 stars
2 stars
1 star
6 of 6(100%)customers said they would recommend this product to a friend.
Product ReviewsWrite a Review
5 out of 5
5 out of 5
Would recommend: Yes
Expensive but worth it
Date:December 27, 2010
Best Features: Looks, storage capacity, build quality
Cons: price, hard to find it on sale
"I bought the LG front load washer and dryer but comtemplated for a long time if buying the pedestals were really necessary. Afterall they are very expensive when compared to the washer/dryer themselves. Most people would think that they would use them for storage of their detergents, but you should know that the liquid detergents don't fit! They are about 2 inches too high to fit standing upright. But we've found that the pedestals are better for storing dirty clothes, blankets, or other items that you might need in a hurry and within reach. So don't think that you need them for storaging only washing products! Afterall the capacity is huge and you could use it for many things, you just have to be creative. As for as the looks, it is worth every dollar paid because it makes the whole set of washer/dryer looks so good, and it makes putting and pulling the clothes in and out of them easy. This model matches the machines better than the pedestals with the handles that usually are displayed at the stores. I have no regrets spending money on them."
4 out of 5
4 out of 5
Would recommend: Yes
extra storage space is always welcome
Date:December 25, 2010
"By eleavating the units, makes loading & unloading a lot easier"
You Might Also Be Interested In
4.3 cu. ft. Ultra Large Capacity TurboWash™ Washer with Steam™ Technology
$139999Suggested PriceWhere To Buy
Design, features and specifications subject to change without notice. Screen images simulated and/or dramatized. Some features in videos may not be available on all models. Please refer to the TECHNICAL SPECIFICATIONS tab for a complete list of features by model.
Design, features and specifications subject to change without notice.


text:
Apparatus for the parenteral fluid administration to a patient including a pressure applying piston to apply pressure to a flexible bag containing the parenteral fluid. The piston has an indicator to indicate its movement and stop devices are provided which can be adjustably positioned to give the piston a predetermined movement to dispense a predetermined quantity of fluid.
1. Apparatus for the administration of parenteral fluids, said apparatus comprising
a container adapted to support a pliant bag containing a liquid to be administered,
pressure applying means to apply a said bag including an outlet means, pressure to said bag to force the liquid therefrom,
said pressure applying means being a rigid piston having a head and elongate body portion of lesser diameter than said head,
a flexible diaphragm connected to said container to form an enclosed pressure area on one side of said piston to roll on said elongate body portion of said piston, with said pliant bag situated on the other side of said piston, and
adjustable pressure regulating means to admit fluid pressure to said enclosed pressure area.
2. Apparatus as defined in claim 1 wherein said outlet means includes
an outlet on said bag through which the liquid is forced, and
a fluid flow restrictor connected to said outlet.
3. Apparatus as defined in claim 1 or 2, wherein
at least a portion of the container wall is transparent whereby the piston and plaint bag may be viewed.
4. Apparatus as defined in claim 1 or 2, wherein
said diaphragm has cylindrical walls and is attached at one end of said container and including:
a longitudinal slot in a wall of said container, and
indicator means on said piston protruding through said slot to cooperate with a scale on said container wall.
5. Apparatus as defined in claim 4, including stop means engageable in said slot to limit movement of said piston.
6. Apparatus as defined in claim 1, including
stop means to prevent movement of said piston at the discharge end of its stroke, and
alarm means associated with said stop means.
7. Apparatus as defined in claim 1, including
a longitudinal slot in said cylinder,
a longitudinal strip attached to said piston and associated with said slot,
a pinion mounted on said cylinder exterior wall, said pinion being connected to an indicating needle traversing over a scale, and
teeth on said strip engageable with said pinion.
This invention relates to a constant feed device, particularly a constant feed device in the medical field, such as in drip units for infusion of a liquid into the vein of a patient.
In drip feed units, it is a virtual requirement that there be a constant flow or drip into the patient. This ensures that the patient is under a constant state of medication. If the rate of medication is not uniform, and if drugs are used which have a short half life, then quite often the patient is placed in a condition of alternatively being over treated and under treated, and often with the consequences of over treatment having side effects and undesirable reactions.
One form of drip device is the use of a bottle or bag which is held in an elevated position, and wherein the flow is regulated by an adjustable clamp on the hose to the cannula in the patient's vein. The flow of such a unit varies due to the varying pressure head of the liquid, the flow decreasing as the liquid falls in level in the reservoir or bag or bottle.
Sophisticated units are available, these including electrically driven units, but with any electrical device, severe insulation requirements have to be met to prevent even small current leakages measured in micro-amps which could be detrimental to a patient's heart.
Other forms of devices are known, such as disclosed in U.S. Pat. Nos. 3,895,741, 4,033,479 and West German Pat. No. 2,731,448 in which the liquid to be dispensed is provided in a pliant bag, and a pressure applying means in the form of a piston or diaphragm pressurizes the liquid to dispense the liquid to be infused into the patient.
However, during the infusion of drugs or any liquid into a patient, it is essential that not only must the rate of infusion be closely monitored, but also the total dose be carefully controlled. Also it is essential that no air be infused at any time.
It is an object of this invention to provide an infusion device, or for the administration of parenteral fluid to a patient, in which the administration can be carefully controlled, not only as to the rate, but also to the dose or quantity.
A further object is to provide such an apparatus which can be preset to deliver a specific quantity at a specific rate.
A still further object is to provide an apparatus which can be portable, and also to give a warning when the administration is completed.
Hence there is provided according to the invention an apparatus for the administration of parenteral fluid, said apparatus comprising a container adapted to support a pliant bag containing a liquid to be administered and pressure applying means to apply a pressure to the bag to force the liquid therefrom, the pressure applying means being a rigid piston having a head and elongate body portion of lesser diameter than the head, a flexible diaphragm connected to the container to form an enclosed pressure area on one side of the piston to roll on the elongate body portion of the piston, with the pliant bag situated on the other side of the piston, and adjustable pressure regulating means to admit fluid pressure to the enclosed pressure area.
FIG. 1 is a schematic view of the feed device connected for use.
FIG. 2 shows one form of constant feed device, and
FIG. 3 shows an alternate form of the device.
Referring firstly to FIG. 1, the constant feed device 1 is provided with an inlet 2 for a source of pressurizing gas at one end of the device, and at the other end is provided with an outlet 3 connected by tube 4 to a bubble trap 5. A further tube 4 connects the trap 5 to a fixed flow restrictor 6 before a further tube 4 connects to the infusion needle 7.
The inlet 2 is connected to pressure reducing valve and regulator 8 which may be adjusted and preset as desired, the pressure selected being determined by the viscosity of the fluid being infused, and also the size and length of the fixed restrictor 6. This restrictor can in its simplest form be a tube having a selected size and length, so that the flow therethrough is determined by the pressure of the fluid delivered by valve 8, the viscosity and the restrictor 6.
Hence the desired flow rates for various fluids can be precalculated, and the operator can then select the desired pressure and the correct restrictor from the known calculations.
The feed device 1 can feed from the bottom thereof as shown in FIG. 1, or can feed from the top as shown in FIG. 2, it being realized that by using the device of FIG. 2, that this overcomes the problem of varying flow due to the varying head of fluid in the device.
The unit 1 comprises a cylinder 9 having a base 10, and clamping therebetween a flexible diaphragm 11. A piston 12, freely movable in the cylinder 9 is adapted to be supported by and moved by the diaphragm 11. Preferably as shown the piston 12 has a portion 13 depending from the head 14 of the piston, with the diaphragm 11 rolling and unrolling about the flange 15.
The base 10 has attached thereto an adjustable constant pressure valve 8 which is adapted to pass constant fluid pressure to the chamber 16 below the diaphragm 11.
The cylinder 9 can be of any suitable material, either metal or one of the rigid plastics materials, and preferably can be transparent so that the interior thereof may be viewed.
As shown in FIG. 2, the cylinder 9 can have a longitudinal slot 17 extending along its upper portion of a length corresponding to the stroke of the piston.
An indicator 18 such as a pointer held by a stud or screw 19 is attached to the head of the piston and cooperates with a graduated scale on the cylinder.
The upper portion of the cylinder is adapted to receive a pliant bag of fluid to be dispensed and infused into the patient, the bag 20 being inserted through a quick opening lid 21 at the end of the cylinder, the bag 20 having its outlet 22 extending through the lid 21.
Towards the upper end of the slot 17 there is provided a stop 23, this stop having preferably incorporated therewith an alarm or other signal device 30, to stop the piston at the desired time to ensure that the piston stops when the bag is empty and to ensure that no air is dispensed. Adjustable stops can also be positioned along the slot 17, so that the piston will stop when a desired quantity of fluid has been dispensed.
An alternative form of the invention is shown in FIG. 3 which will give a more accurate indication of the amount of fluid dispensed. In this embodiment, the piston has attached thereto by studs or rivets a member in the form of a rack 24 which is adapted to slide in the slot 17. The rack 24 has teeth and mounted on the cylinder 9 is a housing 25 carrying a shaft 26 on which is mounted a pinion 27 engaging the teeth of the rack 24.
The other end of the shaft 26 is connected either directly or through gearing to a pointer 28 moving over scale 29 to give an amplified indication of the piston movement.
The source of fluid pressure can be of any regular supply of O2, N, CO2 or other supply of fluid pressure in a hospital operating theatre or the like.
In the line of feed from the flexible bag 20 to the patient, there is provided the calibrated flow restriction device 6, so that as the liquid is under a constant head due to the constant pressure, and as the calibrated flow restrictor device has a constant aperture therethrough, the desired constant flow rate is achieved.
The calibrated flow restrictor 6 can be a small cylindrical unit having the desired hole or aperture therethrough, so that in order to change the flow rate it is merely necessary to replace the flow restrictor with one of the required calibration.
Thus, it will be seen that as there is a constant pressure applied to the liquid in the flexible bag or container, that there is in effect a constant head on the liquid to flow through the calibration device in order to ensure the desired uniform flow.
With this form of unit, the constant flow can be achieved by connection to the normal pressurized supply of gas which is available, either from a gas bottle or from some pressurized source, and the folded diaphragm ensures that the piston moves in the container in a free and non-sticking manner.
The container can be formed of a clear material such as glass or one of the rigid plastics material, or a clear window like area can be provided in one side of the container so that the users of the unit can readily determine the amount of liquid remaining in the container.
Adjustable stop means can be provided to engage the slot, and in its simplest form can comprise a stud engaging a sleeve or small nut engaging the interior of the cylinder wall through the slot, so that by loosening the stud, the stop can be repositioned.
In a further alternative, the device could be incorporated in a portable unit, so that a patient can receive medication whilst ambulatory. A small pressurized source of air or other gas or a spring loaded pressure source can be used, which can be "loaded" on pre-tensioned or pre-pressurized by any means for example manually.
This would be a small lightweight device, and a smaller sachet or bag of fluid can be infused in this instance.
In another form of the invention, there can be provided a linear caliper device mounted on the container adjacent the viewing slot or aperture through which the piston can be viewed.
The linear caliper can be positioned, and preferably adjustably positioned on the container such that the fixed arm of the caliper can be positioned to indicate the position of the piston at the beginning of the infusion period. After a certain period of time, or any desired period of time, the movable arm of the caliper can then be positioned to indicate the new position of the piston, and the distance between the two arms of the caliper can then be read and by having the graduations on the caliper suitably pre-calibrated, the quantity infused can be readily determined.
In order to take a further reading at a later date, either the reading at the present is noted and this compared with a reading at the later time, or alternatively the caliper is positioned so that the fixed arm of the caliper is positioned to coincide with the position of the piston and thus the latter reading can be taken in the same manner as the earlier reading.
Preferably, the caliper is a slide caliper, and it can be mounted in brackets or the like screwed or other wise affixed to the container wall. The caliper can be positioned adjustably in the brackets so that the fixed arm can be positioned as desired on the piston at the beginning of the infusion period.
The reading of the position of the piston can be taken from a suitable point or surface on the piston, or alternatively the piston can be provided with a suitable line or mark or the like.
Although a linear caliper has been described as being suitable for the purpose, other forms of measuring devices can be provided in order to measure the movement of the piston over a certain period of time, from which the rate of infusion can be readily calculated.
Also, the piston can incorporate in conjunction with the surrounding cylinder or casing an adjustable stop or the like, so that where a certain quantity of liquid is to be infused, the stop can be positioned to contact the piston when that desired quantity has been infused to prevent the further movement of the piston. This is particularly advantageous where for example a certain quantity of drug has to be infused to a patient such as a baby, and any excess infusion would be detrimental to the baby or patient so that by adjusting the stop the certain quantity can be infused and no further infusion can take place. This is a form of fail-safe device on the unit.
Similarly, the stop can be provided adjustably on the piston for example working on the groove of the piston to contact the abutment on the casing, alternatively the adjustment could be by a movable abutment on the casing. In this connection also it is desirable that infusion terminate before all the liquid has been dispensed from the bag or container in order to prevent the infusion of air into the patient, and in this respect a stop can be provided on the device so that infusion cannot proceed past a certain point so that at all times there is sufficient quantity of liquid in the bag to prevent the accidental infusion of any air.
It is also to be realised with the present invention that while conventional pistons are circular, that with the present invention the piston can be of a shape other than circular, for example square or the like so that if the infusing liquid is packaged in a square container this can be readily positioned into the square casing.
It is to be realised also that other forms of pistons and shapes of pistons can be utilized with the present invention.
The piston can be driven by any suitable form, such as a spring, or air pressure or any driving force such as a weight or the like. In this connection, also in order to provide complete portability of the infusing apparatus, the piston could be propelled by a portable source of pressurized fluid, such as a small carbon dioxide cylinder. In this way the unit can be particularly effective as a portable unit for use in emergencies, ambulances and the like, or even transporting the patient through a hospital from one locality to another.
The restriction for determining the flow can be any form of device and in one preferred form the restriction could be provided by a tubular portion of a syringe, or even by a hypodermic needle itself.
Also, it is to be realised that a bubble trap is provided so that an air interface is available to prevent the accidental passage of any air bubbles through the unit into the patient.
Also, in accordance with the invention, the pressure release valve is situated and designed to blow off into the atmosphere, so that even if there is an accidental increase in pressure, there is no chance of any of this excessive pressure being applied to the piston or the like in order to give an increase in infusion rate.
Also, an alarm could be triggered by any sudden fall or decrease in fluid pressure, so that when this alarm sounds the attending staff are warned that infusion has ceased, this preferably being incorporated in the valve.
Referenziert von
Juristische Ereignisse


text:
Chuck Pagano with father Sam and his brother John.
- Filed Under
His uncles are Chuck and John Pagano and he grew up around football, so it should come as little surprise Carlo Kemp of Boulder, Col., is attracting interest from major college programs.
The Fairview High School defensive end, 6-3 and 225 pounds, already has Alabama, Michigan and UCLA checking him out, according to his coach.
And Kemp is just a sophomore. ...


text:
Contacting M&T Bank Customer Service Center
M&T Bank is one of the largest and oldest commercial financial institutions I the United States, opening its doors in 1856. The company is still headquartered in Buffalo, New York with branches across the Mid-Atlantic and New England States.
Contact Info:
Phone Contact Numbers
The customer service department for general questions and concerns is available Monday through Friday 6am to 9pm; Saturday and Sunday 9am to 5pm EST.
- Customer service: 1-800-724-2440
The customer service department relating to mobile and online banking is available Monday through Friday 8am to 9pm; Saturday and Sunday 9am to 5pm EST.
- Mobile and Online banking: 1-800-790-9130
The customer service department for business customers is available Monday through Friday 7am to 7pm; Saturday 9am to 5pm EST.
- Business: 1-800-724-6070
The customer service department for mortgage customers did not provide hours of operation.
- Mortgage: 1-800-724-2224
Mailing Address
M&T Bank Corporate HeadquartersOne M&T Plaza13th FloorBuffalo, NY 14203-2399
M&T Bank Home Equity PaymentsM&T BankP.O. Box 62146Baltimore, MD 21264
M&T Commercial Mortgage PaymentsP.O. Box 1302Buffalo, NY 14240-1302
M&T Bank Installment Loan PaymentsM&T BankP.O. Box 64679Baltimore, MD 21264-4679
Official Website
Customers visiting the official M&T Bank website https://www.mtb.com/personal/Pages/Index.aspx have the ability to learn about personal, business and commercial banking/financial solutions. You have the ability to learn about everyday banking, apply for loans and credit cards or simply learn more about the company by visiting the AnswerZone.
Customer Service Email
Go to https://www.mtb.com/customerservice/Pages/CustomerServiceEmail.aspxand send a message to the customer service department. Although the message is secure, the company recommends not sending personal information I the message. We asked a few questions. We wanted to know if customers need to live near a branch in order to start an account. We also asked if customers can open an account online if they live out of state. The automated response merely stated a customer service representative would respond, with no indication of time.
Additional ways to contact the customer service department include:
- Facebook: https://www.facebook.com/MandTBank?ref=ts
- Twitter: https://twitter.com/mandt_bank
Our Experience
If you have an extra 5 to 7 minutes to spare, you will be delighted with the customer service hotline. Unfortunately, the average customer may not have this amount of time to waste. We waited the allotted time and finally were able to communicate with a live agent. Since we didn't have the time to waste, we asked for information relating to repayment assistance programs. The customer service agent offered the following link https://www.mtb.com/customerservice/Pages/RepaymentAssistance.aspxfor customers facing financial hardship.
The customer service team exceeded our expectations, but the wait time left little to be desired concerning the overall experience. Was our experience one of a kind or was your experience similar? We would love to hear your story in the comment section below.


text:
In the end, Greg Laurie's story is all about God – the God who found a kid who was lost in a life of neglect and chaos, the God who saved him and the God who raised Greg up to help other lost souls find fresh hope, real purpose and lasting peace.
Drawing from the pages of the Bible, Pastor Greg Laurie presents stories of real people who stumbled and fell right out of the race and others who picked themselves up, got back on the track and ran straight for the goal … and the greatest Prize of all.
Written in a reader-friendly, devotional format, you can use "Marriage Connections" individually or as a couple. Strengthen your marriage today with timeless wisdom from God's Word.
In "Road to the Resurrection," Greg has written a book designed to broaden the reader's understanding of the sacrifice of Jesus and deepen the Easter experience.
In the pages of this book, pastor, author and evangelist Greg Laurie opens up a wide panorama of biblical truth – from the Person of God to heaven and hell.
Here's a book that will get you on the road and prepare you for the valleys – and mountaintops – up ahead!
Life can get complicated. Here's a little help to sort things out.
If you have ever questioned God, pleaded for His help, had your world changed completely, then you are just like the great men and women of the Bible. Discover your story woven throughout the life stories of characters like Abraham, Moses and many others.
When the way divides before you, you want the Lord God right at your side, hand on your shoulder, guiding your steps.
In the pages of the book of Acts, many in the established order thought of believers in Jesus Christ as agitators and troublemakers. Some still do.
At the age of 17, Greg Laurie unexpectedly became a Christian.
Join Greg Laurie as he examines what the Bible has to say about happiness. You just might discover that what you've been searching for is closer than you think.
Here's how to make your Christmas celebration fresh and new every year of your life!
What do you do when questions burn in your heart and heaven seems silent? Here's how to stay on course and find your way when all the lights go out.
For every season of life you may find yourself in, the Bible offers timeless principles for knowing and walking with God in our ever-changing world.
Give pastor, author and evangelist Greg Laurie five minutes to drop a biblical truth into your daily life, and you never know what might follow!
It's great to sing songs about our love for God. But what matters more than anything is that we simply obey Him.
From the story of a convicted criminal and his last-minute conversion, to an explanation of the final judgment we all will face one day, Greg Laurie brings relevance and insight into the truths of the Bible for today's generation.
Greg Laurie invites you to join him on this journey to the first century, a journey that is sure to deepen your faith.
Building blocks and disciplines for living the Christian life.
The teachings are not just for scholars, but for everyone who sees what is happening in the world today and wants to know more about what is in store as Christ's return draws near.


text:
If you work on an oil rig as a roughneck, you probably know how important it is to wear the right roughneck clothing. Most people will find themselves searching for roughneck clothing when they get hired so that they can perform their tasks without any question. Click Here
Why Roughneck Clothing Is Important
Working offshore as a roughneck can be a very smart career choice, because you can work your way up to more important positions in the offshore drilling industry. Being a roughneck is not that
easy. You will be required to perform hard-manual labor in some of the most dangerous environments. That is why it is essential that you protect your body from any unnecessary exposure and extreme temperatures.
How To Shop For Roughneck Clothing
In order to pick the appropriate roughneck clothing, you need to take into consideration the type of climate in the area where the drilling platform will be located. For instance, if you will perform your activities on a platform located in Alaska or Northern Canada, you have to buy clothes that will keep you warm. In this regard, sweatshirts will be of great help. They will protect your body from the harsh cold and will maintain its constant temperature. Another alternative are fleeces. They are ideal for the cold days, whether you work outside or not.
When it comes to the trousers, special attention has to be paid to the way they are designed. Make sure you seek for trousers that include knee pads, because you might have to kneel quite often
when you install and connect the pipes down the wellbore. When you work on a drilling platform located in the ocean, it is indicated to add an immersion suit to your luggage. This type of roughneck clothing will be useful if you get on board a ship or have to work on a boat, which is often the case with offshore drilling jobs. Such a suit will help keep you safe in case something worse happens. When you work on an oil rig, you might confront with many unpredictable situations. So, it is extremely vital that you take the necessary steps to stay alive if anything bad was to happen while working on the job.
Specialists in roughneck clothing recommend layered clothing to the people who work in difficult conditions outdoors. Layered clothing consists of several base layers that allow for flexible clothing and match the needs of each situation. This type of clothing provides warmth to the body, since the air trapped between layers serves as thermal insulation. Layered clothing will be a major ally not only in the cold areas. You will enjoy its benefits in hot and dry climates as well. These clothes block the radiation from the sun and ensure proper air circulation. They are made of advanced synthetic materials.
Staying Safe With Roughneck Clothing
Last but not least, the ideal clothes for a person employed on a roughneck position will need to have a high degree of visibility. Work wear with a high visibility is often a legal requirement. They make the workers stand out during the night or when it rains heavily.
Roughneck jobs can be physically challenging. That is why you need to take all the necessary measures to preserve your health. So, pick proper roughneck clothing if you want to perform to your maximum potential Click Here!


text:
HOME MLB Philadelphia Phillies Gear Philadelphia Phillies Mens Philadelphia Phillies Mens Jackets over $60 (11 items) Product ID: 700093
Main Content
Surround yourself in the warmth and comfort of knowing that you're part of the two-time World Series Champion Phillies tradition with this Commemorative canvas jacket. It features a huge tackle twill team logo on the back between twill championship lettering along with sewn-on uniform-style patches on the sleeves representing each of their two championship wins. It's the perfect jacket for any Philly fan who wants to silence the naysayers with an all-out barrage of team spirit!
- 100% Cotton shell
- 100% Polyester lining & fill
- Contrast color sleeves
- Heavyweight full button jacket
- Imported
- Interior slip pocket
- Interior zip pocket
- Locker loop
- Officially licensed MLB product
- Quilted lining
- Rib-knit olympic collar, cuffs & waist
- Tackle twill lettering, numbers & logos
- Two front pockets
Reviewed by 1 customer
- Authentic Look
- Quality Construction
- Shows Off Team Pride
- Stylish Design
Best Uses
Comments about Philadelphia Phillies Red-White 2X World Series Champs Commemorative Cotton Canvas Full Button Jacket:
Great service great product, all around awesome!
Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


text:
Hold down Control (PC) or Command (Mac) key + mouseclick to select more than one option
|Avg. Dinner Entrée
|Greater than $25
|$18.01 - $25
|$12.01 - $18
|$7.01 - $12
|Less than $7
Posted by Aldea on 12/24/2014
I am quite disappointed by the food of this overrated over priced restaurant. I even had to send back my meat course as it was unedible, baby pig which was stringy, dry and tasteless. The fashion of serving tiny portion of air instead of vegetables, n0 fresh greens (Salads). I am not familiar with Portuguese food, but I had only heard favorable things, this was an immense disappointment.
Posted by AKR on 02/04/2013
Great chef tasting menu and wine pairing menu. This was one of the best meals of my life, service was impeccable, food was too die for, the chef was surprisingly down to earth and unpretentious-a true food genius. Call and make reservations.
Posted by alan on 01/29/2012
My npartner and I were looking for something different and were intrigued with trying this restaurant from the description and the menu on this site, despite some of the negative reviews. We were both impressed as soon as we entered the restaurant-- a scene of modern elegance-- and greeted by a personable and courteous hostess. The rest of the evening was truly enjoyable--excellent service and delicious and creative food. Since neither of us is a carnevore, we were happy to have several good fish choices. I would highly recomment this place.
Posted by Justin Kurth on 11/22/2011
10:30 reservation, I understand you may want to go home but the quality of the restaurant should not decrease. Yes the chef thinks he is a big shot, especially after I sent back ammonia flavored sea urchin and he insisted they buy the freshest sea urchin in the city. You should buy your sea urchin else where, it was unappetizing. Foie Gras pate was tasty. Amuse Bouche of cod croquettes was given to us that tasted of old frier oil and tasteless gooey center of unrecognizable fish, one of the most uappetizing t things I have put in my mouth. We then went on to the next course of farm fresh poached egg, broth and Bok choy. Three of my favorite ingredients, all were disappointing. Egg was hard, broth tasted as if it came from a box and sat in the bain marie all day, and the bok choy was just there, it had no significance what so ever. My wife had the shrimp of something that tasted like shrimp tossed in flavorless chili oil and stunk of ripe shrimp. I was embarrassed for the restaurant, especially after I specifically went there based on his reviews as chef. We could not carry on eating after this experience and left before our main course. The only item we could finish was the almonds, olives and pate. Everything else I hope was tossed in the trash after he sampled the poor quality of food that was sent out of his kitchen. It was a real disappointment. The funny thing is we had to pay for our disappointing experience and we were offered a bag of treats with Aldea across the side of the bag so we could advertise such a poor experience. It also was left behind. We will not be returning to Aldea
Posted by Rachel on 02/27/2011
I can't believe that it was hard to get a reservation here. The service was spacey and the food was really bland. We started with octopus, which had no flavor and was chewy, and fluke, which also had no flavor. Then we had venison, which was bland, and char, which was mediocre and arrived cold. There was nothing special about the food; I am baffled by the decent reviews.
Posted by Lorrie Stuart on 10/16/2010
I was preening when I discovered that, the day after I had made my reservation at Aldea, the restaurant received a Michelin star. This seems to prove, once again, that French values do not necessarily apply to American restaurants. The look of the restaurant is pleasant enough, but the noise (as is so often the case with popular spots) was unbearable: conversation with my dining companion was almost out of the question. The service was quite nice. And then there was the food. Our first "bite", a teeny-tiny bit of sea urchin toast, raised my hopes very high: it was excellent. Everything after was sadly downhill. My slow-poached egg with bacon and sausage was almost repulsively soupy, and the featured chanterelles turned out to be dessicated disks with no taste whatsoever, while the featured truffles were completely absent taste-wise. We ordered the popular Arroz con Pato for a main course, and that too was a huge disappointment: over-cooked rice with a strange and unpleasant slice of limp duck on top. At these very high prices, the restaurant needs to try much harder if it is to match its reputation.
Posted by Preggo on 09/25/2010
We are a pair of jaded New Yorkers. When the time came for the picking of a birthday restaurant, I was secretly cringing at the thought of being rather pregnant and battling miniscule space, crowds, and mediocre food. Aldea was an absolute delight. We did talk to them ahead of time about accommodating my need for some space as I do get up often these days. We also really wanted to try the tasting menu, however one of them was foie gras, which they happily substituted with a cooked item. The menu included a curried soup (which they also substituted out the raw oysters), shrimp, a cod dish, a duck paella and a banana creme brulee. I cannot think of one bad thing on this menu. the duck paella, shrimp, and soup were amazing. The cod dish was good, but paled in comparison to its other company on the menu. Although it is a five course tasting menu, it comes with bread, petite fours, and a predesert dish, so it is really more than five. We were never rushed, each dish was well timed. The only reason for a 4.5 /5 for servce was that the check took about 25 minutes to come to the table after being done.


text:
If seafood is your thing then this challenge is for you. I don't think I've ever seen this much seafood in one place at the same time in my entire life. Adam from Man v. Food decided that this was a worthy challenge and managed to take down all 7 lbs of food in under an hour, crowning him only the 2nd person (at the time of the taping) to complete this challenge. So if you're looking for a good seafood challenge then this is your place, but it doesn't end there. They also have 2 more challenges that you can partake in. The Land Lubber's Challenge is catered to those that want the same experience as the Davy Jones Locker challenge, but don't like seafood. And The Monster Challenge is for those of you that just want a ridiculous huge sandwich/burger. So head on out to Port Royal Grille and find a challenge for the whole family.
Watch Man v Food instantly on your TV Here!
Where: Port Royale Grille
591 Main St.
Islip, NY 11751
631.277.1522 | http://www.portroyalpubandgrille.com
Challenge: Davy Jones Locker Challenge consists of Soup or Salad, 2 lbs. of Snow Crab, 1 lb steamed mussels, 1 lb fresh shucked, local, deep fried jumbo clams, 6 grilled shrimp skewers (42 total shrimp), 2 Jumbo crab & shrimp stuffed filet of sole, corn on the cob and coleslaw.
Time Limit: 1 Hour
People: 1
Prize: Meal is free ($39.95 value)
Rules: Aside from the time limit no other rules were mentioned, but make sure to ask your server before attempting the challenge.
[picture courtesy of Port Royal Grille]


text: Performance in college does not always reflect a student's ability. Life continues to happen while students are in college. Below are a list of potential factors that may be restricting your ability to show your potential. If these are on going distractions or difficulties taking a break to address them can make it possible for you to give school your undivided attention. Failing to address them in order to progress academically can be devastating. Below are a list of frequent struggles that students are dealing with and resources to address them.


text:
Cortisol cream/ Isocort buy where?
Cortisol cream/ Isocort buy where?
I am using Hydrocorisone cream 15g tube,active ingredient hydrocortisone acetate 1%. The tricky bit is how do I appply the equivelent of 5mg Cortisol per day and whats the most accurate way to measure it out. Also any idea where it should be applied if trying to replace cortisol for adrenal fatigue.
similarly does anyone know where I can buy in the internet either Hydrocortisol tablets or Isocort form a reputable source who accept credit cards ( I found one in US but no ccards!)
VitaminMD - Home was recommended to me. I just placed an order last week. They called today and said that the credit card info didn't come through on my on-line order. I immediately thought of a scam, but they read off the info that I had entered during the order. I went ahead and gave them my credit card info. They said that I should have the Isocort by Saturday. We'll see...
Originally Posted by kincaiddave
Here is a link on how to start on HC or Isocort.
Stop The Thyroid Madness » How to treat adrenals–for the patient and their doctors
What is you exact application for the isocort? Remember, continuous use leads to skin atrophy.Originally Posted by 1Ainslie
Isocort comes in pill form he is trying to get the cortisol out of the OTC creams for rash's to get some cortisol.Originally Posted by DeerDeer
I'm not sure I am understanding the exact application - he states that he has "adrenal fatigue". How does one know this without actually having baseline cortisol leveles and the results of a cosyntropin stim test - which is where a baseline is measured then an injection given (250mcg of cosyntropin) which should stimulate cortisol production, cortisol levels are then remeasured at 30 and 60 minutes post injection.Originally Posted by pmgamer18
If the cortisol increases by <9 on the stim test then the patient is a nonresponder and treatment is to provide steroids.
I guess I just need some more info :-)
Most do a saliva test one like this.Originally Posted by DeerDeer
LAB WORK from Canary Club, where the saliva test is for a full spectrum: thyroid (TSH, free T3, free T4), adrenals (cortisol and DHEA), estrogen, progesterone, testosterone.
Canary Club : Environment and Health : Home saliva testing - Diagnos-Techs
Because most Dr.'s don't believe there is such a thing as Adrenal Fatigue yet in there Phy. Reference Book it states to check Cortisol levels before treating Thyroid.
A good book out is the Adrenal Fatigue the 21st. Century in the book is a list of questions that can tell you if you have Adrenal Fatigue. Also you can do this.
Temperature Patterns of low adrenal and thyroid function
The cosyntropin stim test will actually evaluate the response of the adrenals to the stimulation (ie a stress) which would determine fi they are responding or not.Originally Posted by pmgamer18
I think it is in his best interest to be fully evaluated by an MD for any other underlying issue, rather than try to interpret the results and treat himself.
I agree with you but were do you find a Dr. that will tests and treat this Dr. John will but most can 't get to him. I am telling you if you have problems like this and you test in the low normal range your ok. My morning cortisol levels were 8 and my Dr. told me I am ok. I showed him the book I was reading Adrenal Fatiuge and he blew it off. Most Dr.'s look for Addison's or below normal levels of cortisol. Or Cushing's syndrome above normal levels.Originally Posted by DeerDeer
Hell a lot of people are low Thyroid and Dr.'s don't see this because they go by the labs range yet if on has a TSH over 2 or a Free T3 and Free T4 below mid range they are told there ok when you complain about how bad your feel they tell you your depressed WTF is with that.
Can you send them a money order of some other way of paying for it. I sure if you send them a check they would send it to you.Originally Posted by 1Ainslie
Try this search.
Isocort - Google Search
Amen Phil, Luckily I found a MD that agree that my thyroid is too low for my metabolic functions. The thing that saved me was that I had pre existing free t-4 levels before I got sick to show this was not all in my head. With my ranges in the upper 3/4 ranges vs bottom end of tottem pole now. I tried to apply for social security, because I was so week and today my lawyer saw me after 6 weeks and said "WTF you been doing" I told him i found a dr thar dealt with athleres that was willing to listen and help and understand this was not all in my head as 4 other drs beleives. So he writing a letter stating that my case was easily identified and was properly handled from beginning for court hearing. finally after 2 years I found light !!Originally Posted by pmgamer18
I see my Dr. next Tue. everytime I get to the point I feel he can't help me he comes through. Just it is going dam slow I am doing Isocort and feel it's not doing the job and need to get on HC so we will see what happens next Tue.
missing isocort and HC seems to be working just fine for me. Its the anxiety from the damn serotonin deficiency from low thyroid causing alot of the major bowel problems. My spincter can not relax. Looking back I brought this on my self because of getting up at 3 am eating nd going back to bed to train at 530 WTF was I thinking !!
So what is it causing bowel problems I am having problems with this it's not to bad not like water comming out but it's a problem. At first I thought it was the generic Armour I got but stopped it and still have the problem. I take 4 pills of Isocort in the morning before eating this is what I was told to do and I take 2 at noon and 2 at dinner. I started taking it after eating and still have the problem. I have one normol bowel movemen first thing in he morning then 2 to 3 more before noon that are like diarrhea. Is this my Thyroid needs more armour or my low sugar in the mornings upsetting my stomach. How do you take your Isocort. I posted on the Thyroid boards and they feel it's the low cortisol levels and the Isocort is not doing the job a lot of them tried this and did mush better on HC.Originally Posted by hardasnails1973
Thyroid drive serotonin metbolism and with out serotonin melatonin can not be produced. With out melatonin zinc can not be absorbed across the intestinal membrane and with out zinc melatonin can not work. As you can see things are so intertwined. To relax you 200 mgs theanine every 4-6 hours with 500 mgs gaba (break open and dissolve on tongue.) Majortiy of hypothyroid people have altered mineral metabolism which can really start mess up enzymatic reactions. Melatonin increases conversion of t4 to t3 how by increasing zinc absorption (hmm interesting). Bascially you need to put the breaks on your brain chemistry which is causing adrenaline to run rampant which is causing diahreaa.
Gaba, theanine, P5P, magnesium glycinate, zinc, glycine will help this..
Thanks I will look into this dam I take some much stuff now I need to check my Vit's to see if any of it is in them first.Originally Posted by hardasnails1973
Phil make things easier
liver/serotonin/gluthione pathways - samme or TMG, methylcobalin, p5p, folonic acid, zinc
inhibitory neurotransmitters - gabba, glycine,theanine, magnesium glycinate.
Magnesium 200mgs 2-4 times a day
zinc - 30 mgs morning and before bed
gaba - 500 mgs x3
glycine 500 mgs x3
theanine 100-200 mgs x3
p5p - 50 mgs am and pm
Tmg - 500 mgs 1/2 before 3 meals
folonic acid - 800 mcgs breakfast and dinner
methycobalin 5000 mcgs 1 time
.500 mcg melatonin time released
Sunlight hour each day A MUST..
30 minurtes relaxation any time durinf day with belly breathing emphasized
god! just use dexamathasone at 0.5 mg at night,but first take an AM Cortisol blood test and ACTH test.Originally Posted by 1Ainslie
by me at cuttingedgemuscle.com
Water Retention - Cutting Edge Muscle Forums
Water retention by androgens
Oswaldo Salcedo (my ruminations)
one of the main mechanisms responsible for water retention is induced Hypopituitarism (reduced output of any pituitary hormone) by displaced Glucocorticoids (GC) through Androgens at the GC receptors, acting by antagonist mode, therefore decreasing Corticotropin (ACTH) w/wo decreased Thyrotropin (TSH) release. Subsequent to the ACTH decreased secretion, inhibits cortisol segregation at adrenals (Central Hypoadrenalism - Secondary Adrenal Insufficiency). The cortisol suppression produces in the hypothalamus, vasopressin (AVP) release, also known like anti diuretic hormone (ADH), this way GC insufficiency increases AVP mRNA expression, elevating abnormally, AVP levels, gives an increase in free water retention, decreased sodium pump activity, shift of extracellular sodium into cells and decreased delivery of filtrate to diluting segments of the nephron as a result of decreased glomerular filtration rate and effective renal plasma flow . GC inhibit AVP secretion by impairing AVP gene transcription.
The possible decreased TSH produces a central hypothyroidism ( trophoprivic, suprathyroid hypothyroidism) , which can contribute more to edema by augmented AVP release at the hypothalamus, decreased atrial natriuretic hormone (ANH), and decreased renin-angiotensin-aldosterone system (RAAS), diminished salt delivery to the loop of Henle, and hialuronic acid (D-glucoronic acid and N-acetyl-D-glucosamine) and chondroitin sulfate b (L-iduronic acid and N-acetyl-D-galactosamine sulfate) hydrophilic deposits,this two mucopolysaccharides (Glycosaminoglycans, GAGs) which attract water strongly, results in more total body water. Characteristic of hypothyroidism too, is myxedema megacolon; a distended and hanging colon, facial edema and others.
I really don't understand these claims and how this is substantiated in any way whatsoever. I think we should all be caustious about how we address these issues, each individual is different. I dont see how you can make these direct connections - it is true that hypothyroid individuals have slower metabolism which as a symptom, they should have constipation - I don't knwo how you are linking melatonin with zinc absorption whatsoever.Originally Posted by hardasnails1973
I guess its time to go dumpster diving again to dig up research articles
Wiley InterScience :: Session Cookies
To everyone here, remember you can live without thyroid,you can live without testosterone but you cannot live without the adrenals(known as Addison's disease and before corticosteroids were discovered this disease was fatal).So let's give our dues first and foremost to the adrenals first and take care of them first.
On a side note pantothenic acid(vitamin B5) is extremely important for adrenal health.Megadosing on this has been shown to increase endurance.
1.-All the Contrary (serotonin drives thyroid,without trh there is not t4 nor t3):Originally Posted by hardasnails1973
J Physiol, Paris.91(6):307-10.
Thyroid hormone plasmatic levels in rats treated with serotonin in acute and chronic way.
Brizzi G, Carella C, Foglia MC, Frigino M.
Department of Human Physiology and Integrated Biological Functions, Second University of Naples, Italy.
Many experiments show that serotonin (5-HT) controls thyroidal function at hypothalamic level, inhibiting the TRH secretion. The majority of experiments are done in an acute way, consisting of a single serotonin dose injected intraperitoneally (i.p.) or intracerebroventricularly (ic) with the effect registered after a short time (usually 1 h) as in normal environmental conditions similar to the TSH stimulation test, that consists of transfer of the experimental animals from 30 degrees C to 4 degrees C for 30 min, thus inducing stimulation of the hypothalamus-hypophysis-thyroid axis. The aim of the present research was to study the correlation between 5-HT and the thyroidal function, measuring plasmatic thyroid hormone levels in rats i.p. treated in chronic (injected daily for 10 days with different doses of 5-HT), and in acute way (after 1 h from a single 2.0 mg/kg bw 5-HT dose) in normal environmental conditions to evidence the serotonin site action activity outside the blood-brain barrier. The results of the chronic experiment show an inhibitory effect of 5-HT, on T3 and T4 plasmatic level, only when it is injected at medium doses (0.2 and 0.4 mg/kg bw for T3, and 0.2 for T4).
fatal flaw, hypothyroidism is T4 defficiency,this way,there is not enough t4 to convert to t3.
Without enough tsh or trh,there is not sufficient t4,central hypothyroidism (trophoprivic, suprathyroid hypothyroidism) if the gland works badly, there is peripheral hypothyroidism (thyroprivic hypothyroidism,peripheral hypothyroidism),it does not matter if there is enough tsh or trh .
Eksp Klin Farmakol;60(4):46-9.
The effect of melatonin and mexamine on the human thyroid under in-vitro conditions
Rom-Bugolavskaia ES, Shcherbakova VS, Komarova IV.
In in vitro study of the human euthyroid and thyrotoxic thyroid gland melatonin (N-acetyl-5-methoxytryptamine) and, to a lesser measure mexamine (5-methoxytryptamine) had a dose-dependent inhibiting effect on thyroxine secretion. Moreover, melatonin weakened the TSH stimulating effect in relation to the secretory process in the thymus while mexamine did not. Despite the similarity in the quality of the effect of both methoxyindoles on the release of thyroxine, the mechanism of its realization differs: the action of melatonin is mediated by the adenylate-cyclase-cAMP system, but in the action of mexamine the cAMP-dependent mechanism does not take part. Maintenance of the sensibility of the human thyroid to the effect of TSH is an obligatory condition for realization of the action of both methoxyindoles on the secretory process in it.
from L.Zlatos, Pathophysiology of Endocrine System.
"Thyroid hormone deficiency and successive myxedematous
infiltration of mucous membranes of
GIT cause decrease of peristaltic activity, as well
as of intestinal wall tonus. Decreased peristaltic activity,
together with the decreased food intake, is
responsible for the frequent complaint of constipation.
These intestinal disorders may be extreme,
leading to fecal impaction and great distention of
colon (myxedema megacolon). Gaseous distention of
the abdomen may also occur (myxedema ileus, adynamic
It all still comes down to hypothalmic dysfunction is the root of majority of problems caused by numberous internal and external factors. Sounding like a broken record "when addressing thyroid issues adrenals must also be addressed before or simulaneously." if you look on thyroid medication information it specifically saids to address the adrenal insufiency first before adminstering thyroid medication
This article has nothing to do with your assumption that melatonin affects Zinc absorption - on the contrary, Zinc intake affects melatonin - if you have LOW zink or overstimulate melatonin, you can use up and decrease zinc stores, per the article.I guess its time to go dumpster diving again to dig up research articles
Wiley InterScience :: Session Cookies
You can live without your adrenals - it would require cortico and mineralocorticoid supplementation. Sometimes individuals in stressfgul situations (ie trauma, surgery) may be adrenally suppressed and require stress level steroids to compensate for hypotension namely.Originally Posted by FYI777
if is a central hypothyroidism (secondary-pituitary,tertiary-hypothalamus) yes.Originally Posted by hardasnails1973
if is primary it does not matter.
but i agree with the importance of the serotonin.
Aliment Pharmacol Ther. 2004 Nov;20 Suppl 7:3-14.
Serotonin receptors and transporters -- roles in normal and abnormal gastrointestinal motility.
Gershon MD.
Department of Anatomy & Cell Biology, Columbia University, New York, NY 10032, USA.
The gut is the only organ that can display reflexes and integrative neuronal activity even when isolated from the central nervous system. This activity can be triggered by luminal stimuli that are detected by nerves via epithelial intermediation. Epithelial enterochromaffin cells act as sensory transducers that activate the mucosal processes of both intrinsic and extrinsic primary afferent neurones through their release of 5-hydroxytryptamine (5-HT). Intrinsic primary afferent neurones are present in both the submucosal and myenteric plexuses. Peristaltic and secretory reflexes are initiated by submucosal intrinsic primary afferent neurones, which are stimulated by 5-HT acting at 5-HT(1P) receptors. 5-HT acting at 5-HT4 receptors enhances the release of transmitters from their terminals and from other terminals in prokinetic reflex pathways. Signalling to the central nervous system is predominantly 5-HT3 mediated, although serotonergic transmission within the enteric nervous system and the activation of myenteric intrinsic primary afferent neurones are also 5-HT3 mediated. The differential distribution of 5-HT receptor subtypes makes it possible to use 5-HT3 antagonists and 5-HT4 agonists to treat intestinal discomfort and motility. 5-HT3 antagonists alleviate the nausea and vomiting associated with cancer chemotherapy and the discomfort from the bowel in irritable bowel syndrome; however, because 5-HT-mediated fast neurotransmission within the enteric nervous system and the stimulation of mucosal processes of myenteric intrinsic primary afferent neurones are 5-HT3 mediated, 5-HT3 antagonists tend to be constipating and should be used only when pre-existing constipation is not a significant component of the problem to be treated. In contrast, 5-HT4 agonists, such as tegaserod, are safe and effective in the treatment of irritable bowel syndrome with constipation and chronic constipation. They do not stimulate nociceptive extrinsic nerves nor initiate peristaltic and secretory reflexes. Instead, they rely on natural stimuli to activate reflexes, which they strengthen by enhancing the release of transmitters in prokinetic pathways. Finally, when all the signalling by 5-HT is over, its action is terminated by uptake into enterocytes or neurones, which is mediated by the serotonin reuptake transporter. In inflammation, serotonergic signalling is specifically diminished in the mucosa. Transcripts encoding tryptophan hydroxylase-1 and serotonin reuptake transporter are both markedly decreased. Successive potentiation of 5-HT and/or desensitization of its receptor could account for the symptoms seen in diarrhoea-predominant and constipation-predominant irritable bowel syndrome, respectively. Symptoms associated with the down-regulation of the serotonin reuptake transporter in the human mucosa in irritable bowel syndrome are similar to the symptoms associated with the knockout of the serotonin reuptake transporter in mice. The observation that molecular defects occur in the human gut in irritable bowel syndrome strengthens the hand of those seeking to legitimize the disease. At least it is not 'all in your head'. The bowel contributes.
Good post I have Hypopituitary problems and had my Aldosterone and Renin tested and they look good yet I started adding Sea Salt to my filtered water and now I don't how as much water.Originally Posted by franke
Exactly - it is on this premise that Zelnorm and is effective on patients with IBS specifically Type-4 (5-HT4) receptors in the gut.Originally Posted by franke
(Zelnorm Online, Description, Chemistry, Ingredients, Blackbox - Tegaserod Maleate - RxList Monographs)
sodium retention is just a posible consequence,there is states of water retention without sodium excess,hyponatremia that is euvolemic, hypervolemic or hypovolemic,there is a lot of process that produces excess vasopressin release,androgens that become estrogens by means of the aromatase,wr by progesterone,wr by estradiol,wr by prolactin etc.we are speaking about hyponatremia genesis,the fundamentals.Originally Posted by Dr. John
the underlying etiology is the vasopressin excess.
i have done cycles with low sodium and retain water anyway.
Med Sci Sports Exerc. 1990 Jun;22(3):331-40.
Glucocorticoid antagonism by exercise and androgenic-anabolic steroids.
Hickson RC, Czerwinski SM, Falduto MT, Young AP.
Naunyn Schmiedebergs Arch Pharmacol. 2003 Dec;368(6):487-95.
Effects of dehydroepiandrosterone on corticosterone release in rat zona fasciculata-reticularis cells.
Chang LL, Wun WS, Ho LL, Wang PS.
J Steroid Biochem. 1986 Feb;24(2):481-7.
Binding of glucocorticoid antagonists to androgen and glucocorticoid hormone receptors in rat skeletal muscle.
Danhaive PA, Rousseau GG
J Neuroendocrinol. 1996 Jun;8(6):439-47.
Androgens modulate glucocorticoid receptor mRNA, but not mineralocorticoid receptor mRNA levels, in the rat hippocampus.
Kerr JE, Beck SG, Handa RJ.
J Am Vet Med Assoc. 1993 Oct 15;203(8):1166-9.
Adrenal insufficiency associated with long-term anabolic steroid administration in a horse.
Dowling PM, Williams MA, Clark TP.
Eur J Endocrinol 2003 Jun; 148(6) :609-17.
Severe hyponatremia due to hypopituitarism with adrenal insufficiency: report on 28 cases.
Diederich S, Franzen NF, Bähr V, Oelkers W .
N Engl J Med 1998; 321(8) :492-6.
Hyponatremia and inappropriate secretion of vasopressin (antidiuretic hormone) in patients with hypopituitarism.
Oelkers, W.
Nippon Naika Gakkai Zasshi. 2006 May 10;95(5):936-8.
Hyponatremia associated with secondary adrenal insufficiency.
Kondo T, Mizubayashi R.
J Endocrinol Invest 2006 Mar; 29(3) :267-9.
Beyond semantics: defining hyponatremia in secondary adrenal insufficiency.
Faustini-Fustini M, Anagni M.
Am J Kidney Dis. 2006 May;47(5):727-37.
Vasopressin excess and hyponatremia.
Pham PC.
Am J Med. 2006 Jul;119(7 Suppl 1):S47-53.
Water and sodium retention in edematous disorders: role of vasopressin and aldosterone.
Schrier RW.
Endocr Metab Immune Disord Drug Targets. 2006 Sep;6(3):249-58.
Vasopressin-receptor antagonists: a new class of agents for the treatment of hyponatremia.
Olson BR.
Endocrinology and Metabolism, 850 Straits Turnpike, Suite 204, Middlebury, CT 06762, USA.
Cleve Clin J Med. 2006 Sep;73 Suppl 3:S24-33. AVP receptor antagonists as aquaretics: review and assessment of clinical data.
Verbalis JG.
Department of Medicine, Georgetown University Medical Center, Washington, DC 20007, USA.
Tissue-specific expression patterns of nuclear receptors, 2006,NURSA.ORG
Bookout AL, Jeong Y, Downes M, Yu R, Evans RM and Mangelsdorf
Cell 126, 801-810, 2006.
Nuclear receptor expression links the circadian clock to metabolism.
Yang X, Downes M, Yu R, Bookout AL, He W, Straume M, Mangelsdorf DJ and Evans RM.
Nephrol Dial Transplant. 2001 Sep;16(9):1799-806.
Thyroxine treatment induces upregulation of renin-angiotensin-aldosterone system due to decreasing effective plasma volume in patients with primary myxoedema.
Park CW, Shin YS, Ahn SJ, Kim SY, Choi EJ, Chang YS, Bang BK.
Am J Physiol Endocrinol Metab. 2002 Oct;283(4):E711-21.
Estrogen effects on osmotic regulation of AVP and fluid balance.
Stachenfeld NS, Keefe DL.
J Appl Physiol. 1999 Sep;87(3):1016-25. e
Effects of oral contraceptives on body fluid regulation.
........To test the hypothesis that estrogen reduces the operating point for osmoregulation of arginine vasopressin (AVP).......................
Stachenfeld NS, Silva C, Keefe DL, Kokoszka CA, Nadel ER.
Am J Physiol. 1998 Jan;274(1 Pt 2):R187-95.
Estrogen influences osmotic secretion of AVP and body water balance in postmenopausal women.
Stachenfeld NS, DiPietro L, Palter SF, Nadel ER.
J Appl Physiol. 2001 Oct;91(4):1893-901.
Sex differences in osmotic regulation of AVP and renal sodium handling.
Stachenfeld NS, Splenser AE, Calzone WL, Taylor MP, Keefe DL.
J Appl Physiol. 2005 Jun;98(6):1991-7.
Progesterone increases plasma volume independent of estradiol.
Stachenfeld NS, Taylor HS.
The John B. Pierce Laboratory, Yale University School of Medicine, 290 Congress Ave., New Haven, CT 06519, USA.
Neuroendocrinology. 1997 May;65(5):335-43.
RU 486 blocks and fluoxetine augments progesterone-induced prolactin secretion in monkeys.
Pecins-Thompson M, Bethea CL.
Division of Reproductive Sciences, Oregon Regional Primate Research Center, Beaverton 97006, USA.
Neuroendocrinology. 1996 Jun;63(6):569-78.
Beta-endorphin, but not oxytocin, substance P or vasoactive-intestinal polypeptide, contributes to progesterone-induced prolactin secretion in monkeys.
Pecins-Thompson M, Widmann AA, Bethea CL.
Principles And Practice Of Endocrinology And Metabolism
by John P. Bilezikian, et al.
Endocrinology and Metabolism
by Philip Felig, Lawrence A. Frohman
Williams Textbook of Endocrinology
by P. Reed Larsen, et al.
Neurohypophysis: Recent Progress of Vasopressin and Oxytocin Research : Proceedings of the 1st Joint World Congress of Neurohypophysis and (International Congress Series) by Japan Joint World Congress of Neurohypophysis and Vasopressin (1st : 1995 : Nasu-machi, Kiyoshi Kurokawa, Sho Yoshida, and Toshikazu Saito)
Vasopressin by G.J. Boer and D.M. Gash.
Vasopressin and Oxytocin: From Genes to Clinical Applications by D. Poulain, S. Oliet, and D. Theodosis, Oct 1, 2002.
There are sun lamps on the market.Originally Posted by hardasnails1973
On topic of light,
over my computer monitor I have a lamp, it is two incandescent tubes
10000K normally used in reef tank. It is supposed to simulate light at noon on equator.
Wonder how smart it is to have those tubes.
I did not dare to use halogen ligts that are usually a part of the complete light system as I think they emit UV plus lots of heat.
Most of the light I receive indirectly, so hopefully any radiation is stopped by lamp's shield.
In my clinical experience, though short, I have yet to ever come across such an example of "therapeutic testing" in this manner and would never recommend it without complete evaluation.Originally Posted by Dr. John
How does one address adrenal fatigue - the differential and workup for conditions with overlapping symptoms is exhaustive.
I would not nor would most other MD's blindly administer 5mg prednisone to any patient without a complete clinical picture.
Please tell me how you could bill for hypothyroidism, hypoadrenalism without any labs? If you did, it would be fraud. Labs are fundamental to the workout, blind Rxing without a diagnosis and workup is bad medicine.
Overlapping symptoms do not confuse but are part of the differential and the workup, which 99% of physicians will never embark on blindly.
You're missing my point - you were sugesting Rxing prednisone, no mention of labs, etc whatsoever.
In the workup for fatigue, you do MUCH MUCH more than a TSH, cortisol, especially if you read my previous posts which would include a cosyntropin stim test among several labs. As I said, the differential is huge and INCLUDES a MALIGNANCY! You cannot rule out cancer in this patient nor hypogonadism for that matter just as an aside.
Patients are very far from pieces of paper and in no way shape or form would either of us ever dismiss the physical exam for relying solely on lab values.
You see a patient with a Hgb of 7.2, you're telling me you are not going to transfuse a couple of units even though the patient is asymptomatic?? Obviosuly you would liek to rule out a source of the bleed etc etc.
How about a patient with a hyperkalemia of 7 who walks in feeling great? it is wquite common that some issues are quite chronic that the physcial exam ALONE may not offer the best insight. Put the two together, you've got yourself the tools to practice great medicine. Relying solely on either of the two is idiotic.
Physical exam + appropriate labs = the best medicine.
Cheers - this discourse shoul dbe able to provide some insight on the practice of good medicine.
I am not her to question your work nor do I look at one's past in addressing any of the issues presented. I am providing accurate information to the best of my knowldge, which of course does not substitute for a complete and accurate evaluation by a physician.
I hope you understand the context of my use of those terms and it does not merit discredit in any way.
Let's recap my use of those terms: idiotic - relying solely on physcial exam or lab values, of course, one does not treat the value, nor does one treat subjective and objective values alone. It owuld be idiotic, we can all agree on that.
Diagnosis without the appropriate laboratory measure = fraud, end of story. Try to see how that would hold up in court if you treated someone's presumed adrenal fatigue and subsequently found them to have a malignancy of some sort.
I see these cases all too often, I like to get the complete story and there have been numerous occasions where we took moeny from our pool to fund some of these diagnostic exams or provided the resources to fund and GIVE the accurate diagnosis and results.
These are nto meant to offend but more to shed light ont he subject. Gotta make use of my ivy league md outside of work sometimes too! :-)
Keep up the good work.
Similar Forum Threads
Where to buy 1,4-Diol?By BudHeavy in forum AnabolicsReplies: 10Last Post: 09-04-2007, 04:52 PM
Where to buy post cycle supplies now that LR has bad rep?By The Conqueror in forum AnabolicsReplies: 17Last Post: 07-08-2003, 10:19 PM
Liquid solutions out of clomid - Where to buy?By dannyboy5000 in forum AnabolicsReplies: 17Last Post: 04-26-2003, 12:47 AM
Where to buy t-1 proBy gh0stface killa in forum AnabolicsReplies: 19Last Post: 02-28-2003, 06:04 PM