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Sun Company
Ultimate Survival Technologies
Priceless than $25
$25 - $49.99
$50 - $99.99
$100 - $199.99
$200 - $299.99
$400 and above
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Good idea. Poor construction. Over the years, I've had a lot of compasses as a 17-year-member and Team Leader of a local S&R organization. They just interest me and I get a lot of use from them. I've owned several Bruntons, Silvas, and Suuntos among others. Every Brunton I've owned eventually got a bubble in the capsule. None of the Silvas. The disc (needle) of the Brunton also jumps off the needle it rotates on, causing it to tip off at an angle. It's just bothersome for the amount of $ one… Full review
Brunton 10B Baseplate Compass
There were two major needs for this compass: 1. It must have 2 degree increments and 2. Must be able to set declination. It has both! I bought this compass for navigation in the backcountry. It has worked fine. I can set the declination to my area without needing any tools. The only thing that worried me was if I would accidentally adjust the declination because there is no tool needed but I haven't had any issues with it. For a compass for under $15 I think this is a fine addition to the Ten Essentials! Full review
Suunto M-3D Leader Compass
This is a great compass and may be your lifesaver. It is compact, non-electronic, luminous, magnifier lens, and has the ability to adjust for the regional declination. This could be your lifesaver when you need it the most (lost, injured). Suunto is a primo leader in compasses. Combine it with your GPS system and with your maps and you should be able to keep out of trouble in the outdoors. It is a high quality product from a leader in the field. I highly recommend the compass and I highly recommend… Full review
Sun Company MiniComp II
At 9g/.32 oz, the Sun MiniComp II is a surprisingly well-featured mini-compass that takes up little space and virtually no weight. A great backup to digital technology or a lightweight backup option when you need to check direction. Don't swap out your go-to Suunto or Silva, but if the ultralight bug has bitten you, this is something to consider for quickly orienting maps or taking a bearing. When I am in the backcountry, I make it a point to have map and compass with me. I generally carry these… Full review
Silva Lensatic 360
Sturdy, reliable version of the Engineer's liquid-damped lensatic compass. My Silva Lensatic 360 compass has proven to be sturdy, reliable, and accurate compass for wilderness navigation. It is not made by Silva of Sweden but by Johnson Outdoors, who own the Silva brand name in North America and who source this compass from a manufacturer in Taiwan (Manufacturers in both Japan and Taiwan have supplied thousands of these liquid-damped lensatic compasses over the years, some better made than others). Full review
Suunto Arrow 20
Simple, effective baseplate compass with fast-settling needle. I purchased the Suunto Arrow-20 for general wilderness navigation and occasional orienteering events. The Arrow-20 is a conventional baseplate compass fitted with a millimeter scale and an oddball 1:15,000 map scale (probably intended for maps commonly used in orienteering competition). Circular and triangle cut-outs in the baseplate allow the orienteer racer to pencil in control markings on the map. The Arrow-20 has a large rectangular… Full review
Silva Ranger CL
This compass is one of the best out there. Very durable, accurate, and easy to use. The Silva Ranger compass has been the benchmark for over a half century. Used by outdoorsmen, contractors, surveyors, silviculturists, miners, and anyone who needs to rely on the best directional instrument the world has to offer. I have used the Silva Ranger for over 40 years years, and found it to be the easiest to use, and the most accurate and reliable compass, through all types of weather and temperatures. Although… Full review
Suunto M-3D Leader Compass
The Suunto M-3D Leader Compass simply meets my detailed traditional requirements for use with my USGS Quad topo maps and my Garmin eTrex Venture HC hand held GPS (that is still available for about $100.00) for hiking on trail, off trail, scrambling and for bagging peaks in summer and sketchy winter weather. It is great for snowshoers, skiers, snowmobile riders, hunters and horsemen! The Suunto M-3D Leader Compass simply meets my detailed traditional requirements! Here is why: 1. A reasonably long,… Full review
Casio SGW100B-3V Multifunction Watch
A waterproof watch that might know where North is and tells you lies about the temperature, but has a nice battery life. A digital compass on a waterproof watch is basically a free back-up tool if you can count on it! In fact...I highly recommend such a watch for those who can afford it...so when I originally purchased the Casio Mulit-Function watch I thought those of us with modest incomes might have just caught a break! Unfortunately with this watch you will never know if the watch is pointing… Full review
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Moderator: All Things Mods
Heffalump wrote:In polish wikipedia there is written: I want you not to build churches for FSM, it's better to spent money on:
-end with poor
-cure diseases
-make TV cheaper
And I totally agree with it. (sorry, I don't have The Gospel of FSM so I can not writ it exactly how it was written there)
By the power invested in me by tabloid-reading imbeciles, I name you a pedo-dog!
this is a good point, so maybe we could just like buy a multithousand dollar church we would not be breaking a id really rather you didnt.FSB wrote:if FSM wants us not to spend money in his name or wht ever then how come the gospel cost money to get?
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The Study of Gut Associated Lymphocytes in HIV and HCV/HIV Co-infected Patients
- Full Text View
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
The purpose of this research study is to explore what role immune cells within the gut (the sigmoid colon) have locally and on the immune system of patients infected with HCV, HIV or HCV/ HIV co-infection.
Hepatitis C, Chronic
HCV Coinfection
|Study Type:
|Study Design:
|Observational Model: Case Control
Time Perspective: Cross-Sectional
|Official Title:
|Exploring the Role of Gut-associated TH17 in Microbial Translocation in HIV and HCV/HIV Co-infected Patients
- Exploring the Role of Gut-associated Th17 in Microbial Translocation in HIV and HCV/HIV Coinfected Patients. [ Time Frame: One year ] [ Designated as safety issue: Yes ]We measure gene transcription of the colon tissues (relative expression fold changes of gene transcription compared to control). No preselected criteria were used to assess the participants. Data were analyzed and compared among each group. Relative expression levels of LEAP-2 (Liver expressed anti-microbial peptide-2) in the four groups were shown in the table below. Detailed of other genes had been published in Shata MT, et al, J. Clin Pathology 2013, Nov 66(11):967-75. PMID 23940131, and Abdel-Hameed et al, J. Acquir Immune Defic Syndr. 2013 Jul 10 PMID: 23846566
Biospecimen Retention: Samples With DNA
Colon tissues
|Study Start Date:
|April 2011
|Study Completion Date:
|January 2013
|Primary Completion Date:
|January 2013 (Final data collection date for primary outcome measure)
10 HIV mono-infected subjects
10 subjects infected with HIV only
10 HCV mono-infected subjects
10 subjects infected with HCV only
10 HIV/HCV co-infected subjects
10 subjects infected with both HIV and HCV
10 control subjects
10 subjects without HIV, HCV, or both
Detailed Description:
Objective 1: Characterization of the Gut Associated Lymphocytes (GALT) in HIV, HCV and coinfected patients regarding the role of Th17 and cytokine profiles.
Hypothesis 1a: HIV and HCV/HIV coinfection is associated with changes in Th17 numbers and functions in GALT.
Hypothesis 1b: HIV and HCV/HIV coinfection is associated with changes in cytokine profiles in intestinal mucosa.
Objective 2: Identify the relationship between changes in Gut Associated Lymphocytes (GALT) in HIV, HCV and coinfected patients and markers of microbial translocation.
Hypothesis 2a: Changes in GALT are associated with increase in microbial translocation in HIV, HCV and coinfected patients.
|Ages Eligible for Study:
|18 Years to 70 Years
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
The investigators plan to enroll 40 human subjects including 10 HIV mono-infected, 10 HCV mono-infected, 10 HIV/HCV co-infected patients, and 10 control subjects from the outpatient clinic at the University of Cincinnati College of Medicine.
Inclusion Criteria:
- are at least age 18, but not older than 70 years old
- have HIV, HCV or both
- do not have HIV, HCV or both, and are having a screening colonoscopy or flexible sigmoidoscopy for abdominal pain or colon cancer screening (control subject)
Exclusion Criteria:
- have a history of inflammatory bowel diseases (IBD) or suspected IBD
- have a history of autoimmune diseases including rheumatoid arthritis
- are taking systemic immunomodulators
- are pregnant
Please refer to this study by its ClinicalTrials.gov identifier: NCT01335230
|United States, Ohio
|University of Cincinnati
|Cincinnati, Ohio, United States, 45267
|Principal Investigator:
|M. Tarek Shata, MD, PhD
|University of Cincinnati
|Responsible Party:
|Mohamed Tarek Shata, Principal Investigator, University of Cincinnati
|ClinicalTrials.gov Identifier:
|NCT01335230 History of Changes
|Other Study ID Numbers:
|Study First Received:
|April 12, 2011
|Results First Received:
|June 24, 2013
|Last Updated:
|August 27, 2015
|Health Authority:
|United States: Institutional Review Board
Keywords provided by University of Cincinnati:
Hepatitis C
HIV and Hepatitis C coinfection
Additional relevant MeSH terms:
Hepatitis C
Hepatitis C, Chronic
Digestive System Diseases
Flaviviridae Infections
Hepatitis, Chronic
Hepatitis, Viral, Human
Liver Diseases
Parasitic Diseases
RNA Virus Infections
Virus Diseases
ClinicalTrials.gov processed this record on October 13, 2015


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text: The conductor Alexandre Guerra translates all the tenderness and innocence of the most beautiful Brazilian chants into sensitive orchestral arrangements. This Azul Music CD has the participation of experienced musicians who enriched the themes with delicate piano, bassoons, flutes, guitar, oboes and clarinets, among other instruments. These well-known nursery rhymes are a great way to introduce babies and children into the music universe. The album contains a beautiful booklet with the lyrics of the songs for parents to sing along with the family.


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RUTH Howie, from Crieff, Perthshire, weighed more than 20 stone – but a year on, she's lost more than half her body weight and runs long distance races.
Backed by the Scottish Government, tourism agency VisitScotland has lodged an application with the Ladies European Tour to host the 2019 Solheim Cup at Gleneagles Hotel - the venue for the hugely successful 2014 Ryder Cup. If given the go-ahead, tens of thousands of spectators are likely to descend on the area for the biennial women's golf contest.
Voluntary organisation in need of new blood as many of the current stalwarts are unlikely to stand at the next elections
VisitScotland's regional boss Jim Clarkson's at-a-glance guide to what's going on to draw in the visitors to this area
Grey squirrels in the Crieff area could jeopardise the future of the nation's native species.
Strath-based dog charity Perthshire Abandoned Dogs Society (PADS), which has it's home at Forteviot, has benefitted to the tune of over £1000 from a sponsored dog walk.
BITEGATE, Alex Neil's rise to fame and advice for the Gers new chairman on the Ibrox managerial situation dominated the calls as Euan Strathearn got his first taste of manning the Hotline today.
Starting its fourth season, The Breadalbane Explorer connects Crieff, Comrie, St Fillans, Lochearnhead, Killin, Kenmore, Acharn and Aberfeldy and provides easy access to Breadalbane's tourist attractions.
IF plans are approved by Perth and Kinross Council, the 1254 square-metre development could be built near to the new primary school.
Archaeology Month 2015 will run throughout June and includes a talk on by TV's Tony Pollard on WWI archaeology and archaeological digs at Dunning.
Challenge De Madrid is the next hurdle for the 29-year-old star
Two new grant schemes could be worth thousands to businesses in the Strath capital
Audiences are in for a treat as the Gaelic version of Whisky Galore comes to Strathearn Arts Space.
PLAN your social calendar for events in and around Perthshire this spring and summer.
Looking for some nice family friendly activities this Easter weekend? Why not visit some of these events taking place around Perthshire.
Talented 23-year-old hopes to get season off to a flying start in Corby on Sunday
Crieff Highland Gathering organisers hope Celtic rockers will boost visitor numbers at 2015 event
Drug users and dog walkers are being blamed for the state of the former St Michael's Parish Church and burial ground in Church Street.
Robert Swanson has been called upon to investigate Perth and Kinross Council's move to appropriate land at Perth Crematorium for the new A9/A85 link road.
Electrics and heating system overhaul are just part of the planned refurbishment of Perth's Crematorium, which will be closed for funeral services for an undisclosed period while work on the controversial relief road goes ahead.
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PORTLAND, Maine (NEWS CENTER) - It's looking like Maine will once again have a three way race for Governor next year. Republican Governor Paul LePage has already registered as a candidate, although he hasn't yet said if he will actually run.
And former Democratic Governor John Baldacci told NEWS CENTER'S Don Carrigan today he is seriously considering running again.
Baldacci worked a year at the Pentagon after his second term as Governor, and is currently working as a consultant with the Pierce Atwood law firm in Portland. But Baldacci says he's worried about the divisive atmosphere in Augusta, and says he thinks Governor LePage's methods are hurting Maine and bad for business. Baldacci says that's why he considering a run for Governor in 2014, and at the money it is "more likely than not" that he will enter the race.
Baldacci says he is having discussions with a variety of people and will make a decision by April.
Meanwhile, former independent candidate Eliot Cutler - who came in second in the 2010 race for Governor - is also giving serious thought to throwing his hat into the ring. Cutler filed paperwork with the state today to officially form a campaign, in order to raise and spend money. Cutler's spokesman, Ted O'Meara, says there has not been a definite decision yet whether he will run.
However, O'Meara also said it is "more likely than not" that Cutler will enter the race.
A poll released this week by Public Policy Polling shows a three way race between Cytler, Baldacci and Paul LePage would be won by LePage...a similar scenario to what happened in 2010. However, that same poll showed Baldacci would defeat LePage in a two-way race.


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Plus III vs. PlusX Comparison on SOSKIphoto
SOSKIphoto poses the question that I'm sure more than a few photographers have been asking: "Does the new PlusX offer enough bang-for-the-buck or is the Plus III a better buy?"
Helpfully, they offer a side by side comparison of the features of the two triggers and suggest target users for each. They write, "With the PlusX's top notch build quality, updated feature set, and friendly price, there is no denying that this radio trigger will take the Strobist market by storm."
Which trigger is right for you? Read the full post to find out.
All images and quotes in this post are used with permission and ©SOSKIphoto, all rights reserved; story is ©PocketWizard. Please respect and support photographers' rights. Feel free to link to this blog post, but please do not replicate or re-post elsewhere without written permission.


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TuckerBlair89 wrote:Not terribly impressed with the trade. I love Teagarden as the backup C, but did not like giving up Randy Henry for him.
He throws 97, and Don mentioned that he has potential to be in the back end of the bullpen at some point in 2012.
The Orioles did have a surplus in the low minors of guys like this but I still think it's a little much to give up for a backup C. Maybe this shows how heated the market is though. A lot of team are in the hunt for a C.
At least Pedro Viola got DFA'd, but Pedro Florimon still has a roster spot -__-
Henry is an athletic righthander whose best offering is a plus slider that features sharp, late break and tops out at 87 mph
Obviously, if he can continue avoiding walks and extra-base hits, Henry will be a usable pitcher regardless of his low strikeout rate. He could stand to improve his slider to get more swings and misses and become more than just a situational guy/double-play specialist, but he could hold down a middle relief role in the big leagues.
To offset his fastball Henry uses a slider that flashes as an average big league pitch with good tight spin and some two-plan break. He can throw the pitch for strikes at will and must learn to induce hitters to chase the pitch on some occasions.
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Copies That Match Your Originals.
This All-In-One automatically detects the type of original you're copying whether it's a photo, a text document or even a page from your notebook and then processes the image with optimal settings. The resuls are copies that will be truer to the originals, with accurate color and reduced grain in photos, and sharp, bold text in documents.


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You've arrived at the Paula Young Sale Department! Prepare to be amazed by our fabulous selection of wigs, hairpieces, apparel and accessories, all at low, budget-friendly prices. Whatever styles you're looking for – short wigs, clip-on hairpieces, beautiful blouses or styling sets – the Paula Young Sale Department has it! High beauty at low prices…that's the Paula Young way.


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Read: Looking At Taylor Pyatt
At TSN, Scott Cullen looks at the Rangers signing of Taylor Pyatt and writes, "A big winger who isn't fast enough or nasty enough to make the most of his physical gifts, 30-year-old Taylor Pyatt is nonetheless capable of playing a third or fourth-line role."
He notes that Pyatt will be able to replace the minutes that Ruslan Fedotenko played for the Rangers.
He had 9 goals and 10 assists last season and he is from the same town, Thunder Bay, Ontario, as Marc Staal.
His former teammate Alex Burrows said of Pyatt in 2009, "We need that big body back in the lineup. He's strong along the boards and I'm sure he is going to contribute big time."
On Pyatt, Canucks blog Pass It To Bulis writes "Pyatt found his legs in Phoenix, playing a third-line role that seems to fit him better than the top-six expectations did in Vancouver. He was re-signed by the Coyotes after his first season and is now in his third year with the club. Pyatt has 3 goals and 1 assist so far in the playoffs, but his role is mainly defensive: his line starts the bulk of their shifts in the defensive zone, with Pyatt starting just 35.7% of his shifts in the offensive zone."
In another post, they write of Pyatt, "He's a big body with decent defensive skill and the ability to occasionally chip in offensively. Yes, for the love of all that is good, keep him off the first unit powerplay, but Pyatt would be an acceptable depth winger. Plus he's still got the best set of baby blues in hockey."
At the time he was drafted, 8th overall in 1999, Islanders GM Mike Milbury said to the Daily News, "Pyatt is as good a skater as there was in the draft. He'll be the best skater at our training camp and he brings good size and finish."
The man who picked Pyatt for the Islanders was "draft guru" Gordie Clark.
Adam Rotter: I think Pyatt has a chance to replace Brandon Prust as Brian Boyle's wingman both in the bottom six and on the PK. They are both hard workers, have size and willing to play in the dirty areas. Both players are used to starting their shifts in the defensive zone as well.
Hopefully Pyatt can knock in between 12-15 goals and get somewhere close to 30 points and help the Rangers become a deeper team, which is something that John Tortorella wanted to accomplish in the offseason.


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Product Information:
This wrought-iron pendulum wall clock with warm antique gray finish, features a profiled wood bezel finished in Americana Cherry.
Weights & Dimensions
|Product Type: Analog
|Finish: Cherry
|Shape: Novelty
|Style: Traditional
|Distressed: No
Primary Material: Metal
|Number of Items Included: 1
|Time Display: Analog
|Time Format: Standard
|Day/Date Display: No
|Temperature Display: No
|Alarm: No
|Chime: No
|Power Source: Batteries
Batteries Required: Yes
|Neon: No
|Picture Frame: No
Numbered Clock: Yes
Pendulum Included: Yes
|Glass Component: Yes
|Operating Mechanism: Quartz movement/Crystal
|Gender: Unisex
|Life Stage: Adult
|AM/FM Radio: No
|LED Light: No
|Volume Control: No
|Hygrometer: No
|Barometer: No
|Timer: No
|Manual Reset: Yes
|Outdoor Use: No
|Country of Manufacture: Taiwan, Province of China
|Assembly Required: No
|Installation Required: No
|Additional Parts Required: No
|Product Warranty: 1 year
|Damp, Dry or Wet Location Listed: Dry
About the ManufacturerIncomparable workmanship. Unsurpassed quality. A quest for perfection. It's what Howard C. Miller insisted on when he founded the company back in 1926 at the age of 21. p Even then, Howard Miller understood the need to create products that would be steeped in quality and value. He expected nothing less than the best. And it was only under those strict conditions that he allowed his name to grace every clock manufactured at their sprawling facility in Zeeland, Michigan. p Howard Miller was schooled in the fine art of clockmaking by his father, Herman, in the Black Forest region of Germany. Howard developed into a visionary whose keen sense of innovation spawned a tradition of excellence that has been uncompromised through three generations. p While the early years focused on the manufacture of chiming wall and mantel clocks, Howard Miller also produced trend-setting avant garde clocks that stand today in collectors' galleries. During World War II, Howard Miller joined forces with the Ford Motor Co. to produce anti-aircraft covers. In the 1960s, the company turned its attention to grandfather clocks, eventually earning the company the title of "World's Largest Grandfather Clock Manufacturer." p In 1989, Howard Miller began creating collectors cabinets with the same attention to detail and craftsmanship inherent in their clockmaking. Fashioned from glass and hardwoods, the cabinets are ideal for displaying heirlooms, plates, glassware and other collectibles. p As part of the company's continuing effort to bring customers only the best in handcrafted products, Howard Miller recently acquired three companies: The Hekman Furniture Company produces a strong cadre of carefully sculpted hardwood pieces that range from 18th and 19th Century reproductions, to contemporary products featuring fine metals and exotic woods. The Woodmark Company makes fine upholstered pieces. And the exquisite movement in many clocks we offer is made by Old World craftsmen employed by the Kieninger Company of Germany. p The legacy left by Howard C. Miller isn't an easy one to emulate. But it's the only way we know of doing business. Incomparable workmanship. Unsurpassed quality. A quest for perfection.
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We want you to love it. If you don't, you may return your purchase within 30 days of delivery. All you need to do is visit our Self-Service Return Center for instructions. Return credits are issued within 24 hours once the item is received and inspected. Please note that shipping charges are non-refundable. The cost of return shipping will be deducted from your refund. 30-Day Return Policy
Overall Rating
Based on 7 reviews
Customer PhotosAdd your own photo
Great Design Y from FL on 07/15/2014 – Verified Buyer
I like the quality of this Wall Clock and it is exactly what I expected. It is durable and is exactly as described on the web.
Was this helpful? Yes 2 No 0
Beautiful!! kim from medinah, IL on 12/30/2014 – Verified Buyer
Looks great, just what I expected! It's a beautiful clock.
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Yvonne clock Ilda from La Crescenta, on 09/21/2014 – Verified Buyer
Love this clock! Beautiful and graceful. I have it hanging in my kitchen. Charming!
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Love the wall clock. Nancy from CA on 11/06/2013 – Verified Buyer
Everything went well with the order and delivery. I love the wall clock! I had no problems with it.
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BEAUTIFUL wolf from van buren maine on 04/19/2011
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Lead missionary and executive director of the Baptist State Convention of Michigan, Bobby Gilstrap, will be on campus March 21 and 22 to meet students and talk about opportunities for service in Michigan. On March 21 from 4:30–8:30 p.m., he will host Michigan Meal & Networking, a come-and-go dinner at Tommy and Karen Gilstrap's home: 3729 Wilkie Way, Fort Worth, 76133 (817.228.9868). Students can register for a $25 Domino's Pizza Gift Card at dinner.
Established 1908 We Are Southwestern Fort Worth, Texas
All content © 2015 Southwestern Baptist Theological Seminary • Fort Worth, Texas. All rights reserved. Privacy Disclaimer.


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By RICHARD SHAWSun Advocate reporter
Mayor Joe Piccolo has created new assignments for the members of Price City Council.
"This move will challenge the council with a new way of looking at things," stated the mayor at last Wednesday's council meeting. "The new appointments are not written in stone, and is a new way to look at managing our city government."
Under the mayors new plan, work between departmental supervision will be more flexible, and council members agreed it looked good by approving it.
The council also had a separate meeting on Friday to clear up a couple of items that could not be entirely decided on Wednesday night, including the appointment of a city treasurer.
Appointed to that position by the council was Sherry Madrid who has held it for the past few years.
The council also discussed an ongoing situation concerning their own compensation. While council members are paid between $300 and $400 per month to take care of their council duties, they also received the benefit of health insurance if they wish to take it. At present that benefit is worth about $750 per month for a family plan. Some of the elected officials take the insurance, others, because of coverage from spouses insurance or from their regular jobs, have not selected that option.
In the past, the money that would have paid for the insurance could be put in annuity type accounts, therefore the officials still receive the benefit.
However, in recent months, there has been the question raised of whether council members could take the money in cash rather than through an annuity system, which makes it hard for an individual to withdraw the funds under normal circumstances.
On Wednesday, the council was searching for solutions as the members discussed the situation.
"I wonder if we could put some of that money in some type of taxable account to allow more flexibility to council members," commented Councilman Steve Denison.
But the mayor and some other council members appeared concerned about taking the action.
"Our benefit is the health insurance," stated Piccolo. "There is a difference between putting money in an annuity and another type of account. What's the difference between that and a check?"
Keith White, the city's human resources director, mentioned the fact that, if the money was given directly to council members, it might appear the officials were giving themselves a raise rather than remuneration for a benefit they have been receiving in a different form.
"I am also concerned that we may be creating an inequity here, too," stated Councilman Richard Tatton, referring to the fact that regular employees of the city would not have that option.
Council member Jeanne McEvoy wondered whether such a move would be legal.
"It would be legal if the council were to decide that was the way they wanted to do it," stated Price City Attorney Nick Sampinos.
But the discussion continued to center around fairness to everyone involved.
"This benefit package has grown because the cost of health insurance has gone up," emphasized Piccolo. "How can you do this for yourselves and not for others?"
As the discussion progressed, it became apparent that most of the council members wanted to at least look at all the options for handling the issue.
Price officials subsequently asked Pat Larsen, the city's financial officer, to develop several scenario options on the subject.
The Price council members also entertained a request involving city property from Keven Mortensen, the co-owner of Wings and Things.
Mortensen wants to purchase a piece of property the city owns south of Wellington to put in a landing and take off area for the powered parachutes the local company is building.
"We have been flying from within that area the last two years," pointed out Mortensen. "My intention is to build a strip there along with a home. We like that area because we can fly over the open desert and not bother anyone."
The mayor explained that, in order to sell off property, the city must go through a certain procedure.
Tatton also suggested that Mortensen look at the zoning in the area to be sure what the company wants to do is compatible with the regulations.
The council voted to declare the property surplus and start the process of placing it on the market.
In addition, Price received a clean bill of health from Smuin, Rich and Marsing on the city's financial statements for the fiscal year ending June 30, 2003. In the accounting firm's opinion, Price has been "complying with common accounting standards" and the city had a "good clean audit" during the review.


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Skype and Facebook quickly rallied to fight back at the recent Google attempt to launch a social network, named Google+. The Google+ network quickly added a number of features that were not currently available for Facebook, but were reportedly already in development. One thing that Facebook has to take into account, is there large number of users from unlocked cell phone such as Motorola Atrix, Samsung Galaxy S II, so when they make a sweeping change like adding integration for video chat, they will not be able to roll it out as seamlessly as Google did with the Google+ platform. However quickly after the announcement was made that Google+ was going live for a small number of beta users, it has early become clear that they have some momentum that will has never had before and the social networking space, despite several other attempts to launch a viable social network.
Now, Facebook has announced that they will have Skype integration with Facebook, as well as Facebook integration with Skype. This spares both Facebook and Microsoft in a partnership sending them directly against their competitor, Google. It will be interesting to see whether or not the Facebook video chat is as well received as the Google+ video chat has been so far. So far the reviews of the Google+ video chat service have been raving, and most users have seemed to think that their hangouts option is one that puts Google+ network ahead of other social networks that are currently out there. It has been for fear of Facebook that Google will launch a rival social network for quite some time, and it appears that this is their shot. They're taking it now and are attempting to break what has become the world's largest machine Facebook social network platform. Along with this they have also announced a plethora of other new updates to Facebook, including group chat, a way that will allow for users to chat with multiple people at once instead of just the one that had been allowed so far.
PureMobile carries wide range of unlocked cell phones and cell phone accessories such Bluetooth headsets.


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Workers replace main power transformer, perform maintenance to advance equipment reliability
DELTA, PA (November 20, 2010) – Operators at Exelon Nuclear's Peach Bottom Atomic Power Station safely returned Unit 3 to service today at 7:10 a.m. ET after a safe and successful maintenance outage. During the five-day outage, workers replaced one of the station's main power transformers and performed a number of maintenance tasks that can only be performed while the unit is offline.
Four of Peach Bottom's six main power transformers have already been replaced as part of Exelon's $87 million investment to advance long-term equipment reliability at the station. The station's Unit 3 'B' transformer, one of two remaining units that have been in service since 1974, was replaced this week with a spare unit of similar vintage. The replacement unit will remain in service until the station's two new transformers are placed in service next fall.
Site Vice President Tom Dougherty said, "This maintenance outage helps make sure we prepare the plant for future reliable operations, especially in the summer months when the region needs the plant's electricity the most."
Peach Bottom's Unit 2 reactor continued to run at full power during the transition. The station is home to two boiling water reactors, which jointly produce over 2,200 megawatts of carbon-free electricity, powering more than two million homes.
Exelon Corporation is one of the nation's largest electric utilities with more than $17 billion in annual revenues. The company has one of the industry's largest portfolios of electricity generation capacity, with a nationwide reach and strong positions in the Midwest and Mid-Atlantic. Exelon distributes electricity to approximately 5.4 million customers in northern Illinois and southeastern Pennsylvania and natural gas to approximately 486,000 customers in the Philadelphia area. Exelon is headquartered in Chicago and trades on the NYSE under the ticker EXC.


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Release Date: 2013 |
Album Rating: 4.0Gorgeous stuff.
Digging: Injury Reserve - Live From The Dentist Office
And Alex keeps the trend going : ] (think Aussie accent lol)
"Woman is an album that's equally soothing downtempo jazz and dreamy lounge music."
Equal parts rather than equally works here.
What you write is good, but I'd rather you fleshed your reviews out a bit more. Apart from being
'chilled' I don't really know what this thing sounds like. You mention strings and horns but then
don't expand, for example.
Album Rating: 4.0Yeah I agree, not really much I could expand on though.
Album Rating: 3.5Yeah the first two tracks are amazing.
Digging: Young Thug - Slime Season
Album Rating: 4.0and in that way it will bring listeners to a serene paradise-like state of mind that's free of stress and burden.
Digging: Deafheaven - New Bermuda
Album Rating: 4.0Yah
Album Rating: 3.5 | Sound Offunderrated and unknown as FUCK
Album Rating: 3.5 | Sound Offthe very start of one of those summer days instantly makes me think of art of life by x japan WTF
I am loving this
mainstream pop literally is bad
Album Rating: 2.8damn i gotta listen again but this seemed hella boring
Album Rating: 3.5Last Dance is amazing
Should def listen to this.
I'm a fool for your love
Bands: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


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Movement on all fronts
The three weeks of Le tour were marked by the domination of Chris Froome in the general classification, but also by the victorious sprints of André Greipel, the appearance of an African team considerably in involved in the race at several levels, the frustrations and fourth Green Jersey of Peter Sagan, the successes in the mountains of Romain Bardet and Thibaut Pinot, a double for Movistar with Quintana and Valverde on the podium... Here is an overview of the highlights of the 2015...Read more More news
Le Tour 2015 route
Tour de france 2015
Running from Saturday July 4th to Sunday July 26th 2015, the 102th Tour de France will be made up of 21 stages and will cover a total distance of 3,360 kilometres.
These stages have the following profiles:
- 9 flat stages
- 3 hill stages
- 7 mountain stages with 5 altitude finishes
- 1 individual time-trial stage
- 1 team time-trial stage
- 2 rest days
6 new stage cities
Utrecht, Zélande, Livarot, La Pierre-Saint-Martin, Muret, Sèvres - Grand Paris Seine Ouest.
Grand Start
Le Tour in videos
- Best of 2015
- On-board camera
- Landscape of the day
- Buzz of the day
- The Flamme rouge - The last kilometre
- Summary
- La minute maillot jaune LCL
- Magazine
- [Official Teaser] Tour de France 2015
Jersey wearers after the stage 21
- white jerseyQUINTANA ROJAS N.MOV
- the day's winnerGREIPEL A.LTS
- teamMOVISTAR TE.MOV
Grand Départ
Key moments
- 07/26Summary
- 07/26 André Greipel claims final sprint,...
- 07/26Peter Sagan: «I've got...
- 07/26Nairo Quintana: «I'm more of a...
- 07/26Chris Froome: "I wanted this picture...
- 07/26Eusebio Unzúe: «You never get...
- 07/26André Greipel: "The biggest success...
- 07/25Paris awaits Chris Froome for his...
- 07/02[Official Teaser] Tour de France 2015
Receive exclusive news about the Tour de France
Sponsorship and Environment
Since it was founded, Amaury Sport Organisation has been involved in various sponsorship and philanthropy activities. It is the generosity of sport that can be found in a certain number of initiatives aiming to invest in the workings of the disciplines themselves (sponsorship of the French Federation of Cycling), in a humanitarian and social framework, (Mécénat Chirurgie Cardiaque, Actions Dakar, Un Techo Para Mi Pais) or in the environmental sphere (Madre De Dios, selective sorting, etc.). Read more
A.S.O. is committed to integrating environmental considerations into the organisation of its races: Limiting CO2 emissions; A quality waste management policy for the spectators but also for the organisers and the riders; The promotion of cycling as an alternative, environmentally-friendly means of transport. Read more


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There's a printable Fisher-Price coupon available and it's good for $3.00 off any Fisher-Price Giggle Gang.Hurry, the best printable coupons disappear quickly, so if you need it, grab this one before it's gone.
You can find more Fisher-Price coupons and ways to save while grocery shopping in the coupon database.
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Nets would Listen to Nate for Sean Williams Swap
A source close to the Nets front office told TKB that the team would most definately accept a Knicks offer of Nate Robinson in exchange for forward Sean Williams.
With a rather thin backcourt consisting of Devon Harris, Trenton Hassell and Keyon Dooling, along with rookie Chris Douglas Roberts, the Nets would welcome the explosive 5'7 scoring sparkplug, however a phone call from Donnie Walsh has yet to be made.
It's a deal that makes sense for both teams. Williams, the troubled former BC product, is the shot blocking presense that Walsh covets. In his rookie season, despite garnering only 17 minutes per game, the 6'10 Williams racked up 106 blocks. However, his attitude apparently caused him to sit in coach Lawrence Frank's doghouse, limiting his minutes towards the end of the season.
Attitude is something that the Knicks want nothing to do with, of course, and Williams is not a perimeter threat, something that Mike D'Antoni loves in his big men. But he can finish in transition as well as keep possessions alive with his active offensive rebounding ability.
His potential and athleticism, along with his defensive prowess, would fit a huge need for the Knicks. Should Eddy Curry show up out of shape and get under the skin of D'Antoni, a frontcourt rotation of Williams, Zach Randolph (who's not going to Memphis) and David Lee, would be an instant upgrade.
Robinson is a fan favorite, who many are excited to see in D'Antoni's gun-slinging offense. But, when considering he doesn't really have a position and is a free agent at season's end, it would appear that Williams would be great bounty in return.
Williams would also provide insurance should the Knicks decide to trade Lee instead of signing him to the long term expensive contract that he is sure to attract on the open market.
Earlier in the season Williams was a key cog in Frank's rotation, and when you consider the eight games he played over 30 minutes this season his averages were impressive: 11 points 8 rebounds and 3.75 blocks.
The Knicks finished dead-last in blocks-per-game last year, and knowing Donnie Walsh's desire to have someone defend the hoop, Williams would be an ideal fit.
All he has to do is make the call.
So we ask the fans:
[poll id="16″]


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All types of organizations—healthcare, government, faith-based, Greek, minority, professional and civic, among others—partner with the American Kidney Fund to spread the word about kidney disease and support our programs and services. If your organization is interested in partnership opportunities with the American Kidney Fund, please contact John Manning to learn more.
The American Kidney Fund is proud to be a health charity organization of choice in a four-year partnership with Alpha Kappa Alpha Sorority, Incorporated – the first Greek-lettered sorority established and incorporated by African American college women. In this dynamic partnership, the American Kidney Fund joins more than 250,000 women of Alpha Kappa Alpha Sorority, Inc., to raise awareness of kidney disease and its risk factors through health and education-focused activities.
The American Academy of Family Physicians (AAFP) is one of the largest national medical organizations, representing 105,900 family physicians, family medicine residents, and medical students nationwide. Founded in 1947, its mission has been to preserve and promote the science and art of family medicine and to ensure high-quality, cost-effective health care for patients of all ages.
Founded in 1973, the American Association of Diabetes Educators (AADE) is the leading association for diabetes educators. With more than 13,000 members, AADE advocates on behalf of diabetes educators and the patients they serve. AADE works to ensure the professional growth of its members and promotes widespread recognition of the benefits of diabetes education. The mission of AADE is to drive practice to promote healthy living through self-management of diabetes and related chronic conditions.
The American Diabetes Association is leading the fight to Stop Diabetes and its deadly consequences and fighting for those affected by diabetes. The Association funds research to prevent, cure and manage diabetes; delivers services to hundreds of communities; provides objective and credible information; and gives voice to those denied their rights because of diabetes. Founded in 1940, ADA's mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.
American Medical Technologists is a nationally and internationally recognized certification agency for allied health professionals. In existence since 1939, AMT is also a membership association, providing continuing education and other services to over 60,000 members. AMT is accredited by the National Commission for Certifying Agencies (NCCA) for all its competency-based examinations.
The American Nephrology Nurses' Association (ANNA) is the professional organization for registered nurses who specialize in the care of patients experiencing the real or threatened impact of renal dysfunction. ANNA sets forth and updates standards of patient care, educates its practitioners, stimulates and supports research, disseminates new ideas throughout the field, promotes interdisciplinary communication and cooperation, and monitors and addresses issues encompassing the practice of nephrology nursing. The mission of the American Nephrology Nurses Association is to promote excellence by advancing nephrology nursing practice and positively influence outcomes for individuals with kidney disease.
The American Society of Hypertension, Inc. (ASH) is the largest U.S. professional organization of scientific investigators and healthcare professionals committed to eliminating hypertension and its consequences. ASH is dedicated to promoting strategies to prevent hypertension and to improving the care of patients with hypertension and associated disorders. The specific focus of the Society is to translate current research findings on hypertension into effective treatment strategies, in order to better address the needs of hypertensive patients.
Founded in 1966, and with more than 14,000 members, the American Society of Nephrology (ASN) leads the fight against kidney disease by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care for patients.
Founded in 1974, the Association of Black Cardiologists, Inc., (ABC) is a nonprofit organization with an international membership of 2,500 health professionals, lay members of the community (Community Health Advocates), corporate members, and institutional members. The ABC is dedicated to eliminating the disparities related to cardiovascular disease in all people of color. Today, the ABC's public and private partnerships continue to increase their impact in communities across the nation.
CDC.gov (www.cdc.gov) is your online source for credible health information and is the official Web site of the Centers for Disease Control and Prevention (CDC). CDC is committed to achieving true improvements in people's health. CDC applies research and findings to improve people's daily lives and responds to health emergencies—something that distinguishes CDC from its peer agencies. Working with states and other partners, CDC provides a system of health surveillance to monitor and prevent disease outbreaks (including bioterrorism), implement disease prevention strategies, and maintain national health statistics. CDC also guards against international disease transmission, with personnel stationed in more than 25 foreign countries.
Under the direction of the Centers for Medicare & Medicaid Services (CMS), the End-Stage Renal Disease (ESRD) Network Program consists of a national network of 18 ESRD Networks, responsible for each U.S. state, territory, and the District of Columbia. ESRD Networks service geographic areas based on the number and concentration of ESRD beneficiaries.
ESRD Networks work with consumers and ESRD facilities and other providers of ESRD services to refine care delivery systems to make sure ESRD patients get the right care at the right time. The Program's responsibilities include:
The International Council on Active Aging® (ICAA) was founded in the belief that unifying the efforts of the organizations focused on older adults benefits both the people they reach and the organizations themselves. Today, the vision is shared by over 9,000 organizations connected to the ICAA network.
ICAA connects a community of like-minded professionals who share the goals of changing society's perceptions of aging and improving the quality of life for aging Baby Boomers and older adults within the seven dimensions of wellness (emotional, vocational, physical, spiritual, intellectual, social, environmental). The council supports these professionals with education, information, resources and tools so they can achieve optimal success.
Measure Up/Pressure Down is a three-year national campaign, developed by the American Medical Group Foundation, to reduce the burden of high blood pressure. The campaign aims to raise awareness about the dangers of high blood pressure and educate Americans on how to have their blood pressure in control by 2016. Measure Up/Pressure Down also leverages the coordinated care delivery systems of members of the American Medical Group Association, which collectively deliver care to 130 million patients (nearly one in three Americans), in order to achieve lasting improvements that lead the way to greater health, productivity, and cost savings.
Heart disease and stroke are the first and fourth leading causes of death in the United States. Heart disease is responsible for 1 of every 3 deaths in the country. Million Hearts™ is a national initiative that has set an ambitious goal to prevention 1 million heart attacks and strokes by 2017. The impact will be even greater over time.
Million Hearts™ brings together existing efforts and new programs to improve health across communities and help Americans live longer, healthier, more productive lives. The Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Services are the co-leaders of Million Hearts™ within the U.S. Department of Health and Human Services, working alongside other federal agencies including the Administration on Aging, National Institutes of Health, the Agency for Healthcare Research and Quality, and the Food and Drug Administration, the Health Resources and Services Administration, and the Substance Abuse and Mental Health Services Administration, the Office of the National Coordinator, and the Veterans Administration.
The National Association of Social Workers (NASW) is the largest membership organization of professional social workers in the world, with 145,000 members. NASW works to enhance the professional growth and development of its members, to create and maintain professional standards, and to advance sound social policies.
Founded in 1886, the National Baptist Convention, USA, Inc. is the nation's oldest and largest African American religious convention with an estimated membership of 7.5 million. The Health Outreach and Prevention Education Initiative (H.O.P.E.) aims to bring HOPE to our communities, which are disproportionately affected by many preventable disease processes, by taking actions that will dramatically improve our health and positively impact our total well-being.
The vision of the National Episcopal Health Ministries (NEHM) is that every Episcopal congregation becomes a vibrant, caring place of health and wholeness. NEHM serves by educating leaders for Episcopal health ministry and parish nursing; supporting those engaged in health ministry in Episcopal congregations through membership opportunities; providing resources to local congregations, diocese and provinces; and collaborating with other faith communities, institutions and health organizations.
The National Kidney Disease Education Program (NKDEP) is an initiative of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), one of the National Institutes of Health. NKDEP aims to raise awareness of the seriousness of kidney disease, the importance of testing those at high risk, and the availability of treatment to prevent or slow kidney failure.
The Office on Women's Health (OWH) within the U.S. Department of Health and Human Services provides leadership to promote health equity for women and girls through sex/gender-specific approaches. OWH achieves its mission and vision by developing innovative programs, educating health professionals, and motivating behavior change in consumers through the dissemination of health information.
Since 1973, the Renal Physicians Association (RPA) has been dedicated to representing and serving nephrology practitioners in their pursuit and delivery of quality renal health care. RPA is a non-profit 501c6 national nephrology specialty medical association with over 4,000 members serving kidney patients. RPA's programs focus in the areas of practice management, public policy and quality patient care.
American Kidney Fund • 11921 Rockville Pike, Suite 300 • Rockville, MD 20852
Toll-free: (800) 638-8299© 2015 American Kidney Fund, Inc. All rights reserved.


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Operators at Limerick Generating Station returned Unit 1 to full power at approximately 11:40 p.m. yesterday.
Pottstown, PA - Operators at Limerick Generating Station returned Unit 1 to full power at approximately 11:40 p.m. yesterday. The unit was taken off-line on September 1 for planned inspections of the low-pressure turbine blades. All inspections were completed satisfactorily.
"Plant personnel executed the planned outage safely and effectively," said Tom Dougherty, Limerick Site Vice President. "These inspections are part of our commitment to operate Limerick at the highest level of safety and efficiency."
Limerick Generating Station is 21 miles northwest of Philadelphia. With both units at full power, the site produces enough carbon-free electricity for approximately two million homes.
Exelon Corporation (NYSE:EXC) is the nation's leading competitive energy provider, with approximately $33 billion in annual revenues. Headquartered in Chicago, Exelon has operations and business activities in 47 states, the District of Columbia and Canada. Exelon is the largest competitive U.S. power generator, with approximately 35,000 megawatts of owned capacity comprising one of the nation's cleanest and lowest-cost power generation fleets. The company's Constellation business unit provides energy products and services to approximately 100,000 business and public sector customers and approximately 1 million residential customers. Exelon's utilities deliver electricity and natural gas to more than 6.6 million customers in central Maryland (BGE), northern Illinois (ComEd) and southeastern Pennsylvania (PECO).


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NeoTV remote control app for iOS and Android devices. The NeoTV remote control app makes it a breeze to find and play your favorite movies and share favorite channels on Facebook.


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The best way to explore Birmingham is on foot as the majority of the city centre is now pedestrianised and the canals, which have been cleaned up, make for attractive walkways. The most popular form of transport used in Birmingham and the West Midlands area are buses. There is no central bus station, but a bus stop can be found on almost every corner. Travel West Midlands is the main operator; with a single fares, travelcards and Daysaver tickets available for unlimited travel for a day. An exact fare is required when boarding the bus, as drivers will not give change. Black cabs can be hailed in the street or reached at one of the many taxi ranks in the city centre, the main ones situated at New Street Station, Stephenson Street and Digbeth Coach Station. New Street and Moor Street train stations provide rail connections to destinations throughout the UK. For coach transfers to other major towns and cities, National Express is a good bet.
GMT (GMT +1 between the last Sunday in March and the Saturday before the last Sunday in October).
The electrical current in the UK is 230 volts, 50Hz. Flat three-pin plugs are standard.
The currency is the British Pound (GBP), which is divided into 100 pence. ATMs are available in all towns and Visa, MasterCard and American Express are widely accepted; visitors with other cards should check with their credit card companies in advance. Foreign currency can be exchanged at bureaux de change and large hotels, however better exchange rates are likely to be found at banks.
The international country dialling code for the UK is +44. Mobile phone coverage is extensive, using GSM 1800 networks which may not be compatible with some dual-band US cell phones. Internet cafes are available in all major towns and cities, train stations and airports and wifi is widely available.
Emergencies: 999/112
|New Years Day
|1 Jan
|1 Jan
|New Years Holiday (Scotland only)
|2 Jan
|2 Jan
|St Patricks Day (Northern Ireland only)
|17 Mar
|17 Mar
|Good Friday
|3 Apr
|25 Mar
|Easter Monday
|6 Apr
|28 Mar
|May Day
|4 May
|2 May
|Spring Bank Holiday
|25 May
|30 May
|Orangemens Day (Northern Ireland only)
|12 Jul
|12 Jul
|Summer Bank Holiday
|31 Aug
|29 Aug
|St Andrews Day (Scotland only)
|30 Nov
|30 Nov
|25 Dec
|25 Dec
|Boxing Day
|26 Dec
|26 Dec
Birmingham's weather is typically English, if slightly more temperate than the coast. Rainfall occurs all year round but is heavier in winter. Average temperatures in summer (June to August) range from 52°F (11°C) to 70°F (21°C) and in winter (December to February) from around 34°F (1°C) to 44°F (7°C). Due to its inland location snow does occur in the city centre during winter but has become less frequent over the past few years. Tornadoes occur intermittently.
Buses to the city centre and surrounds can be caught opposite the airport at the Bus and Coach Terminus. Bus 900 travels to the city centre from stand K. Birmingham city centre can also be reached via Birmingham International railway station connected to the airport by a free monorail system called the Air-Rail Link. Trains run from Birmingham International Station to Birmingham New Street Station and vice versa throughout the day but are less frequent in the evenings and on weekends. For onward travel, Birmingham International Station is connected to over 100 towns in and around the UK.
Car rental companies include Avis, Budget, Europcar, Hertz and National. All car hire booking desks are located in the Millennium Link Building, a short walk from both Terminals 1 and 2.
Taxis are available from outside passenger terminals and cost around £25-£30 to the city centre, taking about 15-20 minutes.
The two terminals are within easy walking distance of each other.
There are banks, bureaux de change, shops, restaurants, business lounges, baby changing facilities and a tourist information desk in the airport. Disabled facilities are good; those with special needs should contact their airline in advance.
The airport's 'drop and go' area is adjacent to the departures terminal and is charged per ten minutes. Garages 1, 2 and 3 are best for short and medium-stay parking; they are located beside the terminal building and charge per hour or per day. The long-stay parking garages are located next to the second roundabout along Airport Way, a ten-minute walk from the terminal. There are regular shuttle-buses between the long stay parking lots and the terminal. Long-stay parking is free for the first 15 minutes.
Free wifi access is available throughout the airport.


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- Home
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EHC Component
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Topic Title
Full Report
- Research Review Jul. 26, 2012
Related Products for this Topic
- Research Protocol Jun. 15, 2011
- Disposition of Comments Report Nov. 13, 2012
- Slide Presentation Aug. 8, 2013
- CME/CE Activity Nov. 24, 2013
- Consumer Summary Aug. 8, 2013
- La Guías Sumaria de los Consumidores Sept. 24, 2013
- Executive Summary Jul. 26, 2012
Original Nomination
Clinician Summary – Aug. 8, 2013
Recurrent Nephrolithiasis in Adults: Comparative Effectiveness of Preventive Medical Strategies
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Table of Contents
- Research Focus for Clinicians
- Background
- Conclusions
- Clinical Bottom Line
- Gaps in Knowledge
- What To Discuss With Your Patients
- Resource for Patients
- Source
Research Focus for Clinicians
In response to a request from the public, the Minnesota Evidence-based Practice Center, funded by AHRQ, performed a systematic review of the literature to examine the comparative effectiveness and adverse effects of interventions to prevent kidney stone recurrence in adults aged 18 years or older. Biochemical measurements for predicting the risk of stone recurrence after treatment were also evaluated. Studies that addressed acute pain management and treatment to promote expulsion of ureteral stones were excluded. This review focused on recurrent calcium stones in patients with or without residual stones or stone fragments. Many of the studies assessed in this review included patients with idiopathic calcium stones, although not all studies specified the etiology of kidney stones in the included population. For evaluating the relative effectiveness of interventions for preventing stone recurrence, only randomized controlled trials (RCTs) were included. For assessing adverse effects of the interventions, in addition to RCTs, prospective observational studies of at least 100 participants being treated for secondary prevention of kidney stones were included. A search of the clinical study literature published from 1948 through 2011 using predetermined inclusion and exclusion criteria yielded 28 RCTs that were included in the systematic review. The full report, listing all studies, can be accessed on the right side of this Web page. This summary, based on the full report of research evidence, is provided to inform discussions of options with patients and to assist in decisionmaking along with consideration of a patient's values and preferences. However, reviews of evidence should not be construed to represent clinical recommendations or guidelines.
Eighty percent of adults with kidney stones have calcium-based stones, with uric acid and struvite stones representing much of the remainder. Risk of stone formation may represent an interaction of both genetic and environmental factors. Data from large cohort studies suggest an association between the increased risk of stone formation and dietary factors such as low fluid intake, low calcium intake, high sodium intake, high animal protein intake, and high fructose intake. The risk of kidney stones may also be increased by medical conditions such as obesity, diabetes, primary hyperparathyroidism, and gout. Stones may be asymptomatic or may present with abdominal and flank pain, nausea and vomiting, urinary tract obstruction, and infection. Stone recurrence increases the risk of developing chronic kidney disease. Recurrence can be diagnosed by radiographic studies and/or by symptomatic stone recurrence. The 5-year recurrence rate in the absence of specific treatment is 35 to 50 percent.
Clinical uncertainty exists about the comparative effectiveness and adverse effects of pharmacological and dietary (e.g., increased fluids and adequate calcium) preventive treatments. Current guidelines recommend pretreatment biochemical analysis of blood and urine, but it is not clear if using the results of these analyses to tailor treatment is associated with better outcomes than empiric therapy. The authors of this systematic review examined the evidence around these uncertainties.
The published evidence regarding the effectiveness of dietary interventions to reduce the risk of calcium stone recurrence is limited. There is low-strength evidence that fluid intake to maintain urine excretion of at least 2 L per day may provide a clinically significant reduction in risk of stone recurrence. Similarly, low levels of evidence from a single study support abstaining from soft drinks or eliminating soft drinks containing only phosphoric acid but not citric acid in men who frequently consume such drinks. A normal-calcium (1,200 mg/day), low-sodium, low-animal protein diet may reduce the risk for stone recurrence, but the independent effects of increasing dietary calcium or reducing dietary sodium or animal protein have not been determined. Diets with high fiber or reduced animal protein as solitary interventions may not help prevent stone recurrence. The effectiveness of other dietary interventions is not clear.
When added to increased fluid intake, thiazide diuretics, citrate, and allopurinol pharmacotherapy each significantly decreased the risk of recurrent calcium kidney stones more than increased fluid intake alone. Allopurinol treatment reduced the rate of stone recurrence for patients with elevated blood or urine levels of uric acid. Thiazides or citrates may be preferred initial therapy over allopurinol in patients with calcium stones and no hyperuricosuria or hyperuricemia. Patients receiving pharmacological interventions may experience adverse effects that lead to withdrawal from treatment.
Other than allopurinol treatment in patients with high levels of blood or urine uric acid, clinical studies have not clearly established the general utility of baseline blood and 24-hour urine biochemical measures. No RCTs reported and prospectively compared subsequent stone recurrence outcomes between treatments stratified by followup biochemistry levels or by changes in these measures from pretreatment baseline values.
Regarding applicability, nearly all trials were limited to patients with a history of calcium stones and were conducted primarily in young to middle-aged men. Many trials excluded participants with biochemical abnormalities, and nearly all excluded individuals with specific conditions that could predispose them to stone formation. Applicability is also limited by the absence of reported data on participant characteristics including race, body morphometry, and comorbid conditions that increase the risk for kidney stones or affect treatment outcomes.
Clinical Bottom Line
Dietary Interventions
- A limited body of evidence suggests that dietary interventions may reduce the risk of stone recurrence (see Table 1).
- Neither high-fiber nor reduced-animal protein diets as isolated interventions had a statistically significant effect on stone recurrence.
Adverse Effects
- Adverse effects, as reflected by withdrawals for any cause, were low in trials evaluating increased fluid intake but high in long-term trials evaluating other dietary interventions. No significant differences in withdrawals between intervention and control groups were reported in these trials.
Pharmacological Interventions
Trials were designed to evaluate the effects of pharmacological agents given in addition to standard dietary recommendations (e.g., increase fluids, limit oxalate-containing foods, limit sodium).
- Thiazide diuretics, citrate, and allopurinol each reduce the risk of calcium stone recurrence (composite endpoint*).
- Thiazide diuretics: ARR = 29 percent, NNT = 3 (RR = 0.53 [95% CI 0.41 to 0.68])
- Hydrochlorothiazide, chlorthalidone, and indapamide each reduce the risk of recurrent stones, but no trial directly compared thiazide agents to each other.
- No trial directly compared different dosages of pharmacological agents, and no trial assessed the lower thiazide doses often used to treat hypertension (12.5 to 25 mg per day for hydrochlorothiazide and < 25 mg per day for chlorthalidone).
- Citrate: ARR = 41 percent, NNT = 3 (RR = 0.25 [95% CI, 0.14 to 0.44])
- Allopurinol (in patients with elevated blood or urine uric acid): ARR = 22 percent, NNT = 5 (RR = 0.59 [95% CI, 0.42 to 0.84])
- Thiazide diuretics: ARR = 29 percent, NNT = 3 (RR = 0.53 [95% CI 0.41 to 0.68])
- There is no additional benefit (composite endpoint*) from adding citrate to thiazide in patients with calcium stones, 35 percent of whom had hypercalciuria and 15 percent of whom had hypocitraturia.
- Treatment with magnesium did not reduce the risk (composite endpoint*) of stone recurrence when compared with placebo. No statistically significant difference in the risk of recurrence was observed.
- The evidence about acetohydroxamic acid treatment to prevent stone recurrence (radiographic) in patients with chronic urinary tract infections and struvite stones is insufficient to permit conclusions () which does not exclude that the drug does not work. Evidence from three RCTs suggests that there is reduction in stone growth with acetohydroxamic acid treatment.
Adverse Effects
- When compared with participants given placebo or control treatments, patients assigned to thiazide, citrate, or acetohydroxamic acid were more likely to withdraw from trials and to withdraw due to adverse events.
- Participants treated with allopurinol were not more likely than control group participants to withdraw from trials overall or to withdraw due to adverse events.
- Patients given high-dose magnesium were more likely to withdraw due to adverse events (all due to diarrhea) when compared with placebo groups.
- Specific adverse events were poorly reported. U.S. Food and Drug Administration labels should be consulted when using these agents.
* Composite endpoint refers to stones detected by either symptoms or scheduled radiographs.
ARR = absolute risk reduction; NNT = number needed to treat; RCT = randomized controlled trial; RR = relative risk; 95% CI = 95 percent confidence interval
Strength of Evidence Scale
High: There are consistent results from good-quality studies. Further research is very unlikely to change the conclusions.
Moderate: Findings are supported, but further research could change the conclusions.
Low: There are very few studies, or existing studies are flawed.
Insufficient: Research is either unavailable or does not permit estimation of a treatment effect.
Baseline and Followup Blood and Urine Biochemical Evaluations To Predict Stone Recurrence*
Baseline Biochemical Evaluations
- Almost no RCTs reported stone recurrence outcomes between treatments for subgroups stratified by baseline biochemistry levels. In comparisons between studies, results were mixed about whether specific baseline biochemical measures predicted the effectiveness of diet or pharmacological treatment relative to control in reducing risk of stone recurrence.
- In two RCTs limited to patients with calcium stones and hyperuricosuria or hyperuricemia, those randomized to allopurinol versus a control group had a significantly lower risk of recurrent stones using composite endpoints** (33.3% vs. 55.4%; RR, 0.59 [95% CI, 0.42 to 0.84]), whereas the symptomatic stone recurrence rate did not appear lower with allopurinol in trials of participants unselected for high uric acid levels.
- Limited evidence suggests that baseline calcium, oxalate, and citrate measures do not appear to predict efficacy of diet and pharmacological interventions on recurrent stone outcomes.
- Otherwise, the evidence is too limited to determine the role of baseline urine measures—including magnesium, phosphate, potassium, pH, calcium-oxalate supersaturation, calcium phosphate supersaturation, or uric acid supersaturation—in predicting treatment efficacy or stone recurrence.
Followup Biochemical Evaluations
- No RCTs reported and prospectively compared subsequent stone recurrence outcomes between treatments stratified by followup biochemistry levels or by changes in these measures from pretreatment baseline.
- Two RCTs involving increased fluid intake and a multicomponent diet, respectively, reported significant reductions in urine calcium-oxalate, uric acid, and calcium-phosphate supersaturation at 1 year or later after baseline and a significantly reduced risk of recurrent stones over 5 years of followup. However, neither study formally tested these results for possible associations.
- No eligible pharmacological RCT reported followup urine supersaturation levels. Thus, no RCT data were available about whether changes in urine supersaturation measures predict reduced risk of recurrent stones with drug treatment.
- Evidence from three dietary RCTs suggests that followup measurement of the urine calcium level after treatment is unlikely to be a reliable predictor of treatment effectiveness for reducing the risk of stone recurrence.
- Evidence from six thiazide RCTs suggests that followup measurement of the urine calcium level after thiazide treatment may not be a reliable predictor of treatment effectiveness for reducing the risk of stone recurrence.
* The strength of evidence in support of these conclusions was not rated.
** Composite endpoint refers to stones detected by either symptoms or scheduled radiographs.
RCT = randomized controlled trial; RR = relative risk; 95% CI = 95-percent confidence interval
|Mode of Detection
|Strength of Evidence
|* Composite endpoint refers to stones detected by either symptoms or scheduled radiographs.
† The recommended level of dietary calcium intake in this study was 1,200 mg per day.
** Changes in risk according to a specific metabolic abnormality and specific dietary recommendations were not reported.
ARR = absolute risk reduction: the difference in risk between the control group and the treatment group; NNT = number needed to treat: the number of patients to be treated to find the benefit in one patient more than in the control group; RR = relative risk; 95% CI = 95-percent confidence interval
|Increasing fluids to maintain urine output > 2 L per day (for individuals with a single previous calcium stone episode)
|No increase in fluids
|0.45 (0.24 to 0.84)
|Eliminating soft drinks (based on a single study in men)
|No advice to reduce intake of soft drinks
|0.83 (0.71 to 0.98)
|Eliminating soft drinks acidified solely with phosphoric acid but not citric acid: a subgroup analysis of participants who frequently consumed such soft drinks
|0.65 (0.49 to 0.87)
|Low-animal protein, low-sodium, decreased- oxalate, increased-water, and normal-calcium diet†
|Low calcium, decreased oxalate, and increased water intake
|0.52 (0.29 to 0.95)
|Low-animal protein, high-fiber, increased-bran, low-purine, adequate-calcium, and increased-fluid diet
|Adequate calcium and increased fluid
|5.88 (1.39 to 24.92)
|Tailored diet based on a metabolic evaluation**
|Empirical dietary recommendations
|0.32 (0.14 to 0.74)
Gaps in Knowledge
A review of RCTs to assess the benefits and of RCTs and observational studies to assess the adverse effects revealed a number of gaps in knowledge as reflected in these particular types of studies.
- There is no direct evidence from RCTs about whether diets that increase calcium or lower sodium, oxalate, or purine (independent of other dietary components) reduce the risk of recurrent kidney stones.
- It is unknown whether the efficacy of dietary interventions differs as a function of participant characteristics.
- Direct comparisons of dietary interventions to each other, of pharmacological interventions to each other, and between these two types of interventions are rare or absent.
- The effects of dietary and pharmacological interventions on stone types other than calcium stones, and of acetohydroxamic acid for other than struvite stones, is unexamined in RCTs that report the effects of these treatments on the risk of recurrent stones.
- No trial assessed the effectiveness of lower thiazide doses, a drug class often used to treat hypertension (hydrochlorothiazide 12.5 to 25 mg per day and chlorthalidone < 25 mg per day), for reducing the risk of recurrent stones.
- Studies are needed to formally test whether the risk for stone recurrence after either dietary or pharmacological treatment can be stratified according to blood and urine biochemical measures either at baseline or at followup.
What To Discuss With Your Patients
- That kidney stones have a high chance of recurring if not managed properly
- The importance of maintaining daily fluid intake to achieve urine output of > 2 L per day
- The benefits and adverse effects of medicines for preventing kidney stone recurrence
- Dietary changes that may be beneficial in reducing the risk of kidney stones (i.e., eliminating soft drinks acidified solely with phosphoric acid, increasing calciumrich foods to achieve the recommended daily intake, and limiting oxalate-containing foods)
Resource for PatientsLowering the Chance of Getting Another Calcium Kidney Stone, A Review of the Research for Adults is a free companion to this clinician research summary. It can help patients talk with their health care professionals about the many options for treatment. It provides information about:
- The causes of kidney stones and the risk of recurrence
- The role of dietary therapies in preventing kidney stones
- The benefits and adverse effects of medicines that can be added to dietary therapies
The information in this summary is based on Recurrent Nephrolithiasis in Adults: Comparative Effectiveness of Preventive Medical Strategies, Comparative Effectiveness Review No. 61, prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-02-0009 for the Agency for Healthcare Research and Quality, July 2012. This summary was prepared by the John M. Eisenberg Center for Clinical Decisions and Communications Science at Baylor College of Medicine, Houston, TX. It was written by Geetha Achanta, Ph.D., Richard E. Link, M.D., Ph.D., and Michael Fordis, M.D.Return to Top of Page


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Westchester and Connecticut Infertility Support Group
Our group is for women who are dealing with the complex emotions, stress, and continuous decision-making related to infertility.
We will explore options in addition to coping strategies and build on personal strengths. We'll learn effective ways of dealing with family, spouses, co-workers, and friends.
JOIN US in sharing with others who are facing similar challenges while achieving the best chances of success in becoming a parent.
Where? New Rochelle, NY
When? Monday evenings, twice monthly 7:00 – 8:30 pm
Contact: Emily Laitmon LCSW, group facilitator
Please contact group leader one to two weeks in advance of attending.
(914) 633-4224 or (212) 988-2054
Emily Laitmon, LCSW is a psychotherapist and coach in NYC and Westchester specializing in couple counseling, relationships, and family building. She has written articles and led seminars on infertility, women in transition, and balancing work and family. She has experienced repeated IVFs resulting in a daughter and also adopted a son.


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By C. J. McMANUS
Sun Advocate reporter
A Sunnyside woman was hospitalized and her neighborhood was evacuated for several hours Thursday afternoon as a broken gas pipe created a potentially explosive situation.
The incident began when Sunnyside maintenance workers nicked a two inch natural gas delivery line while looking for a leaking water main.
According to Sunnyside officials, the street recently began to weep water, causing city workers to believe that a main water line under the pavement had ruptured. After having Blue Stakes mark the area, Sunnyside workers began digging near the sidewalk at 651 Parkway Drive, accidentally rupturing a natural gas line.
The line in question is a two inch pipe which delivers natural gas at 45 pounds per square inch.
"Carla Crane, who was transported by the Sunnyside Ambulance Service following the break, reported that she was already sick when the day started," explained East Carbon Police Chief Sam Leonard. "The fumes must have exacerbated her condition and the ambulance was called."
Leonard reported that nearly a dozen homes were evacuated while law enforcement and fire officials readied the area for Questar Gas.
According to the East Carbon Chief, the gas line was ruptured at approximately 1 p.m. Questar was notified immediately and arrived on the scene within an hour to address the line.
Questar officials finished replacing the broken piece of line before six p.m. Allowing city crews to begin repairing a ten foot trench running along the street.
As a side note, it turns out that both Sunnyside City and the homeowner at 651 Parkway had breaks in their water lines.
article goes here
> By JOHN SERFUSTINI
Sun Advocate associate editor
A 12-inch water main ruptured beneath Old Wellington Road Wednesday night, sending a 20-foot geyser spouting into the air and leaving residents in the Hillcrest neighborhood high and dry for the rest of the night and into the next day.
Wellington Elementary School also shut down Thursday.
Residents of the hilltop section expressed some concern about health and safety issues of the break. They were worried about potential contamination of their water. The city also did not use the reverse 911 system to inform residents of the situation.
They also were upset that the city did not respond more quickly to the break, especially since the fire hydrants were as inoperative as the household plumbing.
"I know the people who work at Wellington and I know they work hard," commented one resident, who said city crews could have been called out at night to handle the emergency.
But Mayor Ben Blackburn replied Thursday morning that workers had been called out at night to shut down the leaking section of pipe. Blackburn said there were two main reasons why the workers did not spend the night at the site.
First, the city was not able to get a Blue Stakes survey of the area around the break. It is potentially damaging to other underground utilities to excavate without knowing what other services are buried nearby. (See "Broken gas line forces evacuation," page 1A.)
Second, it was dark. "You can't get anything done without light. I learned that in the mines," Blackburn said.
The break caused the water tank at the top of the high to drain, causing quite a show at the bottom of the hill. Wellington's water transmission is on a loop system, which means that once a break is isolated, service can be restored to most areas.
It did take a long time to get the tank on top of the hill filled enough to restore pressure to the neighborhood on top, the mayor said.
As for fire protection, Blackburn said the city has tank trucks that operate without hydrants if need be.
By JOHN SERFUSTINI
Sun Advocate associate editor
It may sound like the roar of heavy Diesel engines to some, but it's music to the ears of Wellington City officials and the Utah Division of Oil, Gas & Mining.
The old Knight-Ideal coal loadout is being transformed from an eyesore into a new park.
Chris Rohrer, senior reclamation specialist with DOGM's abandoned mine reclamation program, said most of the earth moving should be completed before the end of the year.
The soil at the 17-acre site had been contaminated by coal fines and construction materials during the years that it had been used as a place to store and export coal via railroad. Some of that coal may still be usable, and the state is working with potential buyers to see if they can burn in to make electricity. The old coal may still be a resource, Rohrer explained.
Plans for the


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Omega Pacific
Modified D Steel Screw-Lok
In Stock Product Number: 298
Steel carbiners are for use in applications where high strength and durability are of primary importance and weight is a secondary consideration. Full size offset D locking carabiners are ideal for rescue amd industrial applications, as well as schools and ropes courses. Tempered steel carabiner utilizes a gate lock design which eliminates the danger of the locking mechanism being over-tightened, causing it to bind. Gate lock carabiners are preferred in rescue applications where the carabiners are continually checked for security.
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- Your Path:
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- Disney Princess Dreams Personalized Vinyl Banner
- Large Image
Give your princess a personalized birthday banner this year
Announce your daughter's birthday loud and proud with our Disney Princess Dreams Personalized Birthday Banner. The banner is pink in color and features three Disney princesses on each side. The text printed in the middle can be customized to make the banner truly unique - you can even choose the font and color you'd like the message to appear in! This high definition personalized banner will make your event truly unique. This is an officially licensed © Disney product.
- Includes:
- Disney Princess Dreams Personalized Birthday Banner
- 4 Metal Grommets Attached to the Banner for Easy Hanging
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This product is intended solely for non-commercial consumer use. No license has been granted to use this product for any business or organization purpose. Any such use is unauthorized and is specifically prohibited.Read More
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Carrollton's Creepy Comedy Classic @ the Library – Oct. 17
Celebrate Halloween early with Frank Capra's classic screwball comedy Arsenic and Old Lace at the Josey Ranch Lake Library (1700 Keller Springs Road) on Wednesday, October 17 at 7 p.m. What happens when you take a marriage hating writer and mix him up with a wedding, two elderly Aunts, "yellow fever victims" and an Uncle with a bugle? Add in a long-lost brother and a fake doctor who can make anyone look like Boris Karloff. The results are delightful in this movie starring Cary Grant, Raymond Massey and Peter Lorre. CHARGE!!!
City of Carrollton, 1945 E. Jackson Road, Carrollton, Texas 75006 | Tel: (972) 466-3000 | Site Map
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Executives of Blue Castle Holdings conducted two public briefings in Price on the proposed nuclear power plant near Green River Thursday and Friday.
Highlights of the presentation included:
- The two-unit, 3,000 megawatt plant will increase Utah's electric generation by 50 percent by 2022.
- The site selection process concluded that the Green River area would be best because of low seismic risk, adequate water, nearness to I-70 and a railroad line and proximity to existing and planned high-voltage transmission lines.
- The plant will be state-of-the-art design, unlike the Fukushima complex in Japan that was a 40 year old plant built on a 50 year old design. It is expected that cooling water circulation - crucial to cooling the core -will rely on simple gravity rather than pumps.
- The water supply will come from unexercised rights of the Green River, which were already approved for power generation use by coal-fire plants that were never built.
Conducting the briefing were: Aaron J. Tilton, president and CEO; Chief strategic officer and former NRC Chairman Nils Diaz; Chief operating officer Thomas Retson; and Senior vice president for business development Reed Searle.
Full details will be in Tuesday's Sun Advocate.


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|State Unemployment Rate Jumps in July
The state's seasonally adjusted July unemployment rate was 8.9 percent, increasing 0.1 of a percentage point from June's revised rate. The national rate declined to 7.4 percent from June's 7.6 percent. North Carolina's July 2013 unemployment rate was 0.7 of a
percentage point lower than a year ago. The number of people employed decreased 13,735 over the month to 4,278,516, and increased 14,902 over the year. The number of people unemployed increased 1,527 over the month to 417,841, and declined 36,644 over the year. Employment increased 8,200 to 4,053,600 in July, with the major industry with the largest over-the-month increase was Trade, Transportation & Utilities at 5,200, followed by Leisure & Hospitality Services, 2,700. The next unemployment update is scheduled for Wednesday, August 28, 2013when the county unemployment rates for July 2013will be released.
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You are here
Miller Park
29.67 acres
2100 Park Avenue
Lynchburg, VA 24501
In 1862 Samuel Miller donated 18 acres of land to the City of Lynchburg to be held "…in trust as, and for a public Promenade and Pleasure Ground for the use of the citizens of Lynchburg, and Strangers, and visitors temporarily sojourning there." Those original 18 acres became City Park, the first public park in Lynchburg. Renamed Miller Park in honor of Samuel Miller, the park has changed in many ways throughout its long history.
The park now has almost 30 acres and includes two picnic shelters that can be rented, as well as the historic Aviary, which can be used for weddings, parties, and other events. Miller Park Pool is the only public outdoor pool in Lynchburg, and can be rented for special occasions. To find out about how to rent these and other facilities throughout the parks, email Customer Service or call (434) 455-5858.
Miller Park also has a walking path, baseball fields, basketball court, horse-shoe pits, and playgrounds. Historic sites in the park include the Centennial Oak, the Fireman's Fountain, the Bicentennial grove of native trees, and a monument to the 5th Virginia Cavalry, which was mustered and disbanded on the site.
Entrances to the park are at the following locations:
2100 Park Avenue
Grove Street
Fort Avenue
Marsh Street
Map Locator & Driving Directions