text:
|Adaptation of feeding to a low fat yield in breast milk.
MedLine Citation:
|PMID: 1734387 Owner: NLM Status: MEDLINE
|The effect of a low milk fat yield was assessed in a blinded prospective study of healthy term infants and mothers encouraged to breast-feed. Fat yield index was calculated as milk volume collected by Egnell pump multiplied by the "creamatocrit." Two weeks after delivery mothers who had a relatively low fat yield index (less than or equal to 30th percentile) were matched with mothers with a higher fat yield index and with formula-feeding mothers. Between 2 and 6 weeks the low fat yield group had a marginally lower weight gain but similar growth in length and head circumference to that of the higher fat yield group. The low fat yield group spent more time per feeding and had more complete breast emptying, resulting in a fat yield index comparable with the higher fat yield group for the mean milk volume ingested by the infant at 6 weeks. A low fat yield had no adverse effect on maternal satisfaction or maternal-infant interaction during feeding. Formula feeders spent the least time in feeding and en face gazing. Adaptation of breast-feeding to a low fat yield sustains infant intake and growth, maternal-infant interaction, and maternal satisfaction. However, there is little reserve if milk production diminishes. Further study is needed to define the limits of adaptation and effective interventions if fat yield is inadequate.
|J Tyson; J Burchfield; F Sentance; C Mize; R Uauy; J Eastburn
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Publication Detail:
|Type: Journal Article; Research Support, Non-U.S. Gov't
Journal Detail:
|Title: Pediatrics Volume: 89 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 1992 Feb
Date Detail:
|Created Date: 1992-02-28 Completed Date: 1992-02-28 Revised Date: 2006-11-15
Medline Journal Info:
|Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES
Other Details:
|Languages: eng Pagination: 215-20 Citation Subset: AIM; IM
|Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas 75235.
Export Citation:
|APA/MLA Format Download EndNote Download BibTex
|MeSH Terms
Breast Feeding*
Dietary Fats / administration & dosage
Infant Food
Infant, Newborn / growth & development*
Milk, Human / chemistry*
Mother-Child Relations
Prospective Studies
Sucking Behavior
Weight Gain
Reg. No./Substance:
|0/Dietary Fats
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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Next Document: Nutrient adequacy of low fat intakes for children: the Bogalusa Heart Study.


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jGuru Forums
Posted By:
Posted On:
Tuesday, March 12, 2002 06:08 PM
Is it compulsory that database table name is "BeanNameEJBTable" when deploy it in J2EE 1.3 Server?
But the error is always saying "table or view doesn't exist" .
Can i use another the table name which different from the default one in deploytool.
E.g. my CMP bean name is myBeanEJB (implementation class, ), and i had created table in Oralce with name "myBean", but when i deploy it in server the default table name is "myBeanEJBTable" and the orders of columns are disordered. Need i follow the default sql? it's so much to do? How to solve the problem.
Re: Urgent Help !!! Is it compulsory that database table name is "BeanNameEJBTable" when i using Oralce dababase
Posted By:
Posted On:
Wednesday, March 13, 2002 06:25 PM

subset: commoncrawl


text:
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Sing Your Praise to GodItem #: HL.08742143
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Composed by Mike Harland, Niles Borop. Arranged by Bruce Greer.
PraiseSong Easter Choral. Voicing/Format: SATB. 6.7x10.5 inches. 8 pages. Published by Praisesong. (HL.08742143)
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Your choir will enjoy the upbeat syncopation of this new praise anthem! The music is filled with energy and the optional a cappella section adds to the excitement. Easter Sunday, or even other times during the year, is a great choice to use this celebrative anthem. Available: SATB, Instrumental Pak, ChoirTrax CD.
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text: What Makes Us Unique Pediatric Critical Care: Fellows and Faculty Dedicated Faculty Our faculty are in-house 24/7, which offers fellows autonomy and guidance. They are dedicated to teaching and fellows' success, taking active roles in clinical and didactic education. Fellows regularly have one-on-one interactions with attendings to support their academic and professional development through mentoring, bedside teaching, and lectures. Involvement in Patient Care Our fellows experience a well-rounded patient base and treat a variety of patient needs. Based on our program size, the degree of fellow involvement in each case is exceptional, with the opportunity to lead rounds, perform procedures, and field questions. Extensive Cardiac Experience Our PICU and PCICU share space and attendings. While on in-house call, fellows tend to all patients, affording them far more experience with cardiac management than in larger settings. Customized Curriculum Within the requirements of the program, we can modify fellow training to accommodate individualized needs and strengths, as well as hone learning to support a fellow's specific professional interest. Well-Balanced Call Schedule Our fellows' schedule for in-house call totals 180 shifts (30 months x 6 calls/month) over a typical 3 year training period. This is one night per week and two weekend days per month. Strong Mentorship Dr. Nina Schor, Chair of the Department of Pediatrics, and/or Dr. Patricia Chess, Vice Chair of Education, meet quarterly with fellows from our subspecialty training programs in an informal roundtable setting to offer mentorship and research guidance. In addition, a high trainee to faculty ratio allows for strong faculty interaction and guidance. NIH Funding The Department of Pediatrics has been awarded several T32 training grants, including Dr. Schor's "Bench to Bedside to Curbside" grant which supports select fellows in translational research endeavors by providing funding, dedicated time for research, and a high level of mentorship. Research Support The Department of Pediatrics provides financial support for each fellow to present at one national conference per year as this contributes to their professional development and hones their presentation and networking skills. State-of-the-Art Children's Hospital In the late summer of 2015, UR Medicine will open a brand new Golisano Children's Hospital. The state-of-the-art children's hospital will encompass nearly 245,000 square feet of space dedicated to children and their families.


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Gettin' Krafty with Kate & Clare!
July 15, 2013 by Ellen
Filed under Core Blog, May Arts Ribbon, Tim Holtz, Tim Holtz & Ranger Adirondack Collection, Tim Holtz & Ranger Collection, Tim Holtz & Ranger Distress collection
Today we have a super "krafty" layout from designer Kate Nolan-Denham.
I am having a great love of all things Kraft lately and I find myself reaching for the Tim Holtz Kraft-Core all the time . The sweet layout of my grandson I am sharing today is chock-full of this line!
I sanded the background cardstock, Kraft-Core Nostalgic Collection No.10, using my Sand it Gadget to give it a bit of an aged look. To create the rulered mat, I embossed a piece of Kraft-Core Nostalgic Collection No.6, with Darice 12″ ruler embossing folders. After fussy cutting out each ruler, I inked them with Distress Ink and added them to a 9″x 8″ mat of Kraft-Core Nostalgic Collection No. 23.
The title work is die cut from Kraft-Core Nostalgic Collection No.21 and distressed a bit with the Sandit Gadget. Of course, I always use the Dust Buddy everytime I sand. The photo mat and die punched hearts are made from scraps of Core'dinations papers I had in my stash. Got to love stash!
Core'dinations Supplies:
Tim Holtz Kraft-Core Nostalgic Collection
Tim Holtz & Ranger Distress Collection
Sandit Gadget
Dust Buddy
Other Supplies:
Darice Ruler Embossing Folder
Tim Holtz Distress Ink
Pebbles Paper
EK Success Punches
Dienamic Dies
Want2Scrap Bling
Helmar ZapDots & Premium Craft Glue
And ..the GREAT thing about Kraft Core is you can use a little or a lot! Check out Clare Buswell's card here using all kinds of Core'dinations Cardstock including a paper ruffle flower from Kraft Core. You can mix & match Core beautifully, don't you think? Add some of the Tim Holtz Ranger Distress collection, too!
Check out more of Clare's paper ruffles HERE. Gorgeous!
And just love love how she stamped on the Whitewash Cardstock.
Spring Inspiration In here with Tim Holtz Seasonal Impressions
Don't forget about our Design Team call going on now. You don not want to miss out on being a part of this awesome team! And you could find yourself wearing this badge.
You know what is perfect for Spring?
TIM HOLTZ SEASONAL IMPRESSIONS! Sorry for the excitment but you know how I get excited about my Core
Designer Debbie Standard created this layout using the Spring themed cardstock. .Just sand it and this gorgeous embossed design with "seasonal' phrases and designs.
AND ..it gets better…the colors of the Seasonal Impressions match all of the Tim Holtz Kraft Core cardstock, too! So, for this layout, the No. 15 will match perfectly. Debbie new instantly that the No. 2, No. 6 & No. 22 would look perfect with it.
And who doesn't love a picture of their grandaughter kissing the Easter Bunny?


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My memorys a little fuzzy here, did someone say this MSU-Michigan game would be a toss-up?
Even when U-M looked so bad early? Even with some thinking the other way recently and calling for a U-M romp?
Sorry, my memorys failing me again. Let me know if you can remember who said that.
Gloating urge satisfied, emails and some thoughts on the game tape to come.
First, quick programming note: With Big Ten basketball media day set for Thursday in Chicago, my weekly chat will move from the normal 10 a.m. Thursday to 11 a.m. Wednesday. Join the fun.
Today, we have some extremely long questions/vents, with some well-worn topics and some fresh ones.
What an excruciating loss ... hypothetically compound question this week. What's the score if the 2012 MSU football team plays the 2011 team? And what does that score change to (if it does indeed change) if Don Treadwell is the offensive coordinator of the 2012 team and Dan Roushar still calls for the 2011 team? Drew in Louisville, Ky.
Right to the fan choice for Scapegoat of the Year we go. If last seasons team played this seasons team, last seasons team would win by a score of
lets say 17-3.
This seasons defense would make it tough on last seasons offense to score. Last seasons defense would absolutely gobble up this seasons offense, and the three points might be generous on my part.
You want to flip coordinators? I dont change the score at all not unless Treadwell brings Kirk Cousins, B.J. Cunningham, Keshawn Martin, Edwin Baker, Brian Linthicum, Joel Foreman and Keith Nichol with him.
Your column about yesterday's game was insightful but actually a bit gentle on MSU. As a 56-year season-ticket holder, I can tell you we are devastated. This team needs to make some major changes, starting with a real offensive coordinator and maybe a couple other offensive coaches. Ten points against this Michigan team was unforgivable.
The defense has kept MSU in games all year only to CONTINUE TO LOSE because the offense is terrible. Recruiting of receivers was bad, coaching of the offense, in general, has been insufficient to win, and play calling continues to be tentative, at best.
That's from a loyal supporter, now imagine what the arrogant Ann Arborites are saying.
For four years, those of us who have been loyal supporters of MSU who write checks that are bigger than a year's BMW lease payments -- have been able to hold our heads up and avoid jeers and snide remarks from the arrogant Michigan fans who had mistreated us for the better part of 20 years.
Today, it starts all over again, simply because Mark Dantonio did not think enough of all of us to hire a real offensive coordinator when Don Treadwell left. If he had, we would have gone to the Rose Bowl last year, this year's team would be 7-1, not 4-4, and we would not have lost yesterday's game.
Make no mistake, Michigan did not win the game yesterday, Michigan State LOST it by again missing opportunities to score touchdowns. That is inexcusable, and both Dantonio and Mark Hollis need to know it.
Nick Saban's teams don't have down years like this, so why does ours?
It is a culture of playing safe and settling for "good enough" that would not be tolerated at Michigan, so why is it at MSU? Roushar needs to go, and maybe others.
If Dantonio can't do that, then maybe he isn't the guy we need, either. Improving from lousy to competitive as we did required our staff to strive for excellence, but this coaching staff has not continued that.
We lost Dan Enos and Treadwell, and the offense has regressed! It's time for Dantonio to step up and do what is necessary to provide us a consistently good program.
If this team aspires to return to the glory that it had under Biggie Munn and Duffy Daugherty, as we had been promised, then they need an experienced, high-profile offensive coordinator ... a Norm Chow, Joe Pendry or Charlie Weis offensive guy.
Michigan's defenses were bad, so they went out and spent the money for a pro-quality defensive coordinator, and there is a difference in their team. MSU needs to do the same on offense this off-season. Jim in East Lansing
Now thats a vent. One thing that is clear about MSU fans through eight games: It isnt just the message-board hardcores who are calling for Roushars head.
But Ive got a few issues with some of your points, Jim. So lets break them down in order.
I disagree that recruiting of receivers has been bad. If anything lately, were starting to see that young talent does, indeed, exist at that position.
I cant argue that offensive play calling or game planning have been great. I can argue that play design/play calling has been very similar through six seasons of Dantonios offense.
And I dont agree that Treadwell still in place guarantees Rose Bowl last season and a much better record this season.
How much more could MSUs offense have done in the Big Ten title game last season? It exploded, and the MSU defense lost that game. Does Treadwell in the box somehow take away the running-into-the-kicker penalty?
I suppose its true that Nick Sabans teams dont have big down years at Alabama. You do recall Sabans tenure at MSU, right?
And then we get to the key point: If Dantonio can't do that, then maybe he isn't the guy we need, either.
Whew. I understand the disappointment for a team with such expectations -- this season has been a failure through eight games.
But a comment like that indicates a lack of understanding of the history/reality of MSUs program and what Dantonio has done to turn it into a legitimate contender for championships.
Thats not easy to do in East Lansing -- or Madison, or Iowa City, or any other place where they dont have the major resources advantage that 100,000 butts in the seats for every home game affords.
Sorry, Jim, Im assuming youre on a relatively unpopulated island with that thought.
This is Dantonios program, and that means its Dantonios offense. Id say he has earned the right to fix it.
It isnt working this year. It has worked in the past. It could work in the future with better blocking, passing, catching, running and, of course, coaching.
Plugging a new guy into the coaching box guarantees none of that. But it will be interesting to see whether Dantonio makes any major changes after the season.
I am done venting about the coaching situation. I will not abandon the team at the rest of the games, regardless of weather, but I am concerned fan support will (fall off), especially students. My biggest concern is the effect on recruiting. I'd be interested in your thoughts on that. Rick in East Lansing
Good question, Rick. The 2013 class is just about finished for MSU -- very little room left and perhaps a couple players yet to be added before signing day. That could go up if some guys transfer after the season.
But the outside perception of a program always has some effect on prospects. MSU could have scored another major win Saturday at U-M, demonstrating to the younger kids that the Spartans are going to maintain control of that rivalry.
Recruiting is still about relationships, facilities and stability, and MSU seems to be in good shape in those categories. Evaluating and developing players might be what this staff does best, and there are very good teams ahead in East Lansing.
Still, a complete collapse this season to a losing record and no bowl game would have to have an adverse effect. Opposing staffs certainly would use it against Dantonio and Co. and say it proves their brief time at the top is over.
If the Spartans can get to 7-5 and win a bowl game, they can more easily talk about the tough luck of three Big Ten losses by six points and point to a Rose Bowl run in 2013. Thats why the rest of this season matters.
Something that has been being bothering me about this football team since spring ball is the "new attitude" the team seems to have from both the coaches and players. They went from a humble, hungry group of men that you really enjoyed rooting for over the last few years to a group of overconfident, cocky, mocking braggarts.
I know you've written some about this, but I'm curious to know whether these guys have been embarrassed enough times yet and humbled enough with these losses and bad play to finally learn to shut up and play the game.
The times have changed since I played ball. Trash talk and snipes through Twitter seem to be the thing to do, but as an older guy, I still like the old way of doing things, like my coaches taught me.
If you win, that tells everyone who the best team was. If you lose, you had nothing worth saying in the first place. Be gracious in losing and more gracious in winning.
Let's see if I've got some of those quotes down that are coming back to be rubbed in our face:
"Denard throws like a girl: Well, that girly throw was enough to get them in a position to kick a winning field goal.
"We don't need to worry about Michigan, they need to worry about us: They did, and they won.
"Were 30-4 at home. We take people here in Spartan Stadium to the woodshed: Yep. You took a really bad Eastern Michigan to the woodshed (barely) and got yourselves whooped by Notre Dame, Ohio State and a really bad Iowa team. Can we quit talking about the whoopings we give people?
When are we gonna hear the coaches and players just shut up and quit telling everyone what they're gonna do and how bad other people are and just play the game and prove it?
Everyone wants to quote the verse from the Mike Hart days: "Pride comes before the fall."
When I listened to our coaches and players talk last spring, through the summer, and into the fall, I knew this season was going to be a problem. They have been talking way too much and executing way too little.
So you're around this team, have they eaten enough humble pie yet or do they still have more to eat before they get it? Curtis from Baton Rouge
Curtis, I sense youre also a bit upset. Did someone actually say Denard throws like a girl, by the way? I missed that one.
But you make a fair point: There was a little bit too much yapping from some players on this team, and the Twitter thing was pretty ridiculous with a game coming up against that very quarterback -- and of course, he just beat them with his arm.
Id say theres been a lot of humbling going on inside the Duffy Daugherty Building this season.
Im not sure I heard much smack talk from coaches other than the Wheres the threat? line from Dantonio but I suppose they fed the preseason expectations with a lot of talk about not missing a beat on offense.
But heres another thing to remember: On any college football team, there are going to be at least a few guys who talk too much.
The postgame scene Saturday was pretty tame, with most players on both teams shaking hands and acting with class.
But a few U-M guys took to trash talking, just as a few MSU guys did a year ago. You wont find too many completely sportsmanlike college football teams out there.
From everything I heard about Andrew Maxwell coming into the season, he is supposed to be a mobile quarterback. But so far, he does not look any more mobile than Kirk Cousins.
I kind of expected more running plays to be called for him. Is he really not that mobile? I know he hurt his knee in spring ball. Is that still an issue?
Dennis in Lake Orion
I dont think the knee is a factor at all, Dennis. I do think some people took mobile to mean dual-threat, and no one ever meant to say that.
The Spartans never looked at Maxwell and thought: Spread-option time, Drew Stanton-style! He is and has always been a pro-style, pocket quarterback.
That said, I thought he might escape and make a few more plays with his feet this season.
From what Ive seen, I think Cousins actually might have a bit more mobility than Maxwell. Its a strength for neither of them.
Now some thoughts after watching the TV tape of MSU-Michigan:
• Blake Treadwell at times looked powerful as a run blocker. Better as a run blocker than a pass blocker. And Donavon Clark, Ill predict right now, will be a very good tackle for the Spartans
• Key sequence in the second quarter. A toss sweep to Bell, and afterward, he was limping and asking to come off. Then he waved Nick Hill off and stayed on the field -- some in the press box were speculating that MSU ignored Bell.
On the next play, third-and-1 from the U-M 21, he fell before the contact came. Maybe if hes going full speed, he gets it?
Then Dantonio made what was, to me, the most questionable decision of the game kicking there instead of going for it and Conroy, who has pushed a few this year, hooked it.
BTN analyst Glen Mason, just before the commercial break: Dantonios thinking, I should have went for it.
• Denicos Allen was a heat-seeking missile in this game, and U-M's Robinson was the source of heat.
Allen was the one regular on defense who made fun of Robinson on Twitter, so he was set up to be embarrassed. It looked like he was playing for his life out there. MSU needs more of that from him, more of what it got last season.
• MSUs touchdown drive was its best offensive possession of the season, Im quite sure. Good blocking, terrific timing and accuracy from Maxwell, nice mix of plays, Tony Lippett breaks a broken trick play. Liked the play-action right away to score, an easy pass to Paul Lang.
Then MSUs defense got a three-and-out, and the MSU offense had a third-and-2 on the next possession. LeVeon Bell was wide open in the flat after a defender backed off, but Maxwell missed him and threw downfield, no chance. Big missed conversion.
• Then MSUs defense got another stop and was in great position after a shanked punt, starting at its 48.
• Third-and-4, huge play. Aaron Burbridge was open briefly on the drag route, but a defender quickly found him. Maxwell had time but threw well over Lang.
He actually had Derek Hoebing much more open, about five yards in front of Lang and for what would have been a first down.
So instead of MSU moving into possession for more points, or at worst, pinning U-M deep in its end, the Wolverines get the ball at their 43, set up for a go-ahead field-goal drive.
• And that drive could have been a touchdown drive, thanks to a blown assignment from MSU. Isaiah Lewis let Jeremy Gallon release into the end zone and there was no one home, but Robinson threw a bad pass, too hard and behind him.
• And then comes MSUs 90-yard drive, from its 8 to the Michigan 2. Perhaps the second-best drive of the season (call it the best field-goal drive), made possible by the best call of the season: the Mike Sadler fake punt.
That call would have been the story of the game, of course, with a different result. And yes, it could have been a late hit -- you see plays like that called a lot, though I dont think it should have been called.
A slant to Lippett on third-and-7 also was key. A strike and a good catch.
And then another bullet and great catch from Burbridge on a slant. And then another strike and the best catch of the drive from Bennie Fowler, despite pass interference.
Man, that was big-time, Mason said, mentioning that Fowler couldnt catch a cold the last time he saw him.
So MSU has it first-and-goal. Play action to get the touchdown right away, but U-M was all over it, and Hoebing didnt have a chance.
Then Bell for 3 inside and then an attempt to get Bell the right edge, and it never really had a chance. Maybe MSU feared a pick -- and with no Dion Sims in the second half, a big red-zone weapon wasnt available.
Still, its fair to question no pass there. But on fourth down, you have to take those points that late in a 9-7 game. The gamble isnt worth a 14-9 lead.
• On the next possession, great call and blocking on the quarterback draw that got Robinson 44 yards. Then MSUs defense responded and forced a punt, with Allen again charging in to drop Robinson -- then Kyler Elsworth drawing a hold as a blitzing edge rusher.
But that drive gets an assist for setting up the winning drive.
• On MSUs final possession, Maxwell had a running lane on second down, the much-maligned passing play. If he takes it, the clock keeps moving and he might get MSU into a manageable third-down situation.
But he threw high to a covered Burbridge, and U-M had more time as a result. But to repeat: If you get the ball at your own 8, up a point, with 3:07 left, and your opponent has two time-outs, you need to get a first down.
MSU went for it and didnt get it. But run, run, run, punt wouldnt have guaranteed a thing at the end. U-M would have had plenty of time to get into field-goal range, even without any time-outs.
• The winning drive. Interesting call to use Vincent Smith on the first play. Marcus Rush and Bullough had him for nothing, but he cut back and got 12 big yards.
Then Robinson took off on a delayed quarterback draw, but Allen was there to stuff it. Then Gholston jumped on a short run outside for Robinson, giving U-M five yards.
Then the double-A-gap blitz didnt get there, but Robinson bailed with a short toss, short of the sticks.
Clock running inside one minute with a third-and-2. Robinson quarterback draw and once again Allen is all over it. Officials gave Robinson the first down and MSU challenged, but the ruling was upheld.
On the replay, it looked like Robinsons knee may have scraped the ground before he stretched the ball, but the replays available at the time certainly dont give enough evidence of that to overturn the call.
First down, potentially disastrous catch for U-M, after Rush batted Robinsons pass. Toussaint grabbed it as he was hitting the ground for a loss, forcing U-M to take its last time-out with 18 seconds left.
Winning play. MSU sent four rushers, with Allen twisting behind Gholston and nearly getting to Robinson with a fierce inside push. Robinson sidestepped it.
Gholston tried to get home, but Taylor Lewan warded him off. He might have held him, too, but it wasnt blatant enough for a flag at that point in the game, in my opinion.
Dileo lined up on the right side, ran a crossing pattern and got inside position on Lewis. Robinson had time to pump, step up and flip it to Dileo all the way on the other side of the field.
MSU opted to drop seven there, try to get to Robinson with four and hope he wouldnt make an accurate throw. And thats how an outstanding defensive game turned into another late-game defensive failure.


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After living 57 years as a macho man, veteran Philadelphia police officer Maria Gonzalez will retire as a middle-aged woman.
"I was a terrible fisherperson," says Gonzalez. "They'd come back with all kinds of shit. I came back with nothing."
During this time he frequently donned his sisters' clothes when they were out, which was often. Gonzalez had been caught once, at 5 years old, when his younger sister saw him wear a dress. She was so young he succeeded in distracting her. But from that point on an unexpected footfall sent him into action, discarding a sister's clothes for his own pair of pants. He rarely wore makeup, fearful a trace of red lipstick might remain. When he did, he scrubbed his face raw afterward.
The emphasis transsexuals place on dressing as the opposite sex perpetuates the myth they're fetishists. But mental health experts say those who suffer from gender identity disorder focus on cross-dressing because it's the most available means of changing their gender.
As Gonzalez experimented, he retreated from normal social life. There was a woman named Marie, a family friend he called an aunt. He walked to her house every day after school for a year.
Marie was heavyset, single and never married. She sat with the teenage Heladio in her tidy two-room apartment and drank coffee, smoked cigarettes and watched TV talk shows. One day he showed up and found her dressed to go out.
"I have a doctor's appointment," she said. "Walk with me."
Turned out the appointment was for Heladio. The doctor asked him to explain his reluctance to spend time with other children. He told the doctor nothing of his desire to be a woman. The next day he arrived at his aunt's house as usual and rang the bell.
"I'm busy!" she hollered from a second-floor window. "You can't come in."
"The doctor told her to force me to go with my friends," says Gonzalez.
At 17 he met a girl he found attractive. He dove into the relationship and married her. Another myth of gender identity disorder is that it correlates with sexual preference, but the two bear little if any direct relationship.
"There are many variations," says therapist Angelo Pezzote, who works in New York and runs the website askangelo.com. "Sexuality is very fluid."
Many male-to-female transsexuals sleep with women before and after surgery, essentially becoming lesbians. Others might identify as a homosexual man before and heterosexual woman after surgery. A significant number find their sexual tastes shift.
"Some can't imagine sex with a man when they are men," says Pezzote, "but after surgery that's something they want."
|Smiley face: In old pictures of herself as a man, Maria Gonzalez doesn't grin like this.
Gonzalez didn't cross-dress at all during that first marriage, though he told his wife once during sex that he liked to dress in women's clothes. In the moment his wife treated the confession as dirty talk. Later she confronted him. She didn't seem to question his sexuality so much as his sanity.
"She didn't accuse me of being gay," says Gonzalez. "She knew better, 'cause I was giving it to her pretty good. Man, I was poundin' that pudding."
This is surprising talk from today's Gonzalez, a matronly looking woman who dresses in conservative female clothing and looks like Barbara Bush without the budget for pearls. But after 57 years of living as a man, the old language is still there-the language of a man who overcompensated for his desire to be a woman by retreating into sex, drinking and police work.
The tension created when he revealed his desire to dress in women's clothes never dissipated, and there were other factors that led to an eventual divorce.
At 21 Gonzalez was now a single cop. His face and masculine haircuts bothered him. His penis seemed an unnecessary appendage that created a mess and splattered the toilet when he stood to urinate. He rarely used the mirror unless a woman called him good-looking. Then he'd stand in the bathroom and stare at himself. "What the hell are you talking about?" he'd think. "What is it that you see?"
"I am so proud of her, I hope she does well for herself. Power to the transsexuals. I am a transsexual and maybe I should become a cop. Its hard being a Philadelphia tgirl, shemale, transsexual, in Philadelphia. "
PW's 2015 Gift Guide
Food Fest: Neighborhoods unite for discounted food and drink specials
Judah Friedlander steps off the stage to put pen to paper
Dinner with Luke Palladino
A stage for our stories: First Person Arts & the art of storytelling
Apply within: PHL Live helps keeps talent within the 215
Thrill-a-delphia: Halloween happenings all around the city


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About 16,000 Detroit Public Schools students will get up to $60 per month in food assistance this summer when school meals may not be available.
The Michigan Department of Education is partnering with DPS to help administer $2.1 million in benefits funded by a federal grant from the U.S. Department of Agriculture. Eligible students will be entered into a lottery to receive the benefit, which will range from $30 to $60 per month.
The idea is to help provide food assistance to families whose free and reduced-priced school breakfasts and lunches end when school is out for the summer.
Last year, about 80% of DPS students qualified for free or reduced meals.
Those who receive the summer Bridge Card will be required to buy from a list of healthy foods, similar to the federal Women, Infants and Children nutrition program.
"It is important to provide healthy food, because many of the high-calorie, low-nutrient foods like soda, chips, sugar-sweetened beverages and white bread are less costly than healthier foods," said Nicholas Drzal, consultant manager for the Michigan Department of Education's School Nutrition Programs.
In 2011, Michigan was one of five states to pilot the program, distributing summer Bridge Cards in Grand Rapids. This is the first year that metro families will be able to participate.
Consent forms were sent home with DPS students this week. The forms are due back by March 8.
For information about the Summer Electronic Benefit Transfer for Children program, go to www.sebtc-mi.com.
Contact Chastity Pratt Dawsey: 313-223-4537 or email@example.com


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Practicing ArchitecturePracticing Architecture
Kitchens and Baths Benefit from Broader Housing Recovery, Feature New Functions and Activities
Accessibility and sustainability remain priorities for these parts of the home
By Kermit Baker, Hon. AIA
As a nascent design and construction recovery spreads from region to region and building sector to building sector, one of the first tangible expressions of this long-awaited turnaround is arriving. Homeowners, and their architects, are looking to add more value and function to two vital and specialized rooms that are often the last to be downsized when a recession strikes: kitchens and baths.
During the housing downturn, less attention was paid to these areas as households were looking to control costs for new homes, and to limit home improvement expenditures on existing homes. As housing markets have begun to recover, households are concentrating more on these areas. More activities are taking place in kitchens, as they are regaining their role as "control center" of the home. While they haven't significantly increased in size, they generally are utilizing more technology.
Likewise, bathrooms are getting more attention. Along with kitchens, baths tend to garner a lot of attention for new homebuyers, and are among the first spaces to be upgraded in existing homes. Accessibility into and around the bathroom is a growing concern for homeowners, particularly those who may be planning to remain in their current home as they age in place.
These are the major findings from the AIA Home Design Trends Survey (HDTS) for the fourth quarter of 2012, which focused on kitchen and bath design trends. Through comprehensive surveys of residential architects nationally, this effort explores emerging design trends by examining the space devoted to these rooms for both new homes as well as for improvements to existing homes.
Kitchens take on new functions
The number and size of kitchen/food preparation/food storage areas has been flat or trending down since 2009. However, this quarter many residential architects are indicating increased emphasis on these areas of the home. Almost a quarter of respondents indicated that the number of separate kitchen facilities or secondary food storage or food preparation areas is generally increasing in popularity, while only 11 percent point to a decrease in popularity. For the size of kitchen facilities, 22 percent point to an increase, and 11 percent report a decrease, responses that are very similar to the survey results from 2011. (Figure 1)
While there are indications of a modest increase in space devoted to kitchen activities, there has been a greater change in the space devoted to new activities that are centered in the kitchen. More than half of residential architects point to an increase in space for a computer station or recharging area for cell phones, tablets, and other personal digital devices. Likewise, more than 40 percent of respondents indicated an increase in space for recycling activities or pantry space, with few respondents indicating a decrease in these activities.
Integrating family space with kitchens remains a very popular design option in homes, as does designing kitchens for adaptability with universal design features. Even though the popularity of these features remained strong during the downturn, they have increased in popularity even more as the housing market continues to recover. (Figure 2)
Sustainable products remain popular in kitchens, but recently there has also been a revival in upper-end kitchen products. Countertops and flooring from renewal/sustainable materials, as well as drinking-water-filtration systems remain popular kitchen products, although the pace of increase in popularity has slowed somewhat from a year ago. (Figure 3)
Bathrooms also seeing increased design attention
As with kitchens, residential architects are also reporting modest increases in the number and size of bathrooms in homes. One in five respondents report that the number of bathrooms in homes has been increasing (compared to only 4 percent reporting declines), while 22 percent report that the size of baths has been growing over the past year. These responses show greater gains than have been reported by residential architects over the past few years, and are consistent with the increased size of homes reported in recent U.S. Census Bureau statistics. (Figure 4)
While new technologies are often driving kitchen design, bathroom design is heavily dependent on making these homes more accessible and adaptable as housing needs change. Well over half (57 percent) of respondents reported that adaptability/universal design features were increasing in popularity, while only 3 percent responded that this concern was decreasing.
Possibly related to the increased interest in universal design, or possibly just reflecting changing preferences, designing bathrooms with only a stall shower and no bathtub is becoming a more common practice. Half of respondents indicated that this trend was gaining in popularity, while hardly any pointed to a decline in popularity for this option (Figure 5)
Accessibility for bath products was another theme growing in popularity. Over 60 percent of respondents reported that doorless/no-threshold showers were growing in popularity, compared to fewer than 5 percent reporting waning interest. Hand showers, often with universal design applications, are also continuing to become more popular.
However, most of the bath products that top the popularity list promote sustainability. At the top is LED lighting, with nearly 70 percent of respondents indicating that it is increasing in use. Water-saving toilets and dual-flush toilets are both highly rated in terms of growing popularity. While upscale bathroom products generally are not high on this list, specialty upscale showers were seeing some increase. (Figure 6)
Business conditions clearly improving for residential architects
Residential architects are reporting a clear upturn in business conditions at their firms. In the fourth quarter, the billings score at these firms was 54.2, where any score above 50 indicates growing revenue. The billings score for the fourth quarter of 2011 was 48.3, signifying a modest decline. However, billings increased in subsequent quarters, so growth has now been reported for a full year.
Inquiries for new project activity have also been strong, reaching a score of 63.5 in the fourth quarter. Almost half (46 percent) of respondents indicated that inquiries had increased during that quarter, while only 19 percent indicated that they had declined. These four straight quarterly gains in both billings and inquiries at residential architecture firms suggest significant momentum in residential design activity heading into 2013. (Figure 7)
With continued growth in residential design activity, firms are starting to build up some project backlogs. Project backlogs, an indicator of the amount of work currently in-house and under contract, are measured in terms of the amount of time that these projects would keep current staff fully employed. At the peak of the market last decade, project backlogs were running close to five months. During the downturn, backlogs were averaging closer to three months. Over the past two years, backlogs have been trending up, reaching 3.7 months on average in the fourth quarter. One in five firms had less than one month of backlog, while almost as many had six months or more work in house. The most common backlog volume was one to three months, as indicated by 38 percent of respondents. (Figure 8)
As residential design activity has recovered nationally, firms in all regions of the country have reported better business conditions. However, business trends have been quite volatile within individual regions in recent quarters. For example, residential architecture firms in the Midwest had reported the strongest business conditions of any region of the country in each of the first three quarters of last year, and then dipped to a modest decline in the fourth quarter as firms in the other regions reported solid gains.
Currently, firms in the South and West are reporting the healthiest business conditions, with billings scores of 56.2 and 58.6, respectively, in the fourth quarter. These regions were generally the most overbuilt during the last upturn, and therefore often saw the steepest declines after the market crash. However, as the national economy continues to recover, a disproportionate share of building activity is located in these Sunbelt regions. (Figure 9)
The recovery is finally showing up as improved conditions in most of the major residential building sectors as well. While home improvement activity—both additions and alterations to existing facilities as well as kitchen and bath remodels—remained relatively healthy during the downturn, there have been extended downturns for homes designed for entry-level and move-up buyers. The townhouse and condo market, as well as the second and vacation home market, generally saw even steeper declines in construction levels during the downturn.
However, there were the beginnings of a broad-based recovery across the major building sectors in the fourth quarter of last year. Residential architects reported that, on net, market conditions were improving for first-time buyer/affordable homes, move-up homes, and custom and luxury homes. In the fourth quarter of 2011, conditions in all of these sectors were negative.
Additionally, market conditions for townhouses and condos were marginally negative last quarter, and much worse off in the same quarter of 2011. That leaves the second and vacation home market as the sole home building sector that doesn't appear to be in recovery or poised for one. Since many of these homes are solely or partially investment properties, the steep decline in house prices during the downturn has hit this building segment particularly hard.
At the other extreme, there was further optimism for conditions in the home improvement sector. More than 60 percent of respondents reported improving conditions for the additions and alterations, and kitchen and bath remodeling portions of the home improvement market. These sectors were rated as relatively healthy even during the downturn. However, the recent upturn has pushed scores for these sectors even higher. (Figure 10)
Illustration: Randy Lyhus. 2013
Recent Related:
Density and Accessibility, with Growing Interest in Neighborhood Amenities, Define Community Design Trends
Special Function Rooms and Features Fall Away as Housing Market Continues Slow Recovery
Turnaround in Home Sizes, In-Home Amenities, and Property Enhancements
Kitchens and Baths Continue to Attract Design Focus
Visit the Housing Knowledge Community homepage on AIA KnowledgeNet.
The HDTS panel is open only to principals, partners, and other firm leaders of AIA member–owned firms with a residential specialization. Apply to join the HDTS panel by completing a brief background information form on your firm here.
Visit the AIA Research Resource Center.
Back to AIArchitect March 8, 2013


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Hockey Playoff Matchups
Posted by Mike on April 29, 2013
In anticipation of the NHL playoffs, we've updated the front page for the postseason. In addition, we've added playoff matchup pages for each series, where you can see how two teams stack up against each other at a glance. These pages have listings of how the two teams fared in regular-season meetings this year (plus a link to see how they've played each other all-time) and the current series status.
This entry was posted on Monday, April 29th, 2013 at 2:55 pm and is filed under Announcement, Hockey-Reference.com. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.


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Contact Person: Lt. Chris Cooper – (919) 545-8189
Address to send application:
Chatham County Human Resources
PO Box 1809
Pittsboro, NC 27312
Or apply online: www.chathamnc.org
Job Summary: The position will observe and accompany inmates inside the jail and related care and record keeping requirements. Work involves exercising tact, firmness, sound judgment and decisiveness in handling routine and emergency situations. Duties include processing incoming prisoners, completing paperwork, taking photographs, searching prisoners, obtaining and securing inmates' personal property, assigning and escorting inmates to proper holding facilities, and advising inmates of jail rules and regulations. Arrange contacts by visits or telephone calls between inmates and relatives. Control doors and other devices to insure proper safety and security of jail occupants. Transport inmates to court, other prisons, medical visits, and other locations.
Minimum Qualifications: Working knowledge of federal, state, and local laws and regulations pertaining to inmate sentencing, pre-trail conditions and release. The successful candidate will have graduated from high school supplemented by jail certification and training.
Salary: $34,261
Closing Date: Open until filled. May close without notice.
©2015 Chatham County.


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Finally. I couldn't sleep last night because of how excited I was for the CUP to begin. Most people will be working, and I downloaded the ESPN World Cup Application. It's extremely functional and I believe for an extra charge, you can stream games. Not a bad alternative. I know the Spanish station here in town, 92.1 FM Jose will be airing the game on the radio. Hope your World Cup weekend is a good one. May the best team win!
Ratatat + Mike Posner + Shakira + Lil Wayne + Timbaland-Cooler than Wildcat (Mochi Beats Mashup)
Monarchy 'Love Get Out Of My Way' (Holy Ghost! [featuring Dixon] remix)
Sleigh Bells (feat. Soulja Boy)-Donk Rhythm (Immuzikation Mashup)
Yolanda Be Cool & DCUP + Benny Bennassi-No Satisfaction (Immuzikation Blend)
Crystal Castles – Suffocation (Memory Tapes Remix)
Delooze 'Big Love' (Suxx Remix)
Stripmall Architecture-Pripyat (Mascara Palin Remix)
Visitor-Love (Club Edit)
Tokyo Police Club – Wait Up (Boots Of Danger) (DOM Remix)
Little Boots – Earthquake (CJJ's Snakes & Ladders Mix)
ANDREAS TILLIANDER-Stay Down (The Field Remix)
boys noize – kontact me (the sexinvaders rmx)


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Published on: August 17, 2006
JACK NICHOLSON is getting ready to demolish the former home of longtime friend Marlon Brando. Jack, who lives nearby, bought the house at 12900 Mulholland Drive for nearly $6.5 million shortly after the legendary "Godfather" actor's death in 2004 to protect his privacy and preserve Brando's memory.
Marlon named the house that sat on a hilltop overlooking Los Angeles "Frangipani," after the flowers beloved by Buddhists. Nicholson plans to plant frangipani trees over the plot after the house is razed.
The home is reportedly filled with mold and is in poor condition, and Jack, 69, has been advised that a demolition would be a better choice than renovating the structure.


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A Phase Ib Study of the Safety and Pharmacology of MPDL3280A Administered with Erlotinib in Patients with Advanced Non-Small Cell Lung Cancer
Diseases and Conditions Researched
What is the purpose of this trial?
This open-label, multicenter study will assess the safety, tolerability, and pha rmacokinetics of intravenous (IV) dosing of MPDL3280A and oral dosing of Tarceva (erlotinib) administered in combination to patients with non-small cell lung ca ncer (NSCLC). This study has two stages. In the safety evaluation stage, patients with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) -treatment-naive, advanced NSCLC will be given Tarceva at a starting daily dose of 150 mg for 28 consecutive days during Cycle 1 and for 21-day cycles thereafte r. The starting dose of MPDL3280A will be 1200 mg, administered every 3 weeks st arting on Day 8 of Cycle 1. If the starting regimen is not tolerated, alternativ e doses and/or schedules of Tarceva and MPDL3280A may be tested. In the expansi on stage, patients with previously untreated, EGFR mutation-positive, advanced N SCLC will be treated with a potential recommended phase 2 dose and schedule base d on the treatment established in safety evaluation stage. For both stages, con tinuation of treatment beyond Cycle 1 will be at the discretion of the treating investigator. In the absence of unacceptable toxicity or disease progression, tr eatment with MPDL3280A may be continued for a maximum of 17 cycles (or 12 months, whichever occurs first). Tarceva may be continued until disease progression in the absence of unacceptable toxicity. Time on study is expected to be approxima tely 15 months.
Participation Guidelines
Click here for detailed participation information for this trial.
|Hoffman-La Roche
|Last Updated:
|Study HIC#:
How will my information be used?
When you express interest in a specific study, the information from your profile will be sent to the doctor conducting that study. If you're eligible to participate, you may be contacted by a nurse or study coordinator.
If you select a health category rather than a specific study, doctors who have active studies in that area may contact you to ask if you would like to participate.
In both cases, you will be contacted by the preferred method (email or phone) that you specified in your profile.


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November 30, 2015
As summer approaches, it's time to thing about pool safety. The U.S. Consumer Product Safety Commission is warning about the increase in drowning deaths in inflatable pools.
There were 17 in 2005. Young children can drown in less than two inches of water. Water safety experts say constant supervision and education can prevent drownings.
"Through the American Red Cross we offer swimming lesson programs starting at six months to get the kids use to the water. Not only do we teach them how to swim. We teach them what to do if they get in a situation where the waters too deep," said lifeguard Lara Rigby.
It's also recommended to keep emergency flotation devices nearby and know CPR. Install a door alarm so you know if your child has gone outside unsupervised. Build a fence or barrier around the pool and remove toys from the pool after use.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or email@example.com.


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NCAA Super Regional
May 25, 2014
Head Coach Tim Walton
Opening Statement:
First I just want to say thanks to our fans and the grounds crew and all the people that stuck around all day long. We really appreciate the support and the fans and the work that was done to put on a first class experience for our players, hats off to them. Congratulations to Washington on a great season, obviously a very talented team. I had a gut feeling this was going to go to a three game series based on the nature of stuff I saw on film. Give credit to our kids I thought the really easily could have hung their head after the first game after playing real well, they just got beat. Coming back like that shows at the end of the day, leave no doubt and I thought we left no doubt. I thought we played well and Im proud of our players for that.
On the challenge of keeping the team focused in during delays:
I kind of mentioned that yesterday in regards to being professionals, we stayed here the whole time and didnt leave. We had a meal ready for between games in case we needed it. We had the locker room set up for nutritional supplies. We had drinks and food and other supplies. We had to go get some lunch meat and we had peanut butter and jelly and such. I go in there and the lights are out and the girls are all bundled up taking a nap. They were watching Kentucky win and they were watching the Gators play against LSU in the baseball game. The locker room is theirs. We like to let them completely be themselves and do their own thing.
On the odd night:
Ive never been a part of anything like this, where you go and you win by the fashion we won yesterday (9-0 win). You come out the next day and have a battle in temperatures that I dont think anyone has ever played in before and the humidity, then you get beat. Im just thankful we had all that time being ahead. That makes it a lot easier when you talk about a mental game, I wouldnt want to be the person who is down by one run for three hours or down by 4 runs for two hours. I think ultimately the score helped to alleviate the stress.
On the lightning during Stewarts homerun:
I didnt hear it. I heard the people. I didnt hear the strike, I heard the thunder a little bit later. I dont know how many seconds afterwards it was but I knew it was fairly close. A lot of times lightning will strike and we have such a good health department that I know out training staff is going to do a good job keeping everybody safe.
On the expectation at Florida to get to the World Series:
It is an expectation. I think ultimately we have created and established that culture where we want to end our season at the College World Series. This team is no different from any other. Im proud this is really special. This is one of the best teams we have had to play to get to the college world series. Its special, unfortunately our win streak is over in Super Regionals, but it doesnt have any bearing on this team. This is pretty cool, just the length of time and all the things that went into it. We could have easily just quit. I think someone lit a fire under our players. That didnt just happen by accident.
On Hannah Rogers weekend:
That was pretty special to watch that kid come out there. She threw 83 pitches in a seven hour span. She just one hit one of the best hitting teams in the country. I think that is overshadowed by the score. She was dynamite, she was really, really good. Five hits in two games. I could see it in her eyes when she was throwing the ball. Part of the debate was do you throw her the first two games and try to win the first two games right away. Obviously this is the first time we have gone to another pitcher, usually we just use one. I wouldnt have changed it now. Lauren pitched her butt off. She pitched well today, we didnt really help her. I thought Hannah was impressive. I saw something in Hannah I have never seen in her in four years.
On going to Hannah Rogers in the first game:
I didnt think about it until we had runners on first and second with no outs in the sixth inning. We already had her loose and ready to go then we gave up the lead. The temperature had more to do with my process than anything else. It was so dang hot, I didnt want to burn her out and have her get burned out early. I really felt comfortable with her going if we needed to go to a game two.
Sophomore 2B Kelsey Stewart
On the lightning strike during her homerun:
I didnt but I did hear all the fan noise. I think it was more the long delay and I was just trying to do something for my team.
On the hype coming into the series:
The hype was super high and I knew after that there was no losing for my team. I knew my senior pitcher was going to go out there and wasnt going to let us lose. We were still going to be up and fight until the end.
On the benefits of being home:
I dont think you can get caught up if you are home or away. Of course it helps if you have home fans. All year we have prepared for things like this.
On what the team did during the delays:
We played charades, which was fun. Its kind of like bonding and of course we were dancing. I think it is more of a bonding thing having fun with each other knowing this is the best part of the year, having fun with your best friends.
Sophomore OF Kirsti Merritt
On her game ending homerun:
The way I swing I guess I was trying to end it, but not in my head. I swing pretty big for being such a small person.
On the bizarre night:
I think thats exactly what it was, bizarre. You had to go out play a couple innings, then you have to take a three-hour break, then play some game, then go to the locker room, then play a half an inning, then you go to the locker room and play a couple more innings before finishing the game after seven and a half hours to eight hours at the park.
Senior RHP Hannah Rogers
On her pitching today:
I think its more just of a mental game. I think you have to focus and you are not letting anything get to you whenever you do have a long delay like that. Ive been feeling pretty good too. I think that the treatment I was getting throughout the week helped me a lot today.
Ongoing back to the college world series for the third time in four years:
Its exciting because Ill get to end my career at the College World Series. I want the rest of my teammates to go back and I want the freshmen to be able to experience it. Im excited to be able to experience it with them as well.
Washington Quotes
Head Coach Heather Tarr
Opening Statement:
First of all, congrats to Florida on a great season so far and continued luck on down the road. We might have lost the series, but were by no means beaten. This is a great group of young women that represent our university. I guess the saddest part about the day is we graduate seven seniors who entered the program together and are leaving together, and thats a fantastic accomplishment; theyve probably grown more than any senior class Ive ever had. Well be very sad to lose them. Im proud of our team this year; we had a few things kind of not really go our way and as far as personnel, we lost two of our catchers this season and battled back with a third and a fourth. Its pretty amazing that our team was able to come through and compete the way that we did. At the beginning of the year if youd said Washington and Florida would matchup at a Super Regional, youd ask hows that going to happen. Im sure Florida expected to be higher-seeded than five and we thought we might have a chance to be a top seed, but we didnt earn it. Its unfortunate, I think, that the two teams had to meet here its a World Series-type matchup. Im just really proud of our team this year, our program, what our seniors have accomplished. Im excited for the young ones to be able to carry on the traditions. The seniors were fantastic examples of Huskie softball and what were all about.
On the mentality entering a weather delay after giving up a three-run home run:
Yeah, its disappointing to give it up to their best player with two outs. Tip your cap to her; she swung at a good pitch and did probably what she should have done to it. In all reality, she beat us; it wasnt us necessarily beating ourselves. Going into the rain delay knowing that had happened, just tip your cap and move on.
On the camera in centerfield:
Youre not allowed to live tag video from centerfield in a championship game and we just wanted to make sure the umpires knew about it and let them handle it as they needed to.
On Hannah Rogers performance during the Super Regional:
Ive watched her throughout her whole career. I think a couple of World Series, you watch and wonder if were going to match up with them and what youre going to do, but nothings like seeing a pitcher like that. You have to see a pitcher for the first time and get some information off of her. Shes one of the best in that senior class; she throws hard, she has a change-up and she really locates her pitches well. I thought she threw two great games against us.
CF Victoria Hayward
On having to overcome the weather delays:
Being from Seattle, weather delays are exactly something new to us. Weve learned to be loose in those times and make the most out of it. We try to have fun throw Frisbees and footballs just to keep the mood light. Thats not reason for how the game ended; were more than used to it, thats just how the game goes.
On the mentality entering a weather delay after giving up a three-run home run:
If anything, it almost gave us a fresh start to come in with the bases cleared. In that sense, it could have been a good thing. It helped us move on and say okay, were down 4-0, but we have this half of the game left and this is what were working with and this is how were going to come back. It could have been a much worse situation I guess. Obviously, its not ideal, but we were able to make the most of it.
3B Kylee Lahners
On what the team has done:
From start to finish, weve had a great team. Weve had our ups and downs, but the way the team has bounced back from those and how we came together every game. As the season went on, we just kept fighting and fighting we were going to play as many games as we can, beat teams and see what happens.
On Hannah Rogers performance today:
I would say she kept us off balance. If you get a hitter off balance and you get them to start thinking about the pitches shes going to start throwing, then youve got the hitter. As a hitter, youve got to make adjustments and dont let her beat you twice.


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EXCLUSIVE: Beta Cinema will handle international sales on German director Isabelle Stevers' grotesque drama Cooking Cats, which began shooting in Cologne last week.
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Happy Groundhog Day, everyone!
I think we can all say we deserve an early spring. Boy, what an ice age out there, huh? I hope to catch up with you at the Game Developers Conference, Spring Carnival at Carnegie Mellon or Games for Health later this summer.
What's new in your world? I wish you the best in this new year.
Make sure you check out recent news over at the MeYou Health homepage. We are growing and maybe you'd like to join us!
-Bill @ MeYou Health
©2014 bill sabram design


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Home | Services | Why Choose Us? | Location | Contact Us
Oklahoma based REP Enterprises LLC is a family-owned and -operated company in Bartlesville. We provide service to commercial clients throughout our community and the surrounding areas. We are a licensed, bonded and insured company.
REP Enterprises LLC handles service and installations for a variety of oil field electrical installation. Contact us today to request our services and for a free service estimate.
Our retail location has a variety of electrical motors, pumps, VFD, HVAC motors, blower wheels, capacitors, belts, and much more. We provide service to motors such as rewinding, bearing repair, etc.
Our team of electricians has received intense professional training in the field and constantly stays updated on new technology. In case of an issue, a call to REP Enterprises LLC should have you back up in little to no time.


text:
Saturday, March 26, 2011
Fort Walla Walla Museum valuable to community
Recently I spent time at the Fort Walla Walla Museum doing research at the library, and because of the assistance of James Payne, the executive director, I was able to achieve my goals, even to surpass expectations.
I'm at work on a biography of Brevet Lt. Col. Edward J. Steptoe, who built the second fort (the "cantonment" on land now in downtown) and the third, permanent fort on land now occupied by the Veterans Affairs Hospital.
Most of your readers probably associate him with the disastrous defeat at the hands of various tribes in what is presently Rosalia.
Mr. Payne was able to direct my attention to a number of valuable sources that had so far slipped below my radar.
I'm sure nearly all of your readers are aware of what a valuable resource that museum has been for your community.
Because of it, to put the matter in dollars and cents, my wife and I spent two nights at the Marcus Whitman Hotel, ate three dinners at local restaurants and purchased more than $100 worth of apparel at your downtown Macy's.
When the subject of funding or of donations comes up, perhaps this supportive evidence might be brought forth. I am sure our experiences were not unique.
We also spent valuable time at Whitman College's archives, where the librarians were friendly and helpful, as were other folks we met in your lovely town. We always enjoy ourselves there, and we'll be back.
Ron McFarland,
professor of English
University of Idaho
Consider donating to Senior Center
As a member of the Board of Directors for the Senior Center, the purpose of my letter is to let the community know the center is going to be running a financial deficit this coming year.
An article in March 13 U-B, I am quite sure, was intended to also give you the same message. The article supposedly was quoting a spokesman for the center, but I am concerned it may have had a negative effect in trying to raise funds.
The spokesman expressed concerns about HR1, passed by the House of Representatives on Feb. 19, which would eliminate funding for the Corporation for National and Community Service. His remedy, "To look at the tax code, and stop the tax breaks for the super rich."
We could tax the super rich 100 percent and still not make much of a dent in the national debt! Ninety percent of the taxes are already paid by the top 10 percent of income earners. People, we don't seem to get it!
We as a nation are broke unless we get a handle on spending at the government level. It would also help for all, except the very poor and totally disabled, to pay some federal tax. Fifty percent of us pay no federal income tax.
I am hoping my letter is to encourage us all to work together in this community to raise our own funds to keep the center operating.
Each dollar we raise at home will accomplish as much as four the federal government administers back to us.
The center fulfills a wonderful function for all who use the facility as well as the many other functions it performs for the community. Please consider donating directly to the center.
Don Rosenbaum
College Place
So, what did Founders really mean?
Thomas Peacock ridiculed my statement that the Founding Fathers intended citizens to possess the same firearms as the military ("Opinions are just opinions, not facts," March 22).
He claimed my opinions are not facts, yet opined that he knew the Founders' intent based on his own 21 years in the Army and experience with military firearms.
That's a poor, fallacious analogy but since he doesn't trust my opinion, how about those of the Founders themselves? Let the reader be the judge:
Noah Webster (1787): "Before a standing army can rule, the people must be disarmed; as they are in almost every kingdom in Europe. The supreme power in America cannot enforce unjust laws by the sword; because the whole body of the people are armed, and constitute a force superior to any bands of regular troops that can be, on any pretence, raised in the United States."
Alexander Hamilton (The Federalist, No. 8, Nov. 20, 1787): "The smallness of the army renders the natural strength of the community an overmatch for it; and the citizens ... stand ready to resist a power which they suppose may be exerted to the prejudice of their rights.
The army under such circumstances, may usefully aid the magistrate to suppress a small faction, or an occasional mob, or insurrection; but it will be unable to enforce encroachment against the united efforts of the great body of the people."
Thomas Jefferson (Nov. 13, 1787): "What country can preserve its liberties if their rulers are not warned from time to time that their people preserve the spirit of resistance?"
James Madison (Federalist, No. 46): "Let a regular army, fully equal to the resources of the country, be formed ... (but) the highest number to which a standing army can be carried ... does not exceed one hundredth part of the whole number of souls; or one twenty-fifths of the number able to bear arms.
To these would be opposed a militia amounting to nearly half a million of citizens with arms in their hands ... it may well be doubted whether a militia thus circumstanced could ever be conquered by such a proportion of regular troops. Those who are best acquainted with the late successful resistance of this country against the British arms will be most inclined to deny the possibility of it."
So be honest here - were the Founders talking about citizens being armed as well as the military?
Steve Singleton
Walla Walla
Help keep Pioneer Park Aviary going
This morning we took a walk in our nice Pioneer Memorial park to look at all the beautiful birds, especially the peacock. They are wonderful to watch. So please keep the thought about giving some donation to keep the Aviary going.
However, there is one thing missing. There should be a sign for dog owners to please pick up and remove your dogs' feces. In some countries there is a heavy fine for not doing that.
When you walk in the grass in any of our parks you get your feet in it on your shoes.
Think about the children who play in parks. We also hope you dog owners take this to heart.
Maren Hayes
Walla Walla
Cut out the middleman
The natural tragedies of the world in recent months are overwhelming. The tragedies related to political unrest is an extra burden upon world societies.
We can contribute to the welfare of the cause through monetary donations to a wide array of agencies that can provide direct assistance.
Some of us can actually provide a physical resource. And then there are those who want your money so they can benefit from the suffering of others by offering a form of merchandise.
If anyone wants to donate to any cause I recommend he or she donate directly to the charitable organization of choice.
If you need a T-shirt, wrist bracelet, a meal or some other form of tangible good in order to donate, remember your donation is not 100 percent.
A direct donation to the charitable organization of your choice is the best gift and does the most good. If you have not donated to a cause for Japan Relief, New Zealand Relief or other cause in the last six months, now is the time to do so.
Give from the heart and do not expect a tangible item in return except for the "feel good" within your heart.
Robert Keatts
Walla Walla
We must develop energy we have
In the March 211 Our Opinion, the Union Bulletin essentially sided with our two senators and inferred that the reason for higher oil prices is speculators in the commodity oil futures. Speculators must only put up 6 percent of the value of a futures contract to speculate that the price will rise.
Doesn't it seem odd that if some speculators think oil prices would rise there is probably another group that thinks prices will drop? Those who think that speculators are the reason for higher energy prices should jump in on the opposite side and utilize the 6 percent margin and overpower those speculators who are using low margin levels to make energy prices rise.
If the truth be known, our country has no energy policy and we are dependent upon foreign sources for our energy needs. To blame this fact on speculators just magnifies the lack of understanding of the problem. We need to develop our own resources and then we won't be dependent upon foreign sources.
Those who think solar, wind or whatever is our salvation should look a little deeper and see just what the cost of these sources are and just how much domestic subsidy they require to be competitive. Currently they aren't competitive and unless something significant changes they never will be.
You may be willing to pay the unrealistic price for alternative sources of energy, but businesses that compete internationally can't pay that price and survive. In many cases we will most likely be dependent upon such businesses for your livelihood.
Eventually some form of energy may become available and when that happens you probably will see a spectacle similar to the investment in the Internet take place. That day doesn't yet exist and until it does we need to be realistic and develop what we have.
Nat Webb
Walla Walla
Wind turbines in Blues a mistake
We have in these Blue Mountains a regional treasure. These mountains and foothills provide forest and agricultural products, wildlife habitat and scenic views and recreation for all of us. If wind turbines should be built in these beautiful mountains, our quality of life will be seriously diminished.
Our beautiful Blues refresh us and add greatly to our lives.
I grew up in this area and have always enjoyed these rustic mountains. Just thinking of having turbines and the blinking red lights in these mountains makes me ill.
There are appropriate places for these turbines (I suppose), but the Blue Mountains and the foothills are just not the place for them. Should the Umatilla County commissioners allow wind turbines to be built in these mountains, they would be extremely short-sighted and they, and we (the citizens of Southeastern Washington and Northeast Oregon) will regret it.
Jerry L. Davis
College Place


text:
|Safety and efficacy of carotid stenting in individuals with concomitant severe carotid and aortic stenosis.
MedLine Citation:
|PMID: 20884437 Owner: NLM Status: In-Process
|AIMS: Carotid artery stenting (CAS) prior to open-heart surgery may be a useful approach to minimise the risk of neurologic events in patients undergoing aortic valve replacement (AVR).
METHODS AND RESULTS: All patients referred for carotid intervention at our institution between 1998 and 2005 with concomitant severe aortic stenosis (AS) (aortic valve area <1.0 cm2) were included. Data were obtained prospectively and confirmed by chart review. The primary endpoint was all-cause mortality at 30-days after CAS or AVR. Secondary endpoints included incidence of stroke, transient ischaemic attack (TIA), and myocardial infarction (MI) at 30-days after CAS or AVR. Patients were followed-up at 30-days, six months, and annually thereafter. Of the 829 patients who underwent CAS, 52 had severe AS. Carotid stenting in 28 (54%) of the patients was attempted using embolic protection devices. Three patients (6%) died <30 days after carotid stenting, and two (4%) died >30 days after carotid stenting but prior to aortic valve replacement. At one year after CAS, a total of nine patients had died. There were a total of 19 deaths (37%) over a median follow-up of 3.8 years. One patient (2%) suffered a TIA during carotid stenting; at 30-days and 1-year there were no strokes in the CAS group. There were no MI's. AVR was performed in 29 patients (56%), and at 30-days and 1-year there were no strokes or deaths noted in those patients.
CONCLUSIONS: In patients with severe AS, CAS can be accomplished effectively and with a low rate of stroke, MI, and death.
|Subrata Kar; Amar Krishnaswamy; Mehdi H Shishehbor; Akin Cam; E Murat Tuzcu; Deepak L Bhatt; Christopher Bajzer; Samir R Kapadia
Related Documents :
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Publication Detail:
|Type: Journal Article; Research Support, Non-U.S. Gov't
Journal Detail:
|Title: EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology Volume: 6 ISSN: 1969-6213 ISO Abbreviation: EuroIntervention Publication Date: 2010 Sep
Date Detail:
|Created Date: 2010-10-04 Completed Date: - Revised Date: -
Medline Journal Info:
|Nlm Unique ID: 101251040 Medline TA: EuroIntervention Country: France
Other Details:
|Languages: eng Pagination: 492-7 Citation Subset: IM
|Department of Internal Medicine, Cleveland Clinic, Ohio, USA.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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text:
Travelling Community
View Single Post
January 11 2013, 03:36 PM
Location: Delta Quadrant Borg Queen appartement 8472
Re: Travelling Community
Well Voyager was daring,it was taking risk,it was going to a new area of space,lost,no Starfleet,no popular and very well known Aliens(except the Borg),it was gonna be original and ''Unique'' the producers themselves said so.
People may say it was not well written but i disagree,in Voyager you had a sense of community a family working together,the characters were emotional and very realistic,there was character development except Kim and Neelix,each season they would throw 2 episodes that would be for a character development some people say its not enough i say it was,in a new Quadrant uncharted,filled with hostile Aliens,being 70 years away from home the writers are not gonna keep showing Maquis quarrels,hippy aliens,problems of energy...
Voyager was going boldly where no one has gone before,it was about the human spirit of exploration,a sense of Family and unity and bonds that developed,and had a flavor of action and drama some humor and of course the
In a way Voyager was a lot more ''Trek'' then others.
VOYAGER WE LOVE YOU AND WE MISS YOU,IT is TIME FOR A REMAKE
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I-35 between Hefner Rd & NE 122nd St
Oklahoma City, OK 73131
Frontier City, Oklahoma's only Western-themed amusement park, has been a favorite Oklahoma City destination for over ... read more...
1164 N MacArthur Blvd
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A unique nightlife destination in Oklahoma City, Venue 42 is a combination club and live entertainment venue with ... read more...
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Kush Hookah Lounge is a bar with an emphasis on hookah. Serving twenty different flavors, you're sure to find ... read more...
30 NE 2nd St
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Everything about Anchor Down in Oklahoma City's Deep Deuce District is unique. It is a bar and restaurant housed in ... read more...
101 S Mickey Mantle Dr
Oklahoma City, OK 73104
With multiple levels of fun, Brickopolis in Oklahoma City's Bricktown District provides a great spot for all day ... read more...
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Located in Oklahoma City's Plaza District, Oak & Ore aims to offer delicious craft beer and craft fare. This ... read more...
ASA National Softball Hall of Fame & Museum
2801 NE 50th
Oklahoma City, OK 73111
Softball is one of the most popular team sports. Find out why by visiting the ASA National Softball Hall of Fame and ... read more...
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Oklahoma City, OK 73155
Built in 1919, Lake Overholser is an urban reservoir nestled in west Oklahoma City. Catch excellent sunsets from the ... read more...
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Head up to Bossa Nova at the Top, located within Cafe Do Brasil, and take in spectacular views of the Oklahoma City ... read more...
Oklahoma City Community College Theatre
7777 S May Ave
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The Oklahoma City Community College is home to two theaters. The Bruce Owen Theater is a 280-seat theater that brings ... read more...
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text:
Originally Posted by blansky
I put a few thousand rolls of film through my Hasselblads and never once printed square.
I can appreciate square but somehow I just never printed that way.
In fact with digital sensors I like printing full frame 35mm more than I did back in the old days when I shot Hasselblad and printed 16x20. Seem to really like 16x24.
Maybe it's just a phase.
Don't you mean 24 X 36?
The contemplation of things as they are, without error or confusion, without substitution or imposture, is in itself a nobler thing than a whole harvest of invention
Francis Bacon
Originally Posted by cliveh
Don't you mean 24 X 36?
16x24 is the same 3:2 aspect ratio of 35mm.
Originally Posted by E. von Hoegh
16x24 is the same 3:2 aspect ratio of 35mm.
Yes, but not 35mm in size.
time always changes things.
often i will put aside negatives that i thought were bad
photographs, but down the road with different eyes i will usually think they are good.
website+blog: new entry: new paper negatives rockland emulsion
50% of all profits from my IMAGE KIND SALES will be donated to the RI FOOD BANK
since my start of donating from image sales ( haitian earthquake ) i have donated between 500 adn 700$ USD
thru nov 19 35 to 40% off !
I've stopped looking at my photographs as bad, or good, and I treat them as sketches. Most of them are trial images to see if I am seeing what I think I am, and a lot of times they aren't. But, as with most of us, I try to learn something from all of them, even those that are less-than-successful. And I am reminded of Mike Johnston's comment, (of The Online Photographer fame,) that your contact sheets suck, and so did HCB's, and Gary Winogrand's, and everybody else's. It's part of the nature of the game.
Just my $0.02 worth.
With best regards,


text:
Peter Cooper Caricature by Thomas Nast
This is a caricature of Peter Cooper (1791-1883), inventor, industrialist, and philanthropist. Cooper led a successful fight to build a public school system in New York. His most lasting monument is Cooper Union in New York City, his attempt to offer education to the working classes. This caricature plays on Cooper's name.
- Date:
- 1865 circa 5 years
- Original Format:
- Cartoon
- Item#:
- Photographer:
- Mathew Brady
- Height:
- 2733px
- Width:
- 2012px
- download hi-res watermarked image
Related Categories:
All Licensed images are available for download as jpeg files at 300 dpi of original size.
If your project requires an image at higher resolution, please contact us (be sure to include item number). Custom requests may require an additional charge.


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$649 or best offer
I bought this screen directly from mp3Car a few months ago. These screens are currently hard to get and are out of stock in the mp3car store. It is in near perfect condition. Please PM me with any questions or offers. This screen is BY FAR the best upgrade I made to my carputer setup. The screen is fully readable in 100% direct sunlight!
Screen Details:
Check out the video to see how much of a difference the screen makes:


text:
May 2010 Camaro production & sales figures. Outsold by Mustang for 1st time in 12 mos
As reported on Homepage.
The latest camaro production and delivery (sales) #'s were released today. Here are the stats:
Delivery (sales) Stats:
Camaro May 2010 Deliveries (actual sales): 8,931
Total January 2010 - May 2010 Deliveries: 38,838
Production Stats:
Camaros produced in May 2010: 9,987
Total Model Year 2010 Camaros produced from January 2010 - May 2010: 46,016
Total Model Year 2010 Camaros produced to date: 128,204
> April 2010 Stats: http://www.camaro5.com/forums/showthread.php?t=81144
> March 2010 Stats: http://www.camaro5.com/forums/showthread.php?t=74608
> February 2010 Stats: http://www.camaro5.com/forums/showthread.php?t=68548
Compared to Competition:
Mustang sold 10,225 units in May 2010.
Challenger sold 3,828 units in May 2010.
May 2010 Camaro sales figures
7 Attachment(s)
Graphs are much better :D
Amazing. Over 128,000 Camaros. To think the last year of the 4th gen, 2002, even after knowing it was done for didn't even break 30,000. Great job chevy!
for another month this is good news for GM.the mustang is doing better,probably because of the new engine.great posts,very interesting.
Anybody who know figures for Challenger?
I hope to be one of the lines on the graph once the convertible comes out.:happyanim:
It's interesting to guess what's the cause of these figures.
My guess:
Last year, people were still used to the "if I want a muscle car, I only can get a Mustang" thinking, which explains the April 2009 figures. Then Camaros started to be seen more and more on the roads, and people got used to the idea of having choice; therefore the Mustang sales went down steadily throughout the year whilst the Camaro's were much higher.
This year May 2010, all those who were waiting for the new 5.0 Mustang bought their cars, which explain the jump; but interestingly, people still want the Camaro more even though there is no change between this year and last. This could be because of the fact that we haven't grown to miss the Mustang, given its uninterrupted history. So the Mustang is vastly improved, but most people already have their Mustang if they ever wanted one.
The funny thing is: the sales figures don't match what I see on the roads. I see far more Challengers than I do Camaros. The Camaros are stunning though when I do see one.
Damn. The Challenger is a pretty rare car. LOLZ.
It was fun while the streak lasted, and a long one at that! mustang has no problem taking over sales for June with that sharp of a curve in the positive direction, but I understand, new engine, newer design.
Mustang outsold Camaro for May 2010...
10,225 units sold...
YTD 2010 Mustang has sold 31,061 compared to Camaro 38,838 deliveries.
Here's link to GM Sales - http://phx.corporate-ir.net/External...xUeXBlPTM=&t=1
My mistake, sorry folks!! :facepalm:
So the mustang sold more last month?
Camaro 8,931 < Mustang 10,225
That jump in sales like that could mean a large rental car company just bought a ton of cars for their fleet. Look at how many camqaro's avis had. I know enterprise had alot of the mustangs at one point!
i think the fact that the mustang showed to outsell the camaro the month of may,...may be a mistake,if you look back at may all the way to the left on the graph and also look at may all the way to the right,it shows the "exact" number of sell's,i find it hard to believe mustangs sold in each of may figures are the exact same number....?
You have to remember that Ford dealers are having fire sales on 2010 Mustangs to make room for 2011 Mustangs, so a sales increase was expected. Camaro is probably generating more profit for GM than Mustang is for Ford due to the lack of incentives on Camaro.
I must have got one of the last group made for 2010. it was a good run but the new mustang was bound to increase sales. lets wait a few more months and see how it all plays out. anyway the camaro will always be better than the mustang in my mind.
I'm seeing reports that fleet and retail sales of the camaro were 13,000.
I've been waiting for this data.
I honestly thought this would happen. The new 5.0 led to increased sales. Also, you can get a good deal on a 2010 Mustang now to make way for the 2011's.
Mustang almost EXACTLY doubled their sales...something smells fishy...if you wanted to buy a Stang, wouldn't you wait for the 5.0? This probably includes 2011 orders, and the fire sale for the 2010s on the lot. But to DOUBLE sales in one month? Hmmm. Pretty impressive though. Wonder if a lot of those are 2011's ordered for Hertz...
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text:
Calhoun's Ham House & Country Deli
Tom Calhoun is known as the "Ham Man", with good reason. His hams have been featured in food articles by The Washington Post and Gourmet magazine among others, and graced the dining tables of The Inn at Little Washington and The White House. Call ahead and order yours for your next holiday!


text:
What Is a Dexamethasone Suppression Test?
A dexamethasone suppression test is primarily used to help diagnose Cushing's syndrome. Cushing's syndrome indicates that you have an abnormally high level of cortisol. Cortisol is a steroid hormone produced by the body during high levels of stress.
A dexamethasone suppression test basically does two things: First, it measures the amount of dexamethasone being produced in your body. Dexamethasone is a corticosteroid similar to one produced naturally by your adrenal glands. It affects the levels of cortisol in your blood and is prescribed to replace the natural chemical if your body is not producing enough of it. It may also be prescribed as an anti-inflammatory agent used to treat arthritis and blood, kidney, and eye disorders.
Your adrenal glands are located above your kidneys. They produce steroid hormones such as androgens, as well as cortisol, epinephrine, and norepinephrine.
The test also used to determine how well the adrenal glands respond to adrenocorticotropic hormone (ACTH).ACTH is a hormone produced by the brain's pituitary gland. It has a number of functions, including the production of corticosteroids. Too much ACTH can cause Cushing's syndrome.
What the Test Addresses
If you are currently taking the corticosteroid medicine dexamethasone, your doctor may recommend a dexamethasone suppression test to determine how it is affecting the levels of cortisol in your blood.
In a healthy person, as the pituitary glands make less ACTH, the adrenal glands make less cortisol.
Dexamethasone is prescribed to relieve inflammation related to arthritis, severe allergies, and other conditions. When you take dexamethasone, which is very similar to cortisol, it should decrease the amount of ACTH released into your blood. However, if your cortisol level is high after taking a dose of dexamethasone, this indicates an abnormal condition.
Preparation for the Test
Before the test, your doctor may tell you to stop taking certain prescription medications that may affect the test. These include:
- oral contraceptives
- barbiturates
- phenytoin, used to treat seizures
- corticosteroids
- estrogens
- spironolactone, used to treat patients with congestive heart failure, cirrhosis, or kidney problems
- tetracyclines, a family of antibiotics
How Is the Test Administered?
There are two variations of the dexamethasone suppression tests: a "low-dose" test and a "high-dose" test. Each form of the test can be done either overnight, or over the course of a 3-day period (referred to as a "standard" test).
During both forms of the tests, your doctor will give you some dexamethasone and will later measure your levels of cortisol. A blood sample is also needed.
Blood Sample
Blood will be drawn from a vein in the inside of your lower arm or the back of your hand. First the doctor will swab the site with antiseptic.He or she may then wrap an elastic band around the top of your arm to cause the vein to swell with blood. Your doctor will then insert a fine needle into the vein and collect a blood sample into a tube attached to the needle. The band is removed and gauze is applied to the site to prevent any further bleeding.
Low-Dose Overnight Test
- Your doctor will give you 1 mg of dexamethasone at 11 p.m.
- He or she will draw a blood sample at 8 a.m. the following morning to test your cortisol levels.
Standard Low-Dose Test
- You will collect urine samples over three days and store them in 24-hour collection bottles.
- On the second day, your doctor will give you 0.5 mg of oral dexamethasone every six hours for 48 hours.
High-Dose Overnight Test
- Your doctor will measure your cortisol levels on the morning of the test.
- You will be given 8 mg of dexamethasone at 11 p.m.
- Your doctor will take a blood sample at 8 a.m. to measure your cortisol levels.
Standard High-Dose Test
- You will collect samples of urine over three days and store them in 24-hour containers.
- On the second day, your doctor will give you 2 mg of oral dexamethasoneevery 6 hours for 48 hours.
Understanding the Results
An abnormal result to the low-dose test may indicate that you are suffering from an excessive release of cortisol, known as Cushing's syndrome. This disorder could be caused by an adrenal tumor, a pituitary tumor, or a tumor elsewhere in the body that is producing ACTH. The results of a high-dose test can help to isolate the cause of Cushing's syndrome to a pituitary tumor.
High cortisol levels may also be caused by a number of other conditions including:
- heart attack
- heart failure
- poor diet
- fever
- overactive thyroid gland
- anorexia nervosa
- depression
- untreated diabetes
- alcoholism
What Are the Risks of the Test?
As with any blood draw, there is the minimal risk of experiencing minor bruising at the needle site. In rare cases, the vein may become swollen after blood is drawn. This condition, known as phlebitis, can be treated with a warm compress several times each day. Ongoing bleeding could be a problem if you suffer from a bleeding disorder or you are taking blood-thinning medication such as warfarin (Coumadin) or aspirin.
Following Up After the Test
Even with an abnormally high result, your doctor my recommend further tests to diagnose Cushing's syndrome. If this disorder is diagnosed, you will be given appropriate medications to control your high cortisol levels.
If your high cortisol levels are being caused by a form of cancer, your doctor will recommend further tests to determine the type of tumor and the treatment required.
If your high cortisol levels are caused by other disorders, your doctor may recommend another course of treatment.