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West Coast
6 days | 5 nights
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Calistoga, California | Healdsburg, California
Velo Vino to Calistoga
Approximately 11 miles with 300 feet of climbing
Private Shuttle from San Francisco to Calistoga
After a scenic private shuttle across the Golden Gate Bridge from San Francisco to the charming town of St. Helena, you'll meet your guides at the Velo Vino Tasting Room, a local cycling hotspot owned by the Clif family (of Clif Bar fame). Sample the signature Clif Family Wines, and tantalize your taste buds with a bite from their gourmet, on-site food truck. After a short round of introductions to your fellow travelers and a bike fit, you're free to start riding through the Napa Valley into Calistoga, known for its natural, volcanic mud baths and rich wine history. Stop into the gift shop at the Culinary Institute of America during the ride and admire the fabulous architecture, peruse the Corkscrew Museum, or taste a delicate handmade croissant at the Bakery Cafe. Tonight we'll gather for drinks poolside, followed by dinner at the newly renovated JoLe, one of Calistoga's top restaurants with a farm-to-table focus.
Mount View Hotel
Visit Website
Social Hour | Dinner
Mount View Hotel to Summit Lakes Vineyard
Approximately 37 miles with 2,900 feet of climbing
Calistoga to Pope Chiles Valley Country Store with shuttle
Approximately 30 miles with 1,200 feet of climbing
Calistoga to Summit Lakes Vineyard Loop
Approximately 53 miles with 3,100 feet of climbing
Options abound today as you leave the Napa Valley and pedal into the pristine Pope and Chiles Valleys. You'll ride switchbacks through high canyon walls and hillsides covered with scrub brush as you make your way along the shores of Lake Hennessey. Enjoy the peace and tranquility of wine country over a gourmet Trek Travel picnic and private tour of Summit Lake Vineyards, residing high above the Napa Valley on Howell Mountain. Owners Bob & Sue Brakesman have made their dream a reality on a small plot of land over 40 years ago and today Heather, Bob's daughter, shares her passion for this lifestyle with every Trek Travel guest that passes down their gravel driveway. Spend the afternoon discovering Calistoga on foot or relaxing at the hotel spa. (Please make any spa reservations with the Mount View Hotel & Spa (707.942.6877) before your trip for any time after 4:30pm today.) This evening, dine on your own at a suggested bistro or any other in town.
Mount View Hotel
Visit Website
Breakfast | Lunch
Calistoga to Healdsburg
Approximately 27 miles with 1,400 feet of climbing
Calistoga to Healdsburg with Pine Flats Hill Climb
Approximately 52 miles with 4,800 feet of climbing
Today we'll cycle north from Napa Valley into Sonoma County. Enjoy a morning climb to cross the county line or opt to take a shuttle over the hills and save your energy for the eucalyptus-lined country roads of the Knights and Alexander Valleys. Take a break from pedaling and stop to taste a crisp Sauvignon Blanc at Hanna Winery or a robust Zinfandel at Soda Rock. Lunch is on your own in quaint and inviting Healdsburg, your home for the next 3 nights. Spend the afternoon by the pool or indulging in an afternoon nap. Or wander the town plaza and the many boutiques and galleries nearby, stopping for a cappuccino at the guide favorite, Flying Goat Coffee. Tasting rooms abound in town, making it convenient for you to stroll around and discover a new favorite wine. The evening is yours to explore Healdsburg and enjoy dinner at the restaurant of your choice.
Healdsburg to Dry Creek Loop
Approximately 30 miles with 500 feet of climbing
Healdsburg to Dry Creek Loop with Rockpile Road
Approximately 46 miles with 2,500 feet of climbing
Today you'll follow the tranquil byways through the Alexander and Dry Creek Valleys. Stop to explore wineries like the Francis Ford Coppola Winery, complete with memorabilia from the Coppola family's filmmaking career. If you're up for it, challenge yourself on Rockpile Road, a beautiful detour through the Lake Sonoma Recreation Area with views of Lake Sonoma. You'll pass many distinctive wineries in the Dry Creek Valley, home to more than 50 wineries, and one of the top Zinfandel producing regions. Taste wines from the barrel at Zichichi, or a cool, crisp, biodynamic Sauvignon Blanc in Quivira's solar-powered tasting room on our way to lunch at the Dry Creek General Store. Established in 1881, the store is a local hotspot for delicious handcrafted lunch specials, and is loaded with lots of unique gifts. Tonight's dinner is yours to choose at one of Healdsburg's bustling restaurants.
Healdsburg to Guerneville Loop
Approximately 42 miles with 1800 feet of climbing
Healdsburg to Guerneville with shuttle
Approximately 17 miles with 600 feet of climbing
Healdsburg to Guerneville Loop with Sweetwater Climb
Approximately 42 miles with 2,500 feet of climbing
Today you'll cycle through the Russian River Valley, with its tantalizing Pinot Noir grapes and ever-present vineyards. Pedal past scenic views of Mt. St. Helena, the Mayacamas mountain range, and the Russian River on your way to the towering redwoods of Armstrong Woods State Reserve. Enjoy a hike and see the oldest tree in the park at 1,400 years old, or the tallest tree at 310 feet high. Lunch is at a restaurant of your choice in Guerneville. This afternoon, you're free to take our shuttle back to the hotel or venture into Healdsburg's plaza for some last-minute shopping. If you ride back, you can visit some of the area's famed wineries like Korbel, Arista, or Porter Creek. Our final evening of the trip includes a handcrafted, farm-to-bar cocktail, or a local wine at the lively and vibrant Spoonbar. Everything about Spoonbar is a rich alchemy of art and craft, from the place to the plate. For dinner, you'll enjoy a beautiful presentation of delicious, creatively-composed local Sonoma County fare.
Breakfast | Social Hour | Dinner
Healdsburg to Yoakim Bridge Loop
Approximately 19 miles with 160 feet of climbing
Healdsburg to Lambert Bridge Loop
Approximately 11 miles with 104 feet of climbing
Private Shuttle to Westin St. Francis, San Francisco
Take a final morning spin through Dry Creek Valley to loosen your legs or enjoy a peaceful morning in Healdsburg and the chance to do some shopping and wine tasting in the town plaza. Sip a cappuccino at the Dry Creek General Store mid-ride, while overlooking lush vineyards before checking out of your hotel.
We reward our guests with lower pricing and more dates to choose from the earlier you book. Rest assured, once you book, your price and date are guaranteed.
Every moment of a Trek Travel bike trip has more than you could have ever dreamed. More romance. More scenery. More choice. It's the little additions to every Trek Travel cycling vacation that make it truly special. And that's how we help you create more memories. Learn more
Gratuities for your Trek Travel guides are not included in your trip price. Industry standard is 5-10% of the trip price which will be divided by your guide team. Please tip your guides at your discretion, based on their level of professionalism, guest care and service.
Our itineraries are an approximation of our trips. Trek Travel strives to offer each and every guest a vacation of a lifetime on every trip. At times routes, hotels, activities, etc. listed here may change at the discretion of the trip designer or guides to improve the trip experience.
On all of our vacations, Trek Travel strives to find quiet, paved secondary roads or bike paths to experience a region; busy roads are avoided as much as possible. California Wine Country is best suited for our Type 2 Riders. Our Trek Travel guides can also easily accommodate Type 1 Riders, who seek less mileage or fewer uphills, with a boost in the van. Those who wish to ride every mile but are concerned about their physical ability may want to try our electric bike option–you still get a workout but can climb alongside even the strongest rider. Type 3 Riders will enjoy the extra mileage the avid route options offer. The terrain is generally rolling, with a few flat stretches on quiet, but sometimes narrow roads. For those seeking more challenging rides, the hills to the east or west of the valley are sure to please even the most avid cyclist. See Itinerary for specific daily ride distance and elevation options.
Warm sunny days (70F-80F) and cooler evenings, with temperatures at least 15 to 20 degrees cooler. Bring layers for the cooler morning and hotter midday differentials. A rain shell is also a good idea.
On most Trek Travel trips, we offer non-riding options for riders who want to take the afternoon off, or travel companions who want to spend little or no time in the saddle. Some of these options may need to be scheduled before your trip–please contact one of our Trip Consultants for more information. Expenses and/or related transportation to these activities may not be included in the trip price. See Included In The Trip Price for more information. Some non-riding options on this trip are:
For an additional fee you may request to upgrade to the brand new Trek Emonda SLR with Shimano Di2 Electronic shifting or Bontrager Aeolus carbon wheels for the ultimate riding experience. Contact our trip consultants for more details.
We understand things happen in life and sometimes you have to cancel or change your bike tour. We want to make it as easy as possible to do so and below you will find our timeline. If you ever have a question, just give us a call, 866 464 8735. Read our cancellation policy.
Didn't find what you were looking for? Check out our General FAQs section. You will find answers to all the most common questions that don't necessarily pertain to a specific trip.
We suggest that you arrive at least one day prior to the trip start, which will enable you to adjust to the time zone and minimize the risk of missing the trip start due to flight-related delays. We recommend that you fly into San Francisco International Airport (SFO) or Oakland International Airport (OAK). All major airlines fly into and out of San Francisco International Airport.
Taxi and shuttle services are available from both airports to downtown San Francisco.Taxi rates range from $50- 75 from San Francisco International Airport to San Francisco; and $50-60 from Oakland International Airport to San Francisco.The Bayporter Express (415 467 1800) and Super Shuttle (415 558 8500) also run between both airports and San Francisco with rates ranging from $20-30 per person. From Healdsburg, you may arrange a short taxi to the Sonoma County Airport shuttle which offers hourly shuttles to SFO for $34 per person, schedule available at www.AirportExpressinc.com.
Westin St. Francis Hotel lobby, by the grandfather clock | San Francisco, California
Your Trek Travel guides will meet you at the Westin St. Francis Hotel lobby, by the grandfather clock (335 Powell Street, San Francisco, CA, 94102) at 12:00 PM on the first day of the trip. We'll shuttle approximately 75 minutes to Velo Vino in St. Helena to enjoy wine and explore the unique tasting room. Be sure to have your cycling gear, including shoes and pedals, packed in a small bag separate and apart from your luggage. We will fit you to your bike and begin our first day's ride to Calistoga.
If you will be late for the pick-up or are going to miss it altogether, please inform your guides. You will receive an email a week before the trip start with their names and contact details. If you cannot reach them, please call our first hotel, Mount View Hotel (707 942 6877), and leave a message with your expected arrival time and contact details. Evans Airport Service provides express bus service from the San Francisco or Oakland International Airport to the City of Napa ($29 one way). Mount View Hotel has a shuttle service, but are not permitted to pick up or drop off at the airport. They can pick up from the Evans shuttle drop off point in Napa and take you to the hotel or the meeting point (800 816 6877 x 77). Or, "As You Like It! Wine Country Tours" has a Trek Travel rate from San Francisco. The luxury car service costs approximately $195; see www.asyoulikeitwinecountrytours.com.
h2hotel | Healdsburg, California
You will say farewell to your guides at 11:00 AM at the h2hotel. You'll then have the day on your own to explore Healdsburg or head to your next trip destination. Trek Travel provides one complimentary shuttle to the Westin St. Francis Hotel in San Francisco arriving at approximately 1:00 PM. Taxi and shuttle services are available to both airports. If you plan to fly out of the Bay area on Friday, please avoid scheduling your flight any earlier than 5:00 PM.
Keep in mind that San Francisco is a city best explored via foot and cable car and involves a great deal of hill walking. Should you decide to explore before your trip start, you may want to consider giving your legs ample rest time for the cycling ahead! There are numerous attractions in the San Francisco area - from the Golden Gate Bridge, Chinatown, Fisherman's Wharf, and Alcatraz to Ghirardelli and Union Square. For a preview and help in planning, try www.OnlyinSanFrancisco. com or one of the many websites available on the city.There are endless options and whether you pre-plan and book your itinerary or just arrive with no plans, you're sure to be charmed by the City on the Bay! We recommend the following accommodations for your pre- and post-trip hotel:
The unique and stylish Huntington pays homage to the former hotel's legacy in Nob Hill, one of the most prestigious neighborhoods in San Francisco. The hotel's staff, many whom have worked there over 20 years, greet you with personalized service and attention with the highest standards. The hotel's distinctive rooms and suites will ensure a comfortable and relaxing day after a jaunt through the big city. Be sure to enjoy the spa, or the on-site restaurant, The Big Four, giving a nod to San Francisco's storied past.
1075 California St. | 415 474 5400 | www.thescarlethotels.com/huntington-hotel-san-francisco/ | ~$400
Renowned for its legendary service, the historic Westin St. Francis boasts luxurious guest rooms and world-class dining.
335 Powell Street | 415 397 7000 | www.Westin.com | ~$297
A chic, modern hotel set in the heart of downtown San Francisco, W San Francisco was listed on Condé Nast Traveler's Gold List in 2002.
181 Third Street | 415 777 5300 | www.StarwoodHotels.com | ~$445
of Sonoma County's big three appellations: Russian River, Dry Creek, and Alexander Valley.
at the lively and vibrant Spoonbar. From plate to place, everything about Spoonbar is a rich alchemy of art and craft.
at Summit Lake Vineyards, where you'll experience a personal, private tour of the vineyard, and discover a new favorite vintage over a tasting with a view.
the Redwood Forest.
ideally situated for a relaxing California experience.
is perhaps the best way to experience the landscape of a region. Sonoma and Napa are beautiful with great wineries, vineyards and art houses along the routes.
And knowledge of the geography we were riding each day but just as important to me they were intelligent and very likable. Therefore, whatever you're putting these folks through before making the hire just keep doing it and I'll keep coming back for more Trek experiences in the years ahead.
My husband and I have done adventurous trips in the past, hiking in Europe, climbing Mt. Rainier, but this was the best trip we've ever taken. I cannot wait to book my next one.
After our trip was over I came home and began searching for another to book. I was astounded that our California Wine Country tour was an 'explorer' hotel package! It seemed luxury to me!
and I've stayed in quite a few great hotels.


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Our Marketing Services:
Methodically determining what you're offering, when, to whom, and how you'll reach them can spell all the difference between runaway success and a complete waste of money. Yet an alarming number of companies fly by the seat of their pants, and make vital strategic decisions based on pure guesswork.
If like most of our clients, your time is already consumed with running your business, managing inventory, finding and training staff, handling customer service issues, balancing budgets and juggling shipping logistics. If you're not a professional marketer, why add that headache to the mix? Leave the strategy and execution to folks like us who do that, and nothing but that.
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"Evergreen Marketing was the answer to my problems when I first undertook the task of marketing our wildflower seed catalog. Besieged by print offers and having no way of discerning one from another, knowing fair pricing, or which publications offered the greatest potential of reaching the right segment of the population, I engaged Val Gosset to map out strategy for me and negotiate. A wealth of fresh ideas and experience, she proved to be just the right solution!"
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Wildseed Farms

subset: commoncrawl


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I would like somebody to please sort all of my emails out into separate folders relating to the email. So, for example, if the email is from ebay, create a folder for ebay and put all ebay emails in there, if a folder is from Mind Valley create a folder called mind valley and place all mind valley emails in there and so on.
I would also like the emails to automatically go into the related folders as they are received if that is possible?
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Sen. Hillary Rodham Clinton won't be reading her own long-awaited memoir, so she might as well pick up the just-released book of a former White House colleague.
A retired FBI agent and now president of the Patrick Henry Center for Individual Liberty, Gary Aldrich previously took readers into the myriad nooks and crannies of the Clinton White House with his No. 1 best seller, "Unlimited Access: An FBI Agent in the Clinton White House."
His new book, "Thunder on the Left: An Insider's Report on the Hijacking of the Democratic Party" (Allegiance Press, $25.95), caps a five-year investigation in which Aldrich reveals how the "hard left," led by Senate Minority Leader Tom Daschle of South Dakota, worships everything from political correctness to big government.
And, adds the author, when people dare call left-handed politics by its real name, centrist Republicans often come to their defense, saying those on the left are merely patriots with other opinions.
"Nonsense," Aldrich writes. "For too long, the soft-hearted right has been far too polite. We need to expose the hard left for the dangerous threat they represent."
Which is? "Gutter tactics," he says, "including a 'nanny state' mentality: The hard left sees a need to regulate everything from SUVs to cell phone use by drivers."
He also says the left is responsible for turning the media into a massive "entertainment machine," designed to slant the news and move the culture ever leftward. That's why the former G-man labels today's journalism "Big Entertainment."
It's not likely to happen, but a Colorado congressman and outspoken watchdog of illegal immigration in this country wants President Bush to tell his friends south of the border that our two governments are not one and the same.
Republican Rep. Tom Tancredo says several foreign governments are now distributing identification cards to their nationals living illegally in the United States.
"Some of these governments - specifically, one of them, Mexico - has taken this one step further and decided to begin to use their consular offices here to lobby state and local governments in the United States to get them to accept these cards, thereby aiding and abetting people living in this country illegally," he says, labeling the lobbying outrageous.
John McCaslin is a contributing columnist on Townhall.com and author of Inside The Beltway: Offbeat Stories, Scoops, and Shenanigans from around the Nation's Capital .
Be the first to read John McCaslin's column. Sign up today and receive Townhall.com delivered each morning to your inbox.


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very cute gallery
Very cute gallery! Especially Your Traditional stuff! Also, you've had that same icon for a while now. It's Very nice. Are you attached to it?
very adorable gallery !! ...really wonderful female creatures lol
awesome art! Keep up good work!
You use copics, i wish i could color like that,....
feel free check out my gallery and comment what you think...
Genialne rysunki Używasz markerów copic?
Your pictures are soo goood. Great work keep it up
your drawings are so good! your coloring and linework and everything, I love it! Keep it up!
I really like your bento boxes!


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First Pewdiecry fanart!!
The first thing you propably noticed was the expression of Cry's mask. It is scary I agree, but funny anyway.
When I started drawing this pic and had already done the scetch I started laughing, 'cause it was so funny looking.
As I drew this I had laughed by myself a few times already.
I didn't take time of how long it took to draw this, but it didn't really take long.
I've also thought about drawing these two a bit more, but it depends on my energy supply and on the fact that I'm not sure if I have the time.
Pewdiepie -->
Cry -->
~ Jej!
pewds: I'm trying to relax here go away
*sees cry's mask* WTF xDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD *dies of laughter*
looks like.....TURKEY FROM HETALIA!!!!!
Very manly floatie,Pewds. ^^
The water o.o
Is it bad? D:
I could see this happening XD Very adorable ^.^
Jännnnnnä.... Men kyl viäkää tiä noist tyypeist mtn mut kiva kuva anyway ^.^ toi vesi o kivasti tehty~
Bro day everyday


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About MKSCB
Annual Report
MKSCB Inter-Agency Policy & Procedures
Resources & Publications
Useful Links
Children and Young People
Tips for staying safe online
Milton Keynes Safeguarding Children Board has drawn together 'top tips' and links to the best online advice.
You can download the information here -
Useful websites - children
Young People (over 11 years):
Useful websites for young people (over 11 years)
Are you worried about a child, young person, school friend or relative?
If you are worried that you, or another child is being abused or neglected,
there are people who can help.
You can ring and speak to someone in the Milton Keynes multi-agency safeguarding hub on 01908 253169 or 253170
After 5pm call the out of hours number on 01908 265545
If you are worried about calling, you could ask a responsible adult, such as a teacher, to help you.
You could speak to someone in confidence by phoning
Childline on 0800 1111
This service is free at any time.
Click here to find out what abuse means:
What is abuse?
Young Person's Guides
Download a young person's guide to the Children & Families Act 2014 here:
Young Person's Guide to Children & Families Act 2014
The government has published a young person's guide to Working Together 2013:
Young Person's Guide to Working Together 2013
and a young person's guide to keeping safe:
Young Person's Guide to Keeping Safe
These Guides have been produced so that young people are clear about how professionals should work together to help keep them safe.
© Milton Keynes Safeguarding Children Board 2008


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Directions: Where's that shack?!
Brooklyn Crab is located at 24 Reed St., across from the Fairway Supermarket in the neighborhood of Red Hook in Brooklyn, New York.
IKEA NY Water Taxi: Brooklyn Crab is located just a few blocks from IKEA and easily accessible by the water taxi that departs from the South Street Seaport in Manhattan. You can check the schedule at NY Water Taxi. Once you get off the taxi, walk past the IKEA to Beard Street and go left for 3 blocks until you reach Van Brunt Street. Make a left on Van Brunt Street and then a quick right onto Reed Street. There are also select stops that happen behind the Fairway market, which is even closer!
Car: There is ample street parking nearby.
Bicycle: Brooklyn Crab has bike racks, and there are several other bike racks nearby. For local bicycle paths, check NYCbikemaps.
Subway: The Smith-9th Street Station is serviced by the G and F lines, when planning a trip, it's wise to consult with the MTA at their website- mta.info for up to the minute schedule changes.
The great thing about the MTA site and their "trip planner" application is that you can plug in a destination address, 24 Reed followed by your own starting point, and it will calculate where and when you need to be to make your Subway and or Bus connections. When you get off the train, head away from the Gowanus Canal in a westerly direction towards Court Street. That's where you'll find the stop for the B61 bus.
You get a free transfer here, as long as the same MetroCard you boarded the train with is used. You can easily also walk the distance to the waterfront, but a free anything in New York City is something you should always accept. Van Dyke is the closest stop.
Brooklyn Crab Hours
Brooklyn Crab is Open Year Round
Brooklyn Crab is Open 5 Days a Week
Brooklyn Crab is Open Weds, Thursday, and Sunday
Brooklyn Crab is Open Friday & Saturday
Please note there are no Monday specials on Monday holidays (i.e. Memorial Day/Labor Day)
Mini-Golf is closed for the season, re-opening in spring
Brooklyn Crab will be open 7 days a week starting March 21, 2016
Get Directions.


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Living Lent as a family
This past Monday I had my monthly interview spot on Relevant Radio's Morning Air Show, and we talked about some of the Lenten traditions my family I embrace or have embraced in the past. I had every intention of putting together a post chock full of resources for Lent prior to the interview. When that didn't happen, I told myself I'd cobble a post together on Fat Tuesday. Then the ice hit Georgia. We lost our Internet connection, and it ended up being a good day to cuddle and play lots of games of Uno.
So here I am on Ash Wednesday throwing some ideas out there. This year we're not going to make our traditional Lenten mice out of mismatched socks (see picture below of our rodent friends from the past). I may end up doing this again for Thomas down the road, but we are using a jelly bean activity a friend told me about from Catholic Mom to encourage prayer, sacrifices, and alms giving this year because, let's face it, candy motivates my 10-year-old more than tying knots in the tail of a mouse stuffed animal. For those of you with only littles in your house these mice are so cute and a great way to visually show a child what sacrifices can do. The mouse's tail gets shorter and shorter with each good deed (from each knot tied), and you can talk about how your child's soul is changing, too, as it draws closer and closer to Christ.
For those of you with some older children, you can try this jelly bean activity. My friend substitutes M&Ms. Different colors can be ordered on the M&M's website. She also plans ahead and buys holiday M&Ms when they're on sale. We're using jelly beans and using this Catholic Mom article as our guide:
On Ash Wednesday we set out a glass jar for each child with a small copy of the jellybean prayer taped to it. We determined a behavior to go with each jellybean color (corresponding with the prayer). Each day the kids could earn a jellybean of any color they followed through on. They could not eat the jellybeans until Easter. The kids could not earn white jellybeans, these represented the Grace of Christ, which is a gift not earned ourselves. On Easter morning, the kids woke to find their jars filled up where they were still empty (lacking) with white jellybeans (Christ's grace)
This is how we interpreted each color. You can make your own ideas based on ages and needs of your children.
- Red is for the blood Christ gave (each morning we chose something to sacrifice that day to earn the red jellybean. It had to be something they would have had the opportunity to have or do on that day)
- Green is for the palm's cool shade (green jellybeans were earned for good deeds. It was a good dead to provide shade for Jesus with the palm)
- Yellow is for God's light so bright (yellow jellybeans were earned for sharing God's light through kindness to others)
- Orange is for prayers at twilight (orange jellybeans were earned for attentive behavior during bedtime prayer time and night time bible story)
- Black is for sweet rest at night (these were earned for going to bed good. we used blue though, as our kids are not fans of black jellybeans)
- White is for the Grace of Christ (these we could not earn as mentioned above)
- Purple is for His days of sorrow (we earned these through apologizing to anyone we hurt with our words or deeds that day)
- Pink is for each new tomorrow (pink jellybeans were earned when we forgave those who apologized to us for hurtful behavior)
During the course of 40 days the kids did not tire of this activity and have talked about how fun it was throughout the year.
Of course, the Easter bunny might not want to bring any more jellybeans for the baskets!!
I am using blue jellybeans instead of black, and I'm hoping for a heaping pile of blue jelly beans because I just know we will have nothing but calm, easy, and peaceful bedtimes for the next 40 days because the Wicker kids love nothing more than hanging out in the horizontal position. Yeah right.
I also decided that while we can't earn God's grace – and thankfully we don't have to! – we open ourselves to God's grace in the sacraments, so the kids get white jelly beans for going to Mass and for going to Confession (thanks, Betsy, for this idea!).
Also, each morning we will pick a family sacrifice in addition to our own personal sacrifices and if we fulfill it, each child gets an extra red jelly bean. This might mean a day with no electronics or we pray the Rosary or the Stations of the Cross as a family.
I'm excited about this Lenten activity, and I can already see the kids are, too, because their jars are filling up quickly. Now I just have to keep them, especially 3-year-old food thief Thomas, from stealth jelly bean eating.
In year's past, I have done things like 40 Bags in 40 Days while encouraging the children to help me fill the bags with toys that they didn't really need (this doesn't mean broken toys they never liked; giving those away wouldn't be much of a sacrifice, after all). I personally have loved writing letters for each of the 40 days of Lent for the past two years. My oldest daughter has decided to adopt this activity to make her Lent more meaningful.
My big Lenten resolution this year is to not buy anything for myself that is just for me. When my husband was still in residency, this was how life always was. I really had to watch our budget and penny pinch, but I've noticed that in recent months – now that we are finally arriving at a secure place financially – I'll be at Target or somewhere and I'll toss things into the cart that aren't on my list because – hey, it's only $10 for that scarf that's marked down. Or I'll see an item on Zulily that's a great deal, and I'll think to myself that I have to snag it cheap while I can. Or I'll be buying The Gruffalo off Amazon for a birthday party gift for a little friend and will add a book to the cart that I've been wanting for our collection instead of just checking it out at our wonderful local library that is within walking distance of my house. But those $5 to $10 purchases add up, and so do those shoe splurges. And truth is, we still have monstrous educational loans from my husband's many years of schooling to pay off, and I really want to revert back to my thrifty self so we can save more and give more. So my plan for the next 40 days is to not buy anything for myself – that includes things really only I consume like makeup or seltzer water, which only I drink except when certain children ask for a sip. When I shared my plan with my oldest, she asked, "But what if you run out of something you usually use?"
"I still probably don't need it," I told her.
Then I plan on looking at the past three month's budgets prior to Lent (my husband keeps very detailed spending pie graphs) and determine the average of what I spent on myself during that time and give that amount to a charity like the Catholic Relief Service's Lenten Rice Bowl or Food for the Poor since I hopefully did not spend that moula on me, myself, and I during Lent. I have some other personal plans and sacrifices I plan to do as well, but that's the biggie.
Mary Elizabeth will be coloring this wonderful printable Lenten calendar that's available for free over at Catholic Icing (along with lots of other Lent activities for kids and families). The countdown to Easter is particularly exciting for her because her birthday is on the same day this year. "So I'll get cake AND Easter candy?" she asked happily this morning. Yup! Sugar binge, here we come in 40 days!
That's our 2015 Lenten Plan, but here's a list of some resources, ideas, books, etc. we've used in the past, plan to use, or dream of using when my life isn't such a beautiful, chaotic mess.
I know I've missed some great stuff out there, so please feel free to share your own links and/or resources in the combox.
Happy clicking!
(Oh, and please forgive the funky formatting below. I've tried to fix it multiple times with no luck.)
Bringing Lent Home with Mother Teresa: Prayers, Reflections, and Activities for Families by Donna-Marie Cooper O'Boyle
Welcome Risen Jesus: Lenten and Easter Reflections for Families by Sarah Reinhard
Magnificat Lenten Companion (it looks like the hard copy is sold out, but it's available as an app)
Around the Web
Catholic Icing's Lenten Navigation Page
Catholic Mom's Lenten Activities for Children
Christ's Journey to the Cross: Lenten Insipiration for Mothers (an old reflective essay of mine)
Conversion Diary's Recommended Reading (for adults) for Lent
Elizabeth Foss's Preparing for Lent post (includes link to all her Lenten archives)
Lent for Little Ones (an old post of mine, but we still put to practice many of the ideas I write about, especially the Stations of the Cross for children and the box of objects to represent each station)
Karen Edmisten's Meaningful 2011 Lent post
Pondered in the Heart Lenten Calendar, Merciful Cross idea for keeping track of sacrifices, Stations of the Cross grottos, et
Recipes (including lots of meatless dishes perfect for Lenten Fridays)
Catholic Foodie's Fish on Fridays and Lenten Kitchen
Avocado Corn Salad with Tropical Smoothies
Homemade Pretzels (we make these every Lent and have a simple dinner of pretzels, cheese, fruit, and milk)
Kid-Friendly Cheesy Broccoli Pockets
Tofu Parmesan (don't judge it until you try it!)
Giving thanks and Advent links
We celebrated Thanksgiving at Nana and Pop's this year and on the way, I set my phone's timer for five minutes and asked the kids to blurt out anything and everything they were thankful for and I then listed them in the exact order they were shouted out and also did not edit their contributions (e.g., Mary Elizabeth's blessing of "roasted beef" was jotted down just as she said it). Here's what they came up with:
1. apple pie
2. life
3. love
4. family and friends
5. Thomas
6. our house
7. fall
8. toys
9. turkey
10. seasons
11. the sun
12. the moon
13. roasted beef
14. ice cream
15. exercise
16. cozy boots
17. Toms
18. our health
19. animals
20. jeans
21. clothes
22. water
23. Layla (our dog)
24. trees
25. Clue (the game)
26. books
27. colors
27. Monopoly
28. beans
29. food
30. music
31. school
32. my mind
33. flowers
34. mail
35. the world
36. a warm bed
37. the way Thomas says, "Oh," when you tell him something
38. hope
39. new beginnings
40. plays
41. shopping
42. windows
43. eyes
44. our bodies
45. signs
46. doors
47. beaches
48. cars
49. pumpkins
50. Knuffle Bunny (Rachel's lovey)
51. Raja (Madeline's tiger stuffed animal lovey)
52. people
53. Cubbie (my parents' puppy)
54. Christmas trees
55. Nana (my grandma who passed away)
56. Nana and Pop
57. Gaba and Papa
58. Ivy (my parents' dog who recently died)
59. Uncle Rich (my uncle/my mom's brother who died of pancreatic cancer last February)
60. Michelle (my cousin who died recently as well from cystic fibrosis and lissencephaly complications)
61. Mr. Thomas (our neighbor who also passed away; yes, there's a theme here)
62. Katelyn (our babysitter who is alive and well)
63. Marlo (our babysitter's dog)
64. scones
65. chocolate
66. Waffle House
67. The Grit (my contribution)
68. wine (obviously another one of my contributions)
69. lattes (me again)
70. Aerolatte Milk Frother (me again, although Thomas likes to use this gadget to torture her sisters. I've caught him twice now turning it on and putting it in their hair.)
71. firemen
72. policemen
73. police dogs
74. fire dogs
75. ambulances
76. doctors
77. radiologists
78. Smoothie King
79. braces
80. Baby Jane's
81. movies
Time's up!
Once at Nana and Pop's we were not only treated to the feast of feasts, but Madeline had written a Thanksgiving play and the kids performed it for us. The red wagon is the Mayflower. Madeline is Squanto. Thomas and Mary Elizabeth are pilgrims, and Rachel served as the narrator.
Now it's time to start thinking about Advent. I have a speech at a parish not too far from my home on Sunday where I'll talk a bit about cultivating a peaceful, joyful heart during a season that can easily become a path to burnout for a multitasking control freak like myself. Your life this Advent and always should be full, not just busy. Just because our culture hypes jam-packed schedules as the norm doesn't mean we have to subscribe to it. My running injury (still not anywhere close to running again) has forced me to slow down not just on the pavement and treadmill but in life as well. I'm getting more sleep these days and really focused on embracing simplicity. At its heart, simplicity really means less of us and more of Him. It can also mean staying in your PJs all day (I'm typing this in my pajamas; no Black Friday madness for me.)
We don't need to over-schedule our kids now or ever. Madeline really wanted to try basketball this winter, but we have a brief respite from soccer and I didn't want to fill it with more practices. If she's meant to be in the WNBA someday, she'll discover that talent soon enough. For now, I am drawing my family near, pulling out our favorite Advent books, and trying to decide what Advent traditions we will embrace this year. I've included a few links from the archives that include all sorts of ideas for bringing this season alive for little ones. BONUS: You'll get to see the kids when they were wee ones. Happy clicking!
An Advent Tea
Preparing Our Hearts and Homes (Advent Traditions)
Advent crafts (shell angels, felt napkin holders, poinsettia princesses, etc.)
Advent Smörgåsbord
Recipe for Baby Jesus Birthday Cake (more for the Christmas season obviously)
Handprint angels
Feast of Our Lady of Guadalupe traditions
Christmas card placemats
Tips for hosting a cookie swap
Cookie Swap recipes
Feast of St. Nicholas traditions
Explaining the symbolism of the Advent wreath to children
Good eats: What I've been feeding the fam lately
Whew. Life has been busy. How does any mom find time to blog? I don't know how I used to do it so regularly. I really don't. This has been one crazy summer. Summer break? Ha. More like the summer of stressful situations. But enough about that. I might vent one of these days but not right now. Let's talk about food today because I love to eat, and I'm in the thick of meal planning as I prepare for another busy soccer season coupled with our first experience with sending the kids to school-school (as opposed to homeschooling). Speaking of school, my 8-year-old sighed heavily the other day and said, "Only three more days until captivity." So I guess she equates homeschooling with running wild and free and school with imprisonment. Sigh. I've had butterflies all week and am 34 years old, so it's not surprising that she's approaching this new chapter with some trepidation. My 6-year-old, on the other hand, is thrilled doing the school thing. We all did have fun back-to-school shopping. It brought me back to my school days. Oh, how I loved collecting my new pencils, a fresh box of crayons with pretty points, and a super-cool Trapper Keeper (anyone else remember those?) each year.
But, anyway, I thought I'd share what I've been eating during these hot, humid, and rainy days here in Georgia. Although I love the freshness of produce during the summer, I don't enjoy cooking as much because I hate to turn on the oven when it's 90 degrees outside. We eat a lot of cold salads during the summer. I take advantage of nature's bounty but avoid making the kitchen any hotter than it already is.
Not too long ago I made some Greek chicken wraps that everyone seemed to like. My girls are crazy about olives (Kalamata are their favorite variety), and they're also very fond of feta. This might make them odd. I don't know but if your kids aren't as in to strong flavors like feta and olives, this might not be as much of a crowd-pleaser. I adapted the recipe from a recent Family Fun article. The photo below is actually the leftovers, which I turned into a delicious salad. I topped the leftover fillings for the wraps with some of tzatziki sauce. Delish!
Greek Salad Chicken Wraps
Adapted from Family Fun magazine, June/July 2013
For the chicken:
2 tablespoons olive oil
1 ½ pounds chicken tenders or chicken breasts cut into strips
1 teaspoon oregano
½ teaspoon salt
¼ teaspoon pepper
For the tzatsiki:
1 cup plain Greek yogurt
½ cucumber, peeled and grated
2 teaspoons lemon juice
1 clove garlic, minced
¼ teaspoon salt
Dash of freshly ground pepper
For the salad:
4 cups of romaine salad, torn into bite-size pieces
2 tomatoes, diced or 2 cups halved grape tomatoes
1 cucumber, peeled and thinly sliced
½ cup pitted Kalamata olives
½ cup crumbled feta
2 tablespoons lemon juice
¼ cup olive oil
¼ teaspoon salt
1/8 teaspoon pepper
Heat olive oil over medium-high heat. Sprinkle chicken with oregano, salt, and pepper. Saute in olive oil. Cool chicken on plate.
Mix tzatsiki ingredients in a medium bowl. Refrigerate until ready to serve.
Combine ingredients for salad in a large bowl. Toss together and season with more salt, pepper, and/or lemon juice if necessary. (NOTE: The original recipe called for mint and scallions, but my kids haven't liked the strong taste of mint in other recipes, and I have an extreme onion-hater in the family so I typically stay away from scallions or add them to my meal after I served the rest of the family.)
Drizzle tzatsiki sauce over each tortilla. Then top with salad mixture and then chicken. Roll wraps and cut in half before serving.
I also recently made a salad from one of my favorite cookbooks called Saving Dinner: The Menus, Recipes, and Shopping Lists to Bring Your Family Back to the Table. I've recommended this book to several friends who want to get started meal planning but aren't sure where to start. The book is divided by season – winter, spring, summer, and fall and shares weekly meal plans, including the recipes and shopping lists. I've never tried to follow the book exactly or even adopt a whole week's worth of meals, but I frequently use recipes from the book and love how it's divided by season and uses ingredients that are cheaper and fresher during the particular season. I made a delicious and filling layered salad recently that no one complained terribly about and that I personally loved. Picky kids can pick out what they like from the salad. There's something for everyone. Best of all, I got to gobble up the leftovers along with a side of watermelon and homemade whole wheat bread for lunch after a long run (pictured below).
Mega Layered Salad
1 head of romaine lettuce, chopped (I actually used some romaine and some spinach leaves)
½ cup celery, chopped
½ cup red bell pepper, chopped
1 ½ cups sliced mushrooms
1 ½ cups frozen green peas (don't thaw; they added a delightful crunch. Next time I think I'll use frozen shelled edmame since my kids like it better than peas.)
2 eggs, cooked, peeled, and quartered
2 cups, canola, omega mayo*
2 tablespoons brown sugar
½ teaspoon garlic powder
½ teaspoon curry powder
A few handfuls of grated cheddar cheese
A few handfuls of sliced almonds
*A friend asked me if I thought I really needed 2 cups mayo. I did end up using almost 2 full cups of the healthy-ish omega mayo, but I kept tasting it to be sure since I'm not a huge fan of mayonnaise. I also plan on substituting some Greek yogurt for the mayo the next time I make the salad.
I also had leftover shredded chicken, which I tossed into the salad.
Layer ½ of the lettuce. Follow with a layer of celery, bell pepper, green onion, mushrooms, peas and egg, and then top with remaining lettuce.
Whisk mayo, brown sugar, garlic powder, and curry powder together to make dressing. Spread evenly over salad. Top with cheese and almonds. Cover and refrigerated until ready to serve.
We also recently made Chewy Energy Circles from Salad People and More Real Recipes: A New Cookbook for Preschoolers and Up. This is a new cookbook my 6-year-old received from her "awesomest" pen pal for her birthday. The cookbook is associated with Moosewood Restaurant folks. Another one of my favorite cookbooks is the Moosewood Restaurant Cooks at Home: Fast and Easy Recipes for Any Day. My husband went to Cornell for undergrad, and I'm so jealous that he's actually eaten at the Moosewood Restaurant. I really want to make it there one of these days.
The oven was required for this one, but the added heat was worth it. I adapted the recipe slightly (replaced some of the white flour with whole wheat flour to make it even more wholesome), and the circles were a big hit for my kids and some friends we had over for an afternoon water balloon party. They were easy for little hands to help make and delicious. I'm always on the lookout for snacks that can replace processed foods like packaged granola bars, and these hit the spot.
Chewy Energy Circles Recipes
Adapted from Salad People
½ cup whole wheat flour
½ cup unbleached all-purpose flour
¾ cup Spiru-Tein Vanilla Spirutein (original recipe called for any soy protein powder blend; Spirutein has been my favorite since college)
½ teaspoon salt
2 cups rolled oats
½ teaspoon cinnamon
2/3 cup brown sugar
½ cup chopped dates (original called for raisins, but I had dates on hand)
1 ½ cups vanilla yogurt (I think next time I'll try plain Greek yogurt; I think they will be sweet enough without the added sugar in the yogurt)
¼ cup canola oil
Add a dash of love (notice those sparkly hearts floating around the Energy Circles?)
Preheat oven to 375 degrees. Spray 24 standard-size muffin tins with nonstick spray or use cupcake liners. Combine flour, Spirutein, and salt in large bowl. Add oats, cinnamon, brown sugar, and raising. Let the kids mix dry ingredients together with their eager (and clean!) hands.
Blend yogurt and oil together. Add wet ingredients to dry mixture. Either use an electric mixer or little hands to completely combine the ingredients.
Place about 1 1/2 tablespoons of batter in each muffin cup and pat into place. Bake for 12-15 minutes or until brown around the edges. Transfer to a rack and allow to cool for 10 minutes.
I'd love to hear some of your favorite summer recipes. I'm particularly interested in creative, healthy, and less processed food from those of you who pack lunches for your kids. We've come up with ideas like hummus and veggie wraps, cold pasta salad, and Greek yogurt and honey dip. We usually mix plain yogurt with peanut butter for a delicious dip for apple slices and carrot sticks, but no peanut products are allowed in my first grader's class.
Happy eating!


text:
The pairing of Spanish born artist Paloma Munoz and Walter Martin have culminated in this exceptional collection of Travellers and Islands. The emotion which extracted in these small creations is overwhelming providing a warm feeling in such cold surrounding. The Travellers is an ongoing series while the Islands are limited to only 6 pieces, take a closer look below and head over to the Paloma Munoz and Walter Martin website for much more and you are gaurenteed to be impressed.
Thansk to Paul Mittleman for the spot.


text:
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Latest news from the Pacific Northwest
Local News
< Local News
Ken Schram: If you want goats, move to a farm
After hearing of a Federal Way eighth grader petitioning her city to reclassify goats as house pets, rather than livestock, KIRO Radio guest host Ken Schram had some advice: move to a farm.
According to The Seattle Times, in Federal Way, goats are classified as livestock, and as such are only allowed on pieces of property over 1.6 acres.
But 12-year-old Ava Anissipour is fighting the city for a pet classification so that a baby goat they were fostering can be returned. They already have another goat that is allowed in the home because a doctor declared it a companion animal. But Anissipour wants room for more, even though, in addition to the goat, the family already has three dogs.
"You know the family also owns a mastiff. They're looking at adopting a St. Bernard and they're looking at adopting another dog," said Schram. "Give me a break."
According to the Times, neighbors have complained about smell of urine and the goats having a negative impact on the neighborhood.
"First of all, I'm just imagining the pile of poop in the backyard from the mastiff and the St. Bernard. Those are like small horses."
Schram said, while it might be impressive that a 12-year-old is taking a stand and trying to change laws through the legislative process, he's not impressed with the general attitude here.
"There are people in our community who think the whole world should revolve around them. That everything and anything that they want and desire should be made available to them," said Schram. "At one level, I think this 12-year-old is just an exceptional kid. I think mom is overindulgent."
There doesn't seem to be any concern about what negative impacts these additional animals might bring on the community, said Schram.
"There's no sense of how is this going to impact my neighbors, my neighborhood, my home value," said Schram. "I think a couple of chickens and a rooster running around is fine. I'm all into urban farming with chickens and collecting the fresh eggs, but I think two goats and three dogs is a little bit too much."


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SG-213 by danilomartinisWatch
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Daily DeviationGiven 2015-06-23
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This is an amazing piece! Congrats on the DD!
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Nice job! This looks like made up by comp! But no, its paint! Nice!
Nice job! This looks like made up by comp! But no, its paint! Nice!
Excellent! Congrats on your DD!
I understand this is a cliché, but, that's trippy mayyyynnnn.
A go physical painting and all the effort that goes into it is always impresses me.
A go physical painting and all the effort that goes into it is always impresses me.
You actually PAINTED this? Incredible!
This is oil painting??? It's so clean. I thought this was a digital art at first. Amazing! Congrats on the well deserved DD~!!!
It's awesome and trippy o3o
Very futuristic. Great work.
sooo nice!!
...amazing, it's amazing!
It's AWESOME!
Wonderful piece of art!
Wonderful piece of art!
Love this. Always love things out of the ordinary - extordinary


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Our work in Nevada
About Us
From Red Rock Canyon to Pyramid Lake, The Nature Conservancy and its partners have been protecting Nevada's ecologically important lands and waters for more than 30 years. Still among The Conservancy's smallest chapters, Nevada was the organization's first to safeguard one million acres.
Find out how you can visit our preserves or get involved as a volunteer.
#ParkletVegas is Coming!
We're bringing a parklet to the heart of downtown Las Vegas to connect people with each other—and with nature.
Learn More
Nevada Photo of the Month
Each month, we select our favorite photo of Nevada's natural places.
Watch the Slideshow
Healthy Forests = More Clean Water
Preventing catastrophic forest fire is important, but did you know it protects your drinking water, too? See the Slideshow
The Nature of Art
We're using art to help restore the Truckee and Carson rivers.
Find Out How
Lifeblood of Nevada
A new study shows the devastating economic impacts people would face in Nevada if the Colorado River runs dry.
Learn more
Science for Sage-grouse
We're shaping the future of millions of acres for an iconic bird—and for people—in Nevada. See how our science is changing the ways conservation and business work together.
Find out how
2014 Nevada Year in Review
Download our annual report to see photos and read stories about the work generous donors like you made possible this year.
Celebrating 30 Years
Established out of the back of a pickup truck in 1984, The Nature Conservancy in Nevada has a lot to be proud of three decades later.
Dive into our history
Truckee River
The Nature Conservancy is leading the restoration of the lower Truckee River, and is currently working on ten-mile, $25 million restoration project to revitalize the river and its ecosystem.
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Carson River
The Nature Conservancy has been working on the Carson River since 2000 to protect its precious lands and water using land protection, restoration, sustainable ranching practices, and public access and education.
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Amargosa River
The Conservancy is working to protect habitat for the rare Amargosa toad and other animals along one of the world's longest underground rivers.
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Independence Lake
Independence Lake's beauty and rustic nature are matched only by the amazing biodiversity that it supports. Independence Lake also plays an important role in providing clean drinking water to western Nevada.
Learn More


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Ultra Pro Pokemon XY 2" Binder
2013 Skylanders Swap Force Tin
Shopkins Go Shopping Card Game
Slamwich A Fast Flipping Card Game
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Professional Poker Dealer Button


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I installed my .NET windows service and right after installing I noticed mscorsvw.exe maxing out my CPU; this happens when I do a new install of my service.
Why is mscorsvw "interfering" with my windows service?
What is mscorsvw.exe and why is it eating up my CPU? What is this new CLR Optimization Service?
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Microsoft's new Xbox One console will go on sale November 22 in 13 launch countries, the US tech giant said Wednesday.
The company had previously said the entertainment and gaming console would be available sometime in November.
In June, Microsoft said the launch would be in 21 countries, but last month cut that back to 13, saying the plan had been too ambitious.
"We are humbled and gratified by the tremendous interest in Xbox One from game fans everywhere," said Microsoft vice president Yusuf Mehdi.
"We have sold out of our pre-order supply in the US faster than at any other time in our history and we are on path to have the biggest launch of an Xbox ever. We look forward to celebrating with millions and millions of gamers this holiday."
The 13 markets to get the Xbox One in November will be Australia, Austria, Brazil, Britain, Canada, France, Germany, Ireland, Italy, Mexico, Spain, the United States and New Zealand.
The successor to the Xbox 360 will be available for $499 in the United States, £429 in Britain and 499 euros in Europe.
The beefed-up console is powered by software that allows for instant switching between games, television, and Internet browsing. Microsoft-owned Skype was also integrated for online group video calls.
Kinect motion and sound sensing accessories accompanying the consoles recognize users, respond instantly to commands spoken in natural language, and even detect a person's pulse.
Microsoft's new console will compete against Sony's new PlayStation 4, which also promises to combine its film, music, television and games in a home entertainment box. It is due to be released later this year as well.


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From the Roudebush Veterans Administration Medical Center, Indiana University School of Medicine, Regenstrief Institute for Health Care, Indianapolis, IN 46202.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Linda S. Williams, MD, Roudebush Veterans Administration Medical Center, Health Services Research & Development 11-H, 1481 West 10th Street, Indianapolis, IN 46202; e-mail, firstname.lastname@example.com.
It's Friday at 5:30 p.m. Monday is a holiday. You have just admitted a 75-year-old woman with dysarthria and dysphagia from a lateral medullary stroke. A swallowing study will not be available for more than 72 hours. What should you do about feeding her?
This common scenario, and the even more pragmatic questions of how and when to feed patients with previous stroke regardless of their swallowing function, represents a fundamental yet relatively understudied aspect of stroke care. The importance of these everyday issues is manifest in the numbers: More than 700 000 persons in the United States have a stroke each year, and this number is projected to increase to more than 1.25 million by 2050 (1). Of the more than 90% of persons who survive the acute event, as many as 50% will have at least transient difficulty in swallowing (2). Knowing which patients with previous stroke should be fed, when to feed them, and how to deliver the feedings are key questions for which the recent noteworthy Feed Or Ordinary Diet (FOOD) trials provide some answers (3–4).
The FOOD trials (3–4) are a series of clinical trials designed to answer the following 3 questions about feeding after stroke: 1) Does routine oral supplementation in patients with stroke and no swallowing difficulties improve clinical outcomes? 2) Does early initiation of enteral tube feeding in patients with stroke and dysphagia improve clinical outcomes more than avoiding enteral tube feeding for at least 7 days? and 3) Does percutaneous endoscopic gastrostomy (PEG) tube feeding of patients with stroke and dysphagia improve outcomes more than nasogastric tube feeding?
The trials were international multicenter studies that shared common randomization, data management, and follow-up systems. In the first trial, investigators randomly assigned 4023 patients with previous stroke who could swallow to receive either oral protein energy supplementation or a usual diet. Patients were eligible regardless of nutritional status, and supplementation continued until hospital discharge. The second and third trials enrolled dysphagic stroke survivors (n = 859 and 321, respectively). Patients were enrolled in the second trial if the clinician was uncertain about when to start tube feeding and in the third trial if the clinician wanted to start tube feeding but was uncertain about whether to use nasogastric or PEG tube feeding. Patients could be enrolled in both the second and third trials. Primary outcomes in all 3 trials were all-cause mortality and a composite outcome of mortality and poor functional outcome at 6 months.
As large pragmatic studies, the FOOD trials were designed to address fundamental questions at minimal cost. Unfortunately, the trials under-recruited and therefore did not provide definitive answers about when and how to feed patients who had dysphagic stroke. All 3 trials were "negative," in that no intervention was associated with a statistically significant reduction in mortality or an improved functional outcome. Nonetheless, these trials are the largest well-designed randomized, controlled trials that address feeding in patients after stroke, and much can be learned from their results.
The first trial provides the most conclusive answer: Routine oral supplementation of a normal diet in stroke survivors who can swallow is not associated with improved 6-month outcomes. Although the trial was stopped early, it is unlikely that a type 2 error is affecting the results, with the authors estimating that at least 20 000 patients would have to be enrolled to detect a 1% to 2% benefit for routine supplementation. Two interesting reasons for this lack of benefit are that very few participants (8%) were undernourished and that oral supplements might contribute to hyperglycemia, which has been independently linked to worse outcomes in patients with stroke (5).
The interpretations of the second and third trials are somewhat hampered by the under-recruitment, although the authors state that the CIs are precise enough to conclude that "a clinically significant hazard from early tube feeding… [and] a clinically significant benefit from PEG rather than nasogastric tube feeding is highly unlikely" (4). The second trial found no statistically significant survival benefit for initiating feeding before 7 days, with a 12% (95% CI, −2% to 24%) relative risk reduction of mortality at 6 months in the early feeding group. Perhaps the study would have detected a statistically significant survival benefit if recruitment targets were met. However, when the authors analyzed death or poor functional outcome as a composite end point, the relative risk reduction for the early feeding group was only 1% (CI, −5% to 8%). A most sobering fact was that 80% of the patients in the trial either were dead or were severely disabled at 6 months.
The question of how best to feed patients with dysarthria is partially answered by the finding that feeding through a PEG tube was not associated with any survival benefit (mortality rate, 49%) compared with nasogastric tube feeding (mortality rate, 48%). Of note, participants in the third trial were more likely to be living in an institution and were more likely to have a PEG tube in place at 6 months than those in the second trial. This finding suggests that the second and third trials recruited stroke survivors with different stroke characteristics and prognoses, and, thus, comparisons between the 2 groups should be made cautiously if at all. Of interest, early tube feeding and nasogastric tube feeding were not associated with an increased risk for aspiration pneumonia, which might be clinically suspected, but both were associated with a 2- to 3-fold increase in gastrointestinal bleeding risk.
Although these trials were smaller than originally designed, they provide practical information that can guide decisions about feeding stroke survivors. First, routine oral supplementation probably does not improve outcomes in many patients with acute stroke. Whether oral supplementation may be beneficial, specifically in undernourished patients after stroke, is not known, although Milne and colleagues' meta-analysis in this issue (6) suggests that oral supplementation may be associated with reduced mortality in general in hospitalized patients who are undernourished. Second, early tube feeding does not seem to benefit and, in fact, may harm patients. Thus, clinicians can feel comfortable in initially hydrating a patient who has had a stroke, observing swallowing function for at least several days, and taking the time to thoughtfully discuss issues of tube feeding with the patient and family. These trials also are reassuring in that only 28% of patients who received nasogastric tube feeding in the second trial later required a PEG tube; therefore, providing nutrition through a nasogastric tube does not inevitably lead to long-term supplementation through a PEG tube. The PEG tubes should, therefore, be reserved for patients with previous stroke who cannot swallow safely after 2 to 3 weeks of nasogastric feeding. In this group of patients, PEG tubes are not only safer but also may be associated with decreased mortality compared with long-term nasogastric feeding (7–8).
Finally, how do these trials help us with the scenario that opened this discussion? Rest assured: You can hydrate the patient with intravenous isotonic fluids and wait for the swallowing study on Tuesday to help guide discussion of future feeding issues.
Linda S. Williams, MD
Roudebush Veterans Administration Medical Center; Indiana University School of Medicine; Regenstrief Institute for Health Care; Indianapolis, IN 46202
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text:
Q: ZooToo Membership & Affiliations
Hi ZooToo Management & Interested ZooTooers,
This is Geoff G. in Ohio,once again, looking to get a better overall view of the scope of this impressive ZT venture, with a couple of questions mainly for Management:
1. Please, how many pet-loving folks in total are now signed up with ZooToo, and is there a complete list of our fellow members available somewhere on ZT's open-access site pages? Do we also have available somewhere a summary of the numbers and I/Ds of daily member sign-ups?
2. Same sort of questions re ZT's list of Shelters & Rescue organisations, USA nationwide. Please, are there complete lists of these affiliated organisations available somewhere on the ZT site on a member-viewable basis? - or can we check out participating Rescues & Shelters only on an "area code search" basis?
3. Does ZT publish online a regular Newsletter, please?
Thanks ZooToo for this great community website!
Geoff G.
Sep 16, 2008
I think you're better off emailing zootoo management personally instead of asking a question here. Management doesn't really pop in here; this is mainly for users to ask pet-related questions and get pet-related advice. There is a "contact us" link at the bottom of every page.
Personally, I don't feel comfortable with zootoo giving out a list of all of its members to anyone. Seems like a privacy issue to me; what good would a list of members do?
Thumbs Up: 1 | Thumbs up!
Got a question about your pet? Get the answers you need from Zootoo's community of pet experts and owners.


text:
Articles tagged with: applied health sciences
Abdullah Mahboob PhD student in Biotechnology 2014 Three Minutes Thesis finalist Supervisor: Doug Bruce Title of presentation: "Reverse Engineering of Photosystem ... Full story
Andra Lenius – 3MT profileAndra Lenius MA student in Applied Health Sciences 2014 Three Minutes Thesis runner up Supervisor: Prof. Maureen Connolly Title of presentation: "... Full story
Brock graduate student one of 11 finalists as Canadian 3MT competition beginsBrock graduate student Leslie Nash is one of 11 finalists in the inaugural Canadian 3MT competition now under way and sponsored ... Full story
Documentary featuring Brock prof hits the film fest circuitA documentary that features a Brock professor has already punched above its weight at an American film festival. Outside the ... Full story
Brock student qualifies for Three Minute Thesis' first-ever Canadian finalLeslie Nash has qualified for the first-ever Canadian finals of the Three Minute Thesis (3MT) contest. The master's student in ... Full story
Brock students assess age-friendliness of downtown St. CatharinesHealthy communities encompass all age groups. Working together on an intergenerational research study, 45 Brock students were recently matched with 20 Niagara ... Full story
Three Minute Thesis tests graduate students' preparation, presentation skillsJulian Petrachenko had a lot of material to fit into three minutes. The Applied Health Sciences master's student detailed his ... Full story
Red wine effective at blocking the growth of lung cancer cells: Brock, McMaster University researchersWill that be red or white? Make it red - if you value your lungs. Researchers from Brock and McMaster ... Full story
Brock powerlifters medal at college/university competitionFour Brock University students won medals during the recent Ontario Powerlifting College and University Challenge. Stephen Cascioli won gold in ... Full story
Brock University student wins grad scholarship for research on mental healthLauren Torok believes in the power of leisure in the treatment of mental illness. Torok is a master's student in ... Full story


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Monday, April 25, 2011
0 comments
Went to bed at 11:00 p.m. Woke up at 4:30 to use the bathroom. Went back to sleep and awakened at 6:30. I got a total of 7 hours sleep.
Yesterday, I did not take an hour long walk. I did take the folic acid, but not the Omega 3, multivitam... Read more
Sunday, April 24, 2011
0 comments
I am starting this sleep journal to try to track when I am and am not sleeping well. About a week ago, before I read the article on sleep in SparkPeople, someone told me that taking folic acid might help me sleep better. I started taking it and... Read more


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Fri., April 19, 2013 11:10am
Blood Donations Still Needed After Boston
Friday, Atlanta Medical Center held a blood drive in honor of the victims of the Boston Marathon bombings.
Full Story
Wed., June 8, 2011 10:20am
State Adds Fifth Level-1 Trauma Center
Atlanta Medical Center has been designated as the state's fifth Level-1 trauma center. But a top official with the hospital says that doesn't reduce the critical need for more trauma-ready facilities across Georgia.
©Copyright 2015, Georgia Public Broadcasting. All Rights Reserved
Georgia Public Radio®


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Yeah, I would. I'm a basketball fan, and we need more things like that, where people can go and have some fun. If they build it and actually use it for what they say they're going to use it for, yes, I would do that.
Julian Schweingruber
Santa Cruz | Unemployed


text:
Book your room at The BLVD Hotel & Suites
Suite, 1 King BedMax Occupancy: 3 guests (up to 2 children, 1 infant)
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Get an overview of this hotelHotel with outdoor pool, walk to Dolby Theater
Situated near the airport, this hotel is within a 10-minute walk of Hollywood and Highland Center, Dolby Theater, and TCL Chinese Theatre. Hollywood Bowl and Hollywood Walk of Fame are also within 1 mi (2 km).
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All 42 rooms provide conveniences like refrigerators and microwaves, plus free WiFi and LCD TVs with satellite channels. Premium bedding, coffee makers, and free local calls are among the other amenities available to guests.Information missing or incorrect? Tell us!Opens in a new window
Hotel Amenities
Hotel Amenities
Public areas are equipped with complimentary high-speed wireless Internet access. A 24-hour business center is on site. A bar/lounge is on site where guests can unwind with a drink. This Hollywood hotel also offers an outdoor pool, tour/ticket assistance, and multilingual staff.
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- Safe-deposit box at front desk
- Smoke-free property
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- Total number of rooms - 42
- Tours/ticket assistance
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- Free Wi-Fi
- Microwave
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Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
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- Air conditioning
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The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
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To make requests for specific accessibility needs, complete the "Special or Accessibility Requests" section of "Trip Preferences" when you book your hotel.
- Accessible bathroom
- In-room accessibility
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Check-in time starts at 3 PM
Minimum check-in age is 18
Check-out time is 11 AM
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Children and extra beds
- Children are welcome.
- Rollaway/extra beds are available for USD 15.00 per night.
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
No cribs (infant beds) available
- Breakage deposit: USD 250.00
Optional extras
- Breakfast fee: between USD 1 and USD 5 per person (approximately)
- Rollaway bed fee: USD 15.00 per night
Hotel Name
- BLVD Hollywood
- BLVD Hotel
- BLVD Hotel Hollywood
- Hotel BLVD
Awards & Affiliations
- The property is a member of Preferred Hotels & Resorts.


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Fiona Ayerst travels the world in search of the most awe-inspiring underwater wildlife. Share her voyage of discovery, become part of her exclusive photography team and join an expedition today!
View all trips and expeditions
Fiona runs Underwater Photography courses annually at various venues, find out when she will be teaching near you. Fiona wrote the UW photo specialty for RAID, visit our training page and complete this specialty online.
Learn more about our internships
© 2013 FAUP - all rights reserved
This commercial web site design is an EDNA experience


text:
I'm the Queen of the world! by MissbeigeponyWatch
©2014-2016 Missbeigepony
Hey man, mind if I use this vector for something?
Why does she represent generosity when she acts quite selfish often? Pride is a an insidious emotion and is totally NOT what being part of harmony is about.
One thing is Rainbow is not loyal AT ALL. If anything Rainbow and Apple should have there elements switched.
Yeah, I don't understand why the show script writers would make her so selfish at times.
writers can be idiots. They have been even more idiotic in season 4 and late season 3. The show is now a mess without Mrs. Faust
Agreed, though I loved the episode Keep Calm and FlutterOn.
Generosity always work with friendship!
You have just inspirited me to use this in something completely unoriginal! ...or perhaps not.
What are you going to do? XD
Rarity looks really nice in this one. If you have time, will you be able to splice the rest of legs and tail in?
She certainly is! I really liked Rarity in this episode. They really showed that she is the element of generosity ^^ Well, considering that she doesn't tend to show it that much XD Anyways, this is an awesome vector and I like Rarity's scarf!


text:
Respond to Review of Loving Hut - Upland
by rabidamazon
Review: I am not big on mock meats but I did enjoy the kung pao no chicken. The soup was a little bland and the veggies seemed overcooked. The Thai tea with soymilk was a welcome treat. The table next to me got something that came out on a sizzling platter that looked and smelled great. I will try that next time. Right now there is a lot of construction on the strip mall and I had a hard time finding it. I called several times and communication was a bit of an issue. I definitely worked hard to get there and was well-rewarded. I tried to go back recently but didn't realize they were closed on Monday (what a bummer).
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text:
CF: Oval portraits upon the wall by LookAliveZombieWatch
©2012-2016 LookAliveZombie
Creature Feature: Oval portraits upon the wall.
It's been a while, eh?
It's been a while, eh?
Quite a nice wicked thing, Nice!
creature feature is awesome
Oh, gosh, I love your art style so much!
... And, of course, the art subjects! Ohohoho~
... And, of course, the art subjects! Ohohoho~
I want those on my wall O_O
XDD this is awesome I still have that song "the greatest show unearth" stuck in my head XD awesome job here ^^


text:
Are you Gong-Liang Zhang?Claim your profile
Publications (2)0 Total impact
- [Show abstract] [Hide abstract]
ABSTRACT: This study is to investigate HLA haplotypes in Jiangsu-Zhejiang-Shanghai Han population based on 166 families by serological and molecular biological HLA typing methods and to analyze the distribution characteristic of HLA haplotypes. The results showed that allele frequencies of more than 10% for HLA antigens were A2, A11, A24, B13, B46, B60, DRB1 *04, DRB1 *08, DRB1* 09, DRB1 * 12 and DRB1 * 15. In the analysis of HLA haplotypes, 128 kinds of A-B haplotypes and 182 kinds of B-DRB1 haplotypes were found, comprising 19.28% (128/664) and 27.41%(182/664) of total theoretical haplotypes, respectively. 18 kinds of A-B haplotypes and 23 kinds of B-DRB1 haplotypes occurred at frequencies of more than 0.5% (linkage disequilibrium value, delta > 0) .351 kinds of A-B-DRB1 haplotypes were found, comprising 52.86% (351/664) of total theoretical haplotypes, and 8 kinds of A-B-DRB1 haplotypes occurred at frequencies of more than 0.5% (delta > 0). The common A-B-DRB1 haplotypes were A30-B13-DRB1 * 07(4.22%), A2-B46-DRB1 * 09(3.77%), A33-B58-DRB1 * 17(3.01%), A33-B58-DRB1 * 13.1 (1.81%) and A11-B75-DRB1 * 12(1.51%). The HLA haplotype distribution of Jiangsu-Zhejiang-Shanghai Han population has its own genetic characteristics, so it suggests this population is between southern and northern Han population. The HLA polymorphism of Chinese Han population is more abundant in East Asian populations.
- [Show abstract] [Hide abstract]
ABSTRACT: A rapid and accurate method of DNA typing for HLA was established to compensate the unsatisfactory serological typing for HLA before transplantation. DNA typing for HLA using by reverse polymerase chain reaction with sequence-spcific oligo probe (reverse PCR-SSOP) could detect HLA-A(*0101 - 8001) and B(*07021 - 8201). The results showed that HLA-AB alleles were successfully analysed in 60 matching subjects and 16 control DNAs from UCLA by reverse PCR-SSOP without false negtive and false positive results. The results were concordance with those of UCLA. The error rate of serological typing was 6.4% for HLA-A and 7.4% for HLA-B. The serological typing missed HLA-A24 and HLA-B46 for two patients with leukemia respectively. Our results suggest that DNA typing for HLA by reverse PCR-SSOP has proved to be a high-resolution, high-specificity, rapid and accurate technique, suitable for clinical application with a greater precision than serological typing.


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Mat-The-Basics has pioneered a new type of carpet - refined, handmade rugs that combine innovative design with a dedication to the highest standards of craftsmanship. These carpets, inspired from contemporary shapes and colors, are created using the traditional techniques of skilled weavers including hand-tufting, hand-weaving and hand-knotting methods.
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The Mat-The-Basics Mat Mix Rug uses a mix of materials and tones to create singular color palettes and plushness. The rug has a soft, short shag pile, hand woven with blended dashes of pure new wool, linen and viscose. The ...
As the name suggests, the Mat-The-Basics Tile Rug looks like a section of intricate tile work. It is made of numerous triangular pieces from reclaimed and restored vintage rugs, snugly hand stitched using leftover dyed yarns. Each triangle is over-dyed ...
The Mat-The-Basics Goa Rug feels good underfoot and adds thoughtful color and texture to well-loved homes. Each Goa Rug features a base in a secondary color that creates a contrasting stripe and enhances the primary color of the rug.. Mat-The-Basics ...