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This guideline updates a previous version: American Dietetic Association. Hyperlipidemia medical nutrition therapy protocol. Chicago (IL): American Dietetic Association; 2005 Aug. Various p.
Lipid metabolism disorders including elevated low-density lipoprotein (LDL) cholesterol, total cholesterol, and triglyceride levels, and low high-density lipoprotein (HDL) cholesterol levels, as well as coronary health issues such as metabolic syndrome and hypertension
Overall Objective
To provide medical nutrition therapy (MNT) guideline recommendations for disorders of lipid metabolism that support improvement in lipid levels and risk factor management of cardiovascular disease
Specific Objectives
Adult patients 19 years of age and older with risk factors for cardiovascular disease (CVD), including lipid metabolism disorders
General Methods for Collecting/Selecting the Evidence
The following list provides an overview of the steps which the American Dietetic Association (ADA) evidence analysis team goes through to identify research through database searches.
Specific Methods for This Guideline
The recommendations in the guideline were based on a systematic review of the literature. Searches of PubMed, Medline, Database of Abstracts of Reviews of Effects (DARE), and Agency for Healthcare Research and Quality (AHRQ) database and hand searches of other relevant literature were performed on the following topics:
*In addition to an update of the evidence analysis related to the disorders of lipid metabolism (DLM) topics above, results of this review were supplemented by a later evidence review of the literature conducted by the United States Department of Agriculture (USDA) and the 2010 Dietary Guidelines Advisory Committee (DGAC). Therefore, there may be some overlap of the studies included in the evidence analysis.
Each evidence analysis topic has a link to supporting evidence in the original guideline, where the Search Plan and Results can be found. Here the reader can view when the search plan was performed, specific inclusion and exclusion criteria, search terms, data bases that were searched, and the excluded articles.
Not stated
Conclusion Grading Table
This grading system was based on the grading system from Grier, Mosser, Logam, & Wagstrom Halaas. A practical approach to evidence grading. Jt Comm J Qual Improv. 2000;26:700-712. http://www.adaevidencelibrary.com/topic.cfm?cat=1330 , In September 2004, The ADA Research Committee modified the grading system to this current version.
Step 1: Formulate Evidence Analysis Question
Specify a question in a defined area of practice; or state a tentative conclusion or recommendation that is being considered. Include the patient type and special needs of the target population involved, the alternatives under consideration, and the outcomes of interest (PICO format).
Step 2: Gather and Classify Evidence
Conduct a systematic search of the literature to find evidence related to the question, gather studies and reports, and classify them by type of evidence. Classes differentiate primary reports of new data according to study design, and distinguish them from secondary reports that include systematic and/or narrative review.
Step 3: Critically Appraise Each Article
Review each article for relevance to the question and use the checklist of questions to evaluate the research design and implementation. Abstract key information from the report.
Step 4: Summarize Evidence
Synthesize the reports into an overview table and summarize the research relevant to the question.
Step 5: Write and Grade the Conclusion Statement
Develop a concise conclusion statement (the answer to the question). Assign a grade to indicate the overall strength or weakness of evidence informing the conclusion statement (see "Rating Scheme for the Strength of the Evidence").
Moving From Analysis to the Evidence-Based Nutrition Practice Guideline
The expert workgroup, which includes practitioners and researchers with a depth of experience in the specific field of interest, develops the disease-specific guideline. The guideline development involves the following steps.
Review the Conclusion Statements
The workgroup meets to review the materials resulting from the evidence analysis, which may include review of the conclusion statements, evidence summaries and evidence worksheets.
Formulate Recommendations for the Guideline Integrating Conclusions from Evidence Analysis
The workgroup uses an expert consensus method to formulate the guideline recommendations and complete the various sections on the recommendation page. These include:
Occasionally recommendations will include references that were not reviewed during the evidence analysis process but are relevant to the recommendation, risks and harms of implementing the recommendation, conditions of application, or potential costs associated with application. These references will be listed on the recommendation page under "References Not Graded in ADA's Evidence Analysis Process.
Develop a Clinical Algorithm for the Guideline
The workgroup develops a clinical algorithm based on ADA's Nutrition Care Process, to display how each recommendation can be used within the treatment process and how they relate to the Nutrition Assessment, Diagnosis, Intervention and Monitoring and Evaluation.
Complete the Writing of the Guideline
Each disease-specific guideline has a similar format which incorporates the Introduction (includes: Scope of the Guideline, Statement of Intent, Guideline Methods, Implementation, Benefits and Risks/Harms of Implementation), Background Information and any necessary Appendices. The workgroup develops these features.
Criteria Used in Guideline Development
The criteria used in determining the format and process for development of ADA's guidelines is based on the following tools and criteria for evidence-based guidelines:
Criteria for Recommendation Rating
*Conclusion statements are assigned a grade based on the strength of the evidence. Grade I is good; grade II, fair; grade III, limited; grade IV signifies expert opinion only and grade V indicates that a grade is not assignable because there is no evidence to support or refute the conclusion. The evidence and these grades are considered when assigning a rating (Strong, Fair, Weak, Consensus, Insufficient Evidence - see chart above) to a recommendation.
Adapted by the American Dietetic Association (ADA) from the American Academy of Pediatrics, Classifying Recommendations for Clinical Practice Guideline, Pediatrics. 2004;114;874-877. Revised by ADA Evidence-Based Practice Committee, Feb 2006.
Guideline developers reviewed published cost analyses.
Each guideline is reviewed internally and externally using the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument as the evaluation tool. The external reviewers consist of a multidisciplinary group of individuals (may include dietitians, doctors, psychologists, pharmacists, nurses, etc.). The guideline is adjusted by consensus of the expert panel and approved by American Dietetic Association's Evidence-Based Practice Committee prior to publication on the Evidence Analysis Library (EAL).
Ratings for the strength of the recommendations (Strong, Fair, Weak, Consensus, Insufficient Evidence), conclusion grades (I-V), and statement labels (Conditional versus Imperative) are defined at the end of "Major Recommendations"
Disorders of Lipid Metabolism (DLM) and Referral to a Registered Dietitian (RD) for Medical Nutrition Therapy (MNT)
DLM: MNT and Referral to a Registered Dietitian
MNT provided by an RD is recommended for patients with an abnormal lipid profile as defined by current National Heart, Lung and Blood Institute (NHLBI) Clinical Practice Guidelines and low-density lipoprotein cholesterol (LDL-C) goals. All patients who have existing coronary heart disease (CHD) should receive MNT provided by an RD.
Patients who attend multiple RD visits for MNT lasting an average of 45 minutes (30-60 minutes per session) over six to twelve weeks can reduce daily dietary fat (5% to 8%), saturated fat (2% to 4%) and energy intake (232-710 kcal per day). This can result in a reduction in serum total cholesterol (TC) (decrease of 7% to 21%), LDL-C (decrease of 7% to 22%) and triglycerides (decrease of 11% to 31%).
Strong, Imperative
DLM: MNT Number and Duration of Visits
RDs should provide more than two visits for MNT (three to six visits) to further improve a patient's lipid profile. The magnitude of LDL-C reduction increases with additional visits or time spent with the RD.
Fair, Imperative
DLM: Lipid-Lowering Medication Re-evaluation
If a patient is on lipid-lowering medications, the RD should provide three or more visits for MNT averaging 45 minutes per session over a six to eight week period to improve the patient's lipid profile.
Fair, Conditional
Recommendation Strength Rationale
Conclusion statements are Grades I, II, III, and V
DLM and Nutrition Assessment
DLM: Assessment of Food and Nutrient Intake
The RD should assess the food/nutrition intake and related history of adults with DLM including, but not limited to the following:
Assessment of the above factors is needed to effectively determine nutrition diagnoses and plan the nutrition interventions. Inability to achieve optimal nutrient intake may contribute to poor outcomes.
Dietary intake can be assessed using a variety of approaches, including multiple 24-hour recalls or three non-consecutive days of food records (i.e., two weekdays and one weekend day). In addition, the more sophisticated multiple-pass technology may be used. Dietary results can be analyzed using nutrient analysis software programs that have complete nutrient data. Manufacturers' nutrition facts labels may also be included.
Consensus, Imperative
DLM: Assessment of Anthropometric Data
In addition to body mass index (BMI), the RD should use waist circumference (WC) or waist-to-hip ratio (WHR) to assess obesity and cardiovascular disease (CVD) risk. BMI alone is not a good predictor of CVD risk in persons over 65 years old. Increases in WC, WHR, and BMI are associated with coronary heart disease (CHD) events and CVD mortality.
DLM: Assessment of Biochemical Data
The RD should assess the biochemical data, medical tests and procedures of adults with DLM including, but not limited to lipid profile (TC, high-density lipoprotein cholesterol [HDL-C], non-HDL-C, LDL-C, triglycerides [TG]), blood pressure, and fasting glucose. Additional values such as lipoprotein(a) (Lp[a]), hemoglobin A1c (HbA1c), 25-OH vitamin D, thyroid function tests and C-reactive protein (CRP) may also be assessed.
Assessment of these factors is needed to effectively determine nutrition diagnoses and plan the nutrition interventions. Inability to achieve optimal nutrient intake may contribute to poor outcomes.
DLM: Assessment of Medical and Health History and Physical Findings
The RD should assess the medical and health history of adults with DLM for the presence of other disease states and conditions, such as endocrine/metabolism disorders, metabolic syndrome, human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), hypertension (HTN), obesity, and food allergies and intolerances. Adults with DLM, have a higher prevalence of comorbidities, which are risk factors for the progression of CVD.
The RD should note observations of fat distribution (i.e., abdominal obesity or lipodystrophy) and fluid retention (i.e., edema or ascites), as well as any evidence of xanthomas, xanthelasma, corneal arcus, and palmar discolorations.
DLM: Determining Energy and Macronutrient Needs
The RD should determine energy and macronutrient needs (e.g., quantity and quality of fat, carbohydrate, and protein) of adults with DLM. Use of indirect calorimetry is preferred for measuring energy needs. When indirect calorimetry is not available, predictive equations can be used. After estimation of current energy needs, a recommended energy intake can be developed with consideration of whether the goal is weight maintenance or weight loss.
The recommended macronutrient intake is:
Comparison of the assessed food and nutrient intake with estimated needs will help the RD to develop strategies to meet the recommendations of the cardioprotective diet. Estimating current (or baseline) energy and macronutrient intake is essential to establishing the relevant nutrition diagnoses and tailoring the appropriate MNT.
DLM and Major Fat Components
DLM: Fat Components of the Cardioprotective Diet
The RD should tailor the cardioprotective dietary pattern to the individual's needs to provide a total fat intake of 25% to 35% of calories, with <7% of calories from saturated fat and trans-fatty acids (TFA). Because TFAs raise TC and LDL-C and may decrease HDL-C, TFA consumption should be as low as possible. Cholesterol should be <200 mg per day. The majority of total fat intake should be derived from unsaturated fat sources.
For individuals at their appropriate body weight, without elevated LDL-C or TG levels, and with normal HDL-C levels, saturated fat calories could be replaced by unsaturated fat and/or CHO.
This dietary pattern can lower LDL-C up to 16% and decrease risk of CHD and CHD events.
DLM: Replacing Saturated Fat in the Diet
The RD should develop a nutrition prescription within a cardioprotective dietary pattern that replaces saturated fat calories with calories from either CHO principally contributed by fruits, vegetables and whole grains, protein, and/or unsaturated fat. Robust evidence documents that saturated fat increases LDL-C.
Advantages for substituting complex CHO for saturated fat calories include the following:
In treating overweight or obese patients, where the goal is reduction of total energy, reduction rather than replacement of saturated fat calories may be warranted, depending on current intake of unsaturated fat.
DLM, Carbohydrate, Protein, and Fiber
DLM: Carbohydrates and Protein in the Cardioprotective Diet
The RD should consider replacing saturated fat and trans-fatty acids with unsaturated fatty acids, complex carbohydrates, and/or protein in the cardioprotective dietary pattern. Saturated and trans fatty acids should be as low as possible. Studies are needed to determine the ideal percentages of these macronutrients as replacements for saturated fat.
DLM: Fiber in the Cardioprotective Diet
The RD should incorporate fiber-rich foods that contribute at least 25 g to 30 g of fiber per day, with special emphasis on soluble fiber sources (7 g to 13 g) into the cardioprotective dietary pattern. These foods rich in soluble fiber include fruits, vegetables, and whole grains, especially high-fiber cereals, oatmeal, and legumes, especially beans.
Risk factors associated with CHD and CVD are decreased as dietary fiber intake increases. Diets high in total and soluble fiber, as part of a cardioprotective diet, can further reduce TC by 2% to 3% and LDL-C up to 7%.
DLM and Omega-3 Fatty Acids
DLM: Marine-Derived Food Sources of Omega-3 Fatty Acids and Risk for CVD Events
If consistent with patient preference and not contraindicated by risks or harms, the RD should encourage food sources of marine-derived omega-3 fatty acids, preferably from fish to reduce risk of CVD.
Studies report that in persons with CHD higher plasma levels of docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) are associated with a reduction in arrhythmias and fatal heart disease and reduced progression of coronary atherosclerosis. In persons without CHD, consumption of fish and marine-derived omega-3 fatty acids may or may not be associated with reduced incidence of arrhythmia, including atrial fibrillation.
DLM: Plant-derived Omega-3 Fatty Acids and Risk for CVD Events
If consistent with patient preference and not contraindicated by risks or harms, the RD can recommend foods rich in plant-derived omega-3 fatty acids (alpha-linoleic acid [ALA]) to reduce the risk of CVD or CVD events.
In persons with CHD, higher intakes of plant-derived omega-3 fatty acids, are associated with a decreased rate of cardiac death and non-fatal myocardial infarction (MI) and may be protective against recurrence of MI. One study reported use of 4.8% of calories from ALA.
In persons without CHD, higher intakes of food sources of ALA are associated with a lower risk of fatal ischemic heart disease (IHD) and prolonged repolarization (mean intake 0.74 g per day of ALA).
This recommendation can be followed within the context of diets that meet the Adequate Intake (AI) for ALA of 1.6 g per day for men and 1.1 g per day for women (within the Acceptable Macronutrient Distribution Range of 0.6% to 1.2% of energy) (dietary reference intakes [DRI]).
DLM: Omega-3 Supplements and Risk for CVD Events
If persons choose to consume EPA plus DHA supplements or EPA alone to reduce the risk of CVD mortality and events (sudden death and re-infarction), the RD should advise:
The US Food and Drug Administration advises that consumption of more than three grams of omega-3 fatty acids per day may cause gastrointestinal symptoms.
DLM and Plant Stanols and Sterols
DLM: Plant Stanols and Sterols
If consistent with patient preference and not contraindicated by risks or harms, the RD should consider incorporating plant sterol and stanol ester-enriched foods into a cardioprotective diet, to be consumed two or three times per day, for a total consumption of two to three grams per day. These doses further lower TC by 4% to 11% and LDL-C by 7% to 15%. Doses beyond three grams do not provide additional benefit. To prevent weight gain, isocalorically substitute stanol- and sterol-enriched foods for other foods. Plant stanols and plant sterols are also effective in people taking statin drugs.
Strong, Conditional
DLM: Plant Stanols and Sterols and Adverse Effects
The RD should be aware that research to date has not documented adverse effects, including reduced absorption of carotenoids, retinol and tocopherols. Plant stanols and sterols may be included in a patient's nutrition prescription (e.g., two or three grams per day) to lower cholesterol.
Research from 17 randomized controlled trials (RCTs) indicates effective serum cholesterol-lowering benefits without any reported adverse effects, including no significant effect on plasma fat soluble vitamin status. Two observational studies reported an association between plasma levels and aortic tissue concentration of stanols and sterols in a small number of individuals who consumed foods supplemented with plant sterol and stanol esters. The clinical significance of the association has not been documented.
DLM and Nuts
DLM: Nuts and Coronary Heart Disease
If consistent with patient preference and not contraindicated by risks or harms, the RD may isocalorically incorporate daily consumption of unsalted peanuts and lower saturated fat tree nuts, specifically walnuts, almonds, pecans, and pistachios into a cardioprotective dietary pattern. Consuming five ounces (average ~900 kcals) of nuts per week is associated with a reduced risk of CHD.
Because of their beneficial fatty acid profile, as well as other nutritional components, nuts may be isocalorically incorporated into a cardioprotective dietary pattern to achieve lipid lowering. Studies demonstrate that 1.75 to 4oz (½ to 1 cup or 315 to 720 kcals) nuts per day lowers TC by 4% to 21% and LDL-C by 6% to 29%. The practicality of this recommendation is limited, because of the significant caloric contribution this amount of nuts provides.
DLM and Alcohol
DLM: Alcohol Intake
If a patient currently drinks alcohol, and if not contraindicated by risks and harms, then the RD could incorporate a maximum of one drink per day for women and up to two drinks per day for men into a cardioprotective dietary pattern that meets the patient's caloric needs. This level of alcohol consumption has been associated with a reduced risk of CVD. One type of alcohol does not appear to be better than another. Current evidence does not justify recommending that non-drinkers begin drinking alcohol.
DLM and Antioxidant Supplements (Vitamin E, Vitamin C, and Beta-Carotene)
DLM: Antioxidants and the Cardioprotective Diet
The RD should specifically plan antioxidant-rich foods such as fruits, vegetables, whole grains and nuts containing vitamin E, vitamin C, and β-carotene (and other carotenoids), into a cardioprotective dietary pattern. These foods have been shown to be associated with reduced CHD risk.
DLM: Antioxidant Supplements and Cardiovascular Disease
The RD should not recommend taking supplemental vitamins E, C, and/or β-carotene for the prevention and treatment of CVD. Research indicates high doses of these antioxidants (above the Recommended Dietary Allowance [RDA]) do not provide cardiovascular benefit and may cause harm and even shorten life span.
DLM, Homocysteine, Folate, Vitamins B6 or B12
DLM: Homocysteine, Folate, Vitamin B6, Vitamin B12, and CHD
The RD should include food sources of folate, vitamin B6, and vitamin B12 in the cardioprotective dietary pattern to meet the DRI. Supplemental doses of these vitamins to lower CVD risk should not be recommended.
Although supplemental B-vitamins (folic acid, vitamin B6, and vitamin B12) may lower homocysteine in people with high serum homocysteine levels (>13 µmol per L), this has not translated into reduced CVD events and in fact, may be harmful.
DLM and Coenzyme Q10
DLM: Coenzyme Q10 and Disorders of Lipid Metabolism
If a patient is taking coenzyme Q10 supplements, then the RD may discuss the insufficient evidence for the association of CoQ10 and CHD and allow the patient to make an individual decision based on his or her specific needs. The clinical significance of normalizing CoQ10 levels in patients treated with statin medications is inconclusive.
Weak, Conditional
DLM and Physical Activity
DLM: Physical Activity and Coronary Heart Disease
If not contraindicated by risks and harms, the RD should recommend resistance exercise for a minimum of two days a week and moderate intensity physical activity for at least 30 minutes most, if not all, days of the week. Many individuals will have to start slowly and increase gradually to achieve goals. Moderately intense physical activity reduces the risk of CVD events, decreases LDL-C and TG, and increases HDL-C.
DLM and Hypertension
DLM: Hypertension
For individuals who need to lower their blood pressure, the RD should recommend a cardioprotective dietary pattern such as the Dietary Approaches to Stop Hypertension (DASH) diet, to include 9 to 12 servings of fruits and vegetables and 2 to 3 servings of low-fat dairy products. Sodium should be reduced to less than 2,300 mg per day and gradually lowering to the adequate intake (AI) of 1,500 mg per day (DRI). In addition to this dietary pattern, weight loss (if necessary) and increased moderate-intensity physical activity have been demonstrated to lower systolic blood pressure (SBP) by at least 4 to 12 mm Hg.
DLM and Metabolic Syndrome
DLM: Metabolic Syndrome
For individuals with metabolic syndrome, the RD should recommend a calorie-controlled cardioprotective dietary pattern that avoids extremes in carbohydrate and fat intake, limits added sugar and alcohol, and includes physical activity at a moderate-intensity level for at least 30 minutes on most (preferably all) days of the week. Weight loss of 7% to 10% of body weight should be encouraged if indicated. These lifestyle changes improve risk factors of metabolic syndrome.
DLM, Triglycerides, and Macronutrients
DLM: Elevated Triglycerides and Macronutrients
For individuals with elevated TG (≥150 mg per dL), the RD should recommend a calorie-controlled, cardioprotective dietary pattern that avoids extremes in carbohydrate and fat intake and includes physical activity. Non-nutrient dense calorie sources, including alcohol and added sugar, should be limited as much as possible. Weight loss of 7% to 10% of body weight should be encouraged, if indicated. These lifestyle changes have been shown to lower TG levels.
It is unclear what the ideal macronutrient composition (e.g., protein and unsaturated fat) should be for someone with borderline high TG. At this time it seems prudent to follow recommendations appropriate for people with the metabolic syndrome, as moderately elevated TG are a component of this disease.
DLM, Triglycerides, and Omega-3 Fatty Acid Supplements
DLM: Elevated Triglycerides and EPA/DHA Supplements
In patients with elevated TG, in addition to lifestyle modification with a cardioprotective diet, the RD can advise that high-dose supplemental EPA and DHA (two to four grams per day) may be utilized under medical supervision.
High-doses of supplemental EPA and DHA have been shown to lower TG in patients with elevated TG (greater than 200 mg per dL).
DLM and Nutrition Monitoring and Evaluation
DLM: Monitor and Evaluate Food and Nutrient Intake
Following the nutrition intervention, to check progress, the RD should monitor and evaluate at each visit the food/nutrition intake of adults with DLM and compare to desired individual outcomes relevant to the nutrition diagnosis and intervention. This may include, but is not limited to the following:
Dietary intake can be assessed using a variety of approaches, including multiple 24-hour recalls or three non-consecutive days of food records (i.e., two weekdays and one weekend day). In addition, the more sophisticated multiple pass technology may be used. Dietary results can be analyzed using nutrient analysis software programs that have complete nutrient data. Manufacturers' nutrition facts labels may also be included.
Monitoring and evaluation of the above factors is needed to effectively determine nutrition diagnoses that should be the focus of further nutrition interventions. Inability to achieve optimal nutrient intake may contribute to poor outcomes.
DLM: Monitor and Evaluate Anthropometric Data
Following the nutrition intervention, to check progress, the RD should monitor and evaluate at each visit the anthropometric data of adults with DLM including BMI, waist circumference (WC), or waist-to-hip ratio (WHR) and compare to desired individual outcomes relevant to the nutrition diagnosis and intervention. BMI alone is not a good predictor of CVD risk in persons over 65 years old.
DLM: Monitor and Evaluate Biochemical Data
Following the nutrition intervention, to check progress, the RD should monitor and evaluate after three months, the biochemical data, medical tests and procedures of adults with DLM, including but not limited to lipid profile (TC, HDL-C, non-HDL-C, LDL-C, TG), blood pressure and fasting glucose and compare to desired individual outcomes relevant to the nutrition diagnosis and intervention. Additional values such as hemoglobin A1c (HbA1c), 25-OH vitamin D, thyroid function tests and C-reactive protein (CRP) may also be monitored and evaluated.
DLM: Monitor and Evaluate Energy and Macronutrient Needs
Following the nutrition intervention, to check progress, the RD should monitor and evaluate the energy and macronutrient needs (e.g., quantity and quality of fat, carbohydrate and protein) of adults with DLM. If changes in weight or serum lipid parameters warrant an adjustment of initial energy and macronutrient needs, estimated energy needs can be revised based on indirect calorimetry, predictive equations or comparison of energy intake and weight changes.
If indicated by changes in energy needs or serum lipids, recommended levels of macronutrients can be recalculated using the macronutrient standards:
Results of the evaluation of caloric and macronutrient needs and intake will help the RD to develop strategies to meet the recommendations of the cardioprotective diet. Monitoring and evaluation effectively tracks patient's progress, or lack thereof, and determines whether or not nutrition care goals have been achieved, or further action is warranted.
Conditional versus Imperative Recommendations
Recommendations can be worded as conditional or imperative statements. Conditional statements clearly define a specific situation, while imperative statements are broadly applicable to the target population without restraints on their pertinence. More specifically, a conditional recommendation can be stated in if/then terminology (e.g., if an individual does not eat food sources of omega-3 fatty acids, then 1 g of EPA and DHA omega-3 fatty acid supplements may be recommended for secondary prevention).
In contrast, imperative recommendations "require," or "must," or "should achieve certain goals," but do not contain conditional text that would limit their applicability to specified circumstances (e.g., portion control should be included as part of a comprehensive weight management program. Portion control at meals and snacks results in reduced energy intake and weight loss).
This grading system was based on the grading system from Grier, Mosser, Logam, & Wagstrom Halaas. A practical approach to evidence grading. Jt Comm J Qual Improv. 2000;26:700-712. http://www.adaevidencelibrary.com/topic.cfm?cat=1330 , In September 2004, The ADA Research Committee modified the grading system to this current version.
Algorithms are provided in the original guideline document for:
The type of supporting evidence is identified and graded for each recommendation (see "Major Recommendations").
The guideline contains conclusion statements that are supported by evidence summaries and evidence worksheets. These resources summarize the important studies (randomized controlled trials [RCTs], clinical trials, observational studies, cohort and case-control studies) pertaining to the conclusion statement and provide the study details.
Overall Risk/Harm Considerations
In terms of potential harm, the long-term use and safety of specific dietary components or supplements is an important consideration in recommendations to lower serum cholesterol levels or to modify coronary heart disease (CHD) risk.
Other factors to consider when exploring medical nutrition therapy (MNT) options include:
Recommendation-Specific Risks/Harms
Omega-3 Fatty Acids
Plant Stanols and Sterols
Spreads and other food sources of plant sterols and stanols can contain considerable calories. Caloric content should be considered while recommending appropriate weight control/loss strategies.
Alcohol Intake
Possible adverse effects of alcohol include:
Antioxidants above the recommended dietary allowance (RDA) do not provide cardiovascular benefit and may cause harm and even shorten life span.
Physical Activity
Vigorous intensity physical activity in individuals with lipid disorders may contribute to disability or death, thus consultation with a physician prior to beginning an exercise program should be recommended for adults over 65 years, those with documented cardiovascular disease or those who have risk factors for heart disease and other co-morbidities.
Elevated Triglycerides and Macronutrients
While the evidence-based nutrition practice guideline represents a statement of promising practice based on the latest available evidence at the time of publication, the guideline is not intended to overrule professional judgment. Rather, it may be viewed as a relative constraint on individual clinician discretion in a particular clinical circumstance. The independent skill and judgment of the health care provider must always dictate treatment decisions. These nutrition practice guidelines are provided with the express understanding that they do not establish or specify particular standards of care, whether legal, medical or other.
This publication of this guideline is an integral part of the plans for getting the American Dietetic Association Medical Nutrition Therapy (ADA MNT) evidence-based recommendations on lipid metabolism disorders to all dietetics practitioners engaged in, teaching about, or researching lipid metabolism disorders. National implementation workshops at various sites around the country and during the ADA Food Nutrition Conference Exposition (FNCE) are planned. Additionally, there are recommended dissemination and adoption strategies for local use of the ADA Disorders of Lipid Metabolism Evidence-Based Nutrition Practice Guideline.
The guideline development team recommended multi-faceted strategies to disseminate the guideline and encourage its implementation. Management support and learning through social influence are likely to be effective in implementing guidelines in dietetic practice. However, additional interventions may be needed to achieve real change in practice routines.
Implementation of the guideline will be achieved by announcement at professional events, presentations and training. Some strategies include:
Specific distribution strategies include:
Publication in Full – The guideline is available electronically at the ADA Evidence Analysis Library (www.adaevidencelibrary.com ) and announced to all the ADA dietetic practice groups. The ADA Evidence Analysis Library will also provide downloadable supporting information and links to relevant position papers.
Not applicable: The guideline was not adapted from another source.
American Dietetic Association
The Almond Board
Disorders of Lipid Metabolism Evidence-Based Guideline Workgroup
Workgroup Members: Wahida Karmally, DrPH, RD, CDE, Chair (until Nov 2008); Jo Ann S. Carson, PhD, RD, LD, Chair (starting Nov 2008); Frances M. Burke, MS, RD; Catherine Champagne, PhD, RD, LDN, FADA; Elvira Johnson, MS, RD, CDE, LDN; Penny Kris-Etherton, PhD, RD; Mikelle McCoin, MPH, RD; Geeta Sikand, MA, RD, FADA, CDE, CLS; Linda Van Horn, PhD, RD
In the interest of full disclosure, American Dietetic Association (ADA) has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this guideline topic. Workgroup members are required to disclose potential conflicts of interest by completing the ADA Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content of the guideline, but they are noted here to fully inform readers.
None of the workgroup members disclosed potential conflicts of interest.
Electronic copies: Available to members from the American Dietetic Association Web site .
The following are available:
In addition, food tables and resources for determining resting metabolic rate are available in the appendices of the original guideline document.
None available
This NGC summary was completed by ECRI on July 27, 2006. The information was verified by the guideline developer on September 29, 2006. This NGC summary was updated by ECRI on June 30, 2011.
The American Dietetic Association encourages the free exchange of evidence in nutrition practice guidelines and promotes the adaptation of the guidelines for local conditions. However, please note that guidelines are subject to copyright provisions. To replicate or reproduce this guideline, in part or in full, please obtain agreement from the American Dietetic Association. Please contact Kari Kren, Manager, Research and Strategic Business Development at email@example.com for copyright permission.
When modifying the guidelines for local circumstances, significant departures from these comprehensive guidelines should be fully documented and the reasons for the differences explicitly detailed.
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text:
Senators Present: Yolanda Bellisimo, Barbara Bonander, Hank Fearnley, Theo Fung, Ron Gaiz, Deborah Graham, Erika Harkins, Patrick Kelly, Arthur Lutz, Radicia Portello, David Rollison, Sheri Rollison, Ingrid Schreck, John Sutherland, Blaze Woodlief
Senators Absent:
Guests: Hoa-Long Tam, V-Anne Chernock, Peggy Dodge, Seanna Villarreal, Sara McKinnon, Becky Reetz, Maula Allen, Linda Beam, David Snyde, Anita Martinez
Approval of Agenda & Minutes
Motion made to approve the agenda
Senator Fearnley requests that President's Retreat Rights be moved up on the agenda.
Motion to approve the minutes from November 9, 2006
The President reported the following:
The Vice President reported the following:
The Treasurer reported the following:
Standing Reports
Curriculum Committee
Academic Standards Committee
Community Education
Technology Committee
Senator Lutz withdrew his motion that was tabled last week to declare the referendum null and void.
Golden Bell nominees were accepted and given to the AS President.
Academic Standards Board Procedure was discussed.
o Operations and changes and procedures should be the purview of the AS. The admissions Dean is the one who does the dismissal so there may be a conflict of interest. Standards committee needs assurance that their needs will be met and that the committee will have the resources they need to function effectively.
o Senators request that this issue be placed on a future agenda and that the Dean of Enrollment Services be invited to attend the next AS meeting.
Senator Woodlief made the motion that Òdue to the time sensitive issue, the Senate approve the expenditure of funds for the Brown Act Training out of whatever fund is appropriate.Ó
o Motion failed
Senator Fearnley moves that all AS expenditures be brought to the AS for approval.
o Motion failed
Meeting adjourned at 2:03 pm
Minutes submitted by Schreck

subset: commoncrawl


text:
Easily the best year of my life.
Rate yours.
Printable View
Easily the best year of my life.
Rate yours.
actually 7/10. first few months sucked.
if the world doesnt end 8/10
if it does end 0/10
4 sounds right
Not bad at all
It was pretty great! 9.5/10
Maybe 9.5 but it was a pretty good year. It didn't have much PD in it, I suppose 2015 will be an amazing year
- Got into one of the best universities for my course in the country
- Realised this course was amazingly enthusing
- Realised I have people available 24/7 to banter about literature
- Smoothed out my relationship entirely with my parents, to the point it is completely harmonious
- Became single, used being single to good effect (see other thread)
- Became amazing friends with my ex nonetheless
- Met a published writer from my hometown and got his number
- Saw a lot of plays, which makes it feel like it was a good year
- Stopped doing mindless things, like watching shitty British TV
- Became MARGINALLY less close to PD
> im too cool to care about pd
> counting posts i've made since july
> sucking dicks etc
Crappy year. But good for the Memoirs.
hmm. on one hand lord is posting less, on the other he is saying he doesn't care about pd by letting pd know that he is less active than he was in july with statistics thus implying you actually do care about pd by keeping it informed about yourself and not truly stopping posting because you want to see the reactions of others every time you come back from not posting for extended periods of time
SOCIOLOGY I AM DOGAR THE PROFESSOR OF THE WORLD ETC :yes:
oh god wat
Ban him
what could be more organic than having the figure of how many posts you've made since july constantly on hand
he probably writes it into every date on his calendar since july
Kind of boring, completely lost all sense of a work ethic, but not really bad.


text:
Turkish Airlines Copyright © 1996 - 2016
- Welcome
- First Turkish Sailors in Antarctica
- Ask Him About The Visual Effects!
- Eating Modestly: Working Man's Restaurants
- Izmir The Beautiful
- Rose Comes Away First Champion
- A Turkish Representative Of Italian Cinema
- Jakarta: Always Hot
- Witness To History: Jordan
- Sharm el SheIkh: Pearl of the Red Sea Riviera
- Creating A Generation Of Readers
- Art Showcase
- Three Photography-Filled Days
- Gardens Of An Artist
- No Empty Stages Here
- Another 'World's Best'
- World's Only Intercontinental Marathon
- Remembering Atatürk
- A Photographer's Life
- An Encyclopedia Of Literature
- Heart Of The World: Bursa
- Ali Aydın'S Adana
- Dreams Come True
- Festivity In Turkish Gardens
- Cultural Adventure In Odessa
- The Middle East's Up-And-Coming Airport
- A Painter Who Breaks The Mold
- Garden Of The Hejaz: Taif
A Photographer's Life
İzzet Keribar has taken numerous photographs that have etched a place in our collectıve memory. Now he is enriching our impressions of the recent past with his memoirs.
Prepared for publication by journalist Rahime Sezgin, 'The Other Or Not, What Difference Does It Make?' is a book that familiarizes us with the dynamic process of transformation that has taken place in Turkey's socio-economic structure and cultural and artistic life in the last 75 years and the players in the process as seen from Keribar's perspective. Enriched with photos of Keribar's own family and other selected shots, this memoir is an enjoyable read.


text:
Need some help sorting through the claims and benefits of herbal medicine? If you've done your own research and still feel uncertain about how to proceed, you may want to consult with an herbalist, someone who has been extensively trained in herbal medicines and herbal supplements.
There are a number of different training programs and certifications available to practitioners of complementary medicine, and many receive training in the use of natural medicines. Whenever possible, it's best to seek out the guidance of certified herbalist or a practitioner who has been licensed in your state.
Here are some specialties to look for:
An herbalist (RH AHG: Registered Herbalist, American Herbalists Guild); (MCPP; Member College of Practitioners of Phytotherapy); (FNIMH; Fellow, National Institute of Medical Herbalists); or (MNIMH: Member, National Institute of Medical Herbalists). Visit www.americanherbalistsguild.com
A licensed or registered acupuncturist (LAc or RAc) Visit www.acupuncture.com or www.acufinder.org
A diplomat in Ayurvedic Health Sciences (DAv)
A doctor of Oriental medicine (DOM) Visit www.acupuncture.com or www.acufinder.org
A diplomat of Chinese herbology (DipCH) Visit www.acupuncture.com or www.acufinder.org
A naturopathic physician (ND) Visit www.naturopathic.org
A medical doctor (MD) or pharmacist (PharmD).


text:
Rating Dogs on a Scale of 1 to 10
(Mark Toscano, 2012, 3 min)
Truth as held to be self-evident, however inconsequential or ludicrously subjective. Truth as not a matter of opinion. A meaningless game of arbitrary pronouncements that hopes to suggest other contexts in which similar games are far more insidious, while still giving viewers a good time. Ultimately though, a film that is probably too delightful to be anything but cute. -MT
Filmmaker in Attendance, 16mm
Directed by Mark Toscano
Tuesday, March 19 8:15pm
Opening Night Screening
Short films in competition, featuring animation, documentary, narrative and experimental new works, including films by Mark Toscano, Jodie Mack, Kyle Armstrong, John Smith and the North American premiere of Da


text:
[SMH | Text-only index]
Date: December 14 2012
WESTPAC'S chief executive, Gail Kelly, believes the Reserve Bank will need to cut rates again early next year after a surprising deterioration in consumer confidence caught the market off guard.
Mrs Kelly also said the Australian dollar, which hit three-month high on Thursday, would continue to pressure the economy into the second half of next year.
''I think I would be in the same camp as most of the market and say there is likely to be further rate reduction in the new year, whether it's February or March,'' she said.
"The key driver of that is I think you've seen this in regards to consumer and business confidence.''
On Wednesday the Westpac-Melbourne Institute survey showed that consumer confidence had fallen by 4.1 per cent.
Mrs Kelly said the dip in confidence had taken the market by surprise, particularly since the RBA had just cut the official cash rate by 25 basis points to 3 per cent - the lowest level since October 2009.
"We need a little bit more in the way of confidence building," she said.
The comments came just hours after the dollar hit US105.87¢ following a pledge by the US Federal Reserve to spend $US45 billion ($42 billion) a month on long-term bonds to stimulate its economy.
Westpac's head of institutional banking, Rob Whitfield, said the Fed's move would help keep the dollar at historically high levels.
"We'd all like to see the Australian dollar lower for our own economy, but at the moment the signs aren't there that it's about to lose that support.''
Mrs Kelly was the second-highest-paid bank CEO behind ANZ's Mike Smith last financial year - she received total remuneration worth $9.6 million. At Westpac's annual meeting on Thursday, 9 per cent of shareholders voted against the remuneration report.
Westpac has the highest standard mortgage rates of the big four banks, and some shareholders questioned its decision not to pass on the latest 0.25 percentage point cut to the cash rate in full.
Westpac's chairman, Lindsay Maxsted, said changes in the cash rate were only one influence on its cost of funds, and passing on rate cuts in full would force other customers or shareholders to ''subsidise'' people with home loans.
When the bank decided whether to pass on Reserve Bank official changes to shareholders, it had to weigh up the competing interests of borrowers, savers and investors, he said.
''We look to see if we are to pass on 25 basis points … then someone has to pay for that. And that person to pay for it will be the shareholder, or the person will be someone else in terms of all the depositors in this room,'' Mr Maxsted said.
This material is subject to copyright and any unauthorised use, copying or mirroring is prohibited.
[ SMH | Text-only index]


text:
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The staff of the beautiful new Holiday Inn Express & Suites Detroit North - Rochester Hills hotel is eager to exceed your expectations. Our hotel features over-sized guest rooms and suites luxuriously complimented by triple sheeted pillow topped mattresses, rich furnishings and all of the amenities that you have come to expect including a microwave and refrigerator.
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Whether you are visiting the Rochester Hills area for business or pleasure, make sure that you take in some of the exciting year around cultural events, local attractions or even enjoy one of the many games played by our very own Detroit Red Wings, Tigers, Pistons or Lions. During your stay with us, you will enjoy the conveniences of our complimentary Express Start hot breakfast bar, free Wi-Fi service throughout the hotel and our board room, HD televisions with expanded cable channel listings, heated indoor swimming pool, fitness center, 24-hour business center and guest laundry. Stay Smart at the Holiday Inn Express & Suites Hotel Detroit North - Rochester Hills.


text:
TCC Southeast Campus Is Closed Due to Power Outage
Tulsa Community College's Southeast Campus is closed due to a power outage as of 10:30 a.m. on Thursday, July 25. It appears that as a result of storm recovery efforts one of the power lines that feeds the TCC Southeast Campus was damaged resulting in a campus wide power outage. This closing only affects the TCC Southeast Campus.
TCC students are currently in the middle of finals week. Those students with finals scheduled for today at TCC Southeast Campus should contact their respective faculty member regarding provisions for retaking final exams.
The TCC Southeast campus will be closed until further notice.
Additional updates will be posted at www.tulsacc.edu.


text:
This darling couple had a beautiful wedding day that was simplicity and chic at its finest. Nothing was over done which allowed any empty space to be filled with love, quite literally a giant love marquis sign that you must see! Champagne and blush were the colors of the day and they complimented the lovely plaza venue perfectly.
See more of the sweet and simple decor from this shabby chic plaza wedding in the full gallery here, brilliantly photographed by Lauren Scotti.
One of my favorite things we did was the mismatched bridesmaid's dresses. All 6 girls picked their own dresses but I wanted my two maids of honor to stand out. They wore long, blush, and nude Adrianna Papell dresses. The groomsmen also picked their own suits and then varied it by wearing vests or suspenders. We looked at a couple of venues, but nothing felt right until one of my bridesmaid's recommended Serra Plaza. It was so simple and perfect. We really loved the cobblestone, market lights, chandeliers, and all of the vintage furniture that was provided by the venue. The coordinator, Mary Lallande, is amazing and I absolutely love her vision.
Our ceremony was just perfect. Although we debated over having a first look, we decided to go ahead so we would be sure to have pictures with good lighting. We wrote our own vows expressing our love for each other and our mutual commitment to living out our faith together. After the ceremony, I put on a dainty flower crown made. If I could wear a flower crown everyday I would. I also really wanted to have a "wow" moment. Over Christmas, our church hung giant marquee letters, spelling LOVE, on the stage. I remember turning to Travis and saying we need those. Our church graciously allowed us to borrow the marquee letters and our guests loved taking pictures in front of them!
We loved all of our vendors. We were so pleased that they were able to make our vision come to life. Sweet and Saucy Shop did an amazing job with a pumpkin spice/vanilla wedding cake and various mini desserts. (Side note from Travis: If you are going dessert tasting don't eat the entire sample because they bring out like 50 desserts and around cupcake number 15 you're totally over it and considering Jello.) Our guests ravaged the dessert table. We gave everyone little Chinese food take out boxes as their wedding favors so they could take home as many desserts as they wanted. It was a huge hit! The salted caramel tarts and vanilla macaroons were gone before you could blink.
Venue: Serra Plaza
Photography: Lauren Scotti
Flowers: Rehers Florist
Caterer: Sun Dried Tomato
Makeup: Molly Makeup
Dress Shop: Mary Me Bridal
Dress Designer: Casablanca
Bridesmaid Dresses: Adrianna Papell
Prop/Furniture Rentals: Baker Party Rental
Photobooth: Drunken Pixel
Dj: DiJital Engagement
String Quartet: Seaside Strings Quartet
Cake: Sweet & Saucy Shop
Coordinator: Kimberly Cords | Cinematography: Grant Jensen


text: 2008 (Track and Field): Indoor: Took fifth in the 3,000m run at the J.D. Martin Invite; Outdoor: Won the 1,500m at the UNT Classic; 2007 (Track and Field): Indoor: Competed in the Iowa State Classic and notched a 17th place finish in the 5,000 meter run with a time of 17:39.72... Also competed in the Conference USA Championships finishing eighth in the 5,000 meter run with a time of 17:36.02; 2006 (Cross Country): Recipient of 2006 NCAA All-American honors with a 35th-place finish at the NCAA Championships, posting a time of 21:24.5... 2006 NCAA South Central Regional Athlete of the Year after placing first in the Regional with a time of 20:30.4... 2006 Conference USA individual champion (17:14.54) and earned All-Conference USA first team honors after placing first in the league's championship meet, running the event in a time of 17:14.54... Posted four top-10 finishes prior to C-USA meet, including second-place finishes at the Rice Invitational (14:15.00) and Texas A&M Invitational (18:17), an eighth-place finish at the Notre Dame Invitational (17:02) and a 10th-place finish (20:40.8) at the Chile Pepper Festival; 2006 (Track and Field): Indoor: Took third in the 3,000-meter run (10:25.13) and sixth in the one-mile run at the Wes Kittley Invitational in a time of 5:13.31... Placed 17th in the 5,000-meter run at the Iowa State Classic (17:21.40)... Took fifth place in the 5,000-meter run (17:19.17) and fourth in the one-mile run (5:01.63) at the Conference USA Indoor Championships.; Outdoor: Placed fifth in the 1,500-meter run at the Dr. Pepper Invitational with a time of 4:38.29... Claimed the individual title at the John Jacobs Invitational in the 1,500-meter run with a time of 4:47.31... Captured first place at the Mean Green Twilight in the 1,500-meter run with a season-best time of 4:31.66... Placed second at the Conference USA Outdoor Championships in the 1,500-meter run in a time of 4:35.73... Took sixth place in the 5,000-meter run at the Midwest Regionals (17:13.06) - received an at-large bid to the NCAA Outdoor Championships... Placed 20th in her qualifying heat (16.:27.52), just missing the finals; 2005 (Cross County): Started the season placing seventh with teammate Rachel Collins at Baylor Relays... Took medalist honors at Movin' Mavs Challenge... Named C-USA Cross Country Athlete of the Week for her efforts... Placed 44th at Roy Griak Invitational... Claimed first place at North Texas Invitational... Placed 55th at pre-national meet... Took fourth place in 5k run at C-USA Championships... Selected to the All-Conference USA first team... Finished seventh at NCAA South Central Regional and was selected to the All-Region first team... Lone Mustang runner at 6k race of NCAA Cross Country Championships, placing 104th; 2005 (Track and Field): Outdoor: Placed seventh in 3000-meter run at Arlington Invite... Finished ninth at Texas Relays in 1500-meter run... Took seventh in 5000-meter run at WAC Outdoor Championships; 2004 (Cross Country): WAC Freshman of the Year selection... Placed fifth in the Mean Green Opener - her collegiate debut... Ninth-place finish at the Stanford Invite... Placed fourth at the Murray Keating Invitational... Finished in 13th-place in the Chili Pepper Invitational... Took fourth place at the WAC Championships... First-team All-WAC selection... Ran in the NCAA Championships, finishing in 204th place; Prep: Graduated from Lamar High School in Arlington, Texas... Also participated in soccer; Personal: Majoring in accounting... Parents are John Holzer and Anne Forish... Has one sister, Samantha... Likes to hang out with friends... Favorite athlete is Vince Young... Likes vacation in St. Thomas... Enjoys watching football, both American and European.


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Anti-Age Spot Serum (Serum Anti-Taches Brunes) lists alcohol as the second ingredient, which is a real burn for skin and the pocketbook. All of the exotic-sounding plant extracts and the form of vitamin C included don't have an established track record of lightening skin discolorations. Cle de Peau wants you to think their cellular ion channel technology can inhibit the formation of melanin (skin pigment), but there is no research showing that to be the case.
Two technological break-throughs merge to form a new power: time-fighting Cellular Ion Channel Normalizing Technology exclusive to Cle de Peau Beaute, and world-first findings on the mechanism of age spot formation. Limits the melanin formation process. Enhances optimal functioning of the cellular ion channel system. Retexturizes skin for a smoother surface that resists signs of aging and environmental damage.
Water, Alcohol Denat, Xylitol, Glycerin, PEG-6, Dimethicone, Ascorbyl Glucoside, Maltitol, PEG-20, Aminomethyl Propanediol, Xanthan Gum, Lauryl Betaine, Dipotassium Glycyrrhizate, Tocopheryl Acetate, Serine, Potassium Ascorbyl Tocopheryl Phosphate, Polyquaternium-51, Saxifrage Sarmentosa Extract, Tamarix Chinensis Extract, Gambir Extract, Sodium Acetylated Hyaluronate, Paeonia Suffruticosa Extract, Royal Jelly Extract, Chaenomeles Sinensis Fruit Extract, Rosa Centifolia Flower Extract, Rehmannia Chinensis Extract, Hydrolyzed Silk, Zingiber Aromaticus Extract, Rosa Roxburghii Extract, Scutellaria Baicalensis Extract, Bupleurum Falcatum Root Extract, Hypericum Perforatum Extract, Alcohol, Trioctanoin, Carbomer, Isostearic Acid, Butylene Glycol, Trisodium EDTA, Sodium Citrate, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Sodium Hexametaphosphate, BHT, Citric Acid, Butyl Methoxydibenzoylmethane, Octyl Methoxycinnamate, Methylparaben, Phenoxyethanol, Sodium Benzoate, Fragrance, Iron Oxides
Cle de Peau Beaute At-A-Glance
Strengths: None of note among skin-care items; even the best products are not worth the money when compared with superior versions from other lines that cost slightly to considerably less; foundations that provide excellent coverage without looking heavy; a magnificent concealer; good highlighting powder and eyeshadows; one good mascara.
Weaknesses: Too many to list, but major ones include: average to ineffective moisturizer and serum formulas; no sunscreens; no products to address acne; several products sold as nourishing or anti-aging that douse skin with alcohol or other irritants; makeup products rated as average that are definitely not worth the investment.
Shiseido-owned Cle de Peau Beaute has a great French name that means "key to beautiful skin," but even a cursory overview shows that it is merely the key to the most inane waste of money. We wish there were a way we could bestow a sense of the truth about what women are really buying from this line with a swoop of a wand or a mind meld! The reality is, aside from having no sunscreen—which leaves skin completely vulnerable to the very damage this skin-care company makes every claim it can repair—these products contain nothing unique or out of the ordinary. While most of the products contain some amount of antioxidants, cell-communicating ingredients, and anti-irritants, the amounts are so minuscule they are inconsequential for skin, and for this kind of money that's offensive. Moreover, the formulations are repetitive, with few significant, bona fide differences among them, despite sometimes wide swings in prices.
Where Cle de Peau excels is in its propaganda of beauty at any cost, especially really expensive cost, regardless of fact or reality. Words such as "extraordinary" and "elegant" pepper the literature for this line, with the none-too-subtle message being that of luxury and obtaining the crème de la crème among skin-care products. Although several of their moisturizers have indulgent textures and are packaged in exquisite containers, it takes much more than that to create efficacious skin-care products whose substance equates to more than mere style. A few Cle de Peau products were reviewed favorably, but we can't in good conscience recommend this line given the prevalence of equal or better formulas from many other lines, most without the price tag that contributes immeasurably to the opulent image Cle de Peau has cultivated.
For more information about Shiseido-owned Cle de Peau, visit www.cledepeau-beaute.com.
Note: Many of Cle de Peau's formulations are variations on what Shiseido itself offers for much less money. Shiseido doesn't necessarily have better formulas (although their sun-care line is formidable and worth a look), but they offer proportionately more products we feel comfortable recommending.
Cle de Peau Beaute Makeup
Without question, this is absolutely one of the most expensive collections of makeup sold today. While the prices defy logic or reason, at least the majority of the products perform reliably well and most have beautiful, soft textures that are easy to work with. Of particular interest are the cream foundation and concealer, and the mascaras, pencils, blush, and eyeshadows have their strong points, too. However, when you consider that products costing considerably less share these strengths, the decision to purchase from Cle de Peau comes down to how large your cosmetics budget is and how important the image of ultra-high-end prestige is to you and your makeup bag.
The salespeople for this line go on and on about how each makeup item is an extension of the treatment benefits attained from their skin-care products, but a review of the ingredient lists for almost every cosmetic below clearly refutes that claim. Ironically, even if the makeup were an extension of the skin care, that would be bad news, because the skin-care products are some of the worst on the market.
Nothing in this makeup is special, unique, or even all that competitive with what the cosmetics industry's frontrunners are creating for you. Nevertheless, the main reason to consider Cle de Peau makeup is if you're looking for a selection of silky foundations that provide substantial coverage without the heavy, masklike look of days past. That attribute is one of the reasons celebrities often claim to use Cle de Peau's foundations and concealer.
The new Beautypedia Team proudly and unequivocally maintains the commitment to help you find the best products possible for your skin. We do this by relentlessly pursuing and relying on published scientific research so you will have unbiased information on what works and what doesn't-and the sneaky ways you could be making your skin worse, not better!
The Beautypedia Team reviews all products using the same research, criteria, and objectivity, whether the product being reviewed is from Paula's Choice or another brand.
Thanks for sharing your experience with this product! Approved reviews appear on our site within 3-5 business days.
We reserve the right to reject or modify reviews without notice. All submitted reviews become the property of Paula's Choice, LLC.
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Paula's Choice Auto Delivery is a quick and convenient way to make sure you never run out of your favorite products again. Just select the products you can't live without, choose how often you'd like them delivered and we'll take care of the rest.
*Promotion expires 9pm PT, June 30, 2016. No cash value. Applies to US and Canada only.
**Enter promo code BHA16 at cart. Limit one (1) FREE Skin Perfecting 2% BHA Liquid Trial Size per order of $65+, while supplies last. Offer cannot be applied to previous purchases or combined with other offers. Applies to in-stock items only; no rain checks. Offer expires 9pm PT, June 30, 2016. Paula's Choice reserves the right to modify this offer at any time.
***Promotion expires 9pm PT, June 30, 2016. Choose any 3 from 32 available FREE individual sample packettes on orders of $5+.
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For Students
Looking for an opportunity to become involved in research or creative activity?
Welcome to the IU Bloomington website for Undergraduate Research & Creative Activity (UR&CA). This website is sponsored by the Office of the Vice Provost for Undergraduate Education (OVPUE), and we're delighted that you are considering engagement in a research or creative project.
You are likely to have many questions, the first of which is: What's in It for Me?
We've tried to anticipate most of these, and you'll find our answers here.
At IU Bloomington there are numerous programs and departmental opportunities for undergraduate research and creative activity.To help you get started, we've listed contact information for many of these here.
Should you have any questions, please don't hesitate to contact us. You can reach us by email at email@example.com.


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Home | Contact
Marine Team makes full utilization of local personnel to the benefit of the production company or commercial marine operation for each project in each location.
Marine Team's greatest strength is our diversity which includes key crew from: United States, New Zealand, Australia, Canada, Malta, Mexico, Thailand, Philippines, Singapore, Greece, Italy, England, South Africa, Malaysia, Indonesia, Namibia, France, Panama and the Amazon, Spain, and Morocco.
Each water based location has unique requirements. Whether you're on an ocean, sea, gulf, bay, lake, harbor, river, creek, pond, or production tank, we can tailor a crew to meet your particular needs.


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The 2013 Bethany Athletic Association / Fire Department Carnival will be held from Thursday, June 13 through Saturday June 15 at the Bethany Airport on Amity Road (Route 63).
The carnival is the prime fund raiser for the Bethany Athletic Association to support the athletic activities for Bethany youngsters throughout the year.
Friday evening, June 14 there will be a fun-filled Firemen's Parade consisting of men's and ladies marching units, bands and fire apparatus of all descriptions. The parade will step off promptly at 7 p.m. from the church area and proceed north to the reviewing stand and judging area in front of the airport. Trophies in various winning categories will be awarded at 9:30 that evening.
Come and enjoy the Bethany Carnival Thursday, June 13 through Saturday, June 15 and a great parade Friday, June 14 at 7 p.m.


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By Sian Lovatt
General news
30 June 2010 16:30
Bransby Home of Rest in Lincolnshire will open its doors to visitors following the recent outbreak of Equine Flu.
Having been given the all clear by The Animal Health Trust, the centre will re-open on Monday 5 July 2010. A vaccination programme for the animals that were not affected by the virus has now started and over the next few months the animals that were affected will begin their own vaccination programmes. All animals will then have an annual booster vaccination.
Bransby are keen to stop an event like this happening again and so a vaccination programme will also be implemented at the charities second home in Leominster in Herefordshire.
With less than half of the UK equine population vaccinated for equine flu, the charity is urging that every horse owner to get their horse vaccinated against.
Staff at the charity appreciate the level of support they've received throughout this difficult time and hope people will take the opportunity to pay the home a visit this summer holidays. Visit www.bransbyhorses.co.uk for more information.
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|Dealers and Galleries Home
Press Releases - Vilma GoldMark Titchner
The Eye Don't See Itself
Press Release
Vilma Gold is pleased to announce Mark Titchner's first solo exhibition at Vilma Gold, London since 2004. The exhibition is in two parts; a sculptural installation The White Lite, and a video installation; The Eye Don't See Itself. The exhibition continues Titchner's interest in human perception, language, and states of mind, and examines the symbolism of sexuality and gender, encryption, illusion, and symbology.
The Eye Don't See Itself is video projection as monument, mirrored in a black reflecting pool, referring to the Washington Monument. The video is a kaleidoscopic depiction of an unblinking eye against a phallic obelisk, on an endlessly shifting background. The background is based on a Rorschach inkblot commonly believed to represent the father.
This video employs a flickering light at a frequency of 10Hz, in correspondence to the brain electrical activity in Alpha state in attempt to alter the perception of the viewer, which also references the work of W Grey Walter and Brion Gysin.
Computerised Male and Female voices repeat a mantra to psychotic self-improvement…
"If you don't like your life you can change it."
"After all what good is life without conquest?"
"If you can dream it you can do it."
"THE WHITE LITE"
The second gallery space: a stepped arrangement of 20 objects, including 4 videos.
Bastardised rotoreliefs depicting undulating breasts and a panoptical eye combined with casts of male and female pelvis bones, bear a resemblance to Rorschach inkblot cards.
Maquettes for a version of Brancusi's 'Endless Column' made of sugar cubes, reference the giant LSD sugar cube pyramid in 'Hollywood's first underground movie' The Acid Eaters (1968).
Four kinetic light works that apply the principals of Brion Gysin's Dreamachine to the forms of the Obelisk (which project an encoded light message/incantation) and the Solomonic Column (columns based on the two columns in the Temple of Solomon in Jerusalem).
Two casts of hand shadow puppet versions of the devil.
A carved CND symbol, and its inverted version, the Runic Symbol.
Algiz the Elk, the rune of protection, a broken circle formed from two monochrome rainbows supported by a string art visualisation of every permutation of letters in the English alphabet.
Lastly a sculpture of a well known five-sided shape attached to a well-known optical illusion.
There are four video pieces amongst the sculptures; The Madonna - mother and child, Nuclear Family – a naked beaming father and radiant expectant mother, Tantric Separation – a depiction of tantric sex, and Fear of Life – a couple as a unit of emotional support, all depicting configurations of various couples or family units.
Back to dealer/gallery profile


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Samuel E. Pritchett of Townsend, DE, passed away on Thursday, August 2, 2012 at the age of 67.
Mr. Pritchett was born July 17, 1945 in Dover, DE, the son of the late Thomas and Francees Pritchett.
He was self employed for his entire working career of nearly 40 years as a Commercial Crabber.
Mr. Pritchett enjoyed crabbing, hunting, and fishing.
He is survived by his son, Tommy Pritchett of Townsend; 2 brothers, William Pritchett (Brenda) and Richard Pritchett, all of Townsend; his ex-wife, Pam Pritchett of Bridgeville, DE, and her kids, Michael Zadroga, Amber Howard, and Samuel Zadroga; and several nieces and nephews.
A viewing will be held on Tuesday, August 7, 2012 from 6 to 8 p.m. and again on Wednesday, August 8, 2012 at 9 am in the Faries Funeral Chapel, located at 29 S. Main St., Smyrna, Funeral services will begin Wednesday at 10 a.m.
Burial will follow in Barratts Chapel Cemetery in Frederica, DE.
Condolence letters may be sent by visiting www.fariesfuneralhome.com.
Comments are currently unavailable on this article
Location, ST | website.com


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Bay Area Ambassador of the Hyphy Movement, E40, released his video for Bamboo this week; a hot new song off his Block Brochure 4,5 and 6 album that was released earlier this year. The creative spin on this particular video is that it was made in black and white, making the graffiti filled alleys and lighting stand out well for the shoot.
One look at that break dancers in this video and you know they must be from the Bay, you can see it in the style of the dance moves sliding across the screen. I'm a huge fan of how e40 always infuses dope dance scenes into most of his videos, the particular type of pop n lock style breakdancing seen here is signature to The Bay.
One thing I always enjoy seeing is the home team winning and this year has been one win after the other for E40. First he released The Block Brochure 4, 5 and 6 album, then he launched the Earl Stevens wine collection, next we seen his previous videos Chitty Bang and on my sh*t released, and now fans have the Bamboo video to enjoy. A win-win situation all around, so someone tell the DJ to keep the music spinning.
Recently E40 has had the internet buzzing with his Texas Invasion Tour alongside fellow legendary rapper Too Short , Hmm... I wonder how many shows these two have performed at together in a lifetime? Well, this time around they shared 10 dates with a small army of indie rappers from Dallas to Lubbock, and everywhere in between in the Longhorn state.
One thing is for certain, 25 years have passed since Sick Wid It Records hit the scene and just like his fine wines, E40 has no doubt become better with age. Rarely in the music industry will you find an album where every single song is a hit and in my opinion is what makes Block Brochure 4, 5, and 6 creatively unique in it's own right. Typically I'm privy to receiving new music releases from both independent and mainstream labels, but to keep things absolutely 100, I'm delighted to spend my money on anything E40 releases regardless if I've received record service or not. I've been bumping both Block Brochures albums since they were first released and I'm pleased to see that Sick Wid It Records selected Bamboo for a video, it's one of the dopest songs on the album.


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Jan. 26, 2012
UCLA Gymnastics coaches and team members will be answering your questions every Thursday over the course of the season. To submit questions for future Q&As, CLICK HERE.
Linda (Yorba Linda, CA):
Kalie Baer just returned after a two year absence. She looks better than ever and seems happier. Can you tell us what changed?
Valorie Kondos Field: Two things changed. First, her body has finally gotten healthy; she has been dealing with a stress fracture in her shin for a long time. And secondly, she changed her attitude. She used to be one of those people who would get easily frustrated then just let in all build up into a massive ball of frustration. She now looks at life differently, she has an extremely strong Faith, and consequently sees the opportunities in her life differently than she has in the past. She is our most consistent team leader this year.
Jeff (Huntington Beach, CA): Does it bother you that basketball is playing in a huge arena in Orange County but you guys are stuck in the tiny gym? Seems sexist to me.
Valorie Kondos Field: Actually it doesn't bother me, as I was given the choice and chose to compete in the Wooden Center rather than in huge arenas around town. If there had been a slightly bigger arena on the west side of LA where the students could easily get to, that might have made sense, but to ask our fans to travel to the Honda Center, Sports Arena or Staples Center didn't seem wise.
Scott (West Hollywood, CA): Will any of the meets be televised this year? What do you think it will take to get more events televised?
Valorie Kondos Field: The Pac-12 Championships will be televised, as well as the NCAA Championships this year. And actually, a lot more meets will be televised in the future due to our new Pac-12 TV contract. Stay tuned.
Nathan (West Hollywood, CA): Gymnastics seems to be a very homophobic sport. Have any of your gymnasts, past or current, encountered this or had to deal with prejudice?
Valorie Kondos Field: No, I don't believe so. However, I'm constantly making a point to talk about tolerance and not judging others. To Observe without Judging is something that we talk about a lot. It's hard not to judge. I think we naturally judge all the time. We judge what someone's wearing, their hairstyle, their fitness level. It's OK to make an observation, but it's not OK to judge. The proverbial gray line is the hard part.
Emma (Boston, MA): A gymnastics blogger recently reported that you choreographed all of Stella Umeh's college routines. I thought she and her sister did all of them?
Valorie Kondos Field: Her sister Stacey did most of them. I may have done one or two. But Stella was such a natural dancer that all you'd have to do is put on the music, see what she comes up with, then clean it. I don't remember ever giving her exact choreography to do. She interpreted movement and music so beautifully.


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Student Civic Engagement Grant
Mural painted in the Education Room by the NU Mural Club at the BGCB Yawkey Club of Roxbury.
The Student Civic Engagement Grant opportunity available through the Center of Community Service provides financial and programmatic support to students and/or student organizations engaging in mutually beneficial community partnerships.
Goals of the Student Civic Engagement Grant:
- Support and address identified community needs.
- Encourage new and creative programs and/or projects from Northeastern University students in partnership with our community to create positive change.
- Encourage existing Northeastern University students and student organizations to integrate or expand civic engagement activities.
Up to three grants are awarded to proposals demonstrating the most innovative use of the funds to create or strengthen a community service partnership. Information for the 2014 Student Civic Engagement Grants will be available in November 2013.
2013 Grant Awardees:
Mural Club
The Mural Club at Northeastern was awarded a grant to fund a mural project at the Yawkey Boys and Girls Club in Roxbury. The 18'x10' wall mural was painted in four scenes, each depicting a step in the process of two students accomplishing their dreams of becoming a teacher and a marine biologist.
Kappa Alpha Psi Fraternity, Chi Chapter
The Chi Chapter of Kappa Alpha Psi was awarded a grant to support their Kappa League program for at-risk Boston youth. Through the program, members of the fraternity support young men in leadership development and college preparation. Funds from the grant were used towards the end-of-year celebration and to purchase Kappa League ties and shirts for the young men.
Amphibious Achievement
The newly founded Northeastern Chapter of Amphibious Achievement was awarded a grant to support their first semester of programming in the Fall. The program works with at-risk high school students in the areas of swimming, rowing, and college preparation. Funds from the grant were used to purchase supplies for the academic portion of programming, and Charlie Cards to help the students get to and from Northeastern.
Grant awardees from previous years include:
- Jumpstart for a Day
- Social Change through Peace Games: Peacemaker Projects
- Oxfam American at NU
- Strong Women Strong Girls
- Delta Zeta Sorority


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College Hockey:Connolly gets the spotlight with Hobey Baker Award, but not in his preferred spot
TAMPA, Fla. — At first blush, Jack Connolly is not a complicated man. He's soft-spoken but friendly, sharp but not cerebral, confident but not cocky. He's your classic "good guy," universally comfortable, welcome, and yet undervalued.
Good guys don't demand the spotlight, so they don't get it. It's just the nature of things.
For complete Frozen Four coverage, visit USCHO's Frozen Four Central.
The WCHA's top scorer, 2011 national title-winner and the pride of his hometown of Duluth, Minn., Connolly was honored with the 32nd annual Hobey Baker Award at MacDill Air Force Base on Friday. The award put him in the center ring of a media circus, when he'd likely prefer to be anywhere else.
"I was very emotional. It kind of took my breath away," he said from the center of a journalistic swarm. "I guess I thought there was an outside chance that my name would be called … but just to hear it, it's pretty much unexplainable. It was pretty surreal."
It actually took the stunned center a moment to stand up when his name was called. Did he think he was dreaming, or was he trying to postpone his stardom one heartbeat longer?
"He's a hard kid to read," said his head coach, Scott Sandelin. "Obviously when he gets real happy he starts to get emotional, as you saw at the national championship and tonight. But that's the kind of kid he is; he's that type of person.
"I think Jack started crying because his mom was crying," Sandelin said.
Now, Connolly's no agoraphobe; he just happens to be more comfortable in a starting lineup than at a nationally televised award ceremony. Correction: A nationally televised individual award ceremony.
"This is just as much theirs as it is mine," he was quick to say about his teammates and coaches.
Brother Chris Connolly, himself a ring-bearing title-winner with Boston University in 2009, explained that their mutual success can't be seen within an individual scope.
"We like to attribute a lot of the success we've had to the people of Duluth," he said. "The support we've had, it's such a big hockey community, we like to say we learned everything we know from just rink rattin' outside. That's kind of where it all started for us."
Jack elaborated: "Being in my hometown, the Duluth community supports the men's hockey program a lot. They give a lot of their time and dedication to the program. Best fans in college hockey, in my opinion, and you know what, whatever I can do to give back to them, I'm more than happy to do it. Whatever it may be, I'm more than happy to do it, because I know how much they've given the men's hockey program."
The next step for college hockey's newest star might surprise some, as he has found European opportunities far more alluring than North American ones thus far.
"It's never something you expect," Chris said about his brother's achievements. "To have the success that he's had there, to have meant so much to their program and helped them to their first national championship … it's something you never dream of. For Jack to step up in his senior year and really lead a team that was in the top five almost the whole time, and be awarded the Hobey Baker is really surreal."
Though he may not have realized it, the elder sibling captured his brother from two different angles simultaneously. Yes, Jack's accomplishments have been unexpected, surreal, the stuff of dreams.
But Jack Connolly has been a dream as well, to the people of Duluth and the fans of Bulldogs hockey. A dream fulfilled, a dream personified; a dream that ends so much more sweetly than one would ever dare to imagine.
"It's certainly something you never dream of," Chris repeated, almost to himself.
The following is a self-policing forum for discussing views on this story. Comments that are derogatory, make personal attacks, are abusive, or contain profanity or racism will be removed at our discretion. USCHO.com is not responsible for comments posted by users. Please report any inappropriate or offensive comments by clicking the "Flag" link next to that comment in order to alert the moderator.
Please also keep "woofing," taunting, and otherwise unsportsmanlike behavior to a minimum. Your posts will more than likely be deleted, and worse yet, you reflect badly on yourself, your favorite team and your conference.


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Latest News
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& Religious Education
St. Genevieve School
Mass Schedule
Meet the Staff
Contact Us
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Parish Archive
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• Archdiocese of Phila
• The Holy See - Vatican
Rev. Msgr. Michael J. Matz, Pastor
On June 18th, St. Genevieve Parish welcomes our new pastor, Msgr. Michael Matz. He has spent the last 11 years at Archbishop Carroll High School in Radnor, PA where his position was that of President. He is very highly regarded by his fellow priests throughout the Archdiocese and is eager to begin as our pastor. He looks forward to getting to know everyone here at St. Genevieve Parish and hopes to be a worthy Shepherd. Please take a moment to introduce yourself to Msgr. Matz as he works toward becoming familiar with his flock. He asks that we all keep him in our prayers as he continues his priestly ministry in Flourtown. Rest assured that you are in his prayers as well.
Rev. Carl F. Janicki
In Residence
Fr. Carl resides at St. Genevieve Parish Rectory and is President of Cardinal Dougherty High School. He assists at St. Genevieve Parish on the weekends.
Rev. Joseph W. Bongard
Weekend Assistant
Father Joseph is the Rector of Roman Catholic High School.
Deacon Joseph L. Nines
Youth Minister
Joe was ordained a Permanent Deacon in 2002. He is the Coordinator of the Youth Ministry, Altar Servers and CYO Programs.
Deacon Michael G. Conroy
Parish Services Director
Mike was ordained a Permanent Deacon in 2006. He is the Director of Parish Services and is responsible for coordinating Adult Faith Formation, Parish Evangelization and Social Services, RCIA (Rite of Christian Initiation for Adults), the Blood Drive and Aid for Friends.
Ms. Lori Miller
Parish Administrative Assistant
Lori is probably the first person you'll meet when you join St. Genevieve Parish. She has been assisting the Parish in many ways since 2000. In addition to all administrative duties in the Parish, Lori is the Editor of the Parish Bulletin and participates in the Liturgy and Hospitality Committees.
Mrs. Maurnie Sava
Business Manager
Dr. Edward D. (Ted) Latham, Music Director
Dr. Edward D. (Ted) Latham received his Ph.D. in music theory from Yale University in 2000, and is currently Assistant Professor of Music Studies at Temple University's
Esther Boyer College of Music and Dance, where he was the recipient of the 2007 Teaching Academy Award for excellence in teaching. His research focuses on the
interdisciplinary analysis of texted and danced works, and his online and print publications include reviews, articles and chapters on the music of Bach, Debussy,
Britten, Gershwin and Schoenberg. His recent regional, national and international conference papers have also addressed the intersection of musical and dramatic structure
in works by Schubert, Korngold and Weill. His book on twentieth-century American opera is forthcoming in December 2008 from the University of North Texas Press. He has been
the music director at St. Genevieve's parish since 2002, and previously served as the music director of St. Lawrence Catholic Church and Newman Center at the University of
Minnesota-Twin Cities, and St. Thomas More Catholic Chapel and Center at Yale University in New Haven, CT.
Sr. Theresa Maugle, SSJ
School Principal
Mrs. Andy Dougherty, CRE
Coordinator of Religious Education
Deacon Joseph J. Manson
Joe was ordained a Permanent Deacon in 1989. He has been serving
the Parish of St. Genevieve in many capacities since then.
Born into Eternal Life December 1, 2007


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Restaurant Favorites Made Healthy
Instead of going out to eat, make one of our healthy restaurant favorites at home.
From Chinese restaurant recipes to Italian pasta dishes, our homemade versions of restaurant favorites are healthier options that will save you calories and money. Try our Spicy Pecan Popcorn Chicken for an oven-fried chicken dinner or Chicken Piccata with Pasta & Mushrooms for a lighter pasta dinner makeover. Download a FREE 1-Week Dinner Plan & Shopping List for 5 Healthy Quick-As-Takeout Dinner Recipes!


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Don Carson and the Mongolian Stomper (1982)
Don Carson and the Mongolian Stomper talk about their upcoming matches in Ohio and Georgia. Stomper is silent here but was actually a great talker.
To Download or Embed this video, go to this link.
Back to the Georgia Championship Wrestling Promos Library
back to Uncle Earl's Classic TV Channel


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Visit the National Medal of Science website.
VPR Internal Deadline
Funding Agency Deadline
Funding or Award Criteria
For outstanding cumulative contributions to knowledge in the physical, biological, mathematical, engineering, or behavioral or social sciences, in service to the Nation.
Applicable Field(s)
Physical, biological, mathematical, engineering, or behavioral or social sciences.
# of Nominees Allowed
VPR Required Documents
- a letter of nomination for each candidate that addresses the *award selection considerations (see list below),
- a CV of your nominee (including name, and contact information). Include a list of no more than ten publications and patents, each accompanied by a brief explanation of their significance. Please do not submit full publications or patents.
- The names and contact information of five individuals willing to write seconding letters.
*Award Selection Considerations:
- The impact of an individual's body of work on the current state of his or her field of science or engineering;
- Whether the individual's achievements are of an unusually significant nature in relation to the potential effects on the development of thought in his or her field of science or engineering;
- Whether the nominee has demonstrated unusually distinguished service in the general advancement of science and/or engineering for the Nation, especially when accompanied by substantial contributions to the content of science;
- The recognition of the nominee by peers within his or her community, and whether s/he is recognized for substantial impact in fields in addition to his/her discipline;
- If the nominee has made contributions to innovation and industry;
- Whether the nominee has demonstrated sustained influence on education through publications, teaching activities, outreach, mentoring, etc. and;
- Whether the nominee's contributions have created significant positive impact for the Nation.
For more information, please contact Liza Scarborough at 471-2877, or firstname.lastname@example.com.
Nominee(s) Selected to Advance
Prof. George Sudarshan, Department of Physics


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2011-10-10 Dev status update
Status update for the weeks of 27 September - 10 October 2011.
2011-09-28 IRC Meeting
We held our fourth IRC meeting on Wednesday, 28 September 2011. On the agenda were:
- Discussion of a Doctrine Bridge
- Discussion of the Standard Distribution
- Roadmap
The meeting has been summarized previously. The tl;dr for those who don't want to click through on the link:
- Everyone agrees we'd like a Doctrine Bridge; it's up to somebody to get something concrete rolling.
- The Standard Distribution was previously defined; however, additions will be considered on a case-by-case basis.
- Expect beta 1 to drop during ZendCon.
Development Notes
View Convenience API
After a prolonged discussion, I worked on a "View Convenience API". The goal was to simplify view usage and syntax.
The end result is a syntax very much like ZF1, but more performant under the
hood, and with easier ways to get at the various helper objects. Per a
suggestion (and pull request!) from Rob Allen, we
now extract view variables prior to rendering the view script. Since the
Variables container returns escaped versions of variables by default, this makes
for very succinct syntax. You may also access variables using property
overloading (e.g.,
$this->foo), via a
get() method, or by accessing the
Variables container directly. Additionally, you can now access the unescaped
values using a new
raw() method in the renderer.
Helpers can now be accessed via method overloading, as they were in ZF1. The following will occur:
If the helper is invocable (i.e., a functor, implementing the
__invoke()magic method), it will be invoked with any arguments passed.
- If not invocable, the helper instance will be returned.
Additionally, an "escape" view helper was created. This is composed into the Variables container by default, and allows specifying alternate callbacks and encoding when desired.
<?php $this->headTitle($title) ?>

<?= $title ?>

<?php foreach ($entries as $entry): ?>

<?= $this->escape($entry->getName()) ?>

<?php endforeach ?>
tl;dr: The view layer is fun again!
Controller Convenience API
Following a couple short threads about a controller convenience API, I implemented a few new features in the MVC controller layer:
Controllers may be optionally "event injectible". If they are, they will be
injected with the
MvcEventused in the
Applicationobject. This allows it to be tied more closely into the full request cycle.
Controllers may be optionally "locator aware". If they implement the
LocatorAwareinterface, they will be injected with the DI container or Service Locator attached to the Application. This can be used to pull out optional dependencies.
We've created a controller-layer plugin broker, analagous to ZF1's "action
helper" system. The idea behind this is to provide re-usable functionality
for controllers in a light-weight fashion. Unlike ZF1, these plugins will not
be workflow-aware, and will only optionally be injected with the current
controller (based on presence of a
- You can access controller plugins via method overloading. Unlike view helpers, method overloading only ever returns the plugin instance.
So, in a nutshell:
class FooController extends ActionController
public function processAction()
// Locator-awareness for pulling conditional functionality:
$form = $this->getLocator()->get('foo-form');
$post = $this->getRequest()->post()->toArray();
if ($form->isValid($post)) {
// do some processing
// Redirection via a plugin:
return $this->redirect()->toRoute('foo-success');
Working controller plugins now include:
- Url (generates URLs from a configured router)
- Redirect (updates the Response object with a redirect status code an Location header; Location URL can be either a static URL or generated from the router)
- FlashMessenger (session-based flash messages)
- Forward (dispatch an additional controller)
The last plugin enables users to dispatch an additional controller -- without
requiring a dispatch loop within the
Application::run() logic! It does,
however, require that the controller calling it be defined as
LocatorAware, so
that it can obtain the configured controller instance.
tl;dr: The Controller layer is getting a lot of good functionality.
Zend\Code refactoring
Ralph worked for several weeks on a refactoring of the
Zend\Code component.
Part of this was moving
Reflection and
CodeGenerator under that tree, as
well as ensuring the APIs were consistent across all three components (as
Zend\Code also contains the
Scanner component). This work was merged on 6
October 2011.
Part of this update also included a comprehensive annotations parser. This allows us to now scan docblocks for annotations and represent them as objects, giving rise to a number of potential new workflows for ZF2.
DI Updates
One key driver behind annotations support was to allow using annotations to hint to the DI Compiler how to create definitions. Additionally, work was done to allow creating definitions via configuration. This allows things like:
use Zend\Di\Definition\Annotation as Di;
class Foo
* @Di\Inject()
public function setEvents(EventCollection $events)
which will inform the DI container that this method should be injected at construction. Additionally, you can now do things like this:
$config['di'] = array(
'definition' => array('class' => array(
'Mongo' => array(
'__construct' => array(
'server' => array(
'required' => false,
'type' => false,
'options' => array('required' => false),
'MongoDB' => array(
'__construct' => array(
'conn' => array(
'required' => true,
'type' => 'Mongo',
'name' => array(
'required' => true,
'type' => false,
'MongoCollection' => array(
'__construct' => array(
'db' => array(
'required' => true,
'type' => 'MongoDB',
'name' => array(
'required' => true,
'type' => false,
'Blog\EntryResource' => array(
'setCollectionClass' => array(
'class' => array(
'required' => false,
'type' => false,
'instance' => array(
'Mongo' => array('parameters' => array(
'server' => 'mongodb://localhost:27017',
'MongoDB' => array( 'parameters' => array(
'conn' => 'Mongo',
'name' => 'myblogdb',
'MongoCollection' => array('parameters' => array(
'db' => 'MongoDB',
'name' => 'entries',
'Blog\EntryResource' => array('parameters' => array(
'dataSource' => 'CommonResource\DataSource\Mongo',
'class' => 'CommonResource\Resource\MongoCollection',
'CommonResource\DataSource\Mongo' => array('parameters' => array(
'connection' => 'MongoCollection',
The above will ensure that we use the provided scalar values for injection in the various constructors and setters in the definition, and still allows for object injection when required (e.g., conn, db, dataSource, connection).
tl;dr: DI has become incredibly flexible and powerful!
Cloud Infrastructure
Enrico managed to finish testing all
Zend\Cloud\Infrastructure functionality,
with both online and offline tests! This gives us great confidence in the
components (plural, as all infrastructure services also have related components
Zend\Service), and makes for a great new feature in ZF2. Enrico also
backported the Infrastructure component to ZF1's trunk, in anticipation of an
additional release on the ZF1 tree in the future.
CLI Module
Robert Basic wrote to the list about a prototype CLI
module. The basic idea is to leverage the module architecture for executing CLI
requests; routing would be performed utilizing
Zend\Console\Getopt instead of
the MVC router. Additionally, it would provide functionality for colorizing
output. Overall, a solid beginning to a potential new console component!
Both Rob Allen and Robert Basic gave presentations during the weekend of 7 - 9 October 2011, with Robert Basic giving a general overview session on ZF2 at Webkonf and Rob Allen giving a full day tutorial at PHPNW. Rob Allen's slides may be viewed online.
The Future
We have an IRC meeting this coming Wednesday, 12 Oct 2011; please post topics and/or vote on those already posted -- and make sure you're in attendance for the discussions!
Also, we'll be tagging beta1 this week, in preparation for a release during ZendCon next week. If you have feedback on the MVC or DI, please let us know ASAP!