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I've never really had an issue with any equipment other than the minor thing here or there with my old HR24,I think it was... I've been with D*TV for probably 10+ years... But yeah I would have thought they would have this fixed by now also and really only having problems with pausing myself... overall all the other functions work fine on the C31 but maybe with a slight delay compared to the HR34. I'm not sure about the C41's and don't think they are compatible with the HR34. Also nobody seems to know much about the slow issues with the C31's on here either... I don't seem to get much of a response from anyone about it anyways. Would be nice to just know that there is a fix in the works or something. I don't bother calling support since they will just tell me to reboot... I shouldn't have to reboot every couple days to have things work like they should.
Sounds like you have Dish Mike...? I've never had Dish just because of personal reasons but my in-laws have Dish HD DVR... not sure what model but there box, speed wise seems to the same as my HR34 and old HR24 and in my own opinion maybe even a little slower but could be my in-laws remote that seems to stick sometimes also...? Are you thinking about switching to D*TV that you are wondering about the speed of the HR44 and have you had D*TV in the past that you say you always had issues with the speed of the DVR's? Just wondering...
Most of my issues went away when I got rid of my HR22s. I had Dish and switched to DirecTV and was shocked at how much slower the HR22s were than my Dish Network 622s. Have you ever used the HR21/22/23s? Half the time my HR22s wouldn't respond to the remote - like may others here that were posting at the time. The HR24s are much better but still occasionally stop responding... Nothing like it used to be. As far as speed goes the HR24s are still slower than Dish.
Could be that your in-laws have a bad remote or setup. Most people here that used both Dish and DirecTV know Dish receivers are quick - response to the remote is pretty near instant etc. Scrolling through guide and lists leaves anything from DirecTV behind.. Except maybe the HR44.
I'm just trying to decide if I want to spend the money and start a 2 year deal with the HR22... I think Hotelone would be a good source to compare the speeds since he just got one and doesn't seem to be tainted!


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Harry Potter & The Sorcerer's Stone
How do you aim this low and miss?
After a fun book, a pretty good movie, and a mediocre PSone game, at what point do you say "Enough already" to the law of diminishing returns? Apparently not until the abominable remake of the first game.
It's hard to even say what's good about the game, because every attempt to get at the fun parts is like swimming to shore with lead weights on both feet. The most basic problem is that this is just a rehash of the same material that everyone who could possibly be interested in this game already knows -- only now it's acted out with third-rate voice actors standing in for the movie's cast, and a creaky, shuddery framerate afflicting all the cutscenes.
More than the cutscenes, actually -- any open area in the game features more stuttering than Professor Quirrell's speech patterns, and the character animation is awkward and robotic. Bizarre attempts at self-shadowing make half the cast look like they're wearing blackface, and the low-polygon models give rise to the question of just what the Xbox is working so hard at rendering.
You'll be seeing this sort of thing over and over again, thanks to a procession of interminable cut-scenes that act out entire swathes of dialogue from the books. It doesn't seem like much of an effort was made to present the same information in more easily digestible form, but that could be forgiven if you could just skip the things. Guess what? You can't.
That's a big problem, since you'll be restarting so often. Given the lack of an autosave after completing certain requirements, you may find yourself doing large portions of the game over again if you don't make a habit of saving regularly, especially since the collision detection is so spotty.
I don't like to accuse people I don't know of phoning it in, but honestly, the notion that a talented team of developers were giving it their all here is troubling. Even if it's just a comfortable fantasy, I prefer to believe that they knew "good enough" would be fine for a Potter game, and went to the task of making a bog-standard Zelda ripoff. Though given the number of things you have to collect -- Challenge Shields, Wizard Cards, Every Flavor Beans -- calling it a Star Fox Adventures clone might be a more apt comparison.
About the best you can say for Sorcerer's Stone is that it doesn't have any game-crippling bugs, which is faint praise indeed. Given the multiplicity of other media in which you can experience Sorceror's Stone -- the original book, the movie, hell, even the audiobook or the movie soundtrack -- it's a mystery why anyone would want such an imaginative world filtered through trappings as bad as these.
See all Harry Potter and the Sorcerer's Stone Reviews >
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You will Watch Adventure Time Season 2 Episode 11 online for free episodes with HQ / high quality. Stream cartoons Adventure Time Episode 37 Episode Description : Finn and Jake—obsessed with the notion of ninjas—await for the Ice King and Gunter to return to the kingdom, thinking that he is coming back with a stolen princess, and find the Ice King's secret sanctum. When the Ice King returns, the three have a ninja duel.
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The top golfers in the world have one more chance to bring home a major title in 2014.
This year's PGA Championship will take place at Valhalla Golf Club in Louisville, Kentucky, where Tiger Woods won his title in 2000. While the superstar will try to challenge for his first major since 2008, a loaded field will be looking to bring home a title.
While there has been a bit of a youth movement in golf, the veterans have been stepping up when it counts. None of the last three major championships have been won by first-time winners.
As a result, fans should be focused the bigger names heading into the week. Here is a breakdown of expectations for the game's top stars.
Tiger Woods
The big question heading into the PGA Championship is whether Woods will even compete. The 14-time major champion was forced to withdraw from the Bridgestone Invitational:
BREAKING: After grimacing in pain after his tee shot on No. 9, Tiger Woods has withdrawn from the @WGC_Bridgestone. pic.twitter.com/BkaouUhMwo— PGA TOUR (@PGATOUR) August 3, 2014
Jason Sobel of Golf Channel noted the specific problem:
Tiger says he pulled his back on the second hole. It's the lower part of his back. Again.— Jason Sobel (@JasonSobelGC) August 3, 2014
Bridgestone was only the third tournament Woods had competed in since undergoing back surgery, so this is something to keep an eye on. On the other hand, he has not ruled out competing at Valhalla:
THIS JUST IN: Tiger Woods' agent says Tiger has not ruled out playing in this week's PGA Championship.— SportsCenter (@SportsCenter) August 4, 2014
If Woods does compete, he has the talent to beat anyone. Even when he is not playing well, he can be accurate off the tee and drain key putts to post a low score. He is also one year removed from winning five tournaments in 2013.
Unfortunately, the one thing he has struggled with this season is his ability to keep up his strong play over the duration of a tournament. Whether it is fatigue or simply his injuries getting worse, it has been hard for him to keep up his low scores heading into the weekend.
Assuming he plays in the tournament, expect him to start off with a solid score before fading down the stretch.
Predicted Scores: 69-72-74-73
Phil Mickelson
While Phil Mickelson has had some success this year, he has failed to earn a single top-10 finish in a PGA Tour event. In the three majors, he did not finish in the top 20.
On the other hand, Golf Channel notes how well Lefty has fared at Valhalla:
Phil Mickelson is the only player to finish in the top-10 at both PGA Championships held at Valhalla. #PGAChamp pic.twitter.com/QFx3Nckllq— Golf Central (@GolfCentral) August 5, 2014
It is not an easy course for anyone, but Mickelson can get a lot of birdies thanks to his skill with approach shots. If he can consistently land his wedges close to the pin, he will be able to post some low numbers throughout the week.
Meanwhile, he will be pushed to his best in the first two rounds while playing alongside his biggest individual rival:
In next week's PGA Championship, @TigerWoods and Phil Mickelson are grouped together in the first two rounds.— Steve DiMeglio (@Steve_DiMeglio) August 1, 2014
Mickelson will not be intimidated by playing alongside Woods and will likely perform well in the opening rounds. Considering he was able to end with a 62 at the Bridgestone Invitational, he should be able to keep his momentum going.
But consistency remains a problem. Even with a strong start, he will not be able to hold on to win a title.
Predicted Scores: 68-66-73-71
Rory McIlroy
After winning The Open Championship, Rory McIlroy won the Bridgestone Invitational. It is rare for anyone to win three tournaments in a row, but the 25-year-old player has the talent to break barriers.
McIlroy has ascended back to the top spot in the world ranking and is playing as well as ever. It has all come from his drives, which have not always been accurate but recently have been extremely long.
Jonathan Wall of the PGA Tour explains how important this is for the player:
Rory McIlroy told me in June that his whole game has been based on how he drives the ball. He's led field in driving distance in two wins.— Jonathan Wall (@jonathanrwall) August 3, 2014
If he keeps this up, it is hard to imagine anyone beating him.
On the other hand, McIlroy is not ready to crown himself the champion of the upcoming tournament just yet. According to ESPN.com's Bob Harig, he explained:
Sometimes I feel that people are too quick to jump to conclusions and jump on the bandwagon and jump on certain things. I've had a great run of golf, and I've played well over the past few months.
So I'm not necessarily sure you can call that an era or the start of an era, but I'm just really happy with where my golf game is at the minute, and I just want to try and continue that for as long as possible.
The important thing is he seems to have gotten over his "second-round issue." He had a problem matching his strong performance in the first round with one in the second round until his wire-to-wire win at the British Open.
If he keeps this up, he should be able to at least contend for a title this week.
Predicted Score: 66-69-70-68
Follow Rob Goldberg on Twitter for the latest breaking news and analysis.


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The Brooks Center for the Performing Arts is the home for the performing arts at Clemson University. The state-of-the-art facility serves as a roadhouse to many nationally and internationally acclaimed dance companies, theatre troupes, and music ensembles of all types. The center is comprised of a 968-seat proscenium theatre that serves as the main stage, a 100-seat black box theatre, and a 100-seat recital room. National tours of Hairspray, Avenue Q, and H.M.S Pinafore have recently performed here. Other recent concerts include the Lincoln Center Jazz Orchestra featuring Wynton Marsalis, the Ailey II dance ensemble, pianist Lang Lang with conductor Christoph Eschenbach with the Schleswig-Holstein Festival Orchestra, the Eroica Trio, and the National Symphony Orchestra.
Academic, Theater
Outstanding! Excellent, we need more Jazz concerts like this, top quality musicians, all of them. The trio was almost better than the entire band together.
The staff was friendly and very helpful. The performance was amazing. I am definitely planning on going to another performance at the Brooks Center
Dr. Hrabowski's presentation was excellent! I enjoyed his down-to-earth demeanor. He presented the crowd with a lot of food for thought. He was an excellent choice!
The concert was unbelievably fantastic. The singing group as a whole performed with quality and passion. The special instrumental guests seemed to enjoy themselves and play to perfection. The student soloists added much through excellent performances. I recommend any concert of the Clemson University Singers. The next opportunity to hear them is December 7 at 7 pm at Holy Trinity Episcopal Church in Clemson.
Great evening and discussion with Clemson family
Exceptional concert. Please include more venues similar.
I only wish it could have been longer. Boone shared a great deal of interesting information and advice. I was so glad I was able to see him.
Terrific event! Great advice that can apply to all!
Great set of shows, hilarious, thought provoking, and moving. It was so hard to believe they were student directed.
What can I say other than fantastic. The fact that there were empty seats for this performance was the only disappointing aspect of this performance.
141 Jersey Lane, Clemson University, Clemson, SC 29634, USAEnlarge Map
The Brooks Center is located at the intersection of Perimeter and Cherry roads on the Clemson University campus.
Visitors to the Brooks Center may park in the lot directly east of the building. Orange painted parking spaces are available for all visitors, beginning at 6:00 p.m. White painted parking spaces (Patron's Row) are reserved for donors who annually give at the $500-level or above. Please note that towing commences two hours before each event for any unauthorized vehicle parked in a white space.


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Martinez Gets OT Winner In Kings' 3-2 Victory Over ColumbusDrew Doughty scored the tying goal with 5:57 left in regulation for the Kings.
Martinez OT Goal Lifts Kings Past Blue Jackets, 3-2Christian Ehrhoff and Jeff Carter also scored and Jonathan Quick had 21 saves for the Kings, who won their fifth straight and improved to 6-0-1 in their past seven games.
Carter, King Each Have Goal And Assist In Kings' Win Over Blue JacketsJeff Carter and Dwight King each had a goal and an assist, and Jonathan Quick stopped 23 shots to lead the Los Angeles Kings past the Columbus Blue Jackets 4-3 on Monday night.
Kings Sweep Homestand With 5-2 Win Over Blue JacketsJeff Carter scored during a two-man advantage in Los Angeles' three-goal second period, and the Kings completed a sweep of their six-game homestand with a 5-2 victory over the Columbus Blue Jackets on Sunday.
Anaheim Ducks Beat Blue Jackets, 4-1, For Their 7th Straight WinCorey Perry and defenseman Sami Vatanen scored power-play goals in the first period, and the Anaheim Ducks beat the Columbus Blue Jackets 4-1 on Friday night for their seventh consecutive victory.
Kings Enter Olympic Break With OT Win Over Blue JacketsJonathan Quick beat fellow Olympic goaltender Sergei Bobrovsky with 24 saves, Jake Muzzin scored the tying goal early in the third period and Robyn Regehr got the game-winner 2:33 into overtime to help the Los Angeles Kings beat the Columbus Blue Jackets 2-1 on Thursday night.
Foligno's Pair Of Goals Helps Blue Jackets Defeat Ducks, 4-2Sergei Bobrovsky made 34 saves, Nick Foligno scored twice in the third period and the Columbus Blue Jackets also got goals from Ryan Johansen and R.J. Umberger in a 4-2 victory over the Anaheim Ducks on Monday night.
Umberger's Pair Of Goals Lifts Blue Jackets Past Kings, 5-3R.J. Umberger scored twice to lead the Columbus Blue Jackets to their franchise-record seventh straight win, a 5-3 victory Tuesday night over the Los Angeles Kings.
Ducks Survive Blue Jackets 4-3Corey Perry scored with 2:25 remaining in the third period on Sunday night and the Anaheim Ducks edged Columbus 4-3, ending Blue Jackets' three-game winning streak.
Ducks Lose 3-2 To Jackets In Overtime Fedor Tyutin scored 2:19 into overtime, and the Columbus Blue Jackets won their fifth straight game and moved into eighth place in the Western Conference with a 3-2 victory over the Anaheim Ducks on Wednesday night.
Ducks Beat Blue Jackets 3-2 For 5th Straight WinPeter Holland and Ryan Getzlaf scored 21 seconds apart in the first period, rallying the Anaheim Ducks to their fifth consecutive victory, 3-2 over the NHL-worst Columbus Blue Jackets on Monday night.
Kings Get Back In Win Column, Beat JacketsDustin Brown scored on a redirect midway through the third period and Jonathan Quick had 24 saves to lead Los Angeles to a 2-1 win over the Columbus Blue Jackets on Thursday night, ending the Kings' five-game skid and giving interim coach John Stevens his first victory.


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Great! and the topper was "Sheldon"'s comment.
Great! and the topper was "Sheldon"'s comment.
I believe the writers are finally back on their game. Tonight's show reminded me why I never miss an episode. Amy and Bernadette were so funny tonight, but I could see it happen in real life. Did anyone else notice Sheldon's shirt....the Flash
There's no place like home!
This was an *excellent* episode tonight. We were laughing so hard...between the bikini wax (and Sheldon and Amy in the backseat..."what a lot of bandaids"), the white board in the parking lot, the nudity (on the couch and in the car), and Penny's broken nose and black eyes...it was hysterical. The writers were definitely "on" tonight.
Thank God for DVR b/c I missed it. Had to go shopping for an outfit for a christmas party tonight for the hubby. Would have rathered been home watching the show as he was worse than shopping with a teenage girl
I can only please one person a day, today is not your day and tomorrow doesn't look good either
It was actually quite a "blue" episode for TBBT. I was just thinking before I watched it how different it was from 2 and a Half Men ... especially after the comments from the actor who plays the "half", and then it wasn't that different!
As democracy is perfected, the office of president represents, more and more closely, the inner soul of the people. On some great and glorious day the plain folks of the land will reach their heart's desire at last and the White House will be adorned by a downright moron. - H.L. Mencken .
Penny, 'melted crayons and duct tape" OMG OMG funniest episode ever!!!!
The back-and-forth between Sheldon and Howard bored me a bit, but I absolutely LOVE this relatively new side of Bernadette. Innocence, with a smirk and a twist!
All magic comes with a price - Rumpelstiltskin


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This official album from Curren$y titled Muscle Car Chronicles was released on February 14, 2012 via DD172. Produced by Curren$y, Damon Dash and Sean O'Connell.
1. Soundbombin'
3. Frosty
4. Razors & Chopsticks
5. Not So Much
6. Fly Out (Part Deux)
7. Bout It 2011
8. The Strangest Life
9. Fly Out (Part Tres) (feat. Sir Michael Rocks and Tabi Bonney)


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I learn a lot when I watch the videos on OrganicNation.tv. One thing I want to learn more about, but it's not at the top of my list is biodynamic farming. This short video, filmed at Frog Hill Farm in Port Townsend, Washington, gives just a few of the basics to help you start to wrap your mind around this farming practice.
Heard of biodynamic farming?
Biodynamics is often misunderstood. This short video gives some basic facts.


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Certificate IV in Business Administration
Certificate IV
|Mid Year Intake?
|Study Mode
|Entry Requirements
|Distance Education
No minimum education
Course Description
This qualification is part of the Business Services Training Package. It reflects the role of individuals who use well-developed administrative skills and a broad knowledge base in a wide variety of administrative contexts in a supervisory role. Individuals will learn how to develop good business networks and relationships, implement plans and projects, and promote improvement and innovation in the workplace continuously. They may provide leadership and guidance to others with some limited responsibility for the output of others.
Subjects you can Study
Electives: Produce complex texts from shorthand notes; Organise business travel; Prepare financial reports; Design and develop complex text documents; Produce complex desktop published documents; Administer projects; Coordinate business resources; Address customer needs; Undertake marketing activities; Analyse and present research information; plus more.
About CQUniversityCQUniversity Australia has one of the largest and fastest-growing footprints of any university in Australia. Already renowned as one of the nation's most inclusive universities, CQUniversity is now also a more comprehensive university following the merger with CQ TAFE in 2014. They have opened the doors wider, making university more accessible and applicable to more people.
Students can choose from hundreds of education and training options across a variety of study areas, including Apprenticeships, Trades and Training, Business, Accounting and Law, Creative, Performing and Visual Arts, Education and Humanities, Engineering and Built Environment, Health, Information Technology and Digital Media, Psychology, Social Work and Community Services, Science and Environment and Work and Study Preparation.
Students can study on-campus at one of the many locations around Australia, or by distance education and benefit from ongoing support and access to dedicated Distance Education Study Centres and hubs located across Australia.
The programs and courses are designed alongside industry, to prepare students with up-to-date, work-ready knowledge and skills.
Provider CRICOS: 00219C RTO code: Uni; 40939
Certificate IVCourse code: BSB40515
Distance Education
- External
10 units: 10 elective
Entry Requirements
No minimum education
Life after Study
Related Careers
Administrative Assistant
Administrative assistants perform a range of administrative tasks in an organisation.
Office Administrator
Office administrators undertake a range of functions to make sure the administration activities within an organisation run smoothly. They may be responsible for the management of human resources, budgets, accommodation and property facilities and records. These functions can be performed at various levels ranging from junior through to upper management.
Secretaries assist professionals, managers and executives by performing clerical and secretarial duties.


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One Way Out
Release Date: January 1st, 2002
R|1 hr. 38 min.
Plot Summary
Casino owners order a policeman (James Belushi) posing as a hit man to kill a married woman who happens to be his lover.
Cast: James Belushi, Jason Bateman, Angela Featherstone, Guylaine St. Onge, Jack Langedijk, Romano Orzari, Danny Wells, Larry Day
Directors: Sean Dwyer , Allan A. Goldstein
Genres: Thriller


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Chicken and Vegetable Lo Mein
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A frozen meal starter makes quick work of an Asian-inspired favorite. Dinner's ready in 20 minutes.
Try this Asian-inspired chicken over chow mein noodles. Or, to add fiber, use instant brown rice.
Frozen breaded chicken tenders can be used in place of chicken nuggets. Tenders are longer and more slender than nuggets.
For dessert, serve fortune cookies and ginger tea.
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HourlyHours to be determined
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I am looking for an assistant who can do fast work with 100% accuracy and go above and beyond when needed. This person needs to be available at short notice and work to my timezone. The jobs are reasonably simple but in big amounts. I want to explain a job and know that my assistant gets it and i won't be bombarded with 1000 questions every time. I have huge amounts of work and for the right person there is great long term work a plus is unlimited skype however not essential. I need this job filled asap as i have a simple but big job needing completion by 30/6.
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New Kids deliver the right stuff for fans
Every once in a great while, there are musical artists, visionaries, who grace a stage and inspire — by blasting off a few dozen pelvic thrusts as flamethrowers fire off behind them.
New Kids on the Block was that special band at the Marcus Amphitheater on Tuesday night. »Read Full Article
New CDs in stores this week
■Aidan Knight, "Small Reveal" (Outside Music). Canadian band named after one of its members decamps to a cabin in British Columbia, returns with 15 songs with widescreen tendencies and smart instrumental arrangements on a disc getting a delayed U.S. release.
■Kyle Andrews, "Brighter Than the Sun" (Elephant Lady). Nashville electro-pop artiste continues to find the pop hooks and production sheen inside the quirks of his chosen form on his latest LP. »Read Full Article
Three Milwaukee artists to compete in world's largest art competition
Anytime 400,000 people become actively engaged in a dialogue about art, someone, somewhere is doing something right. ArtPrize, described as a "radically open" international art competition, takes place each fall in Grand Rapids, Michigan.
Today, the organization announced its final list of artists for its fifth art festival. Three are from Milwaukee. A total of 1,524 entries representing 47 countries and 45 states will show work at 169 venues. The artists and venues "met" via the online dating-like system that ArtPrize sets up. It's curating by crowd sourcing. »Read Full Blog Post(4)
John Legend to play Riverside Theater Nov. 18
R&B crooner John Legend will perform at the Riverside Theater at 7 p.m. Nov. 18.
The show is part of Legend's "Made to Love" North American tour, which was announced Monday afternoon. Tamar Braxton opens. »Read Full Article
Carson's downtown opens for lunch
Carson's, the steak and rib restaurant that began serving dinner at 301 W. Juneau Ave. in late June, has begun serving lunch.
The restaurant now opens daily at noon, serving the lunch menu until 4 p.m. »Read Full Blog Post
On Tap for Today: Brewers, Yard Dog Charlie and Springsteen on screen
Welcome to the promise of a new week.
Seriously. »Read Full Blog Post


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Yesterday i took out my earring to get my piercing cleaned in the shower but i had problems getting my earring back in (due to the small size of my piercing) and it led to an infection. =(


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(This story first ran at PressConnects.com) BALTIMORE — At 26 years old, UFC light-heavyweight champion Jon Jones admits it is difficult even for him to realize he could soon be considered the best fighter in the history of mixed martial arts. But it's a reality (…)
Dana White believes Ronda Rousey is ready for a comeback sooner rather than later. read news >>
If Conor McGregor wins the lightweight championship at UFC 205 in New York, he would become a two-division champion. If so, it could be a short reign. read news >>
After a week of speculation over the UFC 205 main event, including UFC President Dana White tweeting Khabib Nurmagomedov was next up for lightweight champ Eddie Alvarez, the promotion surprised every read news >>
So what do we really know when Dana White says that Ronda Rousey "absolutely, positively" wants to fight Cris Cyborg? read news >>
According to Dana White, former champ Ronda Rousey is looking to throw down with longtime rivalCris"Cyborg" Justino.Ronda Rousey is alreadyguaranteed an immediate title shotif and when she read news >>
If Conor McGregor wins a second belt in November, Dana White has said he'll then have give one up. McGregor doesn't plan on following that script. read news >>
UFC president Dana White confirmed on Tuesday that lightweights Khabib Nurmagomedov and Michael Johnson has been finalized. read news >>
UFC President Dana White joins Jim and Matt in studio for the whole show to discuss UFC 205 matchmaking, the results from UFC Fight Night: Cyborg vs. Lansberg, Roy Nelson kicking Big John McCarthy, a read news >>
Former women's bantamweight champion Ronda Rousey, UFC President Dana White and UFC CEO Ari Emanuel all made Sporting News' list of the 50 most influential people in sports for 2016. read news >>
UFC lightweight contender Nate Diaz has called out president Dana White, as well as lightweight champion Eddie Alvarez and featherweight king Conor McGregor following the announcement the two will me read news >>


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Leather furniture is a popular choice for waiting room and executive office seating, as it provides an immediate sense of luxury, style, and quality. Fortunately, the modern Mayline Santa Cruz Series Leather Loveseat with Contoured Arms is just as eye-catching as it is comfortable, treating guests to top-grain leather upholstery over deeply cushioned seats. With a solid hardwood frame, this stylish loveseat is sure to last.
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Created for my argyle-crazed friend's 40th birthday. 6" & 9" white chocolate cake with lemon curd, covered with MFF. The flower and accents were made from modelling chocolate. TFL!
CakeCentral.com is the world's largest cake community for cake decorating professionals and enthusiasts.
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Dr. Man graduated from the Medical College of Wisconsin School of Medicine in 1988. He works in San Francisco, CA and 1 other location and specializes in Gastroenterology and Internal Medicine. Dr. Man is affiliated with California Pacific Medical Center California Campus, Chinese Hospital, Saint Francis Memorial Hospital, Saint Marys Medical Center, San Francisco General Hospital Medical Center and UCSF Medical Center Parnassus.View More
Gastroenterology, Internal Medicine
Medical School: Medical College of Wisconsin School of Medicine; Graduated 1988
Please verify insurance information directly with your doctor's office as it may change frequently.
*This physician has multiple office locations. See Office Information for details.
450 Sutter St RM 1203
San Francisco, CA 94108
450 Sutter St RM 1203
San Francisco, CA 94108
1199 Bush St Ste 620
San Francisco, CA 94109
1001 Potrero Ave Ste 3D
San Francisco, CA 94110
1001 Potrero Ave Ste 3D
San Francisco, CA 94110


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52 search results for Mr Magic
Listen: Snoop Dogg laments loss of Mr. Magic, Tupac Shakur on new track, 'Heaven'
Type: Post | Date: Friday, Mar 8, 2013Loping tune inspired by loss of his No Limit labelmate
Magic Mike - Girls go wild when Mr. Magic Mike takes on stage
Type: Video | Date: Monday, Jun 25, 2012Girls go wild when Mr. Magic Mike (Channing Tatum) takes on stage in this movie clip from 'Magic Mike'
'Saving Mr. Banks' production designer Michael Corenblith on bringing the world of Disney to life
Type: Post | Date: Monday, Dec 30, 2013Part of the magic of the movie is its recreation of a time and place
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Type: Post | Date: Tuesday, May 5, 2015Bill Condon reteams with the star of his 1998 drama 'Gods and Monsters'
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Type: Event | Date: Tuesday, Oct 30, 2012Cee Lo's Holiday Album
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Type: Post | Date: Sunday, May 5, 2013This episode is all about Neverland, but it may not be the place you recall
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Type: Article | Date: Monday, Apr 8, 2013Adaptation of bestselling novel about magic returning to England
Review: The 'Mr. Show' gang reunites for Netflix's 'W/ Bob & David'
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Firefly Music Festival 2014 includes Outkast, Foo Fighters, Imagine Dragons
Type: Article | Date: Tuesday, Jan 14, 2014Jack Johnson, Tegan and Sara, Band of Horses and Childish Gambino also on the lineup


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We are about 15 days into the new year of 2011 and in the Road to Wrestlemania for WWE. 2010 was not necessarily a bad year for wrestling, but what started out as good ideas have all turned to crap.
I have compiled a list of 10 ideas that could make 2011 a year to remember in WWE.
So enjoy and don't forget to comment and give me some feedback.


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Most Cited Anaerobe Articles
The most cited articles published since 2011, extracted from Scopus.
Microbiota profile in feces of breast- and formula-fed newborns by using fluorescence in situ hybridization (FISH)Eugenia Bezirtzoglou | Arsenis Tsiotsias | Gjalt W. Welling
Volume 17, Issue 6, December 2011, Pages 478-482
The development of the gut is controlled and modulated by different interacting mechanisms such as, genetic endowment, intrinsic biological regulatory functions, environment influences and last but no least, the diet influence. Considered together with other endogenous and exogenous factors the type of feeding may interfere greatly in the regulation of the intestinal microbiota. During the last years molecular methods offer a complementarity to the classic culture-based knowledge. FISH has been applied for molecular evaluation of the microbiota in newborns delivered by vaginal delivery. Eleven probes/probe combinations for specific groups of faecal bacteria were used to determine the bacterial composition in faecal samples of newborns infants under different types of feeding. Breast-fed infants harbor a fecal microbiota by more than two times increased in numbers of Bifidobacterium cells when compared to formula-fed infants. After formula-feeding. , Atopobium was found in significant counts and the numbers of Bifidobacterium dropped followed by increasing numbers in Bacteroides population. Moreover, under formula feeding the infants microbiota was more diverse. © 2011 Elsevier Ltd.
Quorum sensing in biofilms - How to destroy the bacterial citadels or their cohesion/power?Veronica Lazar
Volume 17, Issue 6, December 2011, Pages 280-285
Biofilms or microbial communities formed by adherent and cohesive cells on cellular or inert substrata (like medical devices), are involved in ~60% of all infections and characterized by moderate intensity symptoms, chronic evolution and resistance to antibiotics. Biofilms' pathogenicity, even of those formed by opportunistic microorganisms, is amplified by two major biofilm characteristics: 1) the increased resistance to antimicrobials; 2) the protection of cells against the host's defence mechanisms. The studies at the molecular level shown that the biofilms formation is controlled by cell-to-cell signalling mechanisms and the gene regulation during biofilm growth is due to the accumulation of signal molecules. In this regard, quorum sensing mechanism (QS) is defined as a cell-density dependent bacterial intercellular communication, involved in gene expression (e.g. virulence genes for exoenzymes, exopolysaccharides) and the consequent changed behaviour of biofilm's cells, including the resistance to stress conditions; this resistance is different of well known antibioresistance, being named phenotypical resistance or tolerance. Considering the differences in physiology and susceptibility to antibiotics of biofilm embedded bacteria, as well as their increased power against the host defence responses, there are necessary new strategies for prevention and therapy of biofilm associated infections. The dental plaque is a typical example of biofilm, involved in the ethiology of cariogenesis and periodontal diseases associated with local chronic inflammation and cytokines production. The genetical and phenotypical versatility of the biofilm's cells represent a challenge for discovering new methods of treatment and prevention of biofilm associated infections. A novel class of antibiofilm and antipathogenic therapeutics which are interfering with a new target - the QS pathway, not based on growth inhibition and called QS inhibitors, natural, with different origins or artificial, are now developing as an alternative to antibiotherapy. © 2011.
Tests for the diagnosis of Clostridium difficile infection: The next generationKaren C. Carroll
Volume 17, Issue 4, August 2011, Pages 170-174
Clostridium difficile (C. difficile) causes 25-30% of cases of antibiotic associated diarrhea and most cases of pseudomembranous colitis. Patients presenting with diarrhea after hospitalization for 3 or more days should be tested for C. difficile. There are many options available for testing, each of which has inherent advantages and disadvantages. Most laboratories perform toxin testing using an enzyme immunoassay method. In general these tests have sensitivities ranging from 60 to 70% and specificities of 98%. When using these methods, symptomatic patients with negative tests should be tested by another more sensitive method. Until recently, cell culture cytotoxicity neutralization assays (CCNAs) were considered the gold standard in the U.S. A two-step algorithm using an EIA for glutamate dehydrogenase detection followed by testing positives using CCNA, offered an improved alternative until the availability of molecular assays. Although early studies that compared the GDH assay to CCNA demonstrated high sensitivity and negative predictive values, more recent comparisons to toxigenic culture and PCR have shown the sensitivity to be in the mid to high 80's. When testing using a sensitive assay, repeat testing is not cost-effective. Outbreaks caused by a toxin variant epidemic strain have renewed interest in bacterial culture. Toxigenic culture has emerged as the new gold standard against which newer assays should be compared. However, there is no agreed upon standard method for culture performance. At least 4 FDA cleared nucleic acid amplification assays are available to clinical laboratories and several of these have been well evaluated in the literature. Because these assays detect a gene that encodes toxin and not the toxin itself it is important that laboratories test only patients with diarrhea. These molecular assays have been shown to be superior to toxin EIAs, CCNA and 2-step algorithms, but not to toxigenic culture. More studies are needed to assess the impact of molecular tests on treatment and nosocomial spread of Clostridium difficile infections. © 2011 Elsevier Ltd.
Burden of emerging anaerobes in the MALDI-TOF and 16S rRNA gene sequencing eraBernard La Scola | Pierre Edouard Fournier | Didier Raoult
Volume 17, Issue 3, June 2011, Pages 106-112
The isolation of anaerobes from patients has declined in recent years, whereas their detection by molecular techniques has increased. In the present work, we analyzed the application of matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) and 16S rRNA gene sequencing to routine identification of anaerobes in clinical microbiology laboratory. We identified 544 isolates of 79 species by routine culture from deep samples in our hospital. MALDI-TOF MS allowed identification of 332 isolates (61%). The remaining 212 (39%) were identified by 16S rRNA gene sequencing, allowing identification of 202 at the species level. The most common anaerobes were Propionibacterium spp. (12%), Finegoldia magna (4%), Fusobacterium spp. (6%) and Bacteroides spp. (6%). However, among the 79 identified species, seven were new species or genera, including two Prevotella conceptionensis, a species previously detected by our team by amplification and sequencing, five Anaerococcus sp. and one Prevotella sp. Beyond the identification of these new species, we also identified several uncommon or previously not described associations between species and specific pathologic conditions. MALDI-TOF MS-based identification, which will become more effective with future spectra database improvement, will be likely responsible of a burden of emerging anaerobes in clinical microbiology. © 2011 Elsevier Ltd.
Life-threatening clostridial infectionsDennis L. Stevens | Michael J. Aldape | Amy E. Bryant
Volume 18, Issue 2, April 2012, Pages 254-259
Life-threatening soft tissue infections caused by . Clostridium species have been described in the medical literature for hundreds of years largely because of their fulminant nature, distinctive clinical presentations and complex management issues. The . Clostridium species . perfringens, septicum and . histolyticum are the principal causes of trauma-associated gas gangrene and their incidence increases dramatically in times of war, hurricanes, earthquakes and other mass casualty conditions. Recently, there has also been an increased incidence of spontaneous gas gangrene caused by . Clostridium septicum in association with gastrointestinal abnormalities and neutropenia. Similarly, over the last 15 years there has been increased recognition of a toxic shock-like syndrome associated with . Clostridium sordellii in individuals skin-popping black tar heroin, in women undergoing childbirth or other gynecologic procedures including medically-induced abortion. Like their cousins . Clostridium tetanus and . Clostridium botulinum, the pathogenesis of these clostridial infections is largely the consequence of potent exotoxin production. Strategies to inhibit toxin production, neutralize circulating toxins and prevent their interaction with cells of the innate immune response are sorely needed. Recent studies have elucidated novel targets that may hold promise for newer therapeutic modalities. © 2011 .
Invitro fermentation and prebiotic potential of novel low molecular weight polysaccharides derived from agar and alginate seaweedsPriya Ramnani | Roberto Chitarrari | Kieran Tuohy | John Grant | Sarah Hotchkiss | Kevin Philp | Ross Campbell | Chris Gill | Ian Rowland
Volume 18, Issue 1, February 2012, Pages 1-6
Fermentation properties and prebiotic potential of novel low molecular weight polysaccharides (LMWPs) derived from agar and alginate bearing seaweeds was investigated. Ten LMWPs were supplemented to pH, temperature controlled anaerobic batch cultures inoculated with human feces from three donors, in triplicate. Microbiota changes were monitored using Fluorescent in-situ hybridization and short chain fatty acids, the fermentation end products were analysed using gas chromatography. Of the ten LMWPs tested, Gelidium seaweed CC2253 of molecular weight 64.64KDa showed a significant increase in bifidobacterial populations from log 10 8.06 at 0h to log 10 8.55 at 24h (p=0.018). For total bacterial populations, alginate powder CC2238 produced a significant increase from log 10 9.01 at 0h to log 10 9.58 at 24h (p=0.032). No changes were observed in the other bacterial groups tested viz. Bacteroides, Lactobacilli/Enterococci, Eubacterium rectale/Clostridium coccoides and Clostridium histolyticum. The polysaccharides also showed significant increases in total SCFA production, particularly acetic and propionic acids, indicating that they were readily fermented. In conclusion, some LMWPs derived from agar and alginate bearing seaweeds were fermented by gut bacteria and exhibited potential to be used a novel source of prebiotics. © 2011 Elsevier Ltd.
Archaea as emerging organisms in complex human microbiomesBédis Dridi | Didier Raoult | Michel Drancourt
Volume 17, Issue 2, April 2011, Pages 56-63
In this work, we review the state of knowledge of Archaea associated with the human microbiome. These prokaryotes, initially discovered in extreme environments, were named Archaea because these environments were thought to be the most primitive on Earth. Further research revealed that this terminology is misleading because these organisms were later found in various non-extreme environments, including the human host. Further examination of the human microbiome has enabled the isolation of three archaeal species, Methanobrevibacter smithii, Methanosphaera stadtmanae and Methanobrevibacter oralis, which are associated with oral, intestinal and vaginal mucosae in humans. Moreover, molecular studies including metagenomic analyses detected DNA sequences indicative of the presence of additional methanogenic and non-methanogenic Archaea in the human intestinal tract. All three culturable Archaea are strict anaerobes, although their potential role in human diseases remains to be established. Future research aims to detect and culture additional human mucosa-associated Archaea and to look for their presence in additional human tissues, to establish their role in human infections involving complex flora. © 2011 Elsevier Ltd.
Microbiology of regressive autismSydney M. Finegold | Julia Downes | Paula H. Summanen
Volume 18, Issue 2, April 2012, Pages 260-262
This manuscript summarizes some of our earlier work on the microbiology of autism subjects' stool specimens, as compared with stools from control subjects. Our most recent data indicating that . Desulfovibrio may play an important role in regressive autism is also presented. In addition, we present information on antimicrobial susceptibility patterns of . Desulfovibrio using the CLSI agar dilution susceptibility technique. In addition, we summarize data from our earlier studies showing the impact of various antimicrobial agents on the indigenous bowel flora. This shows that penicillins and cephalosporins, as well as clindamycin, have a major impact on the normal bowel flora and therefore might well predispose subjects to overgrowth of such organisms as Clostridium difficile, and of particular importance for autism, to . Desulfovibrio. © 2011 .
Update on resistance of Bacteroides fragilis group and related species with special attention to carbapenems 2006-2009D. R. Snydman | N. V. Jacobus | L. A. McDermott | Y. Golan | E. J C Goldstein | L. Harrell | S. Jenkins | D. Newton | C. Pierson | J. Rosenblatt | R. Venezia | S. L. Gorbach | A. M. Queenan | D. W. Hecht
Volume 17, Issue 4, August 2011, Pages 147-151
The susceptibility trends for the species of the Bacteroides fragilis group against various antibiotics were determined using data from 4 years [2006-2009] on 1957 isolates referred by 8 medical centers participating in a National Survey for the Susceptibility of B. fragilis. The antibiotic test panel included doripenem, ertapenem, imipenem, meropenem, ampicillin:sulbactam, piperacillin:tazobactam, cefoxitin, clindamycin, moxifloxacin, tigecycline, chloramphenicol and metronidazole. MICs were determined using agar dilution methods following CLSI recommendations. Genetic analysis of isolates from 2008 with elevated MICs (>2 μg/mL) to one or more of the carbapenems to detect presence of the cfiA gene was performed using PCR methodology.The results showed an increase in the resistance rates to the β-lactam antibiotics. High resistance rates were seen for clindamycin and moxifloxacin (as high as 60% for clindamycin and >80% for moxifloxacin), with relatively stable low resistance (5.4%) for tigecycline. For carbapenems, resistance in B. fragilis was 1.1%-2.5% in 2008-9. One isolate resistant to metronidazole (MIC 32 μg/mL) was observed as well as isolates with elevated MICs to chloramphenicol (16 μg/mL). Genetic analysis indicated that the cfiA gene was present in some but not all of the isolates with high MICs to the carbapenems.These data indicate that there continue to be changes in susceptibility over time, and that resistance can be seen among the carbapenems. High antibiotic resistance rates tend to be associated with specific species. © 2011 Elsevier Ltd.
Antimicrobial effect of linalool and α-terpineol against periodontopathic and cariogenic bacteriaSoon Nang Park | Yun Kyong Lim | Marcelo Oliveira Freire | Eugene Cho | Dongchun Jin | Joong Ki Kook
Volume 18, Issue 3, June 2012, Pages 369-372
Linalool and α-terpineol exhibited strong antimicrobial activity against periodontopathic and cariogenic bacteria. However, their concentration should be kept below 0.4 mg/ml if they are to be used as components of toothpaste or gargling solution. Moreover, other compounds with antimicrobial activity against periodontopathic and cariogenic bacteria should be used in combination. © 2012.
Interpreting the epidemiology and natural history of bacterial vaginosis: Are we still confused?Jeanne M. Marrazzo
Volume 17, Issue 4, August 2011, Pages 186-190
Bacterial vaginosis (BV) is a common cause of vaginitis and increases women's risk of pelvic inflammatory disease, adverse pregnancy outcomes, and risk of STD/HIV acquisition. The etiology of BV is unclear, though it is believed to involve loss of vaginal hydrogen peroxide-producing lactobacilli and acquisition of complex bacterial communities that include many fastidious BV-associated bacteria (BVAB) that have recently been detected using PCR methods. Treatment failure (persistence) is common, and may be facilitated by unprotected sex. Potential contributions to BV and BV persistence include (1) sexual partners as a reservoir for BVAB; (2) specific sexual practices, including male partners' condom use; and (3) the composition of the vaginal microbiota involved in BV. Specific BVAB in the Clostridiales order may predict BV persistence when detected pre-treatment, and have been detected in men whose female partners have BV. BVAB may be associated with unprotected sexual behavior and failure of BV to resolve in women, supporting the hypothesis that BVAB colonization of male genitalia may serve as a reservoir for re-infection of female partners. Moreover, specific sexual practices may favor vaginal colonization with certain BVAB that have been associated with persistence. This review provides background on BV, and discusses the epidemiologic and microbiologic data to support a role for acquisition of BVAB and how this process might differ among subsets of women. © 2011 Elsevier Ltd.
Fecal microbiome transplantation for recurrent Clostridium difficile infection: Report on a case seriesTimothy A. Rubin | Charles E. Gessert | Johannes Aas | Johan S. Bakken
Volume 19, Issue 1, February 2013, Pages 22-26
Background: Clostridium difficile infection (CDI) continues to increase in incidence and severity, and was the most common nosocomial infection in the USA in 2010. Most cases of CDI respond to a standard course of antibiotics, but recurrent C. difficile infection (RCDI) has become increasingly frequent, and alternative treatments are needed. We examined the efficacy of fecal microbiota transplantation (FMT) instilled into the upper gastrointestinal tract for RCDI. Materials and methods: The medical records for all patients treated with FMT during a 9-year period at a single institution in northern Minnesota were reviewed retrospectively. Eighty-nine FMT courses were provided by nasogastric tube to 87 patients, and demographic and clinical data were abstracted, including details of treatments prior to FMT, rate of FMT treatment success and clinical course during a 60-day post FMT follow up period. Fourteen FMT courses failed to meet criteria for inclusion. Results: Each patient served as his or her own control, having failed standard treatment. After exclusions, the case series included 75 FMT courses administered to 74 patients. Fifty-nine FMT courses resulted in clinical resolution of diarrhea for a primary cure rate of 79%. Diarrhea relapsed following 16 FMT courses; in 9 of these cases diarrhea subsequently resolved after a single course of vancomycin. No adverse events were noted. Conclusions: Our findings parallel findings from other studies when FMT has been provided via the upper GI tract, and suggest that patients with recurrent CDI may resolve diarrhea by introducing stool from healthy donors into the upper GI tract via nasogastric tube. © 2012 Elsevier Ltd.
In vitro evaluation of the antimicrobial activity of a range of probiotics against pathogens: Evidence for the effects of organic acidsSandra Tejero-Sariñena | Janine Barlow | Adele Costabile | Glenn R. Gibson | Ian Rowland
Volume 18, Issue 5, October 2012, Pages 530-538
The aim of this study was to investigate the antimicrobial properties of fifteen selected strains belonging to the Lactobacillus, Bifidobacterium, Lactococcus, Streptococcus and Bacillus genera against Gram-positive and Gram-negative pathogenic bacteria.In vitro antibacterial activity was initially investigated by an agar spot method. Results from the agar spot test showed that most of the selected strains were able to produce active compounds on solid media with antagonistic properties against Salmonella Typhimurium, Escherichia coli, Enterococcus faecalis, Staphylococcus aureus and Clostridium difficile. These results were also confirmed when cell-free culture supernatants (CFCS) from the putative probiotics were used in an agar well diffusion assay. Neutralization of the culture supernatants with alkali reduced the antagonistic effects. These experiments are able to confirm the capacity of potential probiotics to inhibit selected pathogens. One of the main inhibitory mechanisms may result from the production of organic acids from glucose fermentation and consequent lowering of culture pH. This observation was confirmed when the profile of organic acids was analysed demonstrating that lactic and acetic acid were the principal end products of probiotic metabolism.Furthermore, the assessment of the haemolytic activity and the susceptibility of the strains to the most commonly used antimicrobials, considered as basic safety aspects, were also studied.The observed antimicrobial activity was mainly genus-specific, additionally significant differences could be observed among species. © 2012 Elsevier Ltd.
Diet, the human gut microbiota, and IBDGary D. Wu | Frederic D. Bushmanc | James D. Lewis
Volume 24, Issue , December 2013, Pages 117-120
The human gut contains a vast number of microorganisms known collectively as the "gut microbiota". Despite its importance in maintaining the health of the host, growing evidence suggests the gut microbiota may also be an important factor in the pathogenesis of various diseases, a number of which have shown a rapid increase in incidence over the past few decades. Factors including age, genetics, and diet may influence microbiota composition. We used diet inventories and 16S rDNA sequencing to characterize fecal samples from 98 individuals. Fecal communities clustered into previously described enterotypes distinguished primarily by levels of Bacteroides and Prevotella. Enterotypes were associated with long-term diets, particularly protein and animal fat (Bacteroides) vs. simple carbohydrates (Prevotella). Although the distinction of enterotypes as either discrete clusters or a continuum will require additional investigation, numerous studies have demonstrated the co-exclusion of the closely related Prevotellaceae and Bacteroides genera in the gut microbiota of healthy human subjects where Prevotella appears to be a discriminatory taxon for residence in more agrarian societies. Ultimately, the impact of diet on the human gut microbiota may be an important environmental factor involved in the pathogenesis of disease states that show a rapidly increasing incidence in industrialized nations such as the inflammatory bowel diseases (IBD). © 2013.
Climate changes, environment and infection: Facts, scenarios and growing awareness from the public health community within EuropeChristos Bezirtzoglou | Konstantinos Dekas | Ekatherina Charvalos
Volume 17, Issue 6, December 2011, Pages 337-340
Climate change is a current global concern and, despite continuing controversy about the extent and importance of causes and of its effects, it seems likely that it will affect the incidence and prevalence of both residual and imported infections in Europe. Climate affects mainly the range of infectious diseases, whereas weather affects the timing and intensity of outbreaks. Climate change scenarios include a change distribution of infectious diseases with warming and changes in outbreaks associated with weather extremes. The largest health impact from climate change for Europe doesn't come from vector borne infectious diseases. This does not mean that these types of health impacts will not arise in Europe. The ranges of several vector-borne diseases or their vectors are already changing in altitude due to warming. In addition, more intense weather events create conditions conductive to outbreaks of infectious diseases: Heavy rains leave insect breeding sites, drive rodents from burrows, and contaminate clean water systems. The incidence of mosquito-borne parasitic and viral diseases, are among those diseases most sensitive to climate. Climate change affect disease transmission by shifting the vector's geographic range and by shortening the pathogen incubation period. climate-related increases in temperature in sea surface and level would lead to higher incidence of waterborne infectious and toxin-related illnesses, such as cholera and seafood intoxication. Climate changes all around the world with impact in Europe are demonstrated by the fact that recent cases of cholera have been imported to Europe from Kenya, where spreading epidemic has been linked to the El Niño phenomenon, originated from the Pacific Ocean. Human migration and damage to health infrastructures from aberrant climate changes could indirectly contribute to disease transmission. Human susceptibility to infections might be further compounded by alterations in the human immune system caused by increased exposure to ultraviolet radiation and malnutrition due to alterations in agricultural products. Different kind of incidents in Europe with extreme weather events demonstrated effects on public health. The recent outbreak of the insect-borne Chikungunya virus in Italy in 2007 is an example of the kind of new health threat that the EU must be vigilant to confront. In addition, health effects of flooding, have been related to an excess cases of leptospirosis and campylobacter enteritis. Such examples have been demonstrated reported after flooding in the Czech Republic. Similarly, an increase of cryptosporidiosis in the United Kingdom has been related to flooding. Changing vector distributions associated with tickborne encephalitis and malaria have also been dempostrated in EU. A recently reported case of malaria in Italy in June 2008, suspected to be indigenously acquired, has shown how easily malaria could be reintroduced into several countries in the region. Another case of malaria in Greece in May 2010 affecting a young man living in a forestry region was claimed at KEELPNO-the Greek Center for disease control. Would this latest case be considered closely related to the one from Italy? If yes, then Public Health Services should elaborate plans to affront possible tickborne diseases. Heat waves are important causes of mortality on mortality are important. The deaths seen in France in 2003 from a heat wave are projected to be repeated, as heat waves become more severe. However, heat waves impacts on the transmission and severity of infectious diseases have not been elucidated. Finally scientific challenges include the elucudation of climate changes and extreme weather condition impact on infection transmission and outcome, human immune system changes and infection response, outbreak scenarios, animal and plant health and public health preparedness. European action plans to affront climate changes related health and infection problems are developed by the EU Commission at different levels and jointly by different DGs. In a few words within the EU the following points on human, animal and plant health are considered a priority: * Strengthening cooperation between the services of these three branches of health (human, animals, plants); * Developing action plans in the event of extreme weather conditions, in order to be better prepared and to react in the best way; * Gathering more reliable information on the risks of climate change whilst maintaining international cooperation, in particular with the WHO, as cooperation beyond that between Member States will be required to be more effective; * Providing additional effort to identify the most effective measures; * Improving the surveillance and the control of the animal diseases. The European Commission has decided to consider climate change, and the consequences it has on health, with greater importance whilst being aware that it is at the root of numerous diseases. © 2011 Elsevier Ltd.
The impact of perinatal probiotic intervention on gut microbiota: Double-blind placebo-controlled trials in Finland and GermanyŁukasz Grześkowiak | Minna Maija Grönlund | Christina Beckmann | Seppo Salminen | Andrea von Berg | Erika Isolauri
Volume 18, Issue 1, February 2012, Pages 7-13
Specific probiotic combinations during early feeding, via the mother or incorporated in early formula-feeding, mold the intestinal microbiota composition in infants. The objective was to analyze the impact of probiotic administration to mother or infant on gut microbiota composition in 6-month-old Finnish and German infants. In Finland probiotics were given to mothers (n=79) for 2 months prior to and 2 months after delivery. In Germany probiotics were started in infants (n=81) at weaning, at the latest at 1 month of age, and continued for 4 months. A breast-fed group of 6-month-old infants (22 from Finland, 8 from Germany) were compared. Gut microbiota were analyzed by FCM-FISH and qPCR methods. In breast-fed infants a trend toward higher counts of bifidobacteria was detected in Finland (p=0.097) as against Germany, where a more diverse microbiota was reflected in higher Akkermansia (p=0.003), Clostridium histolyticum (p=0.035) and Bacteroides-Prevotella (p=0.027) levels and a higher percentage of Akkermansia (p=0.004). Finnish LPR+BL999 intervention group (Lactobacillus rhamnosus LPR and Bifidobacterium longum BL999) had higher percentages of fecal Lactobacillus-Enterococcus (9.0% vs. 6.1% placebo, p=0.003) and lower bifidobacteria levels (10.03logcells/g vs. 10.68logcells/g placebo, p=0.018). Probiotic treatment had different impacts on gut microbiota composition in Finnish and German infants due to differences in mode of feeding and the early commensal microbiota. Probiotic treatment had different impacts on gut microbiota composition in Finnish and German infants due to differences in mode of feeding and the basic commensal microbiota. © 2011 Elsevier Ltd.
Fecal microbial metabolism of polyphenols and its effects on human gut microbiotaShanthi G. Parkar | Tania M. Trower | David E. Stevenson
Volume 23, Issue , October 2013, Pages 12-19
We investigated the biotransformation of four common dietary polyphenols, rutin, quercetin, chlorogenic acid and caffeic acid, in an invitro mixed culture model of human intestinal microbiota, to determine effects on human gut bacteria. All four compounds were biotransformed rapidly, disappearing from the medium within 0.5h and later replaced by known phenolic acid breakdown products, at concentrations up to hundreds of micromolar, much higher than in no-polyphenol control experiments. Quantitative PCR was used to measure effects of the polyphenols on the balance between the major groups of intestinal bacteria that are known to influence gut health, i.e., Bifidobacterium spp. ., Bacteroidetes, and Firmicutes. Fermentation of polyphenols stimulated proliferation of bifidobacteria and decreased the ratio of Firmicutes to Bacteroidetes, relative to controls. Polyphenols also stimulated short chain fatty acid production by the bacteria. Pure bifidobacterial cultures were treated separately with either fermented media isolated from the incubations, the pure test polyphenols, or the biotransformation products detected in the fermentations. Growth stimulation was observed only with fermented polyphenol media and the pure biotransformation products. It appears that dietary polyphenols may have the ability to modify the gut microbial balance, but this effect is indirect, i.e., it is mediated by biotransformation products, rather than the original plant compounds. © 2013 Elsevier Ltd.
Probiotic properties of Weissella strains isolated from human faecesKang Wook Lee | Ji Yeong Park | Hee Rok Jeong | Ho Jin Heo | Nam Soo Han | Jeong Hwan Kim
Volume 18, Issue 1, February 2012, Pages 96-102
Three Weissella confusa and five Weissella cibaria strains were previously isolated from human faeces and their potential as probiotics was examined in this work. Resistance to low pHs (pH 2.0 and 3.0) and 0.3% bile salt were examined. Enzyme activities, susceptibilities to heat treatment and various antibiotics, and adhesion capacities to Caco-2 cells were also examined. All Weissella strains were killed when exposed to pH 2.0 for 2h but survived at pH 3.0 with different survival ratios. W. confusa 31 survived best (20.2%) and W. confusa 31 was also quite resistant against 0.3% bile salt (128.8%). All strains except one grew well at temperature between 15 and 45°C and all strains grew in the presence of 6.5% NaCl. W. confusa 20 showed the highest β-galactosidase activity (527.3±23.66 unit/mg protein) and W. cibaria 31 had the highest β-glucosidase activity (115.12±5.3unit/mg protein) in MRS broth. All strains adhered to Caco-2 cells better than Lactobacillus rhamnosus GG and W. confusa 20 was the best adhesive strain (85CFU/cell). These results show that some strains such as W. confusa 31 and W. confusa 20 are fully qualified as probiotics and deserve further application studies. © 2011 Elsevier Ltd.
The identification of anaerobic bacteria using MALDI-TOF MSA. C M Veloo | G. W. Welling | J. E. Degener
Volume 17, Issue 4, August 2011, Pages 211-212
Matrix Assisted Laser Desorption and Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) has gained more and more popularity for the identification of bacteria. Several studies show that bacterial diagnosticis is being revolutionized by the application of MALDI-TOF MS. For anaerobic bacteria, MALDI-TOF MS has been used for the identification of Prevotella spp., Fusobacterium spp., Clostridium spp., Bacteroides spp. and Gram-positive anaerobic cocci. However, to identify bacteria reliably, an extensive database is essential. For routine identification of anaerobic bacteria available databases need to be optimised. © 2011 Elsevier Ltd.
Grain-rich diets differently alter ruminal and colonic abundance of microbial populations and lipopolysaccharide in goatsBarbara U. Metzler-Zebeli | Stephan Schmitz-Esser | Fenja Klevenhusen | Leopold Podstatzky-Lichtenstein | Martin Wagner | Qendrim Zebeli
Volume 20, Issue , April 2013, Pages 65-73
High grain feeding has been associated with ruminal pH depression and microbial dysbiosis in cattle. Yet, the impact of high grain feeding on the caprine rumen and hindgut microbial community and lipopolysaccharide (LPS) release is largely unknown. Therefore, the objective was to investigate the effect of increasing dietary levels of barley grain on the microbial composition and LPS concentrations in the rumen and colon of goats. Effects were compared with respect to the responses of ruminal and colonic pH and short-chain fatty acid (SCFA) generation. Growing goats (. n = 5-6) were fed diets containing 0, 30, or 60% coarsely ground barley grain for 6 weeks. Ruminal ciliate protozoa were counted with Bürker counting chamber, and quantitative PCR was used to compare bacterial populations. Increasing dietary grain level linearly increased (. P < 0.05) ruminal numbers of entodiniomorphids. With the 60% grain diet, there was a reduction in ruminal abundance of the genus Prevotella and Fibrobacter succinogenes, whereas the ruminal abundance of Lactobacillus spp. increased compared to the 0 and 30% grain diets (. P < 0.05). In the colon, abundance of the genus Prevotella and F. succinogenes increased (. P < 0.05) in goats fed the 60% grain diet compared to those fed the other diets. Colonic abundance of Clostridium cluster I was related to the presence of grain in the diet. Ruminal LPS concentration decreased (. P < 0.05) in response to the 60% grain diet, whereas its colonic concentration increased in response to the same diet (. P < 0.05). Present results provide first insight on the adaptive response of rumen protozoa and rumen and colonic bacterial populations to increasing dietary levels of grain in goats. Although luminal pH largely affects microbial populations, fermentable substrate flow to the caprine hindgut may have played a greater role for colonic bacterial populations in the present study. © 2013 Elsevier Ltd.
Impact of enrofloxacin on the human intestinal microbiota revealed by comparative molecular analysisBong Soo Kim | Jong Nam Kim | Seok Hwan Yoon | Jongsik Chun | Carl E. Cerniglia
Volume 18, Issue 3, June 2012, Pages 310-320
The indigenous human intestinal microbiota could be disrupted by residues of antibiotics in foods as well as therapeutically administered antibiotics to humans. These disruptions may lead to adverse health outcomes. To observe the possible impact of residues of antibiotics at concentrations below therapeutic levels on human intestinal microbiota, we performed studies using in vitro cultures of fecal suspensions from three individuals with 10 different concentrations (0, 0.1, 0.5, 1, 5, 10, 15, 25, 50 and 150 μg/ml) of the fluoroquinolone, enrofloxacin. The bacterial communities of the control and enrofloxacin dosed fecal samples were analyzed by denaturing gradient gel electrophoresis (DGGE) and pyrosequencing. In addition, changes of functional gene expression were analyzed by a pyrosequencing-based random whole-community mRNA sequencing method. Although each individual had a unique microbial composition, the communities of all individuals were affected by enrofloxacin. The proportions of two phyla, namely, Bacteroidetes and Proteobacteria, were significantly reduced with increasing concentrations of enrofloxacin exposure, while the proportion of Firmicutes increased. Principal Coordinate Analysis (PCoA) using the Fast UniFrac indicated that the community structures of intestinal microbiota were shifted by enrofloxacin. Most of the mRNA transcripts and the anti-microbial drug resistance genes increased with increasing concentrations of enrofloxacin. 16S rRNA gene pyrosequencing of control and enrofloxacin treated fecal suspensions provided valuable information of affected bacterial taxa down to the species level, and the community transcriptomic analyses using mRNA revealed the functional gene expression responses of the changed bacterial communities by enrofloxacin. © 2012.
State of the art; microbiology in health and disease. Intestinal bacterial flora in autismSydney M. Finegold
Volume 17, Issue 6, December 2011, Pages 367-368
Autism of the regressive variety is selected as an example of the importance of intestinal bacterial microflora in disease other than classical infection. Our studies have indicated that intestinal bacteria play a role in this disease since it responds to oral vancomycin, a drug that is not absorbed from the GI tract. Pyrosequencing studies document an abnormal gut microflora in regressive autism subjects as compared to controls. Finally, we present preliminary evidence suggesting that Desulfovibrio may play a key role in this disease. © 2011.
Inhibitory effects of Leuconostoc mesenteroides 1RM3 isolated from narezushi, a fermented fish with rice, on Listeria monocytogenes infection to Caco-2 cells and A/J miceShinsuke Nakamura | Takashi Kuda | Choa An | Tomomi Kanno | Hajime Takahashi | Bon Kimura
Volume 18, Issue 1, February 2012, Pages 19-24
Listeria monocytogenes causes listeriosis in humans mainly through consumption of ready-to-eat foods. Immunocompromised persons, the elderly, and pregnant women and their fetuses or newborns are at highest risk for the infection. To isolate probiotic lactic acid bacteria (LAB) with inhibitory effects against L. monocytogenes, we screened for acid and bile resistant LABs from narezushi, a traditional salted and long-fermented fish with cooked rice. Then, inhibitory effects of the selected LABs on L. monocytogenes invasion and infection of human enterocyte Caco-2 cells and Listeria-susceptible A/J mice were determined. From a total of 231 LAB isolates, we selected five acid and bile resistant isolates (four were Lactobacillus plantarum and one was Leuconostoc mesenteroides). Among the five isolates, Ln. mesenteroides (Lnm-1RM3) showed the highest inhibition against L. monocytogenes invasion into Caco-2 cells. In the case of L. monocytogenes orally infected A/J mice, recovery of the pathogen from the spleen was suppressed by drinking water containing 9. log CFU/ml of Lnm-1RM3 cells. The inhibitory effects were also shown by heat-killed Lnm-1RM3 cells. These results suggest that live and also heat-killed Lnm-1RM3 cell intake might prevent L. monocytogenes entero-gastric invasion and infection. © 2011 Elsevier Ltd.
Do leafy green vegetables and their ready-to-eat [RTE] salads carry a risk of foodborne pathogens?Birce Mercanoglu Taban | A. Kadir Halkman
Volume 17, Issue 6, December 2011, Pages 286-287
Over the past 10 years, there is an increasing demand for leafy green vegetables and their ready-to-eat (RTE) salads since people changed their eating habits because of healthier lifestyle interest. Nevertheless fresh leafy green vegetables and their RTE salads are recognized as a source of food poisoning outbreaks in many parts of the world. However, this increased proportion of outbreaks cannot be completely explained by increased consumption and enhanced surveillance of them. Both in Europe and in the USA, recent foodborne illness outbreaks have revealed links between some pathogens and some leafy green vegetables such as mostly lettuces and spinaches and their RTE salads since fresh leafy green vegetables carry the potential risk of microbiological contamination due to the usage of untreated irrigation water, inappropriate organic fertilizers, wildlife or other sources that can occur anywhere from the farm to the fork such as failure during harvesting, handling, processing and packaging. Among a wide range of pathogens causing foodborne illnesses, Escherichia coli O157:H7, Salmonella spp., and Listeria monocytogenes are the most common pathogens that contaminate leafy green vegetables. Children, the elderly, pregnant women and immunocompromised people are the most at risk for developing complications from foodborne illness as a result of eating contaminated leafy greens or their RTE salads. These outbreaks are mostly restaurant associated or they sometimes spread across several countries by international trade routes. This review summarizes current observations concerning the contaminated leafy green vegetables and their RTE salads as important vehicles for the transmission of some foodborne pathogens to humans. © 2011 Elsevier Ltd.
Immunology and probiotic impact of the newborn and young children intestinal microfloraEugenia Bezirtzoglou | Elisabeth Stavropoulou
Volume 17, Issue 6, December 2011, Pages 369-374
Human body has developed a holistic defence system, which mission is either to recognize and destroy the aggressive invaders or to evolve mechanisms permitting to minimize or restore the consequences of harmful actions. The host immune system keeps the capital role to preserve the microbial intestinal balance via the barrier effect. Specifically, pathogenic invaders such as, bacteria, parasites, viruses and other xenobiotic invaders are rejected out of the body via barriers formed by the skin, mucosa and intestinal flora. In case physical barriers are breached, the immune system with its many components comes into action in order to fence infection. The intestine itself is considered as an " active organ" due to its abundant bacterial flora and to its large metabolic activity. The variation among different species or even among different strains within a species reflects the complexity of the genetic polymorphism which regulates the immune system functions. Additionally factors such as, gender, particular habits, smoking, alcohol consumption, diet, religion, age, gender, precedent infections and vaccinations must be involved. Hormonal profile and stress seems to be associated to the integrity microbiota and inducing immune system alterations. Which bacterial species are needed for inducing a proper barrier effect is not known, but it is generally accepted that this barrier function can be strongly supported by providing benefic alimentary supplements called functional foods. In this vein it is stressed the fact that early intestinal colonization with organisms such as Lactobacilli and Bifidobacteria and possibly subsequent protection from many different types of diseases. Moreover, this benefic microflora dominated but Bifidobacteria and Lactobacilli support the concept of their ability to modify the gut microbiota by reducing the risk of cancer following their capacity to decrease β-glucoronidase and carcinogen levels. Because of their beneficial roles in the human gastrointestinal tract, LAB are referred to as " probiotics" , and efforts are underway to employ them in modern nutrition habits with so-called functional foods. Members of Lactobacillus and Bifidobacterium genera are normal residents of the microbiota in the human gastrointestinal tract, in which they developed soon after birth. But, whether such probiotic strains derived from the human gut should be commercially employed in the so-called functional foods is a matter of debate between scientists and the industrial world. Within a few hours from birth the newborn develops its normal bacterial flora. Indeed human milk frequently contains low amounts of non-pathogenic bacteria like Streptococcus, Micrococcus, Lactobacillus, Staphylococcus, Corynebacterium and Bifidobacterium. In general, bacteria start to appear in feces within a few hours after birth. Colonization by Bifidobacterium occurs generally within 4 days of life. Claims have been made for positive effects of Bifidobacterium on infant growth and health. The effect of certain bacteria having a benefic action on the intestinal ecosystem is largely discussed during the last years by many authors. Bifidobacterium is reported to be a probiotic bacterium, exercising a beneficial effect on the intestinal flora. An antagonism has been reported between B.bifidum and C.perfringens in the intestine of newborns delivered by cesarian section. The aim of the probiotic approach is to repair the deficiencies in the gut flora and restore the protective effect. However, the possible ways in which the gut microbiota is being influenced by probiotics is yet unknown. © 2011 Elsevier Ltd.


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Posted on 30 November 2010 by Helen
Hi again!
I'm often asked when it is safe for babies to have 'finger foods'. As soon as a baby is able to handle these foods properly and shows an interest in doing so is probably the best answer, and for most babies the fine finger control needed develops at around 7 months of age. Introducing some independent feeding using foods that baby can safely eat and which involve some chewing is fun and will help with speech development and the overall progress of babies towards family-type meals. Don't worry if your baby hasn't got any teeth yet, their gums are hard enough for them to manage many finger foods quite easily now.
You can choose a variety of nutritious finger foods of different shapes and colours for your baby to enjoy, offering some at each mealtime alongside their normal meal. Start off with softer foods such as pieces of ripe fruit e.g. banana, melon, mango, pear, or lightly cooked vegetables e.g. carrot sticks, broccoli florets, baby sweetcorn, and gradually as they become more competent you can try other foods like those listed below:-
For a selection of dip recipes to try with some finger foods, have a look at the weaning recipes on the HiPP Baby Club.
HiPP Organic offers a variety of finger foods for different stages, including Little Nibbles Rice Cakes for your baby to enjoy.
But remember, always stay with your baby and make sure they are sitting up straight while they're eating, and avoid giving hard foods such as raw carrot, apple or whole grapes until you are confident that they can handle them without the risk of choking.
Hope it goes well.
Best wishes.Helen
Tags: babies, baby, Babyclub, eating, food, healthy, Helen, Hipp Organic, nutrition, organic, recipe, snacks, weaning, finger foods
Categories: About Hipp Organic, Baby development, Weaning
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Posted on 26 November 2010 by Helen
Hi everyone,
Someone asked me on Twitter if you can continue to breastfeed when returning to work and the answer is definitely yes.
Obviously it will depend on how many hours that you work and the times of the day that you will not be around to feed your baby that will determine how you will work around this. It will also depend on the age of your baby as to how workable this will be, with babies over 6 months being easier to leave with bottles generally as they are getting used to foods other than milk at this time too.
If possible you may well choose to breastfeed your baby before you go to work and then leave either expressed breastmilk or formula to be given to your baby at other feeds until you return from work. You will then be able to continue to breastfeed for the rest of the day.
It is important to remember that the volume of breastmilk your body produces is determined by the level of demand, so if you're giving your baby less of your milk the amount you produce will also reduce. Expressing milk will help to maintain this supply but if you are giving formula feeds then this supply will diminish. However, combination feeding can be very successful as long as the demand for breastfeeds continues.
Hope this helps, let me know if you have any more questions.
Have a nice weekend,
Tags: babies, baby, Babyclub, bottle feeding, breast feeding, healthy, Helen, Hipp Organic, milk
Categories: Milk feeding
Posted on 23 November 2010 by Helen
Hi again.Breastfeeding is best, few people will dispute this fact. But, it isn't always possible or desirable. Some can't or choose not to breastfeed their baby from the start, whereas others start breastfeeding but then for one reason or another need to switch over to the bottle, either totally or partially. Whatever choice you make, it makes sense to discuss your feeding options with a health visitor or breastfeeding counsellor who is trained to give support and handy advice.So, if you find yourself in the position of needing to switch over from breastfeeding to bottle feeding, perhaps because you're returning to work, do I have any hints or tips to help make the changeover easier? 1. Start to introduce a bottle a few weeks ahead – just in case it takes a while for your baby to get used to it2. Decide whether you are going to give your baby expressed breastmilk or formula, and if you go for the latter, decide which formula you want to use. Sometimes babies take to the bottle better if it contains the familiar taste of your breastmilk at first, before moving onto a formula a bit later3. Make sure the milk you're offering is warm4. Choose the perfect time to try the bottle, when baby is alert and slightly hungry (don't wait until your baby is really hungry as they won't be in the mood for trying something new if they are), and you are relaxed and not in a rush5. Hold your baby so they are turned away from you so they are not trying to find your nipple6. Stay calm and reassuring; try not to show any frustration you might feel if it doesn't work out straightaway7. Perhaps ask your partner or someone else close to the baby to give the bottle rather than you if they seem reluctant to take the bottle from youFor more information and tips, visit the HiPP Baby Club.Have you tried to switch over from breast to bottle? What were your experiences? I'd love to hear from you.Best wishes,Helen
Tags: babies, baby, Babyclub, breast feeding, bottle feeding, healthy, Helen, Hipp Organic, milk, mums
Categories: Baby development, Milk feeding
Posted on 17 November 2010 by Helen
Hello everyone,Further to my post about vegetarian diets on 27th October, a couple of mums have asked me for more information on vegan diets for babies. As I said before, I believe vegetarian diets are suitable for children, provided parents take care to ensure the diet is varied and contains adequate energy, sources of iron and vitamin C at mealtimes to aid iron absorption.Meeting all baby's nutritional needs with a vegan diet excluding all animal products is not so easy, however, and should only be embarked upon after very careful consideration and consultation with a dietitian/doctor. It is too easy for the vegan diet to be deficient in energy or essential nutrients unless the parent really understands the importance of nutrition and makes appropriate food choices.As a vegan diet is usually bulky and high in fibre, babies get full up before they have taken enough energy so it is really important that high calorie foods such as tofu, avocados, bananas and smooth nut and seed butters (e.g.tahini, cashew or peanut butter) are given. Extra energy can be added to foods by using vegetable oils or vegan fat spreads. For protein, beans and pulses, cereals, tofu and soya yogurts are useful, and of course breast milk or a soya-based formula milk formula will help ensure baby gets enough protein. This milk will also help to provide much-needed calcium. Iron deficiency can be avoided by including dark green leafy vegetables, beans and pulses, and dried fruits (particularly apricots). Omega 3 fatty acids are found in some vegetable oils (linseed, flaxseed, walnut and rapeseed) and it is good to use these oils in place of other oils (sunflower, safflower or corn) to help meet omega 3 requirements.Parents must also pay particular attention to baby's vitamin requirements. A vitamin supplement containing vitamins A, C and D is recommended for all babies from 6 months up to 5 years. Since the only reliable sources of vitamin B12 in the diet are meat, eggs and dairy products, vegans must get their B12 from fortified foods such as yeast extracts, fortified breakfast cereals or soya formulas, and a B12 supplement may also be needed. What do you think- should babies ever be weaned onto a vegan diet? Should parents impose their dietary beliefs on their children?Let me know.Helen
Tags: babies, baby, Babyclub, eating, fibre, food, healthy, Helen, Hipp Organic, nutrition, organic, vegan, vegetarian
Categories: Baby development, Weaning
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Posted on 12 November 2010 by Helen
Hi Everyone,
14th November every year is World Diabetes Day, a globally-celebrated event to increase awareness of diabetes. This date is chosen because it marks the birthday of Frederick Banting who co-discovered insulin with Charles Best in 1922.
Insulin is a hormone, produced in the pancreas, which in diabetes is either not produced in enough quantities or the body isn't able to use properly. Most of the food we eat is turned into glucose, or sugar, and insulin helps this glucose in the blood get into the cells of the body where it is converted into energy. In diabetes, sugar levels in the blood build up and this can cause all sorts of problems.
The most common type of diabetes in children is 'Type 1 diabetes' and this needs to be treated with daily insulin injections and a carefully controlled diet in order to bring blood glucose levels within a healthy range. This type of diabetes cannot be cured and the exact cause remains a mystery. Thankfully, diabetes in children is a relatively uncommon disease, but the overall incidence of diabetes amongst children is rising. In recent years there has been the emergence of children suffering from another form of diabetes known as 'Type 2 diabetes', which is associated with increased levels of obesity and unhealthy diets. This form of the disease can usually be treated with lifestyle changes, including a healthier diet and more exercise.
Early warning symptoms of Type 1 diabetes include thirst, tiredness, weight loss, stomach aches and frequent urination. Diagnosis will be followed up with specialist care by specifically trained medical staff and a specialist dietitian. Diabetic children can eat exactly the same food as non-diabetics, but it is essential the diet is balanced and healthy, and particular care must be taken to balance the amounts of carbohydrate in the diet with the insulin injections the child receives. Exercise also plays an important role in all children with diabetes.
Of course, this isn't the time or place to go into more details about the specific details of raising a child with diabetes, but if you're interested in finding out more why not visit the following links:
Bye for now,
Tags: babies, healthy, Helen, Hipp Organic, nutrition, symptoms, insulin, diabetes, glucose, sugar, carbohydrates, type 1 diabetes, type 2 diabetes
Categories: Baby development


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Hotel Beach Palace
Beach Palace hotel, is a newly renovated 5* All inclusive resort and an
ideal spot for spending an unforgettable family vacation. It is located
in the Cancun Hotel Zone with a beautiful stretch of white sand beach.
The hotel also features 4 distinctive restaurants including Oriental,
Italian and Mediterranean a la carte as well as grilled fine cuts a la
carte, pools and bars including a sports bar, spa treatment rooms, a
Kid's Club for your childrenŽs enjoyment in a secure and lively
environment, Deluxe amenities and splendid decoration, as well as daily
activities and nightly shows.
Choose your room
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Services and terms: Hotel Beach Palace
Accommodation facilities
- Lift
- Bar/Café
- Business Centre
- Money Exchange
- Meetings Room
- Children's Playground
- Laundry
- People with reduced mobility access
- Parking
- Hairdresser
- Restaurant
- Shops
Leisure facilities
- Sports
- Gym
- Massage
- Swimming Pool
- Sauna
Standard Room Services
- Video
Useful information: Hotel Beach Palace
Other names for Hotel Beach Palace
Beach Palace Wyndham Grand Resort
Hotel Beach Palace Wyndham Grand Resort
Hotel Beach Palace Todo Incluido
Location: Hotel Beach Palace
The hotel is located on the main street extending the length of Cancún
Island. Public buses operate 24 hours a day along Boulevard Kukulcán
through the hotel zone to downtown Cancún on the mainland. TheCancun
Hotel Zone rests on a slit of land bound by a lagoon and the turquoise
waters of the Caribbean Sea.Sunseekers crowd the white-sand beaches.
At night, the action moves to the restaurants, clubs, and bars that line
Boulevard Kukulcán, the area?s main artery. This road passes by the El
Rey ruins, believed to be a king´s tomb. 5km.
Getting to the hotel by car: From Cancun airport Take airport access
road going East direction, then take the 307 highway heading North
direction to Cancun city. Once there go sea direction follow signs to
Zona Hotelera.Proceed north on Boulevard Kukulcán, the main street
extending along Cancún Island. Resort is located on the right
approximately 500 meters past La Isla Mall.