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Muhammed, Rafeeq*; Bremner, Ronald*; Protheroe, Sue*; Johnson, Tracey†; Holden, Chris‡; Murphy, M. Stephen§
*Department of Paediatric Gastroenterology
†Department of Dietetics
‡Nutritional Care Team, Birmingham Children's Hospital NHS Foundation Trust
§School of Clinical and Experimental Medicine, College of Medical & Dental Sciences, University of Birmingham, Birmingham, UK.
Address correspondence and reprint requests to Dr M. Stephen Murphy, Institute of Child Health, Clinical Research Block, Whittall St, Birmingham, B4 6NH, UK (e-mail: email@example.com).
Received 20 January, 2011
Accepted 26 September, 2011
Background and Objective: Resolution of parenteral nutrition (PN)–associated jaundice has been reported in children given a reduced dose of intravenous fat using a fish oil–derived lipid emulsion. The aim of the present study was to examine the effect on PN-associated jaundice of changing from a soybean oil–derived lipid to a mixed lipid emulsion derived from soybean, coconut, olive, and fish oils without reducing the total amount of lipid given.
Methods: Retrospective cohort comparison examining serum bilirubin during 6 months in children with PN-associated jaundice who changed to SMOFlipid (n = 8) or remained on Intralipid (n = 9).
Results: At entry, both groups received most of their energy as PN (SMOFlipid 81.5%, range 65.5–100 vs Intralipid 92.2%, range 60.3–100; P = 0.37). After 6 months, both tolerated increased enteral feeding but still received large proportions of their energy as PN (SMOFlipid 68.4%, range 36.6–100 vs Intralipid 50%, range 37.6–76; P = 0.15). The median bilirubin at the outset was 143 μmol/L (range 71–275) in the SMOFlipid group and 91 μmol/L (range 78–176) in the Intralipid group. After 6 months, 5 of 8 children in the SMOFlipid and 2 of 9 children in the Intralipid group had total resolution of jaundice. The median bilirubin fell by 99 μmol/L in the SMOFlipid group but increased by 79 μmol/L in the Intralipid group (P = 0.02).
Conclusions: SMOFlipid may have important protective properties for the liver and may constitute a significant advance in PN formulation. Randomised trials are needed to study the efficacy of SMOFlipid in preventing PN liver disease.
The introduction of parenteral nutrition (PN) to paediatric practice several decades ago made possible the survival of infants and children with chronic intestinal failure. Unfortunately, many of these children experience potentially life-threatening complications including PN-associated liver disease (PNALD) (1,2). Up to 60% of children receiving long-term PN experience some degree of hepatic dysfunction (3). This may be manifested as minor liver test derangements, overt cholestasis, or end-stage liver disease and liver failure. There are recognised risk factors for PNALD in children, including prematurity, age, massive loss of small bowel, repeated laparotomies, absence of enteral feeding, necrotising enterocolitis, and sepsis (1,4). The development of cholestasis in children receiving PN is an ominous event. In a study of prognostic factors in children with short bowel syndrome (SBS), the presence of cholestasis was associated with a 50% mortality compared with 95% survival in those without cholestasis (1).
The aetiology of PNALD disease is unknown (5). Speculation has focused on possible nutrient excesses or deficiencies, and potentially toxic constituents. (6–8) In particular, the possible role of lipid emulsions has been a focus of concern (9).
Until recently, most lipid emulsions were based on soybean or safflower oil. Specific fatty acids have potent biologic effects, for example, influencing inflammatory processes and modulating immune function (10). There are concerns that PN lipids derived solely from vegetable oils may have adverse effects particularly in relation to the response to stress or sepsis. Various alternative lipid emulsions have therefore been introduced, containing, for example, medium-chain triglycerides (MCTs), monounsaturated fatty acids, or fish oils (10).
If a PN regimen could be devised that was effective in treating or preventing PNALD, then this would be a major medical breakthrough, potentially avoiding the need for liver transplantation and improving the survival rate in these children. Reports from a group in Boston suggested that in infants with PNALD, discontinuation of a standard soybean oil–based lipid and administering a much reduced amount of lipid in the form of a fish oil–based emulsion led to the resolution of cholestasis in some children (11-14).
We describe the resolution of jaundice in children receiving PN when changed from a soybean lipid emulsion (Intralipid) to a complex mixed-type lipid emulsion derived from soybean, coconut, olive, and fish oils. It is important to note that the total dose of lipid was not reduced in our patients. We compared these children with a historic cohort of children with PNALD who remained on Intralipid, following their progress during a 6-month period.
In January 2007, we began a practice of changing from Intralipid 20% (Fresenius Kabi) to SMOFlipid (Fresenius Kabi) as the PN lipid emulsion in any child who developed cholestatic jaundice due to PNALD. Intralipid 20% contains soybean oil 200 g/L and has an energy content of 8.4 MJ (2000 kcal/L). SMOFlipid contains soybean oil 60.0 g/L, MCT, 60.0 g/L, olive oil 50.0 g/L, and fish oil, rich in ω-3 acids 30.0 g/L, and has an energy content of 8.4 MJ/L (equal to 2000 kcal/L). It also contains α-tocopherol.
During a 1-year period, the change to SMOFlipid was made in 8 children, all of whom had a total bilirubin >70 μmol/L. No children with a total bilirubin >70 μmol/L remained on Intralipid during this period. No other alterations to management were implemented in these cases. Routine measures aimed at reducing the risk of PNALD continued. These measures included management by a multidisciplinary team, treatment with oral ursodeoxycholic acid, intravenous antibiotics for suspected and proven central venous catheter infections, maximisation of enteral nutrition (EN), and cycling on and off PN each day to reduce the total duration of administration. The 8 children remained dependent on PN during a follow-up period of at least 6 months. We examined their outcome during this time in terms of PN and EN dependence and bilirubin concentration. All of the children receiving PN for ≥6 months during this period who fulfilled the criterion for inclusion had a total bilirubin >70 μmol/L and all received SMOFlipid.
We compared these children with a historic cohort of children with PNALD and hyperbilirubinemia who were managed during a 3-year period immediately before the introduction of SMOFlipid usage. There were 2 criteria for inclusion in this comparison group: first, the serum bilirubin should have been persistently >70 μmol/L on 4 successive weekly estimates; second, they should have subsequently remained dependent on PN for at least 6 months to facilitate comparison with the SMOFlipid group. Nine children received PN for ≥6 months during this period, and each of the children fulfilled the second inclusion criterion regarding bilirubin concentrations.
The children in both cohorts were investigated to exclude causes of liver disease other than PNALD. Routine investigations included abdominal ultrasound scanning, screening for α1-antitrypsin deficiency, hypothyroidism, congenital infections (TORCH screen), galactosemia, and metabolic disorders (plasma amino acids and urinary organic acids).
For both groups, demographic, clinical, and laboratory data were obtained from the medical, pharmacy, dietetic, and nutritional care team records with particular regard to EN and PN support and the serum bilirubin concentrations.
Statistical analyses were performed using SPSS version 16.0 (SPSS Inc, Chicago, IL), using descriptive statistics including 95% confidence intervals and parametric and nonparametric comparative statistics as appropriate. Ethical approval was not required for the present study because it was a retrospective cohort study.
The individual characteristics of the 8 children at entry to the study are presented in Table 1. Four had SBS and 4 had severe protracted diarrhoea of infancy (phenotypic diarrhoea of infancy (15) n = 2; autoimmune enteropathy n = 1; idiopathic n = 1). At the time of commencing SMOFlipid, the median age of the group was 30 weeks (range 16–164). Each had a persistently elevated serum bilirubin concentration (>70 μmol/L) based on weekly estimates during a period of at least 4 weeks. All of the children were receiving PN, including lipid each day, with the exception of patient 1. He had persistent jaundice for several months, and although he continued receiving daily PN, the lipid infusions were reduced to 3 times weekly in a dose of 1.5 g/kg (average 0.64 g · kg−1 · day−1) 5 weeks before changing to SMOFlipid. The SMOFlipid was then given using that same regimen for 8 weeks before being increased to 4 nights at 2.0 g/kg (average 1.1 g · kg−1 · day−1).
Table 2 summarises the serum bilirubin concentrations and nutritional support at entry to the study and at 6 months. At the time of the change to SMOFlipid, the median bilirubin was 143 μmol/L (range 71–275). At this time, the median intake of energy from PN was 95 kcal/kg (range 64–108). Subjects were receiving EN in accordance with individual tolerance (median 21 kcal/kg; range 0–50). Each child was receiving most of his or her energy intake as PN (median 81.5%, range 65.5–100). The median amount of lipid being administered was 2.0 g · kg−1 · day−1 (range 0.6–3.5). On commencing SMOFlipid, the total amount of lipid being administered was not changed and no other alterations were made to the PN prescription.
During the next 6 months, PN was reduced stepwise if improved EN tolerance permitted. Table 3 presents the changes in nutritional support during the 6-month follow-up period. At the 6-month time point, all of the children remained substantially dependent on PN for their energy requirements (median 74.5 kcal · kg−1 · day−1, range 48–90), and all but 1 were still receiving most of their energy intake as PN (median 68.4%, range 36.6–100). As a result of improving enteral tolerance, there was a significant reduction in PN and a significant reduction in the proportion of energy provided as PN (Table 3).
The serum bilirubin concentrations during the 6-month period following the change to SMOFlipid are presented in Figure 1 and the final concentrations in Table 2. In 5 of the 8 children, jaundice had completely resolved by the end of this follow-up period. In another child, there was a marked reduction in serum bilirubin with a progressive fall from 267 to 92 μmol/L. In 1 child, the bilirubin rose to 313 μmol/L during a 3-month period after commencing SMOFlipid but then fell progressively to 170 μmol/L during the next 3 months. In 1 case, there was no improvement, the bilirubin increasing gradually from an initial value of 150 μmol/L to a maximum value of 220 μmol/L. Overall, the median change in serum bilirubin in the 6-month follow-up period was −99 μmol/L (range −176 to 6).
The individual characteristics of the 9 children at entry to the study are presented in Table 4. All of the children in this group had intestinal failure due to SBS. The median age at which they fulfilled the bilirubin inclusion criterion was 24 weeks (range 8–64). This was not significantly different from the age of the SMOFlipid group (P = 0.074). All of the patients received PN from the first days of life. The total duration of PN administration in this group was not significantly different from the SMOFlipid group (P = 0.13).
Table 2 summarises the data in this group at entry to the study and at 6 months. At the point of entry, the median bilirubin concentration was 91 μmol/L (range 78–176). At this point, they were each receiving most of their energy intake as PN (median 96 kcal · kg−1 · day−1, range 65–116). Like the SMOFlipid group, they received EN to the limits of tolerance with a median intake of 8 kcal · kg−1 · day−1 (range 0–58). The median proportion of energy intake received as PN was 92.2% (range 60.3–100). The median amount of lipid being administered was 3.5 g · kg−1 · day−1 (range 2.5–3.5).
As with the SMOFlipid group, during the 6-month follow-up period, PN was reduced stepwise if improved EN tolerance permitted. Table 3 presents the changes in nutritional support during the 6-month follow-up period. At the end of the 6-month period, although the energy intake as PN had fallen significantly (P = 0.014), they nevertheless remained substantially dependent on it, receiving a median PN energy intake of 74.5 kcal · kg−1 · day−1 (range 25–95). By 6 months, there was also a significant increase in EN energy intake (median 49 kcal · kg−1 · day−1; range 30–111; P = 0.009). In contrast to the SMOFlipid group, the amount of PN lipid being administered in this group had fallen significantly (P < 0.001).
The serum bilirubin concentrations in these children during the 6-month period of follow-up are presented in Figure 2 and the final concentrations in Table 2. At 6 months, hyperbilirubinemia had resolved in only 2 of the 9 children. Overall, there was a nonsignificant increase in the bilirubin concentration during the 6-month interval (median 79 μmol/L, range −36 to 127; P = 0.193).
With regard to nutritional support, there was no significant difference between the 2 groups in PN or EN energy intake or in the relative proportion of energy received as PN in the 2 groups at the outset or at 6 months (Table 2). The amount of PN lipid being administered was greater in the Intralipid group at the outset (P = 0.005), but by 6 months, there was no difference between the groups (Table 2). Comparing the changes in both groups during the 6-month period of follow-up, the Intralipid group experienced a greater reduction in the proportion of energy being given as PN (P = 0.008) (Table 3).
There was no significant difference in the serum bilirubin concentrations in the SMOFlipid and Intralipid groups at the outset (P = 0.194). At 6 months, the median serum bilirubin in the SMOFlipid group was 19 (range 6–213) compared with 185 (range 11–269) in the Intralipid group, this difference being of borderline statistical significance (P = 0.058) (Table 2). There was a significant difference between the groups with regard to the change in serum bilirubin during the 6-month follow-up period (P = 0.02) (Table 3), the median bilirubin concentration having fallen by 99 μmol/L in the SMOFlipid group while increasing by 79 μmol/L in the Intralipid group.
We observed total resolution of jaundice in 5 of 8 children with PN-associated jaundice on changing to SMOFlipid. Clinical experience indicates that unless enteral feeding can be increased and PN can be markedly reduced or discontinued, such an event is uncommon (12). The known tendency for cholestasis to persist or worsen in those who remain significantly dependent on PN was observed in the Intralipid group, in whom the median serum bilirubin concentration increased during the 6-month follow-up period. In contrast, the median serum bilirubin concentration fell in the SMOFlipid group, and this was a significant change when compared with the Intralipid group.
Clearly, the 2 groups of children were not comparable in every respect. As with all historic control comparisons, the findings should be interpreted with caution. It could be argued that the Intralipid group was managed differently from the SMOF lipid group in some respect other than the choice of lipid emulsion; however, identical management protocols were used through this time period and no treatment innovations were introduced.
The different disorders responsible for intestinal failure are potentially important variables requiring careful consideration. SBS was the underlying cause in all of the Intralipid group and in half of the SMOFlipid group, the remainder experiencing severe protracted diarrhoea of infancy. At entry to the study, however, the estimated median serum bilirubin in the SMOFlipid group was higher than that in the Intralipid group, suggesting that the degree of hyperbilirubinemia was at least as severe in the SMOFlipid group. Both groups were heavily dependent on PN at the outset. During the 6-month follow-up period, the Intralipid group reduced the proportion of energy they were receiving as PN when compared with the SMOFlipid group (P = 0.008) and the amount of PN lipid received (P < 0.001) when compared with the SMOFlipid group. This increase in enteral tolerance reflected the process of intestinal adaptation in SBS. Increasing enteral tolerance may have been expected to favour improved liver function. Despite this advantage, the Intralipid group fared less well in terms of resolution of jaundice.
Lipid emulsions are a standard constituent of present PN regimens. A normal human diet contains fat as an important macronutrient, so inclusion of lipid in PN has seemed appropriate. Moreover, lipids have advantageous properties, being of low osmolality and having a high energy concentration. PN lipid emulsions were first introduced approximately 50 years ago (10). The use of intravenous lipid gradually became widespread because of the problems of glucose as a sole nonprotein energy source, with adverse effects including hyperglycemia, hepatic steatosis, essential fatty acid deficiencies, and fat-soluble vitamin deficiencies (10,16).
It is increasingly recognized that specific lipids can exert potent biological effects, particularly modulating inflammatory and immune processes. Most PN lipid emulsions have been derived from vegetable oils (soybean or safflower). These contain a high concentration of the ω-6 polyunsaturated fatty acid (PUFA) linoleic acid and relatively low concentrations of the ω-3 PUFA α-linolenic acid (ratio of 7:1) (10). Excessive linoleic acid may have adverse effects because it is converted to arachidonic acid, a precursor of eicosanoids that are both proinflammatory and thrombogenic (17–19). α-Linolenic acid is a precursor of the ω-3 PUFAs eicosapentaenoic acid and docosahexanaeoic acid. Eicosapentaenoic acid is a precursor of eicosanoids that are believed to have anti-inflammatory and antithrombogenic properties (20). In addition, soybean-derived lipids contain high concentrations of γ-tocopherol and are low in α-tocopherol, which is a major lipophilic antioxidant, and this may increase the risk of oxidative stress (19,21). Another concern relates to the phytosterol content of soybean lipids. Phytosterols are cholesterol-like substrates that have been shown in animal experiments to impair bile flow (22). Intralipid, the lipid emulsion used in the control group in the present study, is derived solely from soybean oil.
Fish oil is a source of ω-3 PUFA. A fish oil–based lipid emulsion (Omegaven; Fresenius Kabi) has been commercially manufactured for intravenous infusion. It is generally advised that it should be administered with other lipids so as to provide not more than 20% of the infused emulsion (10). It has a low ratio (1,8) of ω-6 to ω-3 PUFAs (10). Animal studies have suggested benefits with fish oil in terms of endotoxemia and sepsis survival and immune modulation (23–25). Studies in adult patients undergoing surgery have suggested beneficial effects in relation to inflammation and sepsis (26).
A group in Boston reported that in children with PNALD discontinuation of PN soybean oil lipid emulsion and administration of a markedly reduced dose of intravenous lipid in the form of a fish oil–derived fat emulsion was associated with improvement or resolution of cholestasis (11–14). In an open-label trial, 42 infants with cholestasis were changed from Intralipid to Omegaven (Fresenius Kabi) with a "goal" lipid dose of 1 g · kg−1 · day−1. The comparison group was a historic cohort of 59 infants with PNALD and cholestasis who remained on Intralipid in doses of up to 4 g · kg−1 · day−1. There were significantly more deaths and liver transplants in the Intralipid cohort. Among the survivors, cholestasis was reversed in 19 of 38 treated with Omegaven compared with 2 of 36 Intralipid controls.
In a retrospective study from Toronto, 12 children with advanced PNALD were treated with a combination of Intralipid (1 g/kg) and Omegaven (1 g/kg), the dose of Intralipid being reduced if no improvement of deterioration in liver function was seen (27). Of these, 9 had complete resolution of hyperbilirubinemia, although this only occurred with the discontinuation of Intralipid in 5 of these cases.
SMOFlipid is a complex mixed emulsion of 20% lipid containing 30% soybean oil, 30% MCT, 25% monounsaturated fatty acids, and 15% fish oil. The rationale for this composition was that it was believed to be more comparable with the varied fat composition that would have been present in foods available during the course of human evolution, and consequently may be regarded as optimal. MCTs are rapidly metabolised and cleared and are not subject to peroxidation (10), and their inclusion in the mixture would reduce the amount of ω-6 PUFAs. Human and animal studies suggest that monounsaturated fatty acids have immunomodulatory properties, although the clinical importance of such effects is unknown. The ratio of ω-6 to ω-3 PUFAs in SMOFlipid is 2.5:1 (10). In a randomised trial in adults undergoing major surgery compared with a soybean oil–based emulsion, the use of SMOFlipid was associated with lesser disturbances to liver enzymes (19).
In our patients changed to SMOFlipid, a pattern of recovery from jaundice was seen that was similar to that reported with Omegaven. It could be argued that the response to the change in lipid regimen in the Omegaven studies could be accounted for by the reduction in the total amount of lipid administered. Our patients received on average 0.3 g · kg−1 · day−1 of fish oil. This was probably significantly less than the Omegaven study, in which the intended goal was 1 g · kg−1 · day−1, although the actual amount their patients received was not reported (14). In our patients, the total amount of lipid was not reduced, despite that a marked beneficial change occurred. This is important because caution has been expressed about monotherapy with Omegaven (10). Omegaven is low in the essential fatty acid linoleic acid, and although it has been used alone, it is suggested that it should be used in combination with other lipid sources.
We conclude that SMOFlipid may have important liver-protecting properties in children receiving PN, and its introduction may constitute a significant advance in PN formulation. Randomized controlled trials are needed to study the efficacy and safety of SMOFlipid in the prevention of PNALD in children.
cholestasis; intravenous feeding; intravenous lipid; liver disease; parenteral nutrition
Copyright 2012 by ESPGHAN and NASPGHAN
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Ensuring Research Quality
As a member of the Association of Medical Research Charities we work toward the highest level of peer review in our research funding processes. This means that the charity's grant giving and scientific process has been rigorously reviewed by an independent expert body and found to be best practice in the field.
External Peer Review Process
All research applications to the charity are reviewed by a range of independent external experts in the field. Their recommendations are then assessed as part of a further review by the charity's Scientific Advisory Board.
As part of the scientific review process, the Board provides expert advice to the CEO and Trustees on:
- Development of the charity's research strategy and grant giving programme
- External referees for applications ('peer reviewers')
- Assessment of and final recommendations on applications
The SAB also provides advice and support for the charity on reporting and dissemination of research results and through the SAB we aim to meet the following principles:
- Accountability: We are open and transparent about our peer review procedures and publish details, including the names of members of our scientific advisory board
- Balance: The SAB reflects a fair balance of experience and scientific disciplines in Pancreatic Cancer across basic and clinical science.
- Independent decision making: The SAB is independent of our administrative staff and trustees.
- Rotation of scientific advisers: SAB members have a fixed term of office and do not have tenure.
- Impartiality: The SAB membership includes a significant number of non-beneficiaries. We have a conflict of interest policy and as such potential beneficiaries are not present when decisions are made.
Conflicts of Interest Policy
The charity has a rigorous policy on conflicts of interest in relation to both external peer reviewers and members of the SAB. Note that an important part of this policy is that the Chair or Vice Chair will withdraw from the entire research grants round if it includes any applications from members of his own research team.

subset: commoncrawl


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Savid Acuna: Future Carpenter and Business OwnerMonday, October 6th, 2014
Savid Acuna recently graduated from Murray High School where he completed the Skilled and Technical Sciences Education Carpentry Pathway and earned 20 concurrent enrollment credits.
"My professional goal is to one day own and run my own construction business. I love to build. I love to take a set of blueprints and construct a beautiful, safe, and functional structure that I am proud of. I love to solve problems, work hard, and at the end of the day see what I've created. I want to own my own company because I feel that by being a leader I can have a bigger influence to help others be successful. It is the American Dream. In order to accomplish my goal, I realize that it is going to take a lot of hard work, education, and experience, says Savid."
While in high school, Savid was actively involved in the building of a 1,800 square foot home. "It had a real world setting, such as having to meet deadlines and problem solving to fix certain situations within the build."
Savid received a CTE Scholarship to Salt Lake Community College, where he will continue his studies in carpentry. "My long term educational goal is to obtain an AS degree in construction management. I then plan to enter the workforce. I would like to work for a big residential local builder and work for them until I have enough experience, and capital, to go on my own. To enter a career in construction [with experience] is key, but to succeed in current times education is the next most important tool to have."


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Mevrouw Moulijn family collection
- Record Type:
- Collection
- Date:
- 1911-1946
- Collection Summary:
- The collection consists of an artifact, correspondence, documents, and photographs related to the experiences of Eleazer Eijl and Mevrouw Moulijn and her family in the Netherlands before, during, and after the Holocaust.
- Provenance:
- The collection was donated to the United States Holocaust Memorial Museum in 2006 by Mevrouw Marijke Moulijn.
Record last modified: 2016-09-09 15:18:25
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Roger Ebert is eating his words. This past week the National Endowment for the Arts has officially recognized video games as a legitimate art form. On that same thread, The Sess sees a different angle to this artistic argument. Recently there has been an influx of games and patches inspired by the death of Osama Bin Laden, which got Adam thinking about venues of expression. He thinks this form of media is being used by individuals to try to understand or explain a large world event that we're all living through, something artists have been doing for centuries. Do you agree that these games are an artistic voice? Or do you think it's just simply fuel for machismo and nationalism?
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Businesses in rural Randall County won't begin collecting a new half-cent sales tax until April 1 as officials establish a collection and refund system.
The Texas Comptroller's Office will notify businesses they need to collect the tax and when.
"We'll do that usually a month before collection starts, somewhere around the first of March," said R.J. Silva, a comptroller spokesman.
About 53 percent of voters living in the county but outside Amarillo and Canyon passed the tax Nov. 8. It will first go to fire protection and eventually to economic development.
"Because we don't have any economic development projects going, it will go to the Randall County fire chief," said County Judge Ernie Houdashell. "He'll share it with other entities based on the number of fire calls they answer. There's a lot of discretion. We respond with them, so it's important they're functional and their equipment is functional."
Information from Randall County Fire Chief James Amerson shows his department responded to 117 fire calls in 2011. The Happy Fire Department responded 20 times, Lake Tanglewood 19, Timbercreek Canyon 11 and Palisades 9. Each department also responded to other emergencies, such as car wrecks.
The tax should bring in about $140,000 a year, based on 2010 data from the comptroller's office. Rural businesses in Randall County currently collect 6.25 cents on sales of one dollar. That revenue goes to the state.


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1. Call to Order. The regular work session of the Council of the City of Rogers was called to order by Mayor Bunting on Tuesday, June 25, 2013 at 5:30 p.m. at Rogers Community Center, 21201 Memorial Drive, Rogers, MN, 55374.
Council present: Jay Bunting, Don Hall, Rick Ihli, Darren Jakel, and Maureen Stanley.
Staff present: Mike Bauer, RAC Manager; Jeff Beahen, Police Chief; Gary Buysse, Liquor Operations Manager; Brad Feist, Fire Chief; John Seifert, Public Works Supt.; Stacy Scharber, Assistant City Administrator; Steve Stahmer, City Administrator; Bret Weiss, City Engineer; and Lisa Wieland, Finance Director.
2. Public Safety Building Discussion
Administrator Stahmer began the discussion on the options for a Public Safety Building jointly located at the current fire department/community room location. Stahmer stated he and Finance Director Wieland discussed the financing of the current location and any issues that should be addressed with the financing of a new public safety building. Stahmer stated the two obstacles are borrowing and community room space stating we need to keep in mind moving through what other creative options there are for the community space.
Tom Moorse, HTG Architects, stated he met last fall with staff to get information to prepare cost estimates for future city buildings.
Stahmer stated in the financial management plan (FMP) when looking at city hall and a police station, were using $6.5M for each.
Moorse proceeded through his handout stating the main question becomes when to move into the community room space. Under option 1, this space would remain community room space as long as possible until the space would become the EOC.
Stahmer suggested not reviewing all three options since it was clear at the last meeting that option one is the preferred option. Hall agreed.
Jakel, questioned the parking lot and if the activities that took place last week (Rockin' Rogers) could occur after the construction. Moorse stated the east curb line would get pushed out approximately 30 feet.
Bunting asked if the parking lot could be moved closer to the wetland. There was a discussion about the possibility of creating more parking lot and relocating wetland to the city property owned along the freeway. Seifert explained that it is a DNR protected wetland and it may be difficult to encroach on the wetland.
Jakel discussed the need of additional parking to accommodate an EOC.
Stanley stated she knows we are addressing the public safety needs, but what are we doing with the city hall needs.
Stahmer stated that city hall is assumed in the future to go in the existing police site.
There was a discussion on how many years would pass before a community room space is rebuilt. Moorse stated the number for city hall (included in the packet) does include a community room space.
Wieland stated a city hall/senior center is bumped to 2020 in the FMP. Fire station II is being bumped to 2022.
Hall questioned if the current police station site is the best site for a future City Hall stating he questions if that is the best use of the property since the City owns other property in town.
Stahmer stated by keeping it at downtown, as a city center, it brings a draw to downtown.
The discussion then focused on the following items:
• Is the parking lot big enough in Option One
• Cannot plan the project with the concern of an event that happens once per year
• What the EOC will be used for
• What would need to be relocated/moved if Rockin' Rogers co-locates with the public safety building
• Whether or not Rockin' Rogers should look at moving to a bigger site at the North Community Park
Beahen stated the same fears were raised in Elk River when they constructed their new facility. That project worked out well. Beahen commented on what he was hearing during the past weekend and stated he believes the reaction is premature. Beahen encouraged the Council to be open minded to what was being said. Beahen stated the police department supports the Lions' event.
Ihli stated, in a few years we will have the pavilion at the park that could hold some of the events such as the coronation. Ihli then addressed some of the comments being said during Rockin' Rogers stating some may be taking it too far.
Hall echoes Beahen's thoughts and he appreciates them.
Stahmer, the sound bite is the City is more than willing to be flexible to accommodate events. But the flexibility stops when the $2M in costs comes into play and we are trying to focus on the configurations that make sense.
Ihli agreed, stating what it is going to cost and what we are going to pay for it - that is the important thing and that is what we should be hitting first.
Jakel stated his comments were more about the amount of money being spent. Jakel questioned the timing with the bonding application. From the options presented, option one seems to fit the best, but is there something between option one and doing nothing?
Stahmer commented on the funding and timing issue. The original schedule was to be April to October 2014. With the application for state bonding funds being made, we probably won't know if we getting funding until the end of May. We wouldn't want to start construction or financing until how much we know we need to bond for. Stahmer and Wieland also explained the reverse referendum bonding process.
Jakel stated if we are going to wait that long, then possibly there are issues in the current building that need to be addressed.
Bunting shares those concerns. There was discussion on how much it would cost to make the current structure a short-term fix and how much money has already been put into the existing building over the past 10 years.
Stahmer then asked Wieland to discuss numbers if we were to do a bond for the full amount of the project, using a number of $5.5M.
Wieland went through her numbers and the interest rates that were used during the example bond run at 3.2%. Currently rates are over 4%. Wieland stated she doesn't anticipate that the numbers would continue to go up. For a $5.5M bond, principal and interest payments are around $400k per year. Wieland stated it realistically takes three months to go through a bonding process, especially with the reverse referendum process. Wieland explained that the CIP bond is the cheapest way to finance it.
Scharber asked what the percentage of voters in the last election that are needed for a reverse referendum bond to be reversed. Staff wasn't sure; possibly 5%. Scharber stated the 2012 election was the largest voter turn-out in history.
Staff discussed the two types of bonding used on the existing structure. Wieland stated we have to sell bonds within three years of incurred costs to be included in the bond for the project.
It was discussed that the State bonding bill is worth the wait; $2.5M is a lot of money. We would be looking at borrowing money at this time next year.
Bunting asked with increase in tax rate with the $400,000 bond payment it equates to four percentage points. There was discussion about other sinking funds possibly going away.
This led to a discussion on the FMP and the other items currently included in the FMP Capital Improvement Plan. Wieland stated it would raise your tax rate four to six percentage points.
Stahmer stated, under the current FMP, it is moving the $400k payment up two years.
There was continued discussion on the location of the public safety building, city owned property, and a future city hall location.
Bunting stated in looking at the increase in property taxes, for him it would be a $144 per year increase. Bunting discussed growth of the community and the growth having to pay for some of the future costs. Bunting stated the longer we push off building the structure, the more expensive it is going to be.
There was discussion among Council about waiting to build the public safety building, waiting to see if the funding comes from the state, how much can be in place prior to knowing if there is funding from the state, and the current timeline being pushed out three to four months.
Chief Beahen stated one of the biggest concerns is we are an electronic police department. Beahen explained how the Police Department would not be able to function if a large storm does hit here and there is a power outage. Beahen then read from a list of concerns.
Jakel asked, what if we said we are going to go forward with a plan, but shut down the community room and move them here temporarily until the structure is built.
Stanley stated, we applied for this grant, but what if we don't get it. We assumed all along that some way we will have to fund the project.
There was a discussion of the timing of bonding and when to add $300,000 to $400,000 to the levy.
Council discussed this being the number one goal coming out of the retreat; not having five number one goals.
Ihli asked Council if they should hold an open house to let the public understand what the options are.
Staff and council discussed the unescapable question of what happens to the community room. Moorse stated the hope was to not move the police department twice, but options two and three are phasing options.
Ihli suggested getting the park facility going to mirror the current space. Bunting suggested doing the park referendum in 2014. Wieland discussed the difference between borrowing funds to build community buildings versus a park referendum.
Staff and Council then discussed the amount of square footage the current community room is and what would need to be replaced. Also discussed was not having control over the last piece of property at Triangle Park.
Council directed staff to schedule a work session for the last meeting of July for continued discussion.
3. CSO staffing discussion
Beahen handed out information that was previously prepared and discussed at a Public Safety Task Force meeting. The information focused on the hiring of two part-time CSO's knowing we don't have the ability financially to hire more police officers.
The idea is to have two part-time CSO's as police cadets, working no more than 24 hours per week, and they would not be eligible for benefits; only PERA and FICA.
Beahen stated the task force is also looking at the current position description for our Community Service Officer. Beahen handed out an updated job description stating he is proposing a complete restructure of the position stating the new position description is very encompassing.
Beahen stated the CSO/cadet program is an alternative to hiring more police officers. This is the most cost effective way to bring a couple of extra bodies into the police department.
Beahen stated Assistant Administrator Scharber is currently working on a point study to determine the potential wage increase for the revised CSO position description; possibly less than $3,000 this year, and $5,000 next year.
Beahen stated in order to keep this on track, the purpose of tonight's discussion is to introduce the topic and give the Council time to address it.
Council thanked Chief Beahen for the information.
4. Other Business
5. Adjourn
Jakel moved, Ihli seconded a motion to adjourn at 6:55 p.m. Motion carried 5-0.
Respectfully submitted,
Stacy Scharber
Assistant City Administrator/Clerk


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Jazz-Rock Quartet Get The Blessing perform 'OC/CD' and 'American Meccano' live in studio with interview by Seán Rocks. The band are currently visiting Ireland - www.musicnetwork.ie for dates.
on Thursday's show, with Jim Lockhart....films reviews include Anton Corbijn's "Life", coping with the loss of a parent in "Mia Madre" and Toni Collette and Drew Barrymore in the drama "Miss You Already", poet and novelist Karl Parkinson and Bollywood comes to Ireland in the 6th Indian Film Festival
South Wind Blows
Roots Freeway


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I feel shade being thrown in our directions, the same sort one feels when offered a Tic-Tac unexpectedly. Philips is suggesting that maybe our computers are super gross ...On October 1, 2015 / By Chance Kinney
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Muc-off isn't the most exciting product, but it's a necessary one for any gadget owner that wants to keep germs away. This Biodegradable Device & Screen Cleaner is ...On January 12, 2010 / By Chip Chick Staff
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Trinity Blood
The Night Lords II. Twilight of the Capital
Episode 16 | TV-MA
Abel and Asta plan to plead Ion's case to the Imperial Council, and Ion and Esther search the city for answers. But when their trail leads to further intrigue, betrayal comes from beyond the grave.
Official Site: www.funimation.com/shows/trinity-bloodHide Details


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Genus name is misspelled
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Washington, D.C. – The Department of Energy (DOE) will host an event Friday, January 13, with 2011 Physics Nobel Laureate Saul Perlmutter. Dr. Perlmutter, a physicist at the Department's Lawrence Berkeley National Laboratory and a professor of physics at the University of California at Berkeley, won the 2011 Nobel Prize in Physics "for the discovery of the accelerating expansion of the Universe through observations of distant supernovae." DOE's Office of Science has supported Dr. Perlmutter's research at Berkeley Lab since 1983.
After an introduction from Secretary of Energy Steven Chu, Dr. Perlmutter will deliver a presentation entitled "Supernovae, Dark Energy and the Accelerating Universe: How DOE Helped to Win (yet another) Nobel Prize." Dr. Perlmutter will be available to media following his open press presentation.
WHO: Nobel Laureate Saul Perlmutter
WHAT: Lecture and Media Availability with Nobel Laureate Saul Perlmutter
WHEN: Friday, January 13, 2012
10:00 a.m.
WHERE: DOE Forrestal Building
1000 Independence Ave., S.W.
Reporters planning to attend should RSVP by January 12 to email@example.com
News Media Contact: (202) 586-4940


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Navy Reaches Patriot Final for First Time
from press release
HAMILTON, N.Y. - Riding junior attacker Erin
Rawlick's dominant four-goal, three-assist effort, the third-seeded
Navy women's lacrosse team (13-4) topped second-seeded Lehigh
(11-6), 12-11 on Friday afternoon in the semifinal round of the
2009 Patriot League Women's Lacrosse Tournament at Tyler's
With the victory, the team's seventh in the last eight games, the second-year Midshipmen program advances to its first-ever league championship game and now sits just one win away from punching its ticket into the NCAA Tournament's Field of 16.
Rawlick and her Midshipmen teammates will face the winner of Friday's second semifinal between top-seeded Colgate and No. 4 Bucknell on Sunday for the league crown. Game time is slated for 1:00 pm at Tyler's Field in Hamilton, N.Y.
"I couldn't be prouder of our girls. From start-to-finish, we really put together a terrific 60-minute effort today," said Navy head coach Cindy Timchal. "We've had to battle through a lot of adversity this season. We were dealt a major blow when we lost Katrina (Nietsch) to injury and we really had to fight our way into the postseason at Bucknell. Today, I think it was just a matter of us really believing in ourselves that put us over the hump."
Rawlick came one point shy of equaling a Patriot League Tournament record with a game-high seven points, to go along with five draw controls on the afternoon. She scored three of her four markers in the first 30 minutes, while factoring in on each of the team's six first-half goals (3 g, 3 a). In 17 games this season, she now has a league-best 89 points (56 g, 33 a).
"Every game all season, Erin has just gotten stronger and stronger," added an exuberant Timchal. "Right now, she is at the top of her game, she is playing within herself and really giving all she has for the Navy women's lacrosse program."
"Erin really wants this for her teammates. The goals today happened to come her way, but if you talk to her, she will be the first one to remind you that her success would not be possible without the hardwork of each and everyone of her teammates."
The Rawlick-led Mids came out of the gate strong, finding the back of the cage on each of their first three shots and jumping out to a 3-1 lead at the 23:06 mark.
Navy's junior standout opened the day's scoring with her 50th goal of the season just 1:15 in off a feed from fellow All-Patriot League first-teamer Caitlin Mandrin Hill (Annapolis, Md.). Only 44 seconds later, she would find fellow classmate Mary Ruttum (Annapolis, Md.) for a score to stretch the lead to 2-0.
After Lauren Dykstra, the 2009 Patriot League Offensive Player of the Year, put the Mountain Hawks on the board at 23:54, the Navy women responded with three of the next four tallies to grab a 5-2 edge midway through the period.
Rawlick, the fourth-ranked scorer in the country entering the week, continued to impose her will on second-seeded Lehigh, setting up junior Brittany Amerau (Alexandria, Va.) for a goal just 48 seconds after Dykstra's free-position strike and then completing her 12 hat trick of the season (26th of her career) on a pair of unassisted goals at 16:09 and 14:41 marks, respectively.
Lehigh would dig into the lead with a goal to make it 5-3 at 12:55, but the 5-foot-8 attacker would strike again for the Mids, this time delivering a pretty feed from behind the cage to freshman Dani Vivonetto (Rocky Point, N.Y.), who one-timed it home for her 30th goal of the season at the 4:20 mark. The assist was Rawlick's third of the half, to go along with her three goals.
Dykstra would convert on another eight-meter attempt with 1:39 left in the half to make it a 6-4 game headed into the break.
Lehigh opened the second half with a goal at 29:29 to make it a one-goal game at 6-5. The two sides traded scores over the next three-plus minutes before Ruttum ignited a 3-0 Navy run with her second goal of the day at 24:07.
Freshman Kierstin King scored a goal and had five ground balls, while shadowing Lehigh's top scorer Lauren Dykstra throughout the duration of Friday's semifinal.
Rawlick scored her fourth goal of the game at 19:08 and then Vivonetto completed a solo run to give the Mids a 10-6 advantage with 17:33 remaining.
After a Mountain Hawks goal at the 11:00 mark cut the deficit to 10-7, Navy answered with goals from Madison Bell (Baltimore, Md.) and Lexi Dauernheim (Monterey, Calif.) to stake claim to its biggest lead of the day at 12-7 with 8:38 left in regulation.
Lehigh mounted a furious late-game charge, scoring the first of four unanswered at 7:09 and then adding three goals over a 1:14 span in the closing minutes to make it a 12-11 game with 31 seconds to play.
With the momentum now clearly behind the second-seeded Mountain Hawks, the Mids kept their cool and settled things down after being awarded the day's final draw control and ran out the clock for their first ever Patriot League Tournament victory.
Offensively for the Mids, Vivonetto finished with three points (2 g, 1 a), Ruttum added a pair of goals to go along with three ground balls and a career-high four caused turnovers, while Mandrin Hill finished with two assists to her credit.
Bell, Amerau and freshman Kierstin King (Upperco, Md.) rounded out the Navy goal-scorers on the day, with King also collecting a game-high five ground balls.
In the cage, Navy freshman and second-team all-league goalie Elaina Ponchione (Silver Spring, Md.) came up big once again, making nine saves
On the final statsheet, Navy bested Lehigh in three important categories in which the Mountain Hawks finished as the conference's regular season leaders: ground balls (24-21), draw controls (14-11) and caused turnovers (6-4).
*Coming into Friday's contest, Lehigh had won each of the previous two meetings between the two squads, including a 11-7 victory on April 11 in Annapolis.
* The Patriot League Tournament record for points is eight, a mark achieved twice, most recently by American's Sarah Milewski in the 2005 semifinals.
* Navy has now won six-straight games outside of Annapolis, four of which have come against Patriot League foes.
* Rawlick extended her consecutive goal-scoring streak to 34 games (6th-longest active streak in the nation) ... she now has 180 career points (120 g, 60 a)
* Friday's semifinal featured nearly half (12) of the conference's 26 all-league selections, including the league's top-two scorers (Rawlick and Dykstra) and five of the top-10 overall ...
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NEW YORK (CBSNewYork) — Macy's is getting the fireworks ready for the big 4th of July show.
Dozens of fireworks technicians have started wiring mortars and shells on three barges, but executive producer Amy Kuhl said the star of this year's show will be the Brooklyn Bridge.
"We are going to use the bridge essentially as our fourth barge," Kuhl said. "Between tower to tower, we are going to detonate about 50,000 pounds of fireworks in total."
Special firing platforms will be set up along the span, which will have five miles of wire to set off the fireworks on cue.
"Things are going to burst up in the air and fall from the bridge itself," Kuhl said.
Show designer Gary Souza has spent almost two years designing special fireworks and fine-turning the computerized timing to make sure everything bursts in mid-air to the exact beat of the music.
"We time how long it takes for every effect to leave the ground, how high it goes, the colors, how long it bursts and stays in the air," Souza said.
The theme for this year's show is the 200th anniversary of the "Star-Spangled Banner."
"We're going to take that opportunity to create a flag off of the bridge and sending red and white cascade stripes along from the roadway down towards the water with swirling blue stars above that and blue shells bursting high," Souza said.
The East River is more narrow than the Hudson so Souza said the show will have less altitude.
You May Also Be Interested In These Stories:


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BRAZILIAN GIRLS' \All About Us\ - Ex. 5
Elliott Randall Nailed Steely Dan's "Reelin' in the Years" Recording in One Continuous Take
Jingle Hells: Christmas Songs Played in Minor Keys
Orkestra Obsolete Play "Blue Monday" on One-String Diddley Bow
Exclusive Gift for EM Readers: Free Sounds From ModeAudio!
Impact Soundworks Releases Irish Tin Whistle Sample Library
Applied Acoustics Systems Releases the Aftermath Sound Bank for the String Studio VS-2 and AAS Player Plug-ins
Holiday Deals at EastWest
Greg Lake, Who Led Prog-Rock with Emerson, Lake & Palmer, Has Died
The Really Good Guitars of Kentucky Headhunter Greg Martin
Holiday Gifts 2016: Here's the Best in New Books and Box Sets
Classic Video: Slipknot's First Ever Performance at Ozzfest in 1999
Interview: Motionless in White's Chris Motionless on Hearing Black Sabbath for the First Time, Upcoming Plans and More
Interview: DevilDriver's Dez Fafara on Hanging with Black Sabbath, Upcoming Plans and More
Blackberry Smoke Push Their Southern Sounds to the Edge of Classic Seventies Metal
Five Iconic Rock Guitar Licks Every Player Should Know
Techniques of Prog-Rockers Gentle Giant, Yes, Genesis and King Crimson
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Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
your express consent. For more information, please refer to our Privacy Policy.
Carpentier, Cristian MD*; Zanolli, Mario MD*; Wu, Lihteh MD†; Sepulveda, Gonzalo MD*; Berrocal, Maria H. MD‡; Saravia, Mario MD§; Diaz-Llopis, Manuel MD¶; Gallego-Pinazo, Roberto MD¶; Filsecker, Luis MD*; Verdaguer-Diaz, Juan I. MD*; Milan-Navarro, Rodrigo MD**; Arevalo, J. Fernando MD, FACS††,‡‡; Maia, Mauricio MD**,§§
Purpose: To determine the degree of residual internal limiting membrane (ILM) after idiopathic epiretinal membrane (ERM) peeling and the usefulness of staining with brilliant blue G.
Methods: A prospective, multicenter, observational study of 98 eyes undergoing pars plana vitrectomy and membrane peeling for idiopathic ERM. All eyes underwent core vitrectomy (20, 23, or 25 gauge) followed by intravitreal triamcinolone to verify that the posterior hyaloid had been removed. Brilliant blue G (0.2 mL of 0.25 mg/mL) was injected into the vitreous cavity and washed out immediately. The ERM was peeled and then the surgeon observed and recorded the characteristics of the underlying ILM. The posterior pole was restained with brilliant blue G (0.2 mL of 0.25 mg/mL), and the same observations on the characteristics of the ILM were recorded. Peeling of the remaining ILM was performed. The main outcome measured was the status of the ILM after ERM peel. Secondary outcomes included best-corrected visual acuity and central macular thickness at 6 months postoperatively.
Results: After ERM peel, all of the eyes had residual ILM. In 74 eyes, the ILM was present and damaged, whereas in 24 eyes, the ILM was present and undamaged. In 37 eyes, the operating surgeon was unable to determine the status of the ILM before brilliant blue G staining. At 6 months, the logarithm of the minimum angle of resolution best-corrected visual acuity improved from 0.75 ± 0.39 at baseline to 0.31 ± 0.26 (P < 0.0001). The central macular thickness also improved from 460 ± 91 μm at baseline to 297 ± 102 μm (P < 0.003).
Conclusion: Internal limiting membrane is frequently still present after ERM peeling. Staining with brilliant blue G facilitates its identification.
© 2013 by Ophthalmic Communications Society, Inc.
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Athlete Profile
Athlete: joe kowalczyk
How I Eat
I eat whatever is convenient
I eat 1-3 full cheat meals per week
How I Train
I workout mostly at a CrossFit Affiliate
I workout mostly at home, work, or a traditional gym
I write my own programming
I record my workouts
My Athletic Background
I played youth or high school level sports
My Experience With CrossFit
I began CrossFit by trying it alone (without a coach)
I have completed the CrossFit Level 1 certificate course
My Work/Rest Schedule
I usually only do 1 workout a day
I typically rest 4 or more days per month
How long have you been doing CrossFit?
2-4 years
Athlete Coverage
Find out who's going to the North East Regional. The North Central, Northern California and Australia Regions will take on the brutal 2012 Regional Workouts May 18-20 for Week 4 of...
Article, Posted Sat, 05.12.12


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Perserve All Your Hard Earned Lean Gains!
• Promotes Protein Synthesis
• Improves Recovery
• Decreases Catabolism
• Improves Training Endurance
The three Branched-chain Amino Acids (leucine, isoleucine and valine) are very abundant in the muscles and are well known as a critical supplement that will help you reach your muscle growth goals!
Leucine especially has been shown to be directly involved in protein synthesis and is the most dominant of the three, which is why it is always included in a higher amount.
GAT's BCAA formula is a superior quality product that comes in a capsule format for optimal absorption.
Supplement Facts
Serving Size: 6 Capsules
Servings Per Container: 30
Amount Per Serving
Vitamin C - 90 mg
Pyridoxine - 9 mg
L-Leucine - 1500 mg
L-Isoleucine - 960 mg
L-Valine - 1320 mg
Other Ingredients:
Silica, Magnesium Stearate, Gelatin
Take 6 capsules with your post workout meal. Take a second serving with your final meal of the day. On off days, take your first serving with breakfast.
Discuss with your physician before taking if you have a medical condition or are taking any prescription medications. Stop use and discuss with your physician if any negative effects occur. Do not exceed suggested dose. Do not take if pregnant or lactating. Must be 18 years old to use this product. Keep away from children.


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Points to Remember 1. Please read the user manual before using the product. 2. Ensure that all parts are pushed in place to operate properly. 3. Ensure that the limit does not cross the last cup line displayed on the blender jar.
Copyright © 2009 Delectable Planet, LLC.
All Rights Reserved.


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|Follow j. on
"Copper Sculpture by Leonid Korchemsky." Opening of exhibit by the Ukrainian-born artist and S.F. resident. Metalwork and thin copper sculptures. Through Oct. 15. At JCCSF, 3200 California St., S.F. http://www.jccsf.org. (See story, 21)
"Rainbow Shadows: Celebrating Family with Shadow Puppets." Shadow puppeteer Daniel Barash performs and leads a puppet-making workshop that celebrates diversity in families in honor of San Francisco Pride Month. At Contemporary Jewish Museum, 736 Mission St., S.F. 11:30 a.m. Included with admission. http://www.jewishfed.org.
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NZ: The Things They Don't Tell You
My parents have been here for two weeks, romping up into the mountains, across the South Island, and down to the beaches in the Catlins. The following post is contributed by my dad, Judd Anderson. Thanks, Dad!
New Zealand is so much more than you can imagine from the Internet or anywhere else. Some of both the silly, serious, wonderful and inspiring are the following:
A Kiwi is a person (New Zealanders actually like being called one), Kiwi-bird is THE bird, which most Kiwis have not seen, even if you go to Stewart Island where you have the best chance of seeing one. More common and beautiful are the Kea which are like mountain parrots, green with bright orange armpits. They meow like kitties when they fly over. They visit you in the mountain huts, looking for camper food. Most common phrases in NZ are, "No worries" (if you say thank you to the person giving you a latte, this is what they'll say back); "It's all good", which can be substituted for "no worries"; or, less common, but fun is, "She-be-right, mate," which actually means "It will be all right, dude." Short e sounds in words such as neck, deck, pest or Czech (someone from the Chech Republic) are pronounced nick, dick, pist and chick. So you can actually have a barbecue on your "dick" or store a kayak on your dick (so says Jacob, one of Christina and Zach's NZ climbing buddies).
There are no big animals in NZ, so possums, rabbits and everything else small are called pists (pests) cause they have no predators. What's great about hiking and camping is that you don't have to worry about bears, wolves or anything else that might scare or eat you or your food. NZ doesn't even have foxes or coyotes which could do a great job on the overabundance of rabbits and other pists. But they have something called a sandfly which is so small and bites without being felt that only later do you realize the ring of bites on your ankles is from their having had you for dinner. But if you walk they are so slow they can't keep up. The yellow-eyed penguins are unafraid of you, especially the unfledged whom we walked up to, examined, photographed and watched star-struck for 2 hours near Moereki (barely touched on in the guidebooks) as are the sea lions and fur seals which roll on the beaches like large blubber bags, flipping warm sand onto themselves. The Hector dolphins swim around you off the Catlins (the southern most beaches) ride the waves and play by jumping in the air, right along side the human surfers. Of course the sheep are everywhere, both inside and outside of the fences, on the roads and in towns and are herded by tall manly-men in really short adidas soccer shorts like we used to wear 20 years ago. Even the flag men on the road construction crews have tenaciously held to the 4 inch inseam.
The colors of NZ are really striking. The mountain lakes and rivers (which you often cross on beautiful simple suspension cable bridges that look like Indiana Jones bridges, warn you of the number allowed on at any one time – 1 to 5 and sway and bounce as you walk across with your pack) of both the Mt. Aspiring range (we hiked and camped for 3 days there) and the Mt. Cook National Park (4 days) turn multiple shades of blue/green/slate and often look like aqua milkshakes, thick and creamy. No need for bringing your water on mountain hikes: just dip your water bottle into any stream. When you hit glaciers, eat the snow but stop to listen for avalanches which we heard and saw numerous times on our way to Mueller Hut (dedicated by Sir Edmund Hilary in 2003) in Mt. Cook Park. The sound of an avalanche is, first delayed by many seconds and, second, as loud as a sonic boom.
In two weeks of living and traveling with Christina and Zach we have eaten a breakfast out once, split a breakfast (at the Mountaineer's Cafe at Mt. Cook), dined at Francesca's (an elegant place where KCA dishes and preps) and Fleur's Place in the Catlins. Otherwise, we have always eaten together out of our campervans, up in the mountains, on beaches and have never eaten so well. Food is always better at a campsite, especially when you pick your own mussels from your beach walk (Cathedral Caves Beach), or from an unattended roadside vegetable stand where you find new potatoes, that, when cooked, taste creamy even without any butter.
For all of NZ's incredible God-given beauty (we still have Fiordland to pry open in the next week), wonderful people (or should I say NO people…hardly anyone lives here) it has been the traveling, tramping, hiking, trekking, exploring and "hanging" with Christina and Zach that have filled us with incomparable joy.
Everyone is looking tanned and gorgeous!!
You all look great! We are so happy to hear of your adventures. We both loved Judd's post…very funny, but helpful to understand the culture a bit.
Keep 'em coming,
Mom/Pat and Lydia
love love loved reading. what beautiful beautiful writing!!
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How to Cook a Quesadilla (starring Stella Laurie)!March 20th, 2009 Posted in family, stella, video
OK, you guys asked for it, and here it is.
After I did the "How to Cook Scrambled Eggs" video, I mentioned that the only other thing I can make is a quesadilla. Many of you asked me to do a video for that too, so here it is.
This "how-to" video has one very special feature: my oft-mentioned granddaughter, Stella Laurie.
So watch it and have a laugh. It was done for fun. I really have no culinary skills whatsoever.


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Collect all 12 Thankkgiving Turkey's and win the Thanksgiving Super Award!
Unhappy he has to share Gargamel's attention, Azrael tries to thwart the Naughties at every turn. Guide his paw with your mouse and click the Whack-A-Naughty as they pop up. The faster you whack, the more points you'll rack!Hjälp


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CINCINNATI — It might be too late for a large segment of their fans to notice — football is starting, after all — but the Reds have put together a nice little streak.
The Reds defeated the Chicago Cubs 7-2 yesterday in front of 21,316 at Great American Ball Park to close a homestand with four victories in five games. The seven-game losing streak that led into the stretch all but eliminated the Reds from the postseason chase, but finishing strong is never a bad thing.


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Cross A7S
Need for dual core phones at affordable prices remains a priority of local vendors. Cross managed to push the price Cross A7S worth the price of the LG L3 II dual are still using single core processors. "Viscera" possessed even more looks fresh with a 4.5 inch display and a 1 GHz processor and 8 MP camera.
Unfortunately, Cross A7S must compete with Mito-backed A355 quad-core 1.2 GHz processor, Android Jelly Bean and 8 MP camera and the price is less than 2 million rupiahs.
In the Cross A7S box, you will find a hard case that can be used to protect the back of the plastic cover. It is rarely given by the NII other manufacturers and this exciting promo in my opinion. Options for a Cross there are three color choices the A7S ie, white, black and yellow black.
Cross in the grip design A7S felt comfortable because of physical buttons (volume and on / off) on the right side, so it can be reached by the thumb. Diagonal screen size of 4.5-inch qHD display and use this type of IPS LCD 960 x 540 pixel resolution. The screen is able to recognize five touches at once and feels responsive when we touch it.
Cross A7S a Dual SIM mobile phone which is equipped with the 3G network so that the front camera can be used for video calls. Dual SIM settings are also easy and not complicated. You can set it in the settings menu or via the interface when you want the phone.
Dual core processor is the main attraction of the Cross A7S, especially combined with a relatively affordable price. The processor can run at a speed of 1 GHz and works well when the application is opened slightly. If a lot, quite heavy too.
Memory is only 512 MB RAM which makes me forced to be picky where appropriate application in order not to burden its performance. Though internal memory is 4 GB, but there needs to be additional micro SD for performance remains stable.
Before downloading a variety of applications, I did a test with AnTuTu software can figure in 5844, 2577 and NenaMark2 Quadrant standard 23.7 fps. The above figures clearly competing in the class dual core phones with similar specifications.
For business in particular multimedia music player is constrained at the speakers if you set it at high volume levels. Voice sounded broken. To work around this set loudspeakers are positioned so that the results can be enjoyed more comfortable voice.
When the screen is locked,you can directly activate the camera by sliding the lock to the left. There are no physical buttons as a camera shutter. Duel existing camera works fine, though not as good as the camera's resolution global vendors in the same figure.
Additional flash gives great influence to improve the results of 8 MP camera. However, there are settings and features that are not much different from a camera phone features Android in general.
Weather results in bright colors with a splash of sunshine, no doubt, good with detail color close to the original color. Parts dark areas sometimes can not be avoided despite insufficient light. Of course very disturbing even though you're feeling fit in the setting. This is one difference between the camera lens and the resolution of the phone's local and global vendors.
Cross A7S equipped with WiFi for wireless connection. Additionally, the phone can be used as a hotspot to share internet connection to other devices. The durability of the battery capacity of 1600 mAh which I test last up to a day in normal use for gaming, internet and telephone
Maman Malmsteen
Latest posts by Maman Malmsteen (see all)
- Excite Playing Games and to Gift in Priceza Game Best Deal Hunter - October 20, 2016
- Importance of Pulse in Today - September 15, 2016
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10 Responses to Cross A7S
Gan, mau tanya nih, saya habis beli Cross A7s, kemarin saya masukan file movie dari komputer, tapi saya putar di hp Cross A7s tidak keluar suaranya, saya akali pake headset juga tetep nggak keluar suaranya, tolong pencerahannya. Trimkasih
Saya perlu hard case punya A7S, dimana bisa membelinya
Baik pak nanti saya tunggu khabarnya.
maaf saya juga sedang mencari case untuk corss a7s soalnya punya saya warna putih sudah kusam banget,, bisa bantu info yang jual casenya dimana ya .. terima kasih
Pak, Cross A7S saya tidak bisa muncul 3G nya. Bagaimana yah?
Trus jika melakukan panggilan; layar seakan terkunci shg tdk bisa menekan menu pd saat panggilan
Terima kasih


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This is the February 16, 2013 news archive. View today's Cleveland Sports rumors and news.
Cleveland Sports
Cleveland Sports News and Rumors
Terry Pluto's Talkin' ... about the role of the Browns' owner, the Indians' winning off-season and more Cavaliers promise
cleveland.com Updated Feb 16, 2013
The key players for the Browns' growth in the next couple of years are Joe Banner and Mike Lombardi, not owner Jimmy Haslam.Share Tweet
Kyrie Irving wins 2013 Foot Locker Three-Point Contestyahoo.com Feb 16, 2013As if Cleveland Cavaliers All-Star guard Kyrie Irving wasn't frightening enough, the second year waterbug dominated the NBA's Three-Point Shootout on Saturday night in Houston, shooting brilliantly during the final round on his way to a 23-point serveShare Tweet
Cavs' Irving tops Bonner to claim 3-point titleESPN.com Feb 16, 2013Cleveland point guard Kyrie Irving beat San Antonio's Matt Bonner to win the 3-point contest during All-Star Saturday night.Share Tweet
Watch Raw Footage Of The Shot That Took The Bulls Past The Cavs In 1989, Jerry Reinsdorf's Post-Game Hug With Jordan, And An Amadeadspin.com Feb 16, 2013We're not sure of the provenance of this footage-it comes to us from reddit, but we're not sure which TV station shot it-but it's all great: the crowd noise, the incredible baseline angle, the media scrum in which the local guy ("YOU STUCK IT BABY!")Share Tweet
Cleveland Browns defensive coordinator Ray Horton loves to fly -- sometimes even in the face of conformityGoal-oriented Horton has been checking off items from his 'bucket list' for more than three decadesShare Tweet
Hopefully, the Cavs Kids are AlrightIt's nice that the Cleveland Cavaliers have four players taking part in this weekend's All-Star Game festivities, but there is a small part of us that wishes it wasn't so. Because right now what Kyrie Irving, Tristan Thompson, Dion Waiters and Tyler Zel…Share Tweet
"I'm Gonna Tell You What I'm Gonna Do": What It Was Like To Guard Michael Jordan, According To Craig Ehlodeadspin.com Feb 16, 2013In honor of Michael Jordan's 50th birthday, we reached out to a man who, possibly more than anyone, understands the sneering greatness of Jordan in his prime: Craig Ehlo, the former NBA player (14 seasons with the Rockets, Cavaliers, Hawks, and SuperSon…Share Tweet
Chief Wahoo and Outcome-Based MoralityLet's assume, just for the sake of argument, that we're all not inherently racist. Let's assume that there's ultimately nothing wrong with slapping a cap with an undeniably offensive caricature on our heads before heading out to Home Depot to pickShare Tweet
Cleveland Browns great Jim Brown receives Doak Walker Legends AwardJim Brown will talk with owner Jimmy Haslam on Sunday.Share Tweet
NFL Draft 2013 -- mock draft links: Linebacker Jarvis Jones to Cleveland Browns? Defense the priority, but what about quarterbacGeorgia's Jones led SEC in tackles for loss, sacks and forced fumbles. Most draft analysts think Browns will go for defense in first round, though players like Arkansas' Wilson and California wide receiver Keenan Allen could be candidates, too.Share Tweet
View from the Porch: An Evaluation of the Starting RotationAll of the reports coming out of Spring Training tell a tale of an excited team, fired up by an offseason that included the acquisitions of Nick Swisher, Mark Reynolds, Michael Bourn, and Terry Francona. Playing the roles of Debbie Downer, Wet Blanket, …Share Tweet
Kyrie Irving Draining The Long BallFeb 16Kyrie Irving wins 2013 Foot Locker Three-Point Contest.


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8/20/11 at Citi Field
I was 14 years old when I started attending Mets games regularly in the spring of 1992. At the time, one of the Shea Stadium regulars that I got to know was a woman named Karen. She and I used to run into each other all the time, but lately we've been seeing each other less and less. Long story short: when I got off the train the other day at Citi Field, she was already waiting outside the Jackie Robinson Rotunda, and before I had a chance to say hello to her, she pulled out copies of my last two books and asked me to sign them. Here we are:
In case you're not familiar with my books, that's The Baseball on the left and Watching Baseball Smarter on the right.
The game was scheduled to begin at 4:10pm. Normally, there would've been batting practice, but because there'd been a really long rain delay the night before…
NOTHING — not at first, anyway, but at least there was a sign of life. The grounds crew was on the field. The batting cage and protective screens were set up. Everything was in place for BP; there just weren't any players.
Fifteen minutes after the stadium opened, this was the scene:
In the photo above, do you see the fan wearing the navy blue shirt behind the dugout?
That was me.
Now, do you see the two guys walking across the left side of the infield? That was Rickie Weeks (also wearing navy blue) and a coach (wearing light gray). The coach had just finished hitting a few dozen fungos to him; the photo above was taken as they walked back toward the dugout with their bag of balls. When they reached the warning track, the coach pulled one out and tossed it to me.
One more thing about the photo above: did you notice the few players/coaches in center field? After I got the ball at the dugout, I jogged through the concourse and headed out there. Here I am making my way behind the batter's eye:
Who took all these photos, you ask? Jona, of course. You'll see a photo of us in a bit, but first let me show you what happened when I tried to enter the seats in deep right-center field:
That's me on the left, being stopped by a "Hospitality Attendant" on the right.
Even though the game was still more than two hours away, and even though we were 14 light-years from home plate, she asked for my ticket. I told her that I didn't have a ticket for that section. She told me that I wasn't allowed to enter the seats. I explained that fans are normally allowed to go wherever they want during batting practice, except behind home plate and the dugouts.
"Batting practice," I said politely, "isn't technically taking place at the moment, but it's early enough in the day that I should be able to go down there."
The woman said that she had to find out what the rule was. Here she is walking toward some other Hospitality Attendants while a security guard waited with me:
The guard wasn't sure what to do, so I followed the woman to see what was going on.
Ready for it?
Here goes:
The Hospitality Attendants discussed the matter and eventually concluded that I *should* in fact be allowed to enter the right-center field seats.
The players and coaches were in the bullpen at that point, so I walked over and took a peek:
Chris Narveson was pitching, bullpen catcher Marcus Hanel was behind the plate, and manager Ron Roenicke was watching with bullpen coach Stan Kyles. I was the only fan there (and of course I was decked out in Brewers gear), so when they finished, I had no trouble getting Narveson to toss me the ball.
Then, as the stadium got a bit more crowded, I headed to the left field foul line when the rest of the pitching staff came out to throw:
Stan Kyles ended up tossing me a ball, which had a magic-marker streak through the sweet spot:
Many years ago, the Brewers used to mark their baseballs like this. Then there was a time when they didn't mark them at all. Then they went to the marker streak. Then they started writing random crap on the balls (which made BP even more fun). And now they're back to the streak. What next?!
The Brewers didn't take BP, so the Mets pushed their own time slot back and started hitting at 2:30pm. That's when I headed out to left-center field. In the following photo, the red arrow is pointing at me:
Batting practice was dead. During the 40 minutes that the Mets were hitting, only a handful of batted balls reached the seats, and I didn't snag any. Meanwhile, lots of balls were tossed to kids in the front row. I could've easily snagged this one by reaching over their gloves…
…but pulled my own glove back at the last second to let them go for it.
In the photo above, do you see the fan wearing the Jason Pridie Twins jersey? That's my friend (and jersey-God) Ben Weil. I'm telling you, he has more jerseys than anyone. Ever. In the history of history. Someday I'm going to blog about it so you can see for yourself.
The final group of BP featured four lefties, so I made the trek to the second deck in right field. (It really *is* a trek to get there. You have to go all the way to the concourse in foul territory in shallow right field, then take a long escalator to the top, then walk through the concourse toward fair territory, then proceed through a couple of zig-zagging ramps, then cross the wide open-air concession area, then head down a few steps toward a slightly lower platform-thingie, and finally make your way down into the seats. It's soooo not worth it. I pretty much ran up there for the exercise.) Here's what it looked like up there:
Not surprisingly, there was a grand total of ZERO home runs that reached the seats.
And then batting practice ended.
Right before the game started, I made my way down to the 3rd base dugout and got a warm-up ball from Jerry Hairston. Before leaving the section, I asked the nearest security guard if there were any kids that he wanted to give a ball to. He said yes, so I handed it over and watched from afar. Here's how it played out:
In the photo above, the kid is holding up the ball so that the fan on the far right (wearing the yellow cap) could see it. I assumed that was his father, but regardless, it was a cute scene that left me felling warm-n-fuzzy. This was one of three balls that I gave away over the course of the day.
Jona and I had really good seats for the game. This was our view:
It was a good foul-ball spot, made even better by the empty space on both sides. This was the view to my left…
…and this was the view to my right:
I seriously thought I was gonna catch at least two foul balls there, but no, the only one that came close flew directly over my head and was bobbled/snagged by a fan who was sitting seven rows behind me.
At one point in the middle of the game, I spent a few minutes wandering and taking photos of the fancy club that was connected to our section. Here's one…
…and here's another:
By the time I made it back through this tunnel to the seats…
…something rather insane was happening. Have a look at the following photo and see if you can spot it:
Give up?
Here's a closer look:
Do you see the smoke billowing up behind the Budweiser sign? Evidently, there was a huge fire right across the street at one of the chop shops. Check out this brief article about it on MLB.com. I was tempted to run up to the upper deck in left field and have a look — dozens of fans were converging there — but I didn't want to leave my awesome foul-ball spot.
Instead, I took this photo with Jona:
See the bruise on my nose in the photo above? Three words: Nationals Park security (with "security" in humongous quotes). Click here if you missed that story from earlier in the week.
As for the game…
The Brewers had a 7-1 lead after six innings.
The Mets scored five in the seventh and three more in the eighth to take a 9-7 lead.
The Brewers then scored four in the ninth and held on for an 11-9 win.
That's just a quick/cheap recap; being there and witnessing it in person was really exciting. The best part was hearing Francisco Rodriguez get booed mercilessly — and then watching him surrender the three go-ahead runs in the eighth. Of course, the Brewers' rally in the ninth made him a winner.
After the final out, I got a ball from home plate umpire Alfonso Marquez, and when the Brewers walked in from the bullpen, I got another from Stan Kyles behind the dugout. I was surprised that he didn't recognize me. Perhaps the fact that I'd removed my hat had something to do with it.
• 6 baseballs at this game (three pictured here because I gave three away)
• 811 balls in 95 games this season = 8.54 balls per game.
• 756 consecutive games with at least one ball
• 538 consecutive games in New York with at least one ball
• 382 consecutive Mets home games with at least one ball
• 5,473 total balls
(I'm raising money again this season for Pitch In For Baseball, a non-profit charity that provides baseball equipment to underprivileged kids all over the world. Click here to learn more.)
• 56 donors
• $7.12 pledged per ball (if you add up all the pledges)
• $42.72 raised at this game
• $5,774.32 raised this season
Finally, of the three balls that I kept, two have invisible ink stamps. Here's a side-by-side comparison of the balls in regular light versus black light:
22 Comments
I seriously thought that was a baseball sitting in the tunnel. What an optical illusion!
Six with no BP. Very nice. I'm sick of all the 'attendants/security/guards' that have no clue or commen sense. Bravo to you, as I would have probably gone nuts and never been allowed near the section again. Much to learn from you, Sensei. Oh, and big props to Jona for…. well, for being Jona. Not like that. Look forward to your decision on the final six games. I checked out the schedule and thought Pit then NYM (all Cincy) or Oak/LAA then CHC/SD (26,586 avg att 2010 CHC/SD, not too bad since SD can pack 43K+).
Zack, I love your facial expression in the "seriously guys what the h*ll" pic. It looks like you're ready to kill that hospitality lady! haha
Did you go for the all you can eat special in those seats that you had? I did it a few months back and it was a pretty good deal. It was like $18 for unlimited food and sodas and stuff.
This game makes it hard to be a Mets fan day after day. Ugh.
** repost – I never know if you go back to look at the older posts / comments . .just trying to post on the current
Hey Zack
thanx for the reply on my Guthrie post earlier, was just shocked at someone who i was expecting to be very fan friendly was so snarky to little kids only asking for autographs ( it goes up one side and down the next on me since I am a adult ) just surprising after reading about your interactions with him — I noticed lately there has been alot of " anti adult ball hawking " and I have to admit I notice it every once and awhile myself azackt AT&T and Oakland, if everyone just used the same " hawking etiquette" it would be fun for all – I personally just make sure that if im going for " toss ups " just to move around and let others get into " my position " once i get one .. There is no reason we all cant have fun …. are you still planning on being in the Bay Area Sep 2 and 3 ? — I was planning on going to the Oakland vs Mariner game Sept 2 in Oakland, would be great to take a minute and meet up
Hey Zack,
You are looking good in that replica 1973 KC Royals All-Star shirt!!!
Looking forward to your visit to the "K" in September.
Hey man,
I dont know if I already thanked you for helping me with my charity, Snagging Baseballs for Puppies, so thank you. It was great to meet you finally and we always have a seat reserved for you at Safeco Field.
Your friend,
hey zack just letting you no i see a baseball after the second club photo its on the ground looks like in a tunnel not sure if you seen it lol
Tyler, i'm pretty sure that's a wad of tissue you see in the tunnel photo and not a baseball. : )
I don't know if anybody heard this, but because of the earthquake in virginia fan could not enter the center field gate at nats park untill 6:40, 45 minutes before game time. did anybody go to this game?
"I'm telling you, he has more jerseys than anyone. Ever. In the history of history."
In the history of history! I love it haha! Thanks! And I can't wait till you blog about it. Your blogs entries are so entertaining that it would be better than anything I would probably do.
I don't think Ben deserves a blog about his jerseys until he steps up and gets a 1983 Mariners Spike Owen jersey. I mean, how does he not have that already? I just don't get it!
I'd love to know Ben's most obscure jersey. You guys ever check out this website? It's all about random sports jerseys that people spot. http://straightcashhomey.net/
Hey there Zack. Another entertaining entry! My favorites are the ones in which you must overcome some obstacle, or are thwarted in some way. Is that wrong? Anyway, I'm wondering if you are planning to attend MLB's 200,000th game? I hope so! That would be a great blog, and imagine if you were to snag a gamer! Shazaam!!! Cheers, Jason.
…as you probably know, Elias is expecting it to fall in mid September.
When are you next going to citi field?
@PSU532- I check it out all the time. They want me to send pics of MY obscure jersey's haha. And in terms of baseball- I have a few crazy ones, such as this Jason Pridie, a Scott Elarton, Jose Lima, Mitch Williams, a Deion Sanders, and probably some more. I don't know what one considers obscure. Football…..I recently found that I somehow own 2, not just 1, but 2 Josh McCown's.
Todd- I doubt you'll ever find a real one!


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Early release School will be dismissed at 12:30 p.m. Thursday with buses running at 12:35 p.m. Classes will resume Jan. 10. The school office will reopen Jan. 9.
Dora news — Dec. 20
ENMU closing for winter break
Eastern New Mexico University is scheduled to close for winter break at 5 p.m. today and reopen at its normal time Jan. 3, according to information from the university. The spring semester begins Jan. 18. Currently enrolled students can register any time at www.enmu.edu. Campus information: 562-1011.
Jan. 30, 1946
Lt. Col. A. D. Tuttle was planning to reopen his medical office in Portales after serving 45 years in the U.S. Army Medical Corps, a year of which he served in New Guinea.
Local Briefs Aug. 12, 2008
City offices closed for funeral Portales city offices will close shortly before 10 a.m. today so that employees may attend the funeral of longtime Portales police officer Preston Wilkerson, according to City Manager Debi Lee. She said there will be at least one person on duty at City Hall. Other departments should reopen at 1 […]