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Don't miss a story. Like us on Facebook. Like Dallas News' Facebook Page
J.C. Penney is planning "the world's largest housewarming party" marketing campaign as it rolls out its new home shops this spring. Penney is creating some advance buzz by showing off its home shops in its not so secret anymore prototype store.
Penney plans to open its Martha Stewart shops by Mother's Day. The shops will be anchored by the "Martha Stewart Pantry" and "Martha Stewart Celebrations" collections, according to Citibank analyst Deborah Weinswig who was recently briefed by Penney.
For the categories where Macy's has exclusivity with Martha Stewart (cookware, kitchen utensils, bedding, and bath), Penney is developing its own "Everyday" collection brand. (Lawsuits between Macy's, Martha Stewart Living Omnimedia Inc. and Penney were consolidated last year and the case goes to trial Feb. 20.)
J.C. Penney has completed a floor of its prototype store with its new home department ready to show off.
Penney smartly has been offering tours of its prototype space located on the blocked off third floor of its Valley View Center store in Dallas to local retail consultants, shopping center landlords and other opinion makers.
I've heard from a few folks who said they liked what they saw.
I'm interviewing CEO Ron Johnson this afternoon to see the completed floor. The last time a lot of people were brought into the space, including me, was last fall when about half the floor was done and none of the new home space was ready. Home has been a dreadful performer for Penney in recent years. At one time, it represented a healthy 20-plus percent of Penney's sales.
My story is scheduled to run later this week. CNBC is promoting a live broadcast tomorrow morning from Valley View with reporter Courtney Reagan who is also interviewing Johnson. The report will be on Squawk on the Street which starts at 9 a.m. CT. tomorrow.
Penney has already said its seven new home shops will be from Bodum, Jonathan Adler, Michael Graves, Terence Conran, Martha Stewart, Ordning & Reda, and Pantone. Penney told Weinswig that it will devote additional marketing dollars to home, more than any other merchandise category.
Weinswig estimates that home sales at Penney are down 30 percent through the third quarter, worse than the 22 percent decline in stores sales overall. She believes home sales represented only 12 percent of sales in 2012, down from 15 percent in 2011.
"In 2013, fixing home is JCP's top priority," she said. "This extreme makeover of the home department fits well with our positive outlook for home-related spending in 2013, and we think home could be a traffic driver in 2013 and lead to significant improvement in overall same-store sales trends."


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In addition, PALS assists with community education on proper animal welfare, spaying and neutering for pet population control, and assisting other animal rescue organizations in need.
Our adoption fee(s) are as follows:
Puppies (under 1 Year) = $ 180.00
Dogs (1 Year & above) = $ 160.00
Kittens (under 12 months) = $100.00
Cats (1 year & above) = $80.00
Thank You!
Your message has been sent to PALS Animal Shelter of Lincoln County, Missouri.
You'll receive a copy, too, at to help you keep track of which pets you've inquired about, and which shelters and rescues you've emailed.
NOTE: Some shelters have physical locations you can visit; some of these shelters may only have pets for a limited time, so please do not wait for a reply—just go visit the shelter! Other organizations are rescue groups run by busy volunteers who may take a while to reply. You can find information about the shelter or rescue group caring for this pet, and their adoption procedures, on the pet's details page on Adopt-a-Pet.com.

subset: commoncrawl


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Saunders far removed from free-agent uncertainty
PEORIA, Ariz. -- As left-hander Joe Saunders prepares for a Sunday start that figures to be his last outing in Arizona before the Mariners break camp, he's a long way from the uncertainty of free agency that extended all the way into February.
Slated to be the Mariners' No. 3 starter, Saunders signed with the Mariners on Feb. 12, ending his first foray into free agency.
"It was a tough experience, I'm not going to lie," Saunders said. "It was nerve-racking, not knowing where you're going. It was the first real free agency for me, and it was an experience, for sure. It's a good one to be over with. I feel bad for Kyle Lohse."
While Lohse, coming off a strong 2012 season, remains a free agent, Saunders has settled in with the Mariners after signing a one-year deal worth $6.5 million -- a little late, but early enough to get the veteran working with his new club, the fourth of his career. Saunders' numbers have been rough this spring with seven earned runs on 13 hits in 6 2/3 innings of Cactus League play, so a sharp outing Sunday against the D-backs is in order.
Having established himself with the Angels and then playing on playoff teams in Arizona and then last year in Baltimore, Saunders is bullish on the Mariners' chances this year.
"The sky's the limit here. There's a very high ceiling," he said. "I've been on a dark horse a lot of times in my career, and I kind of like being an underdog. We're right where we need to be. This team is hungry, these guys are hungry and we're going to surprise some people."
John Schlegel is a national reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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This game was classified by the community with the following category scores - Violence=0/3, Sex=0/3, Mature Content=0/3. Jungle is a traditional Chinese board game that takes minutes to learn and months to master. A game of Jungle is a quick match compared to other strategy boardgames, yet there is great depth in its handful of playing pieces. Features new boards expanding on the classic gameplay, luscious artwork, and a sweeping soundtrack. Jungle is an adventure for thinkers of all ages
Buy Xbox content on Xbox.com. Your Xbox 360 console will automatically download the content next time you turn it on and connect to Xbox Live.Learn More


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|Thread Tools
Hi! I just found this thread and am not up to reading 450 posts. So, here's a quick intro.
My older DS, 6, has been playing Suzuki Piano for about 2 years now. He's got Go Tell Aunt Rhodie down. He's at group class right now as a matter of fact. He's also learning Iron Man, or at least part of it. He's REALLY excited about that.
I have started listening to the recordings and doing now holds with my toddler. Good times!
I have started listening to the recordings and doing now holds with my toddler. Good times!
How long has she been on the quarter? Has she changed sizes before? Does the quarter fit her properly? (It seems a mighty big size for a 6-year-old, but obviously I can't see her!) The reason I ask is that in my experience with my own four kids who have grown through a total of probably twenty different size-changes, it's never taken more than a few days for them to adjust. As a teacher I've found similarly: I'll give the go-ahead to change sizes at one lesson and by the next lesson the kids and I have often pretty much forgotten the issue of adjusting. Sometimes there's a bit of 4th finger or bow-on-highway attention that needs to be given, but it's pretty self-limiting.
If it's been more than a week or so and your dd is still feeling like the new violin is requiring some significant adjustment, perhaps it's either too big or needs some adjustments (chin rest, shoulder pad, bridge curve, eg.) to work well for her. Does her teacher have any suggestions?
Mountain mama to one great kid and three great grown-ups
As long as he can bow to the tip without locking his elbow, it's an ok size.
Very excited to discover this thread!
We're currently looking for a Suzuki piano teacher for my 4 y/o dd. We tried the traditional method / teacher, but they started right away with reading music - one of her homeworks was to trace the treble clef, and she can barely scribble her own name. Not to mention that I have absolutely no knowledge of music, so I couldn't help her at all with her practice.
At least with the Suzuki method I can attend the lessons and learn with her. So I ordered the book and CD and hopefully we'll start in January. She talk about playing the piano, I think she misses it.
Another thing: we don't have a piano at home . We were practicing on a small keyboard.
I have some questions for mamas of piano players: how do you help out with practice if you don't play the instrument yourself? (Or do you have any advice for me?)
And where did you buy your piano? We won't be able to buy a new one, but as we don't know anything about pianos, how do I make sure that the used ones are in working order?
I have been thinking of buying a keyboard, but I've read a lot of negative comments about them, especially from Suzuki teachers, so I wouldn't want to buy one, then having to buy a piano anyways.
I would also like to mention that ds also started Suzuki guitar when he was 4 and we had a very positive experience with the program.
Ds 9
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Dialogue continues over Burnley deals
12:50pm Thursday 15th May 2014
12:50pm Thursday 15th May 2014
BURNLEY are continuing dialogue with Danny Ings and Kieran Trippier over potential new deals with the club.
Ings and Trippier both have only one year left on their current contracts and have been linked with interest from elsewhere after starring in the Clarets' promotion season.
But Burnley are attempting to tie the duo to extended deals and discussions are continuing, although chief executive Lee Hoos is keen to keep private the details of how talks were progressing.
"I have dialogue with them all the time," Hoos said. "But I would never do a contract negotiation in a public forum."
Trippier has now jetted off on holiday, while Ings is preparing to represent England under 21s against Wales in Swansea on Monday.
After reported interest from elsewhere, Ings said: "Of course it is flattering to be linked with other clubs and I have seen some of the stuff in the papers and on Twitter. But I try and stay focused on what I am doing.
"You never know what is going to happen in football, but as it stands I am contracted at Burnley for another year and I am happy and looking forward to playing in the Premier League next season."
© Copyright 2001-2017 Newsquest Media Group


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Here are just a few of our favorite stories from 2013 that friends like you helped make possible! To hear more great stories about how people are helping wildlife and connecting kids to nature, subscribe to our e-newsletter or read our Wildlife Promise blog.
NWF members, concerned sportsmen and other like-minded conservation groups across the country joined forces to defeat a barrage of anti-bison bills sponsored by Montana lawmakers. The bills would have blocked efforts to return wild bison to their native habitat. This victory accompanied continued progress in restoring the species, including the release of 34 bison on the Fort Belknap Indian Reservation.
NWF won the establishment of New Mexico's spectacular Rio Grande del Norte as a national monument, permanently protecting more than 240,000 acres of public lands. This landscape is a haven for elk, bighorn sheep and pronghorn, plus part of a vital migration corridor for sandhill cranes and other birds. Protecting public lands from development, climate change and political assault is a priority project for NWF, because once these lands are damaged, they are never the same.
Thanks to successful NWF negotiations in the summer of 2013, we eliminated conflict between domestic and wild bighorn sheep by "retiring" domestic sheep grazing privileges on 12,000 acres of Montana's Beaverhead-Deerlodge National Forest. This $50,000 investment will prevent domestic sheep from spreading fatal disease to two herds of bighorn. To date NWF members have helped eliminate wildlife conflicts on more than 680,000 acres of vital habitat through our Adopt a Wildlife Acre program.
NWF and our supporters continued to be a lead voice for Gulf restoration, fighting to hold BP accountable for the damage done by the 2010 Gulf oil disaster. At the close of 2013, BP was still in court fighting just how much they will have to pay for the environmental damage they inflicted, and we were on the courthouse steps, reminding people what is at stake and amplifying the latest research of ongoing wildlife impacts.
Thousands spoke out this year against the development of coal ports in the Pacific Northwest that would ship coal overseas to China and spew toxic pollution into the waters that endangered orcas depend on. With your help, NWF prompted Washington State to mandate an environmental review of one of the proposed ports, which could ultimately put an end to the project! To date NWF has successfully blocked three of six coal terminals, and with your help, continues to fight the remaining three.
Federal officials will take another look at managing public lands on western Colorado's Roan Plateau after a federal judge rejected their plan for drilling for oil and gas there. The decision stemmed from a lawsuit filed by NWF and other conservation groups in response to an initial drilling plan that failed to consider other, more wildlife-friendly approaches to drilling. The Roan harbors some of the nation's largest mule deer and elk herds, as well as cutthroat trout and other fish.
Answering the call of wildlife advocates and the hundreds of thousands of messages coordinated by NWF and our partners, the White House released a bold new plan to address climate change. The plan directs the Environmental Protection Agency to take actions that would require reducing carbon pollution from power plants. It comes not a minute too soon for polar bears, moose and other species at-risk from the effects of our changing climate.
National Wildlife Federation's Eco-Schools USA program continued to reach more and more schools, helping educators integrate sustainable principles and environmental conservation throughout their buildings, grounds and curricula. In the New York City public school system alone, NWF recruited almost 140 schools in less than a year (up from eight schools at the start of the year).
This past spring, nearly a quarter-million students at 100 colleges and universities competed in the Campus Conservation Nationals, a contest for reducing energy use that NWF's Campus Ecology program helped host. Together, these students saved more than 1.5 million gallons of water and 1.7 million kilowatt-hours of energy, equivalent to cutting more than 2.6 million pounds of carbon dioxide and taking 151 U.S. homes off the grid for a year.
Habitat loss, pesticides, pollution and disease are threatening bat populations, which is why NWF joined forces with Bat Conservation International this year to host a series of webinars to inspire adults and students to help conserve these flying mammals, including hands-on solutions like building a bat house. This was just one of many topics covered by NWF webinars in 2013, along with other educator resources and lesson plans.
Saving wildlife starts with connecting people to wildlife—something we hold as a high priority at National Wildlife Federation. Every time we deliver National Wildlife, Ranger Rick or Ranger Rick Jr. magazines to your mailboxes; every time we share an amazing image on our Facebook page and read the comments it inspires; every time we certify a wildlife habitat and hear about the animals it attracts; all of these are victories to us.
The above accomplishments are a direct result of the actions and contributions of people like you. Please consider making a donation today to help continue the critical work needed to protect imperiled species, as well as to help NWF continue to connect people to the amazing world of wildlife!


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St. Clair County is located in Southwestern Illinois, across the Mississippi River from St. Louis. It is Illinois' oldest county, established in 1790. Its heritage lies in the French, French-Canadian, and English settlements existing in the 1600s and 1700s; and in the German, Irish, and English immigrants who came to the county in the 1800s.
The St. Clair County Genealogical Society (SCCGS) was founded in 1977 and incorporated in 1978. Its goals are to preserve and perpetuate ancestral records for educational and historical purposes; encourage the study of family history and teach the methods of genealogy research; promote genealogical publications; promote the preservation and safeguarding of genealogical data; and to publish and circulate literature relative to the purposes and acquisitions of the Society. Current membership stands at 377.
For $25.00 (individual) or $27.00 (family), members receive four issues of the Quarterly, ten issues of the newsletter, and access to the Member section of the website (includes the newsletter, some databases not available to non-members, member surname index, member-contributed index for 400 family-focused obituaries, and a classroom "Learn" section, which supplements the research guide).
The Society has a number of resources available to the public, which can be accessed from the home page of their website. There are more than 600 free web pages of data and indexes and a surname search function that ties into that data and the Society's quarterlies and 30+ special publications. The Research Committee provides specific photocopies from quarterlies, bio sketches, obits from databases, etc., referenced from their website.
In addition to all the hard work SCCGS has done on their website, they also have numerous publications. The Society's research guide, St. Clair County, Illinois, Research and Resources: A Genealogist's Guide as well as more than 30 special publications, such as church and cemetery records, are available for purchase at monthly meetings and through their website. A limited number of quarterlies are also available for purchase. SCCGS is currently working on other publications including Freeburg United Church of Christ transcriptions and abstracts, Walnut Hill Cemetery, Family Burial Grounds (100+ family farm cemeteries), and the next CD in the Church Records series.
The Society's lecture meetings are open to the public on the first Thursday of the month at 7:30 PM at St. Luke's Parish Hall, 226 N. Church Street in Belleville. Program information is on their website. In July 2012, SCCGS held their first Summer Seminar and planning is underway for another in 2014. Earlier this year, SCCGS held their first book fair involving genealogical and historical societies from Southwestern Illinois and eastern Missouri.
SCCGS also has a library and archives collection, which is located at the Belleville Public Library's main branch, 121 E. Washington Street. The collection includes 1,000+ rolls of microfilmed probate records (1770s to1964); church record abstracts, registers, baptisms and other records from 1600s to 20th century (some translated from German and Latin); newspapers; and city directories. Their holdings also include quarterlies exchanged with 35+ area, state, and national genealogical societies; newspapers and newspaper indexes; CDs with census, immigration and vital records; plus numerous books purchased by the library's archivist with funds donated by SCCGS.
For additional information about the St. Clair County Genealogical Society, visit their website, or contact them by email at email@example.com. You can also stay up-to-date by following their Facebook page.


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RG3, Wright give Bears five NFL first-round picks in four years
Between 1966 and 2008, five Baylor players were selected in the first round of the NFL Draft. The program has now matched that total in Art Briles' four years as head coach, as Robert Griffin III and Kendall Wright were each selected in the first round Thursday night. Three more Bears — center Philip Blake, running back Terrance Ganaway and tackle Robert T. Griffin — were selected later in the draft, bringing Baylor's total to five, the most for BU since 1996.
Selected by the Washington Redskins with the second pick of the draft, Griffin III became the fourth Bear to be drafted No. 2 overall, following Jack Wilson (1942), Adrian Burk (1950) and Jason Smith (2009). RG3 is the first BU quarterback to be drafted since Cody Carlson in 1987, and the first Baylor QB to go in the first round since Cotton Davidson in 1954.
[RG3 LINKS: Video of RG3's draft selection || ESPN interview || Redskins.com story || Washington Post story || DC reporter gets to know RG3 || "Skins' coach thrilled to get Griffin" || RG3 conference call || Redskins.com photo gallery]
Wright was picked at No. 20 by the Tennessee Titans, the first Baylor receiver to go in the first round since Lawrence Elkins in 1965. Wright is the 13th Baylor alum drafted by the Oilers/Titans franchise over its history; only Texas and Oklahoma have had more players selected by the franchise.
[KW LINKS: Video of Wright's draft selection || TitansOnline.com story || AP story || "Titans excited to add 'electric' playmaker" || Titans coach, GM on Wright || Wright conference call]
The Denver Broncos used the fourth-round pick they received for Tim Tebow to select Blake. In Denver, he will either battle fellow Bear J.D. Walton for the starting center job or shift to guard. In the sixth round, the New York Jets drafted Ganaway and Robert T. Griffin with back-to-back picks. And three more Bears signed free-agent deals with NFL teams: Elliot Coffey (Broncos), Nicolas Jean-Baptiste (Ravens) and Tracy Robertson (Texans).
My favorite tidbits from the draft: Baylor joins Alabama as the only two schools in the country with multiple first-round picks each of the last two years. Over the past four years, only Alabama and USC have more first-round picks than Baylor, and only Oklahoma has had more top-5 overall picks than Baylor during that time. The Bears' five picks this year are the most of any school in Texas and second-most in the Big 12.
[LINKS: BaylorBears.com photo gallery || Sic 'Em Sports videos: RG3, Wright pre-draft activities, draft highlights and interviews || 1660 ESPN draft-day interviews with RG3, Wright, Briles and others]
Sic 'em, RG3, Kendall and Baylor football!
Previously on Baylor Proud:
* Pair of Bears selected in NFL draft's 1st round for first time since 1957 (April 2011)
* Pair of Bears selected in 2010 NFL Draft (April 2010)
* Bears' Smith the No. 2 overall pick in 2009 NFL Draft (April 2009)


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LAKEPORT -- The case against a Nice man accused of killing a woman during a robbery attempted on a Lucerne street last year was delayed Tuesday morning after the court appointed him a new lawyer.
Daniel Ray Loyd, 51, faces murder and five other felonies for the shooting death of Cindy Yvette Quiett, 48, during the early morning hours of Sept. 13, 2011. He pleaded not guilty to all charges.
Loyd's public defender, Robert Boyd, filed a motion to withdraw as counsel on Friday. He said there was a conflict of interest between himself and Loyd.
Judge Arthur H. Mann relieved Boyd and appointed attorney Mitchell Hauptman to represent Loyd Tuesday at the Lake County Courthouse.
A preliminary hearing scheduled for next month was canceled as a result.
Loyd, who remains in custody at the Lake County Hill Road Correctional Facility, is set to appear in court Nov. 27 to schedule a new preliminary hearing date.
Jeremy Walsh is a staff reporter for Lake County Publishing. Reach him at 263-5636, ext. 37 or email@example.com. Follow him on Twitter, @JeremyDWalsh.


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Marvin Goldstein DO, MD
- Neurology Rochester, NY
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Marvin Goldstein, DO, MD is a Doctor primarily located in Rochester, NY. He has 49 years of experience. His specialties include Neurology. Marvin Goldstein is affiliated with Unity Hospital, Highland Hospital and Strong Memorial Hospital. He speaks English.
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Marvin Goldstein has the following 4 areas of expertise and 1 specialty.
A neurologist is a physician who diagnoses and treats disorders of the nervous system which is comprised of the brain, spinal cord and nerves. These doctors do not perform surgery, but refer patients to neurological surgeons when they determine that surgical intervention is necessary.
Some of the conditions that neurologists diagnose and treat are epilepsy, aneurysms, hydrocephalus, Parkinson's disease, multiple sclerosis, stroke, spinal disc herniation, and spinal disease.
In addition to using diagnostic tests like MRI, CT scans, EEG and EMG, neurologists also employ neurological testing to gauge muscle strength and movement, balance, reflexes, sensation, memory, speech, and other cognitive abilities.
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Joseph Naso, the alleged serial killer defending himself against charges he murdered four women, told a Marin County jury Monday that the prosecution's case amounts to "character assassination."
Naso, speaking on the first day of his trial, said the prosecution's circumstantial evidence is weak, its DNA evidence is inconclusive and his writings about violent sex with "broads" are being misconstrued.
"I'm not the monster that killed these women," said Naso, 79, a retired photographer. "I didn't do that. If I thought I was guilty of these crimes, I would have had to hire two or three of the best attorneys in the Bay Area. I'm very comfortable representing myself."
Naso's remarks followed a detailed presentation by Deputy District Attorney Rosemary Slote, who showed the jury crime scene photos of the four naked victims, some of whose bodies were partially decomposed. Slote described how a vast record of evidence over the past 50 years points to Naso as a "serial rapist and murderer."
Slote also unveiled new evidence — just confirmed in recent weeks, too late for charges in this trial — she says implicates Naso in the death of a Bob Dylan groupie who vanished in 1992.
The four victims for whom Naso is charged were known prostitutes who worked near his former residences in Piedmont and Yuba City. All four were dumped along rural roads.
The victims were Roxene Roggasch, 18, who was found off Sir Francis Drake Boulevard near Fairfax in 1977; Carmen Colon, 22, found near Port Costa in 1978; Pamela Parsons, 38, found in Yuba County in 1993; and Tracy Tafoya, 31, found in Yuba County in 1994.
The homicide cases languished until 2010, when a routine probation check at Naso's home in Reno revealed an extensive collection of photographs of dead or unconscious women in various states of undress, incriminating writings and sadistic magazines, investigators said.
The search also turned up what authorities describe as a "list of 10" — a roster, in Naso's handwriting, of 10 unnamed "girls" with geographic locations. Prosecutors allege the list refers to 10 women Naso killed and the areas where he dumped their bodies.
Four of the women on the list correlate to Roggasch, Colon, Parsons and Tafoya, prosecutors allege. Investigators said semen on Roggasch's pantyhose matched Naso's DNA profile, and that Roggasch was strangled with panty hose that contained the DNA of Naso's wife.
Naso also had numerous images of Parsons in his photography collection, and he admitted he dated Tafoya.
In court Monday, prosecutor Slote said investigators recently identified a fifth alleged victim on the list, even though it was too late to file a murder charge without delaying the trial. The woman's name is Sara Dylan.
Dylan's passport was among the items found in a safe deposit box that Naso kept in Reno. Investigators learned that Sara Dylan, who was adopted as a baby in Texas, grew up with the name Renee Shapiro, but she was such a fan of the singer Bob Dylan that she legally changed her name to that of his former wife.
Slote said the woman followed Bob Dylan's tour around the world and, in 1992, traveled to Northern California to see one of his shows. Dylan, who was known to hitchhike to concerts, never made it to the show and was reported missing.
After the Naso case broke, the FBI eventually tracked down the biological mother of Dylan, who had been adopted by the Shapiro family as a baby. Slote said the mother's DNA was recently matched to a skull found near the Nevada County border some years ago.
On Naso's alleged list of 10, entry No. 8 refers to a "girl in Woodland (near Nevada County)."
Authorities have not announced identities for the remaining five women on the list of 10, but the investigation is ongoing.
Also Monday, the prosecution showed jurors excerpts of what it describes as Naso's "rape journal," a diary that appears to document the rapes of various women and girls, some in the Rochester, N.Y., area as far back as the 1950s and '60s.
In one 1958 entry — listed as entry No. 40 — Naso describes offering a ride to a "gorgeous chick" after he had stalked her to the point of knowing her work schedule. Then he describes taking her to a cemetery and raping her.
"It was hard work trying to hold her down and pull off her underwear at the same time," he wrote.
Then he drove the victim home and waited while she rushed inside to her mother, thinking she wanted to introduce Naso to her family. Instead, the mother came out and wrote down Naso's license plate number, and he was eventually convicted of assault to commit rape, Slote said.
Naso, in his statement to the jury Monday, acknowledged the conviction but complained the prosecution is trying to extrapolate its whole "serial killer" theory from one old crime.
He also said the language in his journals does not mean he is a rapist.
"That's the way I talk," he said. "'I picked up a nice broad,' and 'I picked up another broad and raped her,'" he said. "It's not forcible rape."
Later, he offered the jurors "some advice."
"Don't keep records," he said.
The trial continues Tuesday before Judge Andrew Sweet. It is expected to last about five months.
The jury consists of six men and six women ranging from 19 to 79 years old, including a lawyer and a court clerk, an attorney said. The jury also has nine alternates, an unusually high number, who will listen to evidence in case other jurors are unable to complete the trial.
Although Naso insisted on being his own lawyer, he has limited assistance from an advisory counsel, Deputy Public Defender Pedro Oliveros.
It remains to be seen whether Naso himself will testify on his own behalf, thus subjecting himself to cross-examination by trial prosecutors.
Contact Gary Klien via email at firstname.lastname@example.com or https://twitter.com/GaryKlien


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BIRMINGHAM, Mich. - Seaholm High School in Birmingham won't hold classes Tuesday after an early-morning incident involving an armed carjacking.
Police said a maintenance worker arrived to the school about 5 a.m. and was confronted in the parking lot by a man with a handgun.
The gunman demanded the maintenance worker give up his money, cell phone and keys and then fired a shot into the air.
Police said the maintenance man complied and started running into the school.
A second gunshot was heard and a second man ran up to the maintenance worker's car -- both men fled in the victim's Grand Marquis.
The maintenance worker wasn't hurt.
Police said the stolen car was spotted on I-75 heading south and a police chase ensued into Detroit -- ending near 7 Mile and Conant.
The suspects got out and ran away on foot. Police were able to take one into custody. They are still searching for the second.
Police said the suspect in custody is not cooperating, but the gun alleged to have been used during the carjacking has been found.
Superintendent Dr. Daniel Nerad said he made the choice to close the school for the day because of the ongoing police investigation.
"Anytime there's a matter that involves a potential criminal investigation, we need to be partners in helping with that. At the same time, because there are still unknown questions, our responsibility is to ensure that our young people and our staff are safe," he said.
Uncut video: Birmingham superintendent on situation at Seaholm High School
Copyright 2013 by ClickOnDetroit.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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ANAHEIM – Sheriff's deputies are looking for a man who groped a teenage girl while she was out jogging Saturday morning with her sister.
The 14-year-old girl told authorities that the man approached her around 9 a.m. near Cerritos Avenue and Gilbert Street and groped her in the groin area and on her buttocks before running away from her and her sister, also in her teens.
The victim described her attacker as a male Hispanic, about 30, approximately 5'10" tall and weighing about 200 pounds. A police sketch shows him with a light beard and a thin mustache. He wore a baseball cap and black T-shirt, jeans and sneakers, according to the victim's description.
The two girls told authorities they were certain they could identify the man if they saw him again.
Anyone with information on the suspect is asked to call investigators with the Orange County Sheriff's Department at 714-647-4067 or 714-628-7170. Anonymous tips also can be left with Orange County Crime Stoppers at 855-847-6227.
Contact the writer: firstname.lastname@example.com


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Community Relations Training and Learning Consortium: Learning from Experience (Report to the Commuity Relations Council, 34pp)
- Authors
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- Unknown Publisher
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- Source
- Legacy
Open Learning SHORT, PART-TIME COURSES Autumn/New Year 2013-14 School of Education Open Learning Office Queen's University Belfast 20 College Green Belfast BT7 1LN Northern Ireland T (028) 9097 3323/3539 F (028) 9097 1084 www.qub.ac.uk/edu/ol This publication is also available in alternative formats on request, including large print, Braille, tape, audio CD and Daisy CD. For further information, please contact the University's Marketing and Creative Services Unit on +44 (0)28 9097 2586. Complementary Therapies Computing Counselling Creative Writing Cultural Studies Environment First Aid History and Politics Languages Law Leisure Literature Media Studies and Drama Music Personal Development Personal Finance Philosophy and Religion Science Visual Arts From Spanish to Wine Tasting, Creative Writing to Travel, World Literature to Visual Arts, there is a course for everyone in the Queen's University Open Learning Programme. These part-time courses are open to all adults regardless of qualifications or experience and are offered during the day, evenings and weekends. For our Autumn/New Year programme we offer flexible, affordable open learning courses in the following subject areas: CDS 98413 Open Learning at Queen's Autumn 2013 - New Year 2014 SCHOOL OF Education Q ueen's U niversity B elfast Scho o l o f E d ucatio n O p en Learning A utum n/N ew Year Prog ram m e 2013-14 w w w .q ub .ac.uk/ed u/o l Education for Transformation School of Education – Open Learning Autumn/New Year Programme 2013/'14 1 School of Education Open Learning Autumn/New Year Programme 2013/'14 The Bridget Sarah Hurson Memorial Bursary The bursary is established in the memory of Bridget Sarah Hurson, late mother of Dr Tess Maginess and Ms Edna Gibson. Two bursaries, valued at £200 each, will be awarded this academic year. One will be awarded to a student facing financia


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Movement in the Henry Hub day-ahead price reflected the decline of other trading locations in this week's cash market by falling 12.4 percent from $3.55 per MMBtu the previous Wednesday to $3.11 per MMBtu yesterday. As the accompanying table shows, the Henry Hub cash price progressed steadily downwards with five days of consecutive losses as end-use markets cut back on immediate gas consumption.
At the NYMEX, the December 2011 contract fell 30.8 cents (8.4 percent) over five consecutive days from $3.652 per MMBtu last Wednesday to $3.344 per MMBtu yesterday. Over the same period, the January 2012 and February 2012 natural gas futures contracts dropped 26.6 cents and 26.5 cents per MMBtu, respectively, illustrating the potential impacts high storage levels coupled with continued robust production could have on gas prices this coming winter.
All trading locations responded with lower prices stemming from lack of weather load this week. Spot prices at Transcontinental Pipeline's Zone 6 trading point for delivery into New York City, which started the week at $3.82 per MMBtu, showed a 34 cent price loss per MMBtu over the week (Wednesday to Wednesday) to close at $3.48 per MMBtu (down 8.9 percent). Over the same period, the Chicago citygate spot price registered a somewhat larger 41 cent per MMBtu price loss (also from $3.82 per MMBtu last Wednesday) and ended the week at $3.41 per MMBtu (down 10.7 percent).
In the midst of generally mild fall temperatures and the absence of any significantly colder weather load, consumption posted a modest decrease for the week. According to estimates from BENTEK Energy Services, LLC (BENTEK), domestic gas consumption decreased by 2.4 percent over last week. The residential/commercial sector led the decline with a 5.3 percent loss while the industrial sector tallied the only gain with a 0.4 percent increase. The power sector posted a 1.2 percent drop reflecting the light weather load at the end of last week.
Consistent with the week's lethargic consumption pattern and clear price slide, overall supply was off slightly. According to BENTEK estimates, the week's overall average total gas supply posted a 0.4 percent decrease from last week's level. Domestic weekly dry gas production averaged 63.5 Bcf per day, 0.5 percent lower than the previous week. Domestic dry gas production now stands 8.4 percent above this time last year. The slight fall in this week's dry gas production was partially offset by a 0.6 percent increase in Canadian imports which averaged 4.7 Bcf per day over the period. Canadian imports stand 3.4 percent above year-ago volumes for the same week. There were modest supply gains registered in the liquefied natural gas (LNG) arena during the week where imports averaged 408 million cubic feet (MMcf) per day and remain 34.6 percent below year-ago levels.
Working natural gas in storage rose to 3,850 Bcf as of Friday, November 11, according to EIA's WNGSR (see Storage Figure). This represents an implied net injection of 19 Bcf, higher than the 5-year average injection of 10 Bcf and last year's draw of 1 Bcf. Weekly stocks reached an all time high, surpassing the previous weekly record of 3,840 Bcf from November 5, 2010.
While stocks are only slightly above last year's levels, high production could mean another record setting week of injections. Weather will be a major factor as always. As of November 11, East and Producing Region stocks were respectively 14 Bcf and 9 Bcf above last year's levels while the West Region is just 8 Bcf below last year's level after a relatively cold week in the region.
Temperatures during the week ending November 10 were about 0.3 degrees cooler than the 30-year normal temperature level (see Temperature Maps and Data). Regionally, temperatures were very mixed. The Mountain and Pacific Divisions comprising most Western states were 5.1 and 6.1 degrees cooler than normal but the Midwest and Northeastern Divisions all saw above normal temperatures. The Southern divisions were mixed but close to normal for this time of year. Nationwide, heating-degree days matched normal levels.
Other Market Trends
Rig Count Drops to 877. The natural gas rotary rig count declined by 30 to 877 for the week ending November 11, 2011, according to data released by Baker Hughes Incorporated. This is the second consecutive decline, and this week's decline follows another relatively large decline of 27 rigs posted last week. The natural gas rig count has fallen back to its lowest level since July 29, 2011. Natural gas rigs currently are far below levels close to 1,600 reached in the fall of 2008, but production has continued to rise. Some of the increases in production are from natural gas associated with oil production; oil rigs are currently at 1,133, and have steadily increased for the past couple of years. Efficiency gains, specifically in shale drilling, have also likely buoyed production levels in spite of declines in the rig count.
2011 LNG Re-Exports Expand in 2011. According to data released by the U.S. Department of Energy's Office of Fossil Energy, 2011 LNG re-exports through September have totaled 42.4 Bcf for 2011. Total 2010 LNG re-exports were 34.5 Bcf. The two countries receiving the largest amounts of re-exports are Brazil and India, while South Korea, Japan, Spain, China, and the United Kingdom have also received cargoes. In the past few years, natural gas prices in the United States have been low compared with other destinations, and it is not uncommon for Japan spot prices to rise above $15 per MMBtu. While lower than prices in Asia, European prices (particularly, Zeebrugge in Belgium and the National Balancing Point in the United Kingdom) are often several dollars greater than U. S. prices. Since cargoes can attract much higher prices elsewhere, it is profitable to re-export cargoes from U.S. LNG terminals that have the capability to do so. All re-export cargoes from the United States have left from the Gulf of Mexico, with Cheniere's Sabine Pass terminal the most active re-exporter. Cheniere plans to convert its Sabine Pass terminal to a liquefaction terminal, and hopes to export domestically produced natural gas. The company has received approval to export from the U.S. Department of Energy, but is still awaiting approval from the Federal Energy Regulatory Commission.


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The Future of Process Management
To Thrive in the Current Environment, We Need to Change the Way We Think and the Systems We Use to Manage Our Companies
By Dave Beckmann
When Tony Hayward took over British Petroleum (BP) in 2007, he knew he had to make sweeping changes. A Texas City explosion in 2005 had claimed the lives of 15 workers, resulting in large personal injury payments; the Occupational Safety and Health Administration (OSHA) was levying a massive fine; and BP was facing a growing list of "willful" safety violations. (BP totaled 829 such refinery violations from June 2007 to February 2010, according to the Center for Public Integrity (www.publicintegrity.org). The rest of the industry combined had 33.) Yet, in spite of a renewed focus on safety at the Texas City refinery, there had been three more deaths at the refinery since the 2005 explosion.
Hayward knew something had to change, so he instituted a sweeping plan called the "Operating Management System" (OMS). In theory, it appeared to address many of the systemic failures that had caused the Texas City fire. Modeled after a plan Exxon put in place after the Exxon Valdez spill, it was designed to integrate safety into every part of the organization. Changes included:
- Making every employee responsible for safety,
- A safety minute before every business or team meeting,
- A regulation that made it an offence to carry a cup of coffee without a lid,
- Another that prohibited the carrying of two cups of coffee,
- An ordinance mandating the holding of the hand rail when ascending or descending stairs.
In spite of a dizzying array of personal safety codes and regulations and a total cost to BP of over USD1 billion, the violations continued to mount. Yet, Mr. Hayward declared that substantial progress was being made, and on April 20, 2010, ironically, a delegation from "corporate" was awarding the Transocean and BP management team of the Deep Water Horizon a safety award for seven years without a major accident. Even as the awards were being handed out, hands shaken and pictures taken, deep rumblings were being felt throughout the rig.
Deep indeed! For as the voluminous post-accident government report points out, although BP had addressed personal safety through the OMS program, it had done little to address the deeper process safety issues. In fact, the report highlights that BP's insistence on ever-increasing profits was like layering Swiss cheese slices—each one riddled with holes—one on top of the other. If the holes ever lined up, as they did on April 20, disaster would follow.
The underlying issues that caused the environmental and personal disaster in the Gulf are not restricted to BP. The process industry has over decades developed a "managed risk" mentality where top-level directors and vice presidents make decisions based on bottom-line results. And because these managers are often far removed from the field, their mandates often lead to tragic results. BP, for example, while enacting OMS, was at the same time ordering a 25% maintenance spending reduction.
Increasing Complexity
While the government, in its inimitable way, will levy a barrage of regulations in an attempt to force companies to focus on safety, the core issue seems to lie with a corporate DNA that mandates lids on coffee cups, but fails to require a down-hole pressure test prior to cementing the bore. Alas, no government bureaucrat or corporate mogul has the visibility nor the understanding to manage the increasingly complex systems employed in the process industry.
While CNN focused our attention on the Deepwater Horizon as it burned and sunk into the mile deep ocean, and CNBC's "Squawk Box" focused on BP's stock, which sank at even a faster pace, wiping some USD 80 billion of capitalized BP value, something far more fundamental was happening. For although a burning rig and a diving stock price capture our attention, thousands of companies are experiencing slow burns and sinking stocks. It seems the tide has turned. The models we have employed to manage and operate our companies for the past nearly 100 years seem to have reached their limits. They are like the internal combustion engine that has been honed, tweaked and computerized in order to increase its power and efficiency, but, in spite of all that effort, it is clear that 10 to 15 years from now, few automobiles will contain that technology. The environment has changed. It's time to rethink the way we manage the process.
While the fluid dynamics and statics laws we engineers use to design the process do not change, the laws of process management are neither foreordained nor eternal. And a good thing too. The equipment of process management and, indeed, management in general was never designed to carry the strain of a whiplash economy, technological disruptions, global competitors, fractured markets, omnipotent customers, rebellious shareholders and idealistic employees who strive for significance over pay.
A recent study by IBM proves the point. A survey of 1541 CEOs from 60 countries and 33 industries and 3619 students from 100 major universities commissioned by Samuel J. Palmisano, chairman, president and CEO of IBM, concluded the following:
"We occupy a world that is connected on multiple dimensions and at a deep level—a global system of systems. That means, among other things, that it is subject to systems-level failures, which require systems-level thinking. Our study of CEOs and business leaders reveals the following:
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|For Immediate Release:
March 22, 2010
For more information, contact:
Kristina Gawrgy
Office: 202-350-8857
Mobile: 202-427-4734
Five new members elected to NAEYC Governing Board
(Washington, D.C.) - Five new early childhood experts from around the country have been elected to the National Association for the Education of Young Children (NAEYC) Governing Board. These new members bring a variety of expertise in early childhood education that will support NAEYC's mission and vision.
"The diverse set of ideas and expertise that the new Governing Board members bring to NAEYC are essential to our goal of being a high-performing inclusive association," said Sue Russell, president of NAEYC's Governing Board.
Two new officers, an Affiliate liaison, and two new at-large members were elected to the 17-member Governing Board by NAEYC members.
The five new Governing Board members, whose four-year terms start June 1, 2010, are
- Vice President--Roberta Schomburg, Associate Dean, School of Education, Carlow University, Pittsburgh, Pennsylvania
- Secretary--Susan DeVenny, State Director, South Carolina First Steps to School Readiness, Columbia, South Carolina
- Governing Board Affiliate Liaison--Anna Mercer-McLean, Director, Community School for People under Six, Chapel Hill, North Carolina
- At Large--Sharon Ritchie, Senior Scientist, Frank Porter Graham Child Development Institute, University of North Carolina, Chapel Hill, North Carolina
- At Large--Dennis Sykes, Director, Center for Special Needs Populations, Ohio State University, Columbus, Ohio
"NAEYC's new Governing Board members have extensive experience in a broad range of issues surrounding early childhood education," said Mark Ginsberg, Ph.D., executive director of NAEYC. "Their election continues the Association's strong tradition of defining and providing an environment for high-quality early childhood education for children birth to 8 years old."
Founded in 1926, the National Association for the Education of Young Children has nearly 90,000 members worldwide. The association is the largest and most influential advocate for early care and education in the United States.
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Founded in 1926, the National Association for the Education of Young Children is the largest and most influential advocate for high-quality early care and education in the United States.


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Perfect for all swimming levels and can also be used for aquatic fitness and resistance exercises.
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A Musical Tour of Russia
One of the major benefits for American University students is the opportunity for cross-cultural and international exchanges. The AU Chamber Singers will be partaking in their own cultural experience this spring as they embark on a two-week concert tour of Russia.
American University's Initiative for Russian Culture in the College of Arts and Sciences promotes greater understanding of the Russian culture's richness. It was designed to build lasting connections between Russians and Americans "by reaching out to their hearts and minds."
"[Dean Peter Starr] took a look at the initiative and approached me saying that he didn't want it to be a one-way street," says Daniel Abraham, director of choral activities at AU and conductor of the AU Chamber Singers. "He said that while we do bring some wonderful Russian artists to work with our students, we also need to bring some of what we do in the music field to Russia."
Along with the music program, the AU theatre program has also begun a robust exchange with the Volkov Theatre, having presented two plays in Russia and hosted a number of outstanding visiting actors and directors.
The AU Chamber Singers have a lengthy history of touring, with many trips to Latin America in the 1960s and 1970s. More recently, they have embarked on two more international tours, one to Hungary and Romania, and one to Spain and Portugal.
The opportunity to tour Russia is an exciting one for Abraham. He is looking forward to going out into the smaller areas and sharing a cultural exchange with people who are not constantly exposed to American music. "The more that we go to places on tour," he says, "we find the most energizing places for cultural exchange tend to be when you get a little farther out of the cities and into the places where the people haven't been exposed to the American culture every day. We have discovered that there is a ripe possibility for cultural diplomacy and understanding through these kinds of tours, and this tour is no exception."
The tour was specifically designed to stay out of the larger areas.
"We made a very conscious effort to choose locations that we thought would be much more in line with a cultural-diplomatic mission and not just a concert tour," explains Abraham. "I think that kind of experience for our students and the exposure of the citizens in Russia to an American choir, and the kinds of exchanges that go on as a part of a tour, not just concerts, but sometimes singing with other university groups or conducting master classes or working with other cultural organizations there, are all great avenues of cross-cultural exploration. That is one of the principal aims for the tour."
The chamber singers will be singing a program of a cappella literature, but they will also prepare a second program. "It is a bit unusual to take two programs on a tour," Abraham confesses. "The second program is a choral orchestral program, and we are going to be performing with at least two, if not three, orchestras in Russia."
The AU Chamber Singers will arrive in a city and do a series of rehearsals with the local orchestra, either the day of or the day before the concert, and then perform the concert together. "That is such an incredible opportunity to connect across cultures through the act of creating music together," he continues. "These are the kinds of things that were going on at the height of the Cold War when America decided to send a lot of jazz abroad to Russia. And now, I think we are in a place where university and other professional cultural organizations have more opportunities to do this kind of outreach without having to act under the auspices of the State Department."
While in Russia, the chamber singers will perform seven to eight formal programs. Two to three will be concerts with orchestras, and four or five will be a cappella concerts (a few concerts are yet to be finalized). Those seven to eight concerts will be spread over five different cities on their tour. The ensemble will begin with a concert in Moscow accompanied by an orchestra. Then, they will travel to Vladimir for one day for a concert, and then back to Moscow. The Chamber Singers will then fly to Perm, a city near the Ural Mountains, and spend a few days there.
According to Abraham, there may be a joint program with a conservatory there. The tour will then take the train to Yekaterinburg, where the singers will spend a few more days. "There are quite a few things set up there," says Abraham. "On top of the concerts, we are doing some exchanges with a youth choir, a university choir, and a couple of Russian organizations there."
From there, they will travel by train to Kazan, where they will perform an a cappella concert, with the possibility of an orchestral concert. They then fly back to Moscow for a final a cappella program performance and then head home.
This is a great opportunity for these students, both for musical growth and cultural understanding. "I think the exchanges in these ancillary events that are part of the tour, but not formal concerts, are wonderful," says Abraham. "For example, we are doing an exchange with a university choir, and our students get to experience the Russian students' voices as we are standing on the same stage together singing the same literature. That is just going to lend itself toward a different kind of musical experience for the Russian students and the AU students."
The AU Chamber Singers will perform a preview concert of their Russian Tour program in April, date yet to be set. For more information on the preview concert, and for more information on the AU Chamber Singers, visit AU Arts.


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Tower Garden, a vertical, aeroponic growing system, allows you to grow up to 20 vegetables, herbs, fruits and flowers in less than three square feet—indoors or out. So it's the perfect companion in your journey toward healthy living.
Using aeroponics—the same technology NASA uses—Tower Garden grows plants with only water and nutrients rather than dirt. Research has found aeroponic systems grow plants three times faster and produce 30% greater yields on average. That means you'll be enjoying abundant, nutritious harvests just weeks after planting.
Pests, disease, weeds—traditional gardening can be complicated and time-consuming. But because Tower Garden automatically delivers water and nutrients when they're most needed, you're able to grow strong, healthy plants with minimal effort. And healthy plants can better protect themselves from pests and diseases naturally, without pesticides. Plus, you don't have to deal with weeds (or getting dirty) because there's no soil.
Want a garden but don't have the space? Dealing with drought? Because of its vertical, compact design and closed-loop system technology, Tower Garden requires as little as 10% of the land and water traditional growing methods use. So it's perfect for sunny small spaces, such as balconies, patios, rooftops—even your kitchen provided you use grow lights. And it's better for the environment, too.
"I have harvested [so] much lettuce and parsley that I donate to the meals-on-wheels program in town"
"We enjoyed cucumbers all season, giving away many to friends and neighbors"
"Our Tower Garden thrives—even in the brutal Texas summers! It is growing like
crazy…and it's so easy to maintain."


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Physics Education Research Speakers
The APS Speakers Lists contain names, contact information, and talk titles of physicists who are willing to give talks on a variety of subjects. Use the form to search the Physics Education Research Speakers List by name, keyword, state, or field of physics. To see the entire list, leave the fields blank and click the search button. You may also search the Women Speakers List and Minorities Speakers List for additional speakers.
Perform search in Education Speakers Program:


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I hope you can help! For Christmas, my daughter wants some software to translate what she dictates into a microphone (?) to her computer, with a view to printing it out.
I'm not sure what she means. Can anybody suggest anything.
Many thanks!
I think she means speech recognition software - you speak into a microphone and the software turns the speech into text in your favourite word processor. One of the most popular providers of such software are a company called Dragon. There are various reviews of their product on GadgetSpeak - the most recent is on the following link:
You have to be logged into the site before you can participate in the disussion.


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|March 3, 2000
Volume 2, Issue 9
|Midwifery Today E-News
Print Page
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Join us in Philadelphia--The City of Motherly Love!
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Midwifery Today Retreat!
Join us on the Oregon Coast at the Sandcastle Inn near Waldport, July 28-30, 2000
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Join us at our international conference in New York City at the Riverside Church
Get in the advertising groove with Midwifery Today E-News--reach thousands of subscribers!
This issue of Midwifery Today E-News is sponsored by:
- Feminist Expo 2000
Look for their ads below!
Send responses to newsletter items to firstname.lastname@example.com
In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
"The traditional midwife maintains the social fabric of the community, gathering friends and family together for birth, and enables the birthing mother to have her experience in the context of home and loved ones. This reestablishes the global village, and puts birth back into the context of oneness and love it was originally intended to have."
- Nan Koehler Solomon
2) The Art of Midwifery
Most postpartum hemorrhages are caused by the caregiver. Any massage of the uterus before the placental delivery will almost ensure unnecessary bleeding. In rare instances a hemorrhage may begin before the placenta is delivered. This is not just an isolated gush or two of blood, but a steady stream. This is the only time it is appropriate to massage the uterus-yet even then, it may worsen matters. The best thing is to immediately administer an oxytocic and when the uterus contracts, use the Brandt-Andrew maneuver to hasten the placental delivery. Once the placenta is delivered or if bleeding continues without the placenta coming out, massage and bimanual compression are employed.
- Valerie El Halta, Midwifery Today Issue 48
Midwifery Today Issue 48 is a mini-textbook on hemorrhage. Order it by calling 1-800-743-0974. Regular price $10; mention code 940 and pay only $8.50 (plus shipping & handling). Offer good until March 10, 2000.
Share your midwifery arts with E-News readers! Send your favorite tricks to email@example.com
3) News Flashes
A study examined the association between method of infant feeding in the first weeks after birth and glucose tolerance, plasma lipid profile, blood pressure and body mass in adults aged 48-53. Subjects were born at term between November 1943 and February 1947 in a hospital in Amsterdam around the time of a severe period of famine. For 625 subjects, information was available about infant feeding at the time of discharge from hospital (average of 10.4 days after birth) and at least one blood sample after an overnight fast. Subjects who had been bottle fed had a higher mean 120 minute plasma glucose concentration after a standard oral glucose tolerance test than those who were exclusively breastfed. They also had a higher plasma low density lipoprotein (LDL) cholesterol concentration, a lower high density lipoprotein (HDL) cholesterol concentration, and a higher LDL/HDL ration. Systolic blood pressure and body mass index were not affected by the method of infant feeding. The study concluded that exclusive breastfeeding seems to have a protective effect against some risk factors for cardiovascular disease in later life.
- Arch Dis Child 2000; 82
Visit the multiple award-winning WATERBIRTH WEBSITE for the most complete waterbirth information available on the net!
Special Offer to E-News readers: Enjoy a 10% discount on your purchase of the "WATER BABY" video. Regular price is $59.95 + $7.50 p/h. Your discount price is just $53.95 + p/h. Full ordering details are at www.waterbirthinfo.com/materials.html
4) Induction Merits Informed Consent in Alberta
It was great news for Canadian women when on February 16 Robert A. Burns, MD, Executive Director of the Alberta Medical Association announced that the AMA's Alberta Clinical Practice Guideline for induction of labor will now include a strong recommendation that informed consent take place before the procedure is initiated.
This precedent setting move will give women across Alberta the ability to choose whether to subject their baby to the risks and side effects that may be caused by birth induction or perhaps to use a natural alternative, such as medical watching and waiting. It has been reported that until now some women have been coerced into agreeing to a birth induction without knowing risks, side effects, and alternatives to forcing the birth of their child. Some doctors have also reported that some women have asked to force their birth to get it over with or to coincide with a husband's schedule.
Gail J. Dahl, Executive Director of the Canadian Childbirth Association says the group has worked diligently over the past four years toward creating informed consent for this elective procedure in Alberta. The Association highly recommends that the new guidelines also include new research evidencing longer gestation time for first-time mothers, up to 42 weeks and longer. New research also shows that ultrasound tests used for gestational dating have an error rating regardless of the trimester, with the largest error rating to be shown in the last trimester.
Canada is not the safest country in the world in which to give birth, owing in part to its high rate of induced birth, over 30% in some areas, which often leads to unnecessary emergency cesareans.
Following is an excerpt of a letter from the Canadian Childbirth Association director to Dr. Burns:
We believe this is a positive step forward in assuring safer childbirth in the province of Alberta and we congratulate your Committee on Reproductive Care and the Alberta Clinical Practice Guidelines Program for looking into this critical area of informed consent on birth inductions.
The next step would be to create a sample informed consent for the induction of labor which would include: risks to mother and baby, side effects to mother and baby, alternatives, contraindications, (for instance cytotec, which is increasingly used to induce birth, is stated by the manufacturer to be contraindicated in pregnancy). Also appropriate warning and precautions are shown in the patient inserts and the 1999 Canadian Pharmacists Association Manual. I believe it is important to create this sample of informed consent for birth induction as our Alberta physicians do not have this information readily available for immediate use.
Your Guidelines need to state that gestation for a first-time mother is longer, up to 42 weeks and longer and that accurate dating comes from the first day of the last menstrual period. Ultrasound measurements in the first, second and third trimester of birth carry an error rating on either side of the date. Physicians using a forty-week due date for a first-time mother and errors in gestational dating by ultrasound seem to be the cause of untold numbers of premature babies being induced in Canada.
The increased cost to our healthcare and ever increasing health and birth complications arising out of inducing premature babies in Alberta will certainly decrease once your guidelines have been adjusted to include the above points.
- Gail Dahl press release
5) More on Induction
We have little evidence that modern postdates management offers benefits and considerable evidence that it does not. Randomized trials of expectant management versus routine induction show few or no significant differences in outcome. Attempts to prevent postdate pregnancy by membrane stripping or nipple stimulation initiate labor more frequently compared with controls, but studies present no data on delivery route. Vaginal application of prostaglandin containing gel may ripen the cervix but has little effect on cesarean rates. Macrosomia may be of concern because of increased c-sections and birth injuries, but ultrasound predicts macrosomia poorly (95% confidence intervals of +/- 20% with accuracy worst at extremes of weight, and we have no evidence that induction improves outcomes. We do know that performing cesareans for macrosomia does not decrease asphyxia or injury rates.
Paradoxically, treatment works best on those who need it least: induction is most likely to succeed when the fetus is healthy and the mother on the verge of starting labor on her own. The inverse also holds: treatment does least for those who most need it. Whether the process has gone awry or the mother simply is not as far along as her doctor thinks, if her body is not ready for labor, induction will likely fail. When testing reveals a compromised fetus, doctors induce whether the cervix is ready or not. Inducing an unripe cervix leads to long, hard labors, yet a baby in trouble is least able to withstand the stress. Oligohydramnios, a complication of postdates pregnancy, predisposes to abnormal fetal heart rate. When it is found, obstetricians induce. Membranes will almost surely be ruptured for one reason or another. Now the baby has no amniotic fluid.
We also have evidence that postdates management itself causes complications, and, as with surveillance tests, this ironically reinforces belief that postdatism is dangerous. Devoe and Sholl found that 30% of fetuses testing normal developed fetal distress when labor was electively induced, and the cesarean rate was 15% versus 2% for spontaneous labor. Ahlden et al. found that the most likely scenario to end in an infected baby was an overdue mother who was induced, had an amniotomy, internal electronic fetal monitoring, many vaginal exams, and whose labor ended in cesarean section. That so many healthy women carrying healthy term fetuses had cesareans for fetal distress says more about management than the dangers of 41-week gestations.
- Henci Goer, Obstetric Myths versus research Realities Bergin & Garvey 1995
Devoe LD and Sholl JS. Postdates pregnancy. Assessment of fetal risk and obstetric management. J Reprod Med 1983;28(9).
Ahlden S et al. Prediction of sepsis neonatorum following a full-term pregnancy. Gynecol Obstet Invest 1988;70(1).
On March 31-April 2, 2000, at the Baltimore Convention Center in Baltimore,
Maryland, the Feminist Majority Foundation and over 400 co-sponsors from all over
the US and around the world, including renowned feminist leaders, politicians,
scholars, authors, activists, celebrities and entertainers, will host FEMINIST
EXPO 2000 FOR WOMEN'S EMPOWERMENT to share strategies and fuel the women's movement,
its ideas and vision for the future.
6) Check It Out!
This week we turned our website into a fully functional cornucopia of birth
information. Please visit us! www.midwiferytoday.com
The newest article on the web site is
Technology in Birth: First Do No Harm
by Marsden Wagner. M.D.
Our Web gURLs can design a Storefront shop space for you for a small fee. This would create an elaborate full-page web ad for those of you who don't have a web site! The Storefront is also a great way to add to the web space you already have! Get your product on the Internet and into the e commerce traffic! It's also a great way to have a URL (Internet address) to display photographs of your products or services.
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We are currently accepting bids for sponsorship of our International Conference in New York, September 2000! Contact Cynthia at email@example.com
Would you like to sell your product at the Midwifery Today conference in Philadelphia? Elise would love to explain what advertisement options are available. E-mail: firstname.lastname@example.com
7) Questions of the Week
I would like to have my fourth baby at home with a midwife, supported by close family. My only hesitation is that my third birth was precipitous. My water broke as a first sign of labor at 11:30 a.m. After having had 2 or 3 mild-moderate contractions in the car, I arrived at the center at 1:00. The midwife noted I had arrived prior to labor because of GBS--for antibiotic shot. I had the urge to push at 1:25 and was holding a 10 lb. baby in my arms by 1:45. I disagree with induction, but am determined to have a wonderful birth experience where I am surrounded by people who will support me. There is the chance that my midwife (not to mention my husband and doula) could get stuck in traffic. What would you recommend for a mom in my position?
(Repeated): I would like to hear from other midwives who have dealt with women who have pinworms in pregnancy. Did the women experience periodic spotting? Also what, if any, natural remedies are effective and safe in pregnancy?
- Deren Bader, CPM, MPH
Send your responses to firstname.lastname@example.com
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8) Question of the Week Responses
Q: Could anyone provide information on herpes and vaginal birth vs. c-section? A client is considering opting for a c-section rather than risk the possibility of transmitting it to her newborn (She is currently at 27 weeks). Any suggestions or information/resources would be appreciated.
- Anon.
My first experience with the issue of vaginal herpes outbreak (subsequent, not primary) just prior to delivery was my own birth. I was attended by an OB/GYN and had a hospital birth. I was afraid to tell him that I thought I was starting to get an outbreak, but with all the risks I'd heard about, I knew I had to. The day before I went into labor, I showed him the blister during an exam and he told me it was small enough and far enough away from the birth canal, that he could just cover the area with a 4x4 pad during the delivery. The blister was inside the labia majora near the clitoris. I was very relieved! I had a vaginal birth the next day.
The second time I encountered the situation was with a client who had contracted herpes many years previous. She had one outbreak around 22 weeks and she too was very worried. She was aware of what foods and stressors triggered her outbreak and avoided them, but ended up having another at 39 weeks. I called a family physician (who delivered babies) at the clinic in the woman's town to ask if the woman could have an internal culture done to rule out an internal lesion. He told me that internal lesions nearly always ONLY occur with INITIAL outbreaks, and the risk of internal lesions with subsequent outbreaks (especially if she's had herpes for several years) is miniscule. He told me that if the lesion is not on the perineum, she could deliver vaginally virtually without risk. I was a little surprised, as this contradicted a lot of the information I had read about the seriousness and fear of herpes and vaginal birth.
Finally, just recently, I had a client who (as she had done with her last pregnancy with a CNM) decided to take a viral suppressant beginning at 38 weeks.
- Paula Bernini
While I can't recall the source of the information, I remember reading a while back of midwives administering superglue during labor over the herpes lesions to prevent transmission from mother to baby. It's worth looking into.
- Amy Jones
My question is how often is this woman having outbreaks? Also, did she have her first outbreak during this pregnancy or is she just having secondary outbreaks? If she is having secondary outbreaks, then perhaps a change in stress levels, diet, exercise could help her have less outbreaks. If all else fails and she is having frequent outbreaks I would offer to put her on Acyclovir, oral, for her last trimester, thus avoiding an outbreak at term.
- Annette Manant CNM
Order the Midwifery Today conference tape "Herpes" (Item No. 941T79). Andrea
Dixon discusses symptoms, how to help infected women avoid outbreaks, and what
conditions may activate the virus. Regular price $9; E-News special $7.50 (plus
shipping & handling) when you mention Code 940.
9) Switchboard
Editor's Note: the case involving breastfeeding mom Siri Wright has been dismissed as of this writing. Below is a synopsis of the case, which drew worldwide attention via email in a matter of days. This is grassroots activism at its best. Congratulations to all those who helped Siri stand up for the right to breastfeed her child for as long as she knows is appropriate. Consider letting your thoughts on this subject be known via the avenues listed below.
Siri Wright, mother of two ages 4 and 2, was assigned a trial date because she is still breastfeeding her daughter. She was summoned for jury duty, but Idaho law dismisses mothers of duty if they are nursing a child. Siri called to arrange dismissal and through a course of events that you can read in more detail at www.leftgrlls.com/supportsiri/ was given four months to end her nursing relationship. She explained that this was not possible and then was given two days notice to serve jury duty. Siri has no family in state, no childcare options, and her husband works far from home; so to comply with the notice, she appeared in court with her children. A tirade ensued by one of the court officials and Siri was notified of a coming trial date to settle the issue.
- Alyssa
I can't thank you enough for all your supportive emails. The response has been
overwhelming. Our story was featured on two local newscasts that we hope will
spread our story even farther. My attorney has set up a web page where you can
access the latest information on my case:
The site also contains a forum where you can post your messages to me. It would
be better to contact us through this forum rather than direct email. The volume
of mail has been overwhelming, and I can't even begin to respond individually.
Also, our attorney would like a record of every response, and this forum is the
best way to do that. Even if you've already emailed me, it would be great if you
could post what you sent on the forum.
- Siri Wright
Other actions that would continue to be helpful are:
*Letters to the editor of our local paper, The Idaho Statesman. Letters
should be up to 200 words in length.
Several months ago you posted my question about how to find support for a VBAC homebirth. I was debating whether or not to attempt a homebirth given I could not find one OB or midwife in the Philadelphia area to support me. I want to thank you for posting my letter which resulted in a handful of enthusiastic supporters.
In addition, just reading your newsletter every Friday reinforced my own intuitive feelings about how I wanted to birth. You helped me find the right resources and develop the right mindset to be successful.
Charles Nicholas Henry was born at home on February 3 (9 days late!) at 8:47 in the morning. I pushed him out with the help of my excellent midwife, her nurse, two of my best friends, my husband and my 2-1/2 year old son. It was simultaneously the hardest and most wonderful moment of my life.
- Stephanie Kindt
Our birthing unit is contemplating a change to the timing of the first baby bath. Currently it is performed in the birthing suite within the first couple of hours. We have heard, however, that it is better for vitamin K synthesis to delay until the next day. Your thoughts on this or referral to any studies would be appreciated.
- Jacinta Muller
A client has had a natural birth, then two c-sections. She had a broad ligament tear during the last section which is why they are saying she has to have another cesarean. She birthed her last 8 months ago and is now 8 weeks pregnant. She is 38 and lives in an isolated community with little support. She is very keen for information and has asked me to gather as much as I can in regard to her choices (elective c-section vs VBAC attempt).
Any feedback/experience with/about this medical condition would be appreciated. I've been searching medical books and finding no specific references either to it or to the preferred action for future pregnancies and births in the presence of a torn broad ligament.
- Jackie Mawson
In response to the question about twins and ultrasound [Issue 2:8]: The only good reason I know of for extra ultrasounds for a twin gestation is to check that the growth remains concordant. Tertiary centers have procedures for correcting discordant growth which do have their risks but which can make significant differences for both children if successful. But all such procedures (and the ultrasounds) should be the decision of the parents after informed consent. It does not sound as if the woman in question has been told a thing.
- Cynthia Flynn
This article lists several studies on animal fetuses. Perhaps it will be of some help: www.drgreene.com/970106.html
- Laine Holman
In the early 1990s a large study carried out in Perth, Western Australia, called the Raine study, looked at the effect of having multiple ultrasounds in pregnancy. As I best recall, there was a link to having slightly smaller babies (but only about 30g) and an increased risk of having IUGR babies when multiple u/s where done. I don't know where you could get a hold of it, but if you went to a Medline search and looked for the Raine Study you should be able to find it.
- Kirsten Blacker
I am a mother of three children, all born at home. I had no ultrasound for my first and my third children, but had several ultrasounds performed with my second. While the two not exposed are generally mellow, agreeable, and "easy" and always have been, the second child has always been a real challenge! She is more physically active, emotionally unstable and difficult to guide, nurture, and keep safe.
Am I crazy to think this difference might be related to the ultrasound? Is there any place I can learn more about the negative side effects of ultrasound and what can be done if there was damage caused? I know that individual children are different and have different natures without cause or reason, but could there be anything to my concerns? Please let me know if you know of resourses or information for me in my quest to understand how best to parent my little girl.
- Lisa Vaughn
In response to Cindy S's comments in Issue 2:8:
First, regarding the breastfeeding remark, I have the following correspondence from Dr. Watters, dating from Jan 9, 1998: "I wholly support any efforts to make breastfeeding as easy and accepted as it should be....anywhere and anytime the infant needs it. Phil Watters (Obstetrician & Gynaecologist)" This seems pretty supportive of breastfeeding to me!
Second, I think it needs to be considered that since Dr. Watters subscribes to E-News (and also to my own birth activist newsletter, the Online Birth Center News, firstname.lastname@example.com), he's probably not a typical ob-gyn and is at least open to new ways of looking at the birth process. We women are rightfully angry about the ways the medical establishment has hurt us, historically, generally, and personally BUT you don't change peeople's minds about things by yelling at them and suggesting how wrong they are.
When we find an ob who IS supportive of midwives, breastfeeding and so on, even though he or she may be more medically minded than we'd like, it's better to cultivate the relationship and try to gently show them our view on things (with references and studies to back it up, when appropriate and possible), rather than possibly alienating them by direct attacks.
I don't mean we should bend over backward to be nice, but why antagonize an ally or possible ally?
- Donna Dolezal Zelzer
In response to turning a breech [Issue 2:8]:
I agree with Maka that breech is a variation of normal birth and sometimes a baby presents breech for good reasons. I provided a detailed outline of methods to turn a breech, both non-invasive and medical, to answer an inquiry about how breeches were turned. It was meant to inform and did not include personal opinions about preferred methods or the option to simply have a vaginal breech delivery.
It is true that midwives are guardians of normal birth and sometimes that includes breech delivery. My own third child was delivered frank breech after I refused a c-section (a big deal 19 years ago). She chose that position because of a marginal placenta and a double nuchal cord wrap. An external version, had it been attempted, probably would have failed.
I have since attended breech births. However, I have also done external versions when less aggressive methods have failed. It is wise, when making a judgment call, to take into account the level of experience the midwife has with breech delivery, the legal and medical climate in your area and any limitations a midwifery license may impose. In my area, a licensed midwife is not allowed to deliver a woman out of hospital if the baby is diagnosed as a breech before labor. When I compare the number of medical interventions that a woman would face in the hospital with the intervention of an attempted external version, it seems reasonable to try the version. If it fails, at least there are compassionate and experienced physicians in my area who will do a vaginal breech delivery. Some areas are not so fortunate to have this option and the midwife will then be faced with her natural instincts to protect the mother and baby by attending a breech birth. That is why it is important to have midwives who are well experienced in breech delivery. Routine cesarean for breech presentation is medical abuse, especially a frank breech in a multiparous mother.
Although I experienced my first surprise breech only three years ago, I haven't had to perform an external version in nearly ten years. Babies tend to turn on their own given a little room and mommy encouragement.
I hope this correspondence clears up any fears that midwives are promoting aggressive medical attitudes toward breech babies. Joyfully, I find that the opposite seems to be true.
- Maryl Smith
I cared for a primip last weekend who had an epidural and pushed for 45 minutes, then refused to go on. She said she was exhausted and just couldn't do it. The baby was at +1 station. She most definitely could have delivered vaginally. We tried to convince her to go on, but she refused to push. Part of the problem was stool in her rectum which we believe she was fearful of passing with pushing correctly (which she still had not done). I encouraged the physician to bolus her epidural (which at that point was not effective) and just let her rest, in hopes that the baby would proceed down on her own. He refused since the patient was insistent and he believed she would end up as a section anyway. As a student nurse midwife, that was extraordinarily frustrating. Can anyone offer suggestions on what else we may have tried to convince her to continue?
- Karen
Do most midwives regularly make use of the Doptone? Also, shouldn't each womon
be made fully aware that the Doptone is ultrasonic? Even though the exposure periods
are usually brief, I heard that 1 min. of Doptone is much stronger--equal to 30
min of the other full-image type ultrasound. Is this true?
I am looking for stories and information about giving birth to twins. My midwife is out of state, and doesn't feel she can guarantee she will be here in time for the birth of my babies. With this in mind, I have been contending with the hospital and setting out my guidelines and preferences. The one that seems to be the largest issue is the use of an epidural. For obvious reasons, I am not eager to go that route, but at the same time, would prefer it to a c-section.
At this time, one baby is head down, and the other (the one to emerge last) is breech. While the doctor will leave me without the epidural for a vertex birth, she is eager to use an epidural for the breech birth. I'm frustrated, but I also realize her experience is not equal to that of my midwife. I am clear that the birth of my babies is not about what is easiest for my OB, yet I need information that will help inform her about the ways she can help me in my deliveries without the use of any form of sedation.
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10) Classified Advertising
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Midwifery Today: Each One Teach One!


text:
Plasma Citrulline Concentration in Tropical Enteropathy
This study has been completed.
Azienda Ospedaliero-Universitaria di Parma
Information provided by:
Azienda Ospedaliero-Universitaria di Parma
ClinicalTrials.gov Identifier:
First received: January 2, 2009
Last updated: NA
Last verified: January 2009
History: No changes posted
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
Citrulline is an amino acid produced in the intestine and in the liver, but the liver does not contribute significantly to circulating citrulline concentrations. The intestine is thus the only organ that normally releases significant amounts of citrulline into the blood stream. The investigators have designed a study looking at the value of measuring plasma citrulline concentration in patients with tropical enteropathy of mixed HIV status. The focus will be on the ability of the intestine to sustain the individual concerned from a nutritional standpoint. The investigators hypothesise that plasma citrulline concentration is a marker of small bowel absorptive integrity and an appropriate surrogate for HIV related enteropathy.
|Malabsorption Syndromes Granulomatous Enteritis Enteritis HIV Enteropathy Ileal Diseases
|Study Type:
|Official Title:
|Plasma Citrulline as Quantitative Biomarker of HIV Associate Villous Atrophy in a Tropical Enteropathy Population
Resource links provided by NLM:
Genetics Home Reference related topics: Crohn disease
MedlinePlus related topics: HIV/AIDSU.S. FDA Resources
Further study details as provided by Azienda Ospedaliero-Universitaria di Parma:
Primary Outcome Measures:
- postabsorptive plasma citrulline concentration [ Time Frame: within two years since enrolment date ]
Secondary Outcome Measures:
- intestinal permeability ratio [ Time Frame: within two years since enrolment date ]
|Study Start Date:
|October 1998
|Study Completion Date:
|September 2008
|Primary Completion Date:
|May 2008 (Final data collection date for primary outcome measure)
Preliminary studies reported that plasma citrulline concentrations may be a reliable biochemical marker for intestinal dysfunction and absorptive enterocyte mass. The relationship between citrulline concentration and intestinal function has been supported in other studies including those examining rejection in small bowel allografts. Concentrations of citrulline are dramatically reduced in cases of mucosal damage (e.g. moderate graft rejection or viral enteritis)and strongly correlate (inversely) with severity on biopsy. Plasma citrulline concentration is lower also in patients with villous atrophy (24±13µmol/L)than in healthy subjects (40±10µmol/L)and patients with anorexia nervosa (39±9µmol/L).Experimental studies have been carried out also in assessing the value of citrulline as a marker for severity of small bowel epithelial damage from radiation and viral infections. The plasma citrulline was shown to be a simple, non invasive and sensitive essay to monitor and quantify radiation and/or chemotherapy induced small bowel damage in mice and humans. Otherwise, the literature on citrulline as a potential marker of intestinal and nutritional integrity is young and consistent data for specific conditions as for HIV enteropathy are missing.We hypothesise that plasma citrulline concentration is a marker of small bowel absorptive integrity and an appropriate surrogate for HIV related enteropathy.
|Ages Eligible for Study:
|18 Years to 80 Years (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Study Population
Tropical enteropathy with mixed HIV status
Inclusion Criteria:
- histologically ascertained Tropical enteropathy
- Mixed HIV status
- Body mass index within normal range
Exclusion Criteria:
- Patients with surgical resection of stomach, duodenum or pancreas; or (UGI) bypass.
- Patients with other important disease, which may interfere with the study (especially diabetes and renal impairment). Alcoholism, drug abuse or any other circumstances, which may compromise the patient's ability to comply with the study requirements.
- Pregnancy
- Patients experiencing diarrhoea within one month since enrolment date
- Use of glucagon-like peptide 2 (GLP2), growth hormone (GH) or glutamine or triglycerides
- Coeliac Disease, Crohn's disease or infectious intestinal disease
- Patients on steroids or FANS
- Oral feeding>1.0-fold the estimated basal metabolic rate as assessed using Harris and Benedict equation
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00816842
Please refer to this study by its ClinicalTrials.gov identifier: NCT00816842
|Department of Medicine, University of Zambia School of Medicine, University Teaching Hospital
|Lusaka, Lusaka province, Zambia, P/B RW1X
Sponsors and Collaborators
Azienda Ospedaliero-Universitaria di Parma
|Principal Investigator:
|Cinzia Papadia, MD
|Azienda Ospedaliero-Universitaria di Parma
|Study Chair:
|Alastair Forbes, BSc MD FRCP ILTM
|University College London Hospitals
|Study Director:
|Antonio Di Sabatino, MD
|University of Pavia
More Information
Keywords provided by Azienda Ospedaliero-Universitaria di Parma:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 25, 2017
|Responsible Party:
|Cinzia Papadia, Azienda Ospedaliera Universitaria di Parma
|ClinicalTrials.gov Identifier:
|NCT00816842 History of Changes
|Other Study ID Numbers:
Prot 84 24/01/06
|Study First Received:
|January 2, 2009
|Last Updated:
|January 2, 2009
Keywords provided by Azienda Ospedaliero-Universitaria di Parma:
Villous atrophy
Additional relevant MeSH terms:
Intestinal Diseases
Malabsorption Syndromes
Sprue, Tropical
HIV Enteropathy
Crohn Disease
Ileal Diseases
Gastrointestinal Diseases
Digestive System Diseases
Metabolic Diseases
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Inflammatory Bowel Diseases
ClinicalTrials.gov processed this record on September 25, 2017