text:
Multi-marker Stool Test for Detection of Colorectal Neoplasia: Marker Panel Selection and Technical Development Studies
This study has been completed.
Exact Sciences Corporation
Information provided by (Responsible Party):
Exact Sciences Corporation
ClinicalTrials.gov Identifier:
First received: December 6, 2010
Last updated: May 12, 2015
Last verified: May 2015
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Biospecimen Retention: Samples With DNA
Detailed Description:
The objective of this study is to confirm the sensitivity of a stool DNA test for detection of colorectal cancer and pre-cancer.
Another objective is to provide anonymous, clinically characterized specimens for a bio-repository for future colorectal cancer-related test development.
|Colorectal Neoplasms Digestive System Diseases Colonic Diseases Colorectal Cancer
|Study Type:
|Study Design:
|Observational Model: Case-Only
|Official Title:
|Multi-marker Stool Test for Detection of Colorectal Neoplasia: Marker Panel Selection and Technical Development Studies
Resource links provided by NLM:
MedlinePlus related topics: Bowel Movement Colorectal CancerU.S. FDA Resources
Further study details as provided by Exact Sciences Corporation:
Primary Outcome Measures:
- The primary endpoints are point estimates of the sensitivity of the diagnostic tests for detection of colorectal neoplasms. [ Time Frame: 12 Months ]The diagnostic test under development is a multi-marker stool test for detecting CRC and pre-cancer in a general screening application. The primary objective of this study is to confirm the sensitivity of the optimal DNA marker panel.
Secondary Outcome Measures:
- To collect samples from patients diagnosed with colorectal cancers. [ Time Frame: 12 Months ]Residual samples from patients diagnosed with colorectal cancer will be archived for further research intended to help in the diagnosis of cancers. Specimens will be stored up to 10 years in the Sponsor's on-site bio-repository or similar commercial bio-repository contracted by the sponsor.
Biospecimen Retention: Samples With DNA
Residual specimens and histopathology tissue slides or blocks will be stored for up to 10 years in the Sponsor's on-site bio-repository or similar commercial bio-repository contracted by the Sponsor.
|Study Start Date:
|October 2010
|Study Completion Date:
|November 2013
|Primary Completion Date:
|November 2013 (Final data collection date for primary outcome measure)
Colorectal cancer patients
Subjects will be men and women, 40-90 years of age, inclusive, each with a colonoscopic biopsy-based diagnosis of colorectal cancer (CRC) and/or an intact pre-malignant colorectal lesion large enough to require surgical excision or complex colonoscopic polypectomy.
Detailed Description:
Patients who have been recently diagnosed with colo-rectal cancer or pre-cancer will be asked to submit a stool sample(s)(at least 7 days AFTER colonoscopy) and will have the option of submitting blood and tissue samples for future colo-rectal cancer-related test development.
|Ages Eligible for Study:
|40 Years to 90 Years (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Study Population
Patients who have had colorectal cancer or pre-malignancy confirmed by colonoscopic biopsy-based diagnosis.
Inclusion Criteria:
- Subject is male or female, 40-90 years of age, inclusive.
- Subject has a diagnosis of CRC, at any stage, confirmed with a tissue biopsy and/or ≥1 cm colorectal polyp/adenoma/mass identified on a colonoscopy that is of sufficient size to require surgical excision or complex colonoscopic polypectomy.
- Subject understands the study procedures and is able to provide informed consent to participate in the study and authorization for release of relevant protected health information to the study Investigator.
Exclusion Criteria:
- Subject has active synchronous extra-colonic aerodigestive tract cancers (e.g., lung, esophagus, stomach, or pancreatic cancer).
- Subject has a history of any inflammatory bowel disease.
- Subject has familial adenomatous polyposis, hereditary non-polyposis colorectal cancer (Lynch) syndrome, or other hereditary cancer syndromes.
- Individual has a condition the Investigator believes would interfere with his or her ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results or put the person at undue risk.
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: NCT01260168
Please refer to this study by its ClinicalTrials.gov identifier: NCT01260168
|United States, Alabama
|Achieve Clinical Research, LLC
|Birmingham, Alabama, United States, 35216
|Clinical Research Associates
|Huntsville, Alabama, United States, 35801
|United States, Georgia
|Atlanta Gastroenterology
|Atlanta, Georgia, United States, 30308
|United States, Illinois
|Jesse Brown VA
|Chicago, Illinois, United States, 60612
|Rush University Gastroenterologists
|Chicago, Illinois, United States, 60612
|Stroger Cook County
|Chicago, Illinois, United States, 60612
|University of Illinois at Chicago
|Chicago, Illinois, United States, 60612
|Rockford Gastroenterology Associates, Ltd
|Rockford, Illinois, United States, 61107
|United States, Louisiana
|Gastroenterology Associates
|Baton Rouge, Louisiana, United States, 70809
|United States, Maryland
|Chevy Chase Clinical Research
|Chevy Chase, Maryland, United States, 20815
|United States, Massachusetts
|Commonwealth Clinical Studies
|Brockton, Massachusetts, United States, 02302
|United States, New York
|Long Island Gastrointestinal Group
|Great Neck, New York, United States, 11023
|Mount Sinai School of Medicine
|New York, New York, United States, 10029
|United States, North Carolina
|Asheville Gastroenterology
|Asheville, North Carolina, United States, 28801
|Southern Gastroenterology Associates
|New Bern, North Carolina, United States, 28562
|United States, Oregon
|Northwest Gastroenterology Clinic, LLC
|Portland, Oregon, United States, 97208
|United States, Tennessee
|Gastro One
|Germantown, Tennessee, United States, 38138
|United States, Texas
|Digestive Health Specialists
|Tyler, Texas, United States, 75701
|United States, Utah
|University of Utah
|Salt Lake City, Utah, United States, 84132
|United States, Virginia
|Digestive and Liver Disease Specialists
|Norfolk, Virginia, United States, 23502
|Canada, Alberta
|University of Calgary
|Calgary, Alberta, Canada, T2N 4Z6
Sponsors and Collaborators
Exact Sciences Corporation
|Study Chair:
|Graham Lidgard, PhD
|Chief Scientific Officer
More Information
Keywords provided by Exact Sciences Corporation:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
Lidgard GP, Domanico MJ, Bruinsma JJ, Light J, Gagrat ZD, Oldham-Haltom RL, Fourrier KD, Allawi H, Yab TC, Taylor WR, Simonson JA, Devens M, Heigh RI, Ahlquist DA, Berger BM. Clinical performance of an automated stool DNA assay for detection of colorectal neoplasia. Clin Gastroenterol Hepatol. 2013 Oct;11(10):1313-8. doi: 10.1016/j.cgh.2013.04.023. Epub 2013 Apr 29.
|Responsible Party:
|Exact Sciences Corporation
|ClinicalTrials.gov Identifier:
|NCT01260168 History of Changes
|Other Study ID Numbers:
Exact Sciences 2010-A
|Study First Received:
|December 6, 2010
|Last Updated:
|May 12, 2015
Keywords provided by Exact Sciences Corporation:
Colorectal Cancer
Colorectal Neoplasm
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Additional relevant MeSH terms:
Colorectal Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Intestinal Diseases
Rectal Diseases
ClinicalTrials.gov processed this record on September 21, 2017


text:
I requested my library purchase Larry Rosenberg's Breath by Breath and Ven. Analayo's Satipatthana, but both requests were rejected. I am wondering if there are free authorized online versions of these books and where they can be found if so.
Also, I'd be interested to know which, if any, of Larry's talks on Dharmaseed correspond directly to his book.
Thank you.

subset: commoncrawl


text:
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text:
Posted 6 years ago
(304 items)
This was a great score for me. Trifari Pat Pend, perfect condition. The quality of this piece as well as all Trifari from this period is hard to beat. I have learned so much about jewelry by just holding, feeling and looking closely at the construction. It is the most important part of knowing how to tell if a piece is authentic or reproduction, lesser quality copy or a straight up fake. If I had one piece of advice for any new collectors I would say go to an antique store and just start studying and looking closely at pieces, signatures, constructions, settings, stones etc. You will quickly start seeing things that can help you in your hunts. Thanks for looking.


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Where does the money go? If that question seems to come up a lot, it's time to take control. At 9 a.m. Wednesday, November 12, Family Living Educator Michelle Tidemann will present Where Does the Money Go? at the Fond du Lac Public Library. The program is free; no registration required.
This history is so sweeping it needs an intro.
At 6 p.m. Wednesday, November 19, Marian University's Dr. Rick Whaley together with geologist and internationally published author Herman Bender will offer Big History Preview at the Fond du Lac Public Library.
Brock Woods of the Wisconsin Dept. of Natural Resources will present Invasive Species in Supple Marsh: Problems and Solutions at 6 p.m. Monday, November 17, at the Fond du Lac Public Library.
You can wait in line, throw elbows and scramble for deals at the superstore. Or you can spend Black Friday in the pleasant confines of the Fond du Lac Public Library and walk away with great savings. On Friday, November 28, the downtown Main Library will offer unprecedented special deals:
Registration for the November 6 Scrabble Bee closes on October 31. Don't miss out on challenging your brain as you have fun and benefit a great cause: Fond du Lac Literacy Services.
Are you an inventor? Innovator? Maybe just curious? Everyone's welcome to the Fond du Lac Public Library's first 3-D Open Print event from 10 a.m. to 4 p.m. Saturday, November 15.
The library's 3-D printers will be available to the public to print projects at no charge. Library staff will be on hand to facilitate the printing. No registration required.
Fond du Lac Artists' Association will showcase the diverse talents of its members November 5 through December 3 at the Fond du Lac Public Library Langdon Divers Gallery. The exhibit will showcase the association's two Artists of the Year, Mary Ann Pahnke and Charles Wilke.
The Fond du Lac County Genealogical Society invites the public to their meeting at 6 p.m. on Monday, November 3, at the Fond du Lac Public Library. They'll host Russell Horton from the Wisconsin Veterans Museum in Madison, who will talk about how to research Wisconsin veterans.
Using upcycled pages from books and magazines, crafters will make a colorful and unique picture frame at the 1 p.m. Saturday, November 15, Crafternoon program at the Fond du Lac Public Library.
It might be the chill in the air, or the fact that winter is right around the corner, but lately I seem to be drawn to books about food. The storyline in The Glass Kitchen: a novel of sisters by Linda Francis Lee revolves around food, but is also the story of a young woman plucked from her childhood home in Texas and dropped into the bustling world of Manhattan. Struggling to make a new life for herself, with the help of her sisters, Portia Cuthcart uses her kitchen as a refuge which allows her to forgive, forget, and open herself up to her unique gift of magical food.


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Alex123 wrote: DN, MN, SN, AN, KN, Vin, Abh
kasiṇa: 22, 13, 0, 50, 108, 0, 159
ānāpāna: 2, 20, 94, 15, 45, 4, 2
mirco wrote:The Abhi-Dhamma does not belong to the discourses
and what I think is that it doesn't count in this comparison.
Even so, kasina seems to edge out ananapa in the Suttas... Interesting...
It would be interesting to see the "jhana" count, since I think in the vast majority of cases the Buddha didn't even bother to give a method for reaching jhana... See, e.g. http://www.accesstoinsight.org/tipitaka ... .horn.html "Jhana" section
mirco wrote:And don't forget about the brahmavihāras.
And don't forget numerous other meditation objects:
Recollections of the Buddha, Dhamma, Sangha: http://www.accesstoinsight.org/tipitaka ... all-Buddha
Body Parts, Elements, etc, etc,
In http://www.accesstoinsight.org/tipitaka ... .than.html and others...
And don't forget general mindfulness, walking meditation etc as in http://www.accesstoinsight.org/tipitaka ... .horn.html in sections Vigilance and Mindfulness and clear consciousness.


text:
Wire EDM Works With Dual Wire Spools(2)
Related Topics:
GF AgieCharmilles states that the AC Vertex wire EDM's high precision makes the machine ideal for micro- and nano machining, using wires of 0.02 mm in diameter and IPG-V's eCut technology to achieve surface finishes to 0.05 µm Ra in continuous operation. The EDM works with dual wire spools of different wire types, making it possible to switch between wires of different diameters automatically. The forward feed of the wire is programmable via the machine control and, just like the threading, takes place automatically and is monitored by sensors. The EDM's table design separates the X and Y axes on a monobloc. A traveling table on the machine bed carries the work tank and moves the workpiece in the X direction exclusively. A second axis slide, also moveable in the horizontal plane on the machine frame, accommodates the upper part of the C frame and moves the wire in the Y direction. This configuration delivers ideal travels, positioning accuracy and taper-cutting capability for machining complex, high precision parts, the company says. Additionally, the EDM is equipped with the Agievision control system which was developed specifically for wire cut EDM. This system enables flexible data input in accordance with workshop environments.
Related Suppliers
Editor PickUsing Grinding Versus EDM to Finish Form Tools
Finishing carbide inserts using EDM or grinding.


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I am going to unleash a secret here today. One that is rather embarrasing, but I figured that since it is a Friday and the weekend is coming, and spring is officially hitting our doorsteps, you'll overlook this tiny piece of insanity from me.
You see, I'm stressed. June - August was an overwhelmingly CRAZY (with capital letters and many exclamation marks) time for me, and if you know me, I can honestly handle a large amount of stress. So when I say I am overwhelmed, you know the anxiety is at a deliriously inappropriate level :P So I do a various number of things when I am feeling stressed. The list kind of goes like this:
1. Sing
2. Procrastinate (:P don't we all??)
3. Eat
4. Eat some more
5. Procrastinate again :P
6. And here is the weirdest one... I like putting on my favorite shoes of the moment and just walking around in them in my house! Yes, that's right... it doesn't matter what I am wearing that day, I'll put them on, and they make me feel ALL THAT MUCH BETTER. Seriously :) I'm weird, I KNOW.
And because I was stressed this morning, I did just that today :)
Oh I have to say, because stress levels have been on the high recently, I have amassed quite a collection lately!! I used to be someone who was only into clothes...but I think the fetish has migrated to SHOES now!! And I have to say they all each have a piece in my shoe lover heart :P That inclues my Steve Maddens (courtesy of the hubby - THANK YOU!!), my H&M pumps, my Charles and Keiths, my Vincci+ , my Kenneth coles, and the like :P
Have a look :)
Don't hate!! :P
Have a beautiful friday everyone!
Love from the shoe-fetish photographer!


text:
Play It Again Sports is hosting a free disc golf clinic in Milford, Michigan on Saturday, June 25, 2011 at 10:30 am at the Black Locust disc golf course inside Kensington Metropark.
Open to players of all abilities, including newcomers to the game, this clinic will be directed by Discraft sponsored Professional Mark Ellis and will have prizes and games from Play It Again Sports and Discraft.
The clinic will break down into sessions dealing with Long distance power driving (directed my Jamie Mosier, who will demonstrate launching a disc into orbit), forehand shots, putting and basic skills. Please bring golf discs.
From 1-96 expressway, exit at Kent Lake Road directly into the park to the first right, which is the Black Locust disc golf course. There is a park entrance fee of $4.00 per vehicle and a $2.00 fee per player to play the course.


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Mail: Southern statues symbolize suppession
Mail: Thanks for helping Aiden
More opinion
Fall: Good time to spray musk thistle in rosette stage
Robertson and Delsing re-elected chair, vice chair of NWB
More Ag News
The North Platte First National Bank Juniors scored two runs in the seventh inning on Sunday to get past Kearney and advance at the state tournament with a 6-4 victory.
North Platte, a never-say-die underdog in the tournament, now has a 1-1 record in the double elimination tourney. The First Nationals put a complete game together to defeat Kearney for the first time this season, in five games.
"(Scoring two runs in the seventh) was great," said Juniors coach Adam Sterup. "We did the things we needed to do there to get the lead and win the game."
The First Nationals got started right away, scoring its first run on a Kevin Hancock single to right field with one out in the first inning.
In the following inning, North Platte added to its lead in a big way. With two outs and the bases loaded, Braiden Ruffin pounded a Chris Langin pitch to right field for a double to clear the bases and make it 4-0.
After losing all three meetings to Kearney earlier in the season, Sterup couldn't have asked for a better start.
"That was huge," Sterup said. "Braiden Ruffin had the big base hit. We needed that start because we lost three times to them and that was in the back of our minds. So to get ahead against a good pitcher was really important."
Pitcher Levi Nekuda held up his end of the bargain. For the five innings he was on the mound, he only gave up one run. That came in the third inning when Jared Smalley reached on an error by third baseman Dominic Martinez.
In the sixth, the southpaw Nekuda started to tire and he gave up a pair of singles to start the sixth. Jayden Kruse came in to relieve Nekuda.
After the change, Smalley got his second RBI of the game when he reached on an error by shortstop Jace Barker and it was 4-2. Then Kearney tied the game after Ty Roseberry hit a single into right. Rightfielder Austin Chitty mishandled the ball allowing a run to score and then after Chitty got it into the infield, the ball was thrown away on a throw to third to allow the tying run to come home.
But Kruse got out of the inning without any further damage.
"That was our one big inning that we always seem to give up," said Sterup. "Fortunately, we were able to hold them a little bit and come back in the seventh."
Langin, Kearney's ace pitcher, regained his form after a rocky first two innings and he threw four consecutive scoreless innings. But North Platte was able to get to him
in the seventh.
With Barker and Chitty on with one out, Ruffin laid down a bunt toward third base and he reached on a single to load the bases. That set up Hancock, who hit a slow-rolling single into left field to score Barker and Chitty, giving the First Nationals the two-run lead.
Harrison Pearse came in for Langin afterward and he got Dylan Petersen to fly out to the middle infield for the double play.
But it didn't matter as Kruse mowed down the next three Kearney batters to get the win.
"Our pitchers did a great job keeping their composure and that was something we needed from them," Sterup said.
Flatrock Publishing, Inc.
1300 E 4th St., Suite F
North Platte, NE 69101


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At the Summit this year we announced that the 2010 Summit would be in Seattle again. This will mark the third year in a row in Seattle. We've been in Seattle twice in a row before but never three times. After we complete the 2010 Summit in Seattle, half of our Summit's will have been held in Seattle. 2010 is a launch year for SQL Server so I think it's good we're there.
We don't have a contract in place year for 2011 yet but we need to finalize one soon. A number of people have asked why we've been in Seattle so long and why don't we come back to the East Coast. I wanted to get some thoughts down on things that impact our decision and see if we can get some feedback. We're also planning to send out a survey and find out what's important to potential attendees. Please note: These thoughts are the opinion of one Board member and don't reflect the official position of PASS. Hopefully this will give you some insight into how we think about this issue and you'll better understand how we make decisions like this.
The obvious benefit to being on the east coast is that that travel is reduced for people in the Eastern and Central time zones. Travel for anyone on the east coast to Seattle is a long trek across the country. On the return there are rarely afternoon or evening flights except red-eyes. Switching to a Tuesday through Thursday schedule may have helped a little. The downside of that is reduced attendance at pre-conference and post-conference sessions or the same flight challenges if you want to attend one of those sessions. Moving to the east coast inconveniences a different set of people. There's certainly an argument to be made that we should inconvenience everyone equally on a somewhere regular schedule.
Microsoft Support
We enjoy fantastic support from Microsoft when the Summit is in Seattle. I don't know much about their budget process but I'm guessing if we hold the event in other cities that their budget won't magically increase. That means the same amount of money would have to include travel expenses. I see that impacting the following activities:
It really takes a team to put on a conference the size of the PASS Summit. We work with a number of vendors for everything from event production to registration. Over the last few years we've really figured out what works at the convention center. Internet access was good this year. Keynote productions were great. The food worked well. Registration worked well. All the logistics went smoothly. We know what rooms are good to put sessions in and which rooms are better for meetings. We've also learned where to spend money and where not too. If any of you have put on local events I'm sure there are things you spent money on that you wouldn't repeat. We've got most of those figured out at the Seattle convention center. We don't waste money on things that don't add value.
In a new city we're not going to do this well. We're going to have logistical challenges. We're going to spend too much (or not enough) on food. We may have issues with wireless. We might not get all the rooms right. In short, there are lots of things that *could* go wrong and some probably will.
Holding the Summit in another city increases the costs for PASS. All the items listed in the previous section will probably cause extra money to be spent. Our headquarters is located in Vancouver. It's just a few hours to drive down to Seattle. If we move to another city that will increase travel costs. It will also increase shipping costs. Right now we're able to purchase items to Vancouver and drive them down. We lose that ability when we move to another city. Our headquarters typically does a number of site visits to potential sites and then to the final chosen site. In Seattle we need fewer of these visits due to the familiarity with the facility. Plus they're cheap to conduct due to the proximity. This is all money we'll spend that can't be spent on community.
Seattle is a good city for our conference. It has lots of "stuff" downtown within walking distance of the convention center. There are plenty of hotels nearby so we can negotiate reasonable prices. These are all things we'll look for in other cities but might have difficulty finding.
Our choices
We have a number of different choices.
We're going to send out a survey soon with some detailed questions around this. Please be on the look out for this and take the time to respond to it. If you have any thoughts you'd like to share please feel free to post them.
Bill Graziano


text:
UDJ fund drive begins today
for Ukiah Daily Journal
The Ukiah Daily Journal is once again the proud sponsor of the annual fund drive supporting the Boys and Girls Club of Ukiah.
?This year, with the community's help, the fundraising goal is $100,000, according to Liz Elmore, Chief Professional Officer for the club.
?Community sponsors play an integral part in starting up the drive on a high note. "Retech is once again providing a $50,000 match to help to get the party started. With the help of the community, we're hoping to reach and exceed our goal," smiles Elmore.
?Kickoff sponsors include Ukiah Valley Medical Center, donating $5,000, the Max Schlinger Family, donating $5,000, the Vargas Brothers, donating $1,000, Savings Bank of Mendocino County donating $1,000 and Elaine Herring donating $1,000. "With our Retech match, we are starting our kickoff with $26,000," says Elmore. "I'd like to give a big thank you to the Savings Bank and the Vargas Brothers, who have chosen to become annual sponsors. Their funding has given us the ability to move into 2013 successfully," she continues.
??"I am a board member because I believe that every child has the ability to become a productive citizen and?every child has the right?to a happy, productive life. We all have the responsibility of doing what we can to help them get there," says Kathy Smith, BGCU board treasurer.
?The club has been in existence for the past 18 years. This is the sixth year of the UDJ fund drive. The Club provides after-school and summer activities for children ages 5 to 18.
?Elmore notes that the club membership is growing significantly, with more than 600 active enrolled members, up nearly 20 percent from the previous year. Daily attendance at the club has nearly doubled during the past year.
"Last year, from May until September attendance increased from 90 to about 160 kids coming through our doors every day," says Elmore. "As exciting as that is, we still operate on a minimum standard of a 1-to-20 kid-to-staff ratio. We're working lots with volunteers - Mendocino College interns, Ukiah High students and parents. Even though our volunteers are wonderful and have a lot of responsibility, they can't replace paid staff," she notes.
?Elmore attributes the increase in membership to the need for kids to have safe places to go to rather than staying at home. She also believes more people are learning about the benefits of the club. "We're here, we're available, we're completely affordable and we want to work with families and kids," she explains.
?"Our Club's motto, A safe, positive place for kids,' sums up our purpose. Giving children a sense of safety and belonging is a huge part of what we do. We hold dear to this motto and focus on it every day," says Elmore.?
?The club also helps families by helping kids with homework, freeing parents to focus on quality time, knowing homework responsibilities are completed. "Mendocino College interns assist kids with homework," says Elmore. Cross tutoring takes place, with older students helping younger ones. Peers are encouraged to help other students struggling with a particular assignment.
?Crush Restaurant is a new Club supporter. "Crush staff are offering a 10-week job mentoring program for teenaged Club members. Some kids will continue beyond the 10-week program, and then other members will start the program fresh," says Elmore. Members will have the opportunity to learn all aspects of restaurant work in a mentorship framework. "I'm so excited about this opportunity," said Elmore, who notes that Crush's Chico restaurant has been working with their local Boys and Girls Club.
?Proceeds from the fund drive will be used to supplement operating costs, staff salaries and training. "All the funds raised from the drive stay in Ukiah," says Elmore. "We're trying to increase our teen population and give them a safe place to be. We're also hoping to add extended hours a few days per week. With our 1-to-20 ratio, we hope to increase additional Boys and Girls Club programs."
?The Club is open weekdays and strives to be open when school is not in session. "If there's testing at school or parent-teacher conferences, the Club is open. We're not a babysitting service. Our goal is safety for the kids of the Ukiah Valley area. The kids now have regular time in the Beckstoffer gym and love using the facility a few hours per week," says Elmore.
?The Club has an 11-week summer program. Breakfast, lunch and snacks are served. "There will be many outdoor projects in our backyard which is under construction and will be completed by summer." The next step is the placement of wood chips donated by Mendocino Forest Products. Employees from the Kohl's Cares program have donated funds and are coming to the Club to help spread the wood chips. "It's a different group of employees each time they come. They are a wonderful group," says Elmore. Kohl's has become a major supporter of Club activities.
?"We strive to set the bar high and expect member accountability for their behavior. It is what our team tries to emulate, and that's what we expect from our club members. We don't point the finger at kids. We talk with them and have them tell us what they could have done to make a better choice." Elmore hopes that this kind of modeling is what kids take away from the Club when their parents pick them up at the end of the day.
?Longtime Club supporters, the Vargas family sum up the importance of the fund drive. "The future of our country will be a direct result of decision making by today's youth. These decisions will be made at all levels, beginning in our local community. It is important our youth be guided in the right direction in order to make wise decisions.? The Boys and Girls Club provides the perfect environment to accomplish this endeavor. Your investment today will bring about a better tomorrow for our youth and our country."
To donate to the drive, make your check out to "Ukiah Boys and Girls Club" and mail it to the Ukiah Boys & Girls Club at P.O. Box 67, Ukiah, CA 95482 or bring or mail it to the Daily Journal office at 590 S. School St., Ukiah, CA 95482.


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Nick Scott is hoping his hat-trick against Nottingham will prove to be a good omen for London Welsh, as the club prepares for the Championship play-off.
The winger crossed three times in the Exiles' 64-12 win over the Green and Whites at Old Deer Park on Saturday, two years after his last hat-trick for the club in its successful 2012 Championship play-off campaign.
"Hopefully, it's a good omen," said Scott. "When I score three tries and Seb [Stegmann] scores two tries it means the team's attacking really well.
"You can't underestimate the work the boys are doing to put themselves into position to get a bit of depth. They were really team tries that we scored against Nottingham – it was a good attacking display when we kept hold of the ball.
"Justin [Burnell] has always given us licence to play throughout the season, it's not just a new thing, and we've taken it on board."
Welsh, who unveiled Mike Stevens as their new chief executive this week, travel to Leeds Carnegie on May 11 for the first leg of their Championship semi-final.


text:
#business ethics
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Boss: I hired the Dogbert Ad Company to build some deceptive and abusive ads for our mobile app. Dogbert: I prefer to call our ads "effective." It means the same thing. Our most effective ad looks like a text message from your doctor saying he can't stop crying.


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Views: 4485
Haha I live in Rutland an am getting my first ink this December!
I got this tattoo in Seoul, South Korea in 2009. It's my first tattoo and has several meanings for me. It represents my time in Asia. It's a memorial of sorts to the pet snail I had my 5th year in China. It's also a reminder to look out for smaller creatures in our world. After all it was a cold wintery day when I found the little guy crawling up the wall in the the teachers' dorm's unheated hallway.


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Welcome to Experts at Laurier, a one-stop media resource featuring a broad database of experts who have agreed to make themselves available for media interviews. Contact them directly or call a media relations officer at 519-884-0710, ext. 3067 or 3070.
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Associate Professor, Chemistry and Biochemistry
Areas of Expertise: Organic synthesis; Liquid crystals; Supramolecular chemistry; Organic materials; Crystal engineering
Biography: Ken Maly obtained his Ph.D. in chemistry from Queen's University under the direction of Professor Bob Lemieux in 2002. Following an NSERC postdoctoral fellowship with Professor James Wuest at the Université de Montréal, he joined the Department of…
519-884-0710 ext.2249


text: Kwik Trip Stores are helping raise funds for Habitat for Humanity, pledging to donate 15% of in-store purchases made with a special Rewards Card to the Merrill, Wis., Habitat for Humanity, Wausau Daily Herald reported. Those who sign up for the cards will receive a $30 credit to spend at any Kwik Trip store. Sign-up forms will


text: Upper Big Branch Mine disaster timeline By Staff reports April 10, 2010 Story Share Around 3 p.m. Monday, an explosion ripped through the Upper Big Branch Mine at Montcoal. A worker on his way into the mine at the time said there was a powerful "whooshing," and rocks and debris came flying out of the mine. Following is a chronology of the week's events. Times are approximate. A precise record is not yet available. Monday, April 55 p.m.: Massey Energy issues a press release to confirm that an explosion has occurred at its Upper Big Branch Mine near Montcoal in Raleigh County and information about injuries is uncertain. Ron Wooten, director of the West Virginia Office of Miners Health, Safety and Training, says reports are that at least six miners were killed and 21 are missing.8:10 p.m.: Massey says seven miners are dead and 19 unaccounted for. A massive rescue operation begins. Rescuers know that underground refuge chambers are designed to support life for 96 hours, if any survivors made it to one of the chambers.Tuesday, April 61:40 a.m.: Massey confirms that 25 miners have been killed, two injured and four remain missing. U.S. Labor Secretary Hilda Solis says, "Twenty-five hardworking men died needlessly in a mine yesterday. I pledge that their deaths will not be in vain." Rep. Nick J. Rahall said, "We will scrutinize the health and safety violation at this mine to see whether the law was circumvented and miners' precious lives were willfully put at risk, and there will be accountability."2:30 p.m.: Search and rescue efforts are suspended because of high levels of methane and other toxic gases in the mines. On the initial trip inside, crews find three self-contained self rescuer breathing devices that have been moved from their storage place, suggesting the possibility of survivors, but officials say the situation is "dire" for the four missing miners. Crews begin planning the process of drilling boreholes into the mine to ventilate tunnels and make it safe for rescuers to return.10 a.m. : President Obama urges prayers for the missing miners and for the families of those who died. The process of drilling boreholes continues.Noon: Kevin Stricklin, coal administrator for the U.S. Mine Safety and Health Administration, tells reporters "it's quite evident that something went very wrong here." Stricklin says, "All explosions are preventable. It's just making sure you have things in place to keep one from occurring."Wednesday, April 7 4 a.m.: Workers drill the first hole into the mine through 1,000 feet of earth. Rescuers also bang on a drill casing pipe to alert any survivors that help is on the way. There is no response.11 a.m.: During a morning press briefing, Gov. Joe Manchin says rescue crews have only a "sliver of hope" that the four missing miners are still alive deep inside the mine. A second ventilation hole is drilled, as workers rush to rid the mine of dangerous gases.Noon: MSHA announces it has appointed a team to investigate the mine explosion. "The investigative team will work tirelessly to evaluate all aspects of this accident to identify the cause of the disaster," says Joseph Main, assistant secretary for labor at MSHA.President Obama phones family members of workers who died and instructs federal mine safety officials to give him a report next week. 4 p.m.: Levels of toxic gases inside the mine are still too high for rescue crews to re-enter. "We're dealing with numbers that are way beyond what we would normally see in a mine," Stricklin says. Massey plans to drill an additional ventilation hole and lower cameras near the location of a rescue chamber to see if the miners can be found.9 p.m.: MSHA officials announce the air quality in the mine has improved and rescue crews plan to resume their search for the missing miners within hours. Thursday, April 84:55 a.m.: After watching air quality all night, four teams of eight rescue workers re-enter the mine early Thursday.9:30 a.m.: Rescuers withdraw again when repeated readings of carbon monoxide, methane and other gases show an explosive mixture. Crews resume drilling boreholes to speed ventilation.State officials check impoundments nearby to determine if they were affected by the blast. Family members of Marty Bennett, who died in the Sago disaster, drive to Montcoal to deliver a letter and to support miners' families. Friday, April 912:30 a.m.: Two rescue teams enter the mine again.7 a.m.: Rescuers withdraw again after they encounter smoke.Workers pump nitrogen into the mine to make the air less combustible. Federal officials say they had been requesting the company bring in nitrogen supplies since Tuesday.11 a.m.: Funerals are held for miners Benny Willingham in Mullens, Steven J. Harrah in Shady Spring and Deward Scott in Whitesville.1:45 p.m.: In the White House Rose Garden, President Obama talks of his conversations with family members, praises the courage of rescuers and says, "We're praying for a miracle."2 p.m.: Funeral for Carl Accord is held in Beckley.2:30 p.m.: Two eight-member rescue teams rush back into the mine in an attempt to finally reach a sealed refuge chamber where the four miners could be. Rescuers expect the journey deep into that part of the mine to take as long as 4 1/2 hours.3 p.m.: The 96-hour mark passes. Refuge chambers were designed for 26 people, so it is possible that fewer people could survive in one longer, if they made it to the chamber.11:30 p.m.: Rescuers find the body of the last missing miner. The refuge chambers had not been used.Saturday, April 1012:30 a.m.: Gov. Manchin announces that all four missing miners are dead, bringing the death toll to 29. None of the miners underground had a chance to use the self-contained self-rescuers, Stricklin said."This journey has ended, and now the healing will start," Manchin said.- Staff reports Story Share Story Share Trending Now 1 Former State Police captain now chief in Winfield 2 Innerviews: Dual-identity surgeon riding high in horse racing world 3 WVU seeking improvements during off week 4 Huggins, WVU tap South Florida hoops talent 5 Man charged after motorcycle pursuit early Sunday Mine flushed with nitrogen; rescuers heading back in Previous Story Mining communities will carry on Next Story


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Planning to visit the Green Mountain State this weekend or anytime during this year's foliage season? Be sure to check out Vermont Vacation's clever Seeing is BeLeafing website for the latest in Vermont foliage reports and recommended scenic routes. Use this cool animated map to see when and where fall foliage is peaking in Vermont (for Stonehurst, which is located in the southeast corner of Vermont in Windham county, the map shows peak foliage will be October 10-24 this year. You can see from Kelsey's photos yesterday that it's pretty gorgeous here now so just imagine the view when the forests really burst out in full fall regalia).
Need a room for the weekend? It's not too late. Here's a quick way to search for lodging availability either by town or region. I just saw that 40 Putney Road has some room. That's one of our favorite Brattleboro inns, located just a few minutes from downtown (and 15 minutes from Stonehurst).
You'll find lots of other Vermont vacation ideas for Fall including great deals on mid-week get-aways, apple festivals, corn mazes and more. Happy leaf peeping! Stop by and see us at our new Stonehurst fine furniture showroom and art gallery on your way through. Bring a picnic lunch and a bottle of wine and enjoy the view!
Already following our Blog? For more info sign up for our e-newsletter
This blog is written by your friends at Vermont Woods Studios. Check out our Vermont made furniture and home decor online and visit our showroom and art gallery at Stonehurst, the newly restored 1800s farmhouse nestled in the foothills of the Green Mountains.


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One of two key appointments for federal regulators still appears troubled after a required committee vote.
The Senate Banking Committee has voted along party lines to approve the nomination of Richard Cordray as director of the Consumer Financial Protection Bureau. The 12-10 vote was supported by Democrats, opposed by Republicans.
Part of a twofer
The vote came as the panel also approved the nomination of former federal prosecutor Mary Jo White to head the Securities and Exchange Commission. In this case, the vote was 20-1.
Said committee Chairman Tim Johnson, D-S.D., "Both candidates are well-qualified for the jobs they've been nominated for."
While White's appointment appears easily headed for approval by the full Senate, the same cannot be said of Cordray.
GOP opposition to Cordray
Republicans continue to look to scuttle Cordray's nomination by criticizing the structure of the agency, created by the Dodd-Frank law emerging from the financial crisis.
Senate Republicans say they want a commission similar to that which governs the Federal Reserve and the Federal Deposit Insurance Corp.
Ranking GOP panel member Mike Crapo, R-Idaho, said issues of transparency and accountability are at stake "regardless of the administration in charge." Crapo said the CFPB has failed to fully explain how $150 million in federal contracts were spent as the agency was gearing up.
Full Senate prospects remain dim
To bring the Cordray vote up for consideration in the Senate, 60 votes are required unless Republicans decline to filibuster, and allow an up-or-down vote. Without some defections among Republicans, support for as much as a vote appears still unlikely.
Sen. Elizabeth Warren, D-Mass., who came up with the idea of the CFPB while she was a professor at Harvard, said in a statement: "I believe it is past time for an up or down vote for Rich Cordray. He has earned a reputation as an effective and balanced regulator, and the Senate needs to focus on how to put an end to practices that cheat families in their mortgages and credit cards -- not how to help the big banks."
Critics of the Cordray nomination have challenged his standing because it was made as a recess appointment by President Barack Obama. A federal appeals court has ruled that similar Obama appointments to the National Labor Relations Board were unconstitutional. Republicans say the Cordray appointment should also be viewed with skepticism because of the NLRB ruling, which is expected to be appealed.


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CHICAGO Instant gratification translates well among customers that seek incentives for their participation in loyalty programs, according to new research.
Mintel found nearly half (47%) of consumers surveyed said that instant redemption opportunities motivated them to use a particular loyalty program more than others. Such incentives as cash-back opportunities would be a deciding factor, 36% of respondents said.
Mintel also suggested that personalization of redemption opportunities, since most customers are brand loyal, as well as easy-to-redeem savings, can expand customer reach and drive up sales.
"In any sector that utilizes loyalty marketing, loyalty programs are fast becoming a very important part of the relationship with the customer," said Susan Menke, VP and behavioral economist at Mintel Comperemedia. "It seems that now is the time to focus on adding or improving loyalty programs to help engage customers and maintain, and even grow, their relationship with the post-recession consumer."


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Youth Apprenticeship Grant Expenditure Report
Document Number: FIS-14825-E
Description: This form is used to claim expenditures for Youth Apprenticeship Grants.
Comments: This Excel form should be downloaded, completed and emailed to firstname.lastname@example.com.
Content Contact: DWD Finance Grants
Document Attachment: FIS-14825-E (Excel/48 KB)
*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.
*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page. Links to each specific vendor's site have been provided for you. Thank you.


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The World's 18 Strangest Airports
Maui, Hawaii
Background: Hawaii's Hana Highway runs along the northeast coast of Maui, and is constantly cited as one of the world's most scenic drives.
How It's Unique: The Hana Highway takes drivers around 600 curves and over 54 bridges (most of which are one-way) in just 52 miles. "Whenever you have to build a road like this in a coastal area, your best bet is to hug the terrain," says Hani Mahmassani, a civil engineer who has led more than 100 transportation projects and is the director of Northwestern University's Transportation Center. "If you wanted to put something faster-running through this area, you would have to cut through the rock or put in a tunnel, which is very expensive." The road's winding design, narrow passages and stunning views take some slow-going motorists as long as 4 hours to navigate, according to Hawaii's Visitors and Conventions Bureau.
Lombardy, Italy
Background: This mountain pass in the Italian Alps starts an elevation of 3116 feet and ascends to just under 9050 feet, or 1.7 miles above sea level. The pass was first constructed in 1820.
How It's Unique: The Stelvio Pass has a dizzying 48 hairpin turns and an average grade of 7.4 percent. "To go down that slope, you either basically cut down the mountain to remove that slope, or you have to go back and forth and zigzag a lot," Mahmassani says. The road, which hosts one of the more gruelling stages of the Giro d'Italia bicycle race, has a 7.4 percent grade--"huge" by American standards, Mahmassani says. Six percent grades are about the maximum for U.S. highways, he says, and require escape lanes and safety signage. "You go down or up this road, you're going to get seasick," he says.
The World's 18 Strangest Homes: Gallery


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The rating of this dimension is based on both a rating of the range of transaction options each bookmaker offers and a rating of the fees a user is incurred to pay when making a money transaction. The range of transaction options is the number of deposit and withdrawal options of each bookmaker. Read more about the rating details in the Rating Guide.
Check the Poker Rooms Reviews section before choosing where to Play poker online and challenge the poker
pros online.


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- Vitamin Guide
- Health Conditions
- Health Centers
- Diet & Weight Loss
- Herbal Remedies
- Current News
- Food Guide
- Recipes
Be a positive role model by involving your entire family in a program that includes better eating and regular exercise
Research whole foods and help your children choose healthy long-term eating habits
Provide and encourage physically active alternatives to TV and video games
Improve the results of treating childhood obesity by learning valuable techniques that can help you alter your child's behavior
Visit a doctor to determine if any treatable health problems are developing as a result of childhood obesity
Copyright © 2017 Healthnotes, Inc. All rights reserved. www.healthnotes.com
Learn more about Healthnotes, the company.
The information presented by Healthnotes is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires December 2017.


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Dr. Rieger is double board certified by the American Board of Plastic Surgery and the American Board of Otolaryngology. He is also a member the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. Dr. Rieger will help clients make fully informed choices based on guidance, insight and education. He encourages patients to ask any questions and feel confident about the decisions they make concerning their cosmetic surgery. You should feel comfortable discussing your goals. His goal is providing patients in Kansas with procedures that enhance their natural beauty with natural looking improvements.Wichita Kansas Plastic surgeon, Dr. Rieger performs a wide array of cosmetic surgery procedures, including breast augmentation, tummy tuck, rhinoplasty and facial plastic surgery. We are committed to ensure you make well-informed decisions about cosmetic surgery and this cosmetic surgery web site will help. Our priority is your safety and comfort. Take the time to review the different plastic surgery procedures we provide our Kansas patients
Breast enhancement procedures create a better proportioned profile to your frame with safe, natural looking enhancements. These procedures include breast augmentation (enlargement) with silicone and saline breast implants, breast reduction, and breast lift (mastopexy).
Body reshaping and recontour procedures improve your figure by removing excess tissue and sculpting your existing contours. These procedures include abdominoplasty (tummy tuck), liposuction and mini tummy tuck.
Facial plastic surgery procedures improve facial structure and skin firmness, texture. These procedures may be surgical procedures like rhinoplasty (nose job), facelift, blepharoplasty (eyelid surgery) and otoplasty (ear setback). The non-surgical procedures include Botox, Juvederm (dermal filler), Radiesse (dermal filler), laser resurfacing (DOT laser) and more. These procedures give a more youthful appearance. Laser hair removal and anti-aging products are also available to our clients.
Cosmetic Surgery in Wichita Kansas
Breast Augmentation with silicone and saline implants / Breast enlargement enhancement
Breast Lift(Mastopexy)
Breast Reduction
Mini Tummy Tuck
Face Lift/Eyelid Surgery
Cleft Lip/Palate Surgery
Breast Reconstruction
Choosing a surgeon is a very personal decision. We encourage you to take time to ask the doctor and his staff any questions you may have. We believe formation of a personal bond is an integral part of the surgery.
We also have prepared brochures, which you may read and take home. Our staff will be happy to share their personal cosmetic plastic surgical experiences with you as well. We invite you to contact our office about your private consultation. You may also go to our web site www.jriegermd.com by clicking on the link below.
Informing you about plastic surgery in a friendly and comfortable environment is our goal. Dr. Rieger's private practice is discretely located in the Cypress Medical Office Park in the northeastern part of Wichita Kansas. In additional, he also sees patients at the Summit Medical Center in Hutchinson Kansas and at the Women's Clinic in Garden City Kansas. Clientele come from throughout Kansas including Salina, Newton, Great Bend, and Hays and from neighboring states like Texas, Oklahoma, Nebraska, Missouri and as far away as Alaska.
Most elective cosmetic procedures are performed on an outpatient basis at Kansas Medical Center and Kansas Surgery and Recovery Center. These are accredited elective surgery specialty hospitals located in Wichita, Kansas and offer overnight stays with nursing care for the more extensive cosmetic procedures. Some reconstructive procedures are performed on an inpatient basis at either Via Christi or Wesley Medical Center
- BS Chemical Engineering - State University of New York, Buffalo, New York, 1979 - 1983
- MD - St. Louis University School of Medicine, St. Louis, MO, 1983 - 1987
- Otolaryngology Residency - U.S. Naval Hospital Oakland
- Oakland, CA, 1987 - 1992
- Plastic Surgery Residency - Providence Hospital and Medical Center, Southfield, MI, 1999 - 2001
- American Board of Plastic Surgery 2002
- American Board of Otolaryngology 1993
- American Society of Plastic Surgeons
- American Society for Aesthetic Plastic Surgery
- Kansas Medical Center Andover Kansas
- Kansas Surgery and Recovery Center, Wichita, KS
- Via Christi Medical Centers, Wichita, KS
- Wesley Medical Center, Wichita, KS
- St. Catherine Hospital and Surgery Center, Garden City, KS


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Second-half heartbreak for Ysgol Y Preseli
6:24pm Wednesday 2nd April 2014
By Fraser Watson
6:24pm Wednesday 2nd April 2014
By Fraser Watson
Welsh Schools Cup final:
Ysgol Y Preseli 17-19 Llanishen High
YSGOL Y Preseli's historic run in the Welsh Schools Cup ended in an agonising defeat as Llanishen High overturned a 17-7 half time deficit to edge home by two points at the Millennium Stadium.
More than 700 supporters made the journey to Cardiff to support Gethin Vobe and Mark Lloyd's side, and they were given reason to cheer just two minutes in.
Scrum half Ilan Jones went blind from a scrum 20 metres out, and offloaded to centre Elgan Wilson who raced under the posts before converting his own try.
But sloppy play immediately allowed the Cardiff based side back into it. From the kick off two spilt passes presented Llanishen with a scrum five, and scrum half Gareth Cleaver set up full back Gareth Waterlaws to score. No 8 Lewis Marshall converted via the post.
However, just 11 minutes in Preseli were in front again when a Llanishen move broke down in midfield, and winger Carwyn Vaughan hacked ahead from half way and kept his nerve to touch down. Wilson converted superbly from wide out.
The same player added three more points with a well struck penalty after a surge from full back Dylan Thomas, and at that point the Pembrokeshire side were well on top as Llanishen struggled to penetrate them up front or in midfield.
Just before the break a break by Preseli outside half Carwyn James came to nothing when he couldn't quite find Vaughan with the scoring pass, and Wilson was just short with a long range penalty – but Preseli maintained their 17-7 lead at the break.
But the second half couldn't have started worse for them, as Llanishen centre Owen Davies crashed over from 20 metres out and Matthews converted.
Then came a crucial moment - a period of heavy Preseli pressure, led by two powerful bursts from prop Scott Jenkins, so nearly resulted in a try when James moved play to the right and winger Vaughan was bundled into touch just inches short of the line.
The Cardiff side then turned the screw and began to dominate the lineout and forward exchanges. Second row Adan Nyhan thought he'd scored from a rolling maul - but referee Morgan Whitehead called him back for an infringement.
But Llanishen kept the pressure on and after the Preseli defence did superbly to repel a series of forward drives – No 8 Matthews buried over in the corner. After a long deliberation, referee Whitehead awarded the try.
Wilson had a chance to put Preseli back in front when he pushed a penalty wide of the posts, and their hopes took a further blow when winger Gareth Gibby was sin binned for a dangerous tackle with five minutes left.
To Llanishen's credit, they ran down the clock effectively in the final minutes and starved Preseli of much needed possession, before the final whistle sparked off big celebrations for the Cardiff side.
"We were excellent in the first half but maybe went into our shells a bit in the second half," said Preseli school teacher Vobe.
"But in fairness to them, they were a strong side and used their pack and the rolling maul really well.
"They also put our lineout under a lot of pressure and we couldn't get the possession we needed after half time."
But despite the defeat, Ysgol Y Preseli can take pride in a tremendous cup run in which they beat four highly regarded sides, all away from home, to reach the final for the first time in the school's history.
Ysgol Y Preseli: Dylan Thomas, Carwyn Vaughan, Tomos Phillips, Elgan Wilson, Gethin Gibby, Carwyn James, Scott Jenkins, Ifan Phillips, Michael Ryan, Morgan Lewis, Guto Davies, Rhodri Evans, Llyr Davies, Steffan Howells (capt).
Replacements: Mark Tamlin, Trystan Phillips, Osian Evans, Gethin James, Llyr Edwards, Llyr Miles, Ifan Phillips.
Llanishen High: Gareth Waterlaws, Tom Warren, Miles Anderson, Owen Davies, James Chapman, Owain Griffiths, Gareth Cleaver, Nick Jones, Josh Thomas, James Dunne, Frank Dacey, Adam Nyhan, John Lloyd, George Junis, Lewis Marshall (capt).
Replacements: Shaun Lynch, Ben McNamara, Will Juniper, Josh Moore, Daniel Morgan, Adam Champ, Ieuan Mercer.
Referee: Morgan Whitehead.
Assistants: Nigel Jones, Ian Jones.
© Copyright 2001-2017 Newsquest Media Group


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Pepper and Eggplant Cages, Set of 3
Item# 37-464
This item is currently not available.
Additional Information
Exclusive | Get Bigger Harvests with Vegetable Support Cages
- Vegetable supports hold plants upright for a big harvest of unblemished fruit
- Sturdy, zinc-plated steel cages support plants without tying
- Set of 3 cages
Bushy vegetable plants like peppers and eggplants produce a healthier, more productive harvest when their fruit doesn't touch the ground. Our zinc-plated steel veggie cages support plants on all sides without tying. Simply push legs into the ground. Cages fold flat for storage when the season's over.


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Note: This item is more than 11 years old. Please take the publication date into consideration for any date references.
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June 19, 2006
Meeting Set on Lease of New Outdoor Recreation Land
CROWELL, Texas — The general public is invited to attend and provide comments on the proposed lease to Foard and Hardeman Counties of U.S. Army Corps of Engineers lands known as the Crowell Brine Lake property. The 12,000-acre parcel of land is located northwest of the Town of Crowell in Foard County and is currently managed by the Corps as part of the Red River Chloride Control Project.
A meeting to collect public comments and explain the proposed lease will start at 6 p.m., Tue., June27 at the Crowell State Bank conference room.
The proposal is to lease the 12,000 acres of land to the counties for a variety of public use activities including fishing, hunting, wildlife observation, hiking and other outdoor uses. The counties will form a partnership which will take over day-to-day management of the land with the objective of providing increased public recreational opportunities on this property. Their management proposal includes a request to charge user fees for the various activities that will be permitted on the property.
For more information on the proposal and the meeting, call John Tennery with the Corps of Engineers at (918) 669-7406 or Foard County Judge Charlie Bell at (940) 684-1424.
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Contractors repairing damaged bridge beams over I-465
Contractors for the Indiana Department of Transportation (INDOT) plan to repair damage to the North River Road bridge over I-465 beginning Wednesday night.
Halverson Construction will repair three concrete bridge beams damaged last October when a truck hauling unsecured heavy machinery struck the bridge, which has a clearance of 16'8". The repairs will require nighttime lane restrictions on eastbound I-465 between 9 p.m. and 6 a.m. for the safety of workers and motorists.
Crews will restrict two right lanes of eastbound I-465, allowing entrance ramps from Keystone Avenue to merge before the North River Road overpass. The left two lanes of eastbound I-465 and all Keystone Avenue and Allisonville Road interchange ramps will remain open.
The overnight restriction will repeat each night for repairs expected to take approximately one week.


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Standardized Rehabilitation for Intensive Care Unit (ICU) Patients With Acute Respiratory Failure
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Acute Respiratory Failure (ARF) requiring mechanical ventilation affects 1.1 million of the 4.4 million people admitted to United States Intensive Care Units (ICU) every year. Patients with ARF have an average ICU and hospital length of stay (LOS) of 8 and 15 days, respectively, with median hospital costs greater than $30,000 United States. Patients with ARF experience deconditioning, muscle weakness, joint contractures, dyspnea, depression, and reduced health-related quality of life, all of which may contribute to prolonged hospitalization and increased costs. Mechanistically, it is understood that patients with ARF demonstrate acute inflammation which may contribute to the above cited problems. While the investigators' research and that of others has shown that rehabilitation therapy can increase functional outcomes while lowering biomarkers of inflammation in the frail aged and other clinical populations, it is not known whether such rehabilitation therapy can result in improved functional capacity and functional performance and reduce inflammation in ARF patients. There is previous evidence for the feasibility and safety of rehabilitation therapy in ARF patients. Therefore, the investigators propose a two-arm, randomized trial in 326 patients with ARF to compare Standardized Rehabilitation Therapy initiated in the ICU and administered throughout the hospitalization versus usual care (control). Standardized Rehabilitation Therapy will consist of: passive range of motion, physical therapy and progressive resistance exercise (strength training). The regimen will be administered 7 days/week by a Mobility Team consisting of a critical care nurse, physical therapist and nursing assistant.
The investigators will determine whether standardized rehabilitation therapy will reduce hospital LOS, improve functional capacity and performance, improve quality of life, reduce inflammation and reduce hospital costs as compared to usual care.
This study's primary objective is to determine whether standardized rehabilitation therapy will decrease hospital length of stay.
Hypothesis: Compared to usual care, standardized rehabilitation therapy will reduce hospital length of stay for patients with Acute Respiratory Failure.
|Acute Respiratory Failure
|Other: Standardized Rehabilitation Other: Usual Care
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|Standardized Rehabilitation for ICU Patients With Acute Respiratory Failure
- To determine whether standardized rehabilitation therapy will decrease hospital length of stay. [ Time Frame: 5 years ]
|Study Start Date:
|October 2009
|Study Completion Date:
|June 2015
|Primary Completion Date:
|October 2014 (Final data collection date for primary outcome measure)
|Assigned Interventions
Active Comparator: Usual Care
Usual Care
Other: Usual Care
Usual Physical Therapy care
Standardized Rehabilitation
Intervention arm to receive Standardized Rehabilitation Therapy
Other: Standardized Rehabilitation
3 component Rehabilitation approach, Passive Range of Motion, Physical Therapy and Progressive Resistance Training
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Age ≥ 18 years
- Mechanically ventilated via an Endotracheal tube or Bipap
- Lung Injury
Exclusion Criteria:
- Previously enrolled in TARGET STUDY
- Inability to walk without assistance prior to acute ICU illness (use of a cane or walker not exclusion)
- Cognitive impairment prior to acute ICU illness (non-verbal)
- Acute stroke
- Body mass index (BMI) > 50
- Neuromuscular disease that could impair weaning
- Hip fracture, unstable cervical spine or pathological fracture
- Mechanically ventilated > 80 hours
- Current hospitalization or transferring hospital stay > 7 days
- Ineligible cancer treatment within the last 6 month
- Moribund
- Do Not Resuscitate(DNR)/Do Not Intubate(DNI) on admission
- Other Research Study
Please refer to this study by its ClinicalTrials.gov identifier: NCT00976833
|United States, North Carolina
|Wake Forest University Health Sciences
|Winston Salem, North Carolina, United States, 27157
|Principal Investigator:
|Peter E. Morris, MD
|Wake Forest University Health Sciences
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
|Responsible Party:
|Peter E. Morris, MD, Wake Forest School of Medicine
|ClinicalTrials.gov Identifier:
|NCT00976833 History of Changes
|Other Study ID Numbers:
|Study First Received:
|September 11, 2009
|Last Updated:
|May 20, 2016
|Individual Participant Data (IPD) Sharing Statement:
|Plan to Share IPD:
Keywords provided by Peter E. Morris, Wake Forest School of Medicine:
Acute Respiratory Failure
Early ICU Mobility
Early Physical Therapy
Critical Care
Intensive Care
Additional relevant MeSH terms:
Respiratory Insufficiency
Respiratory Distress Syndrome, Adult
Respiration Disorders
Respiratory Tract Diseases
Lung Diseases
ClinicalTrials.gov processed this record on September 21, 2017


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Burger Lounge, a San Diego-based restaurant chain that has built its menu around grass-fed beef and organic ingredients, will open a Carlsbad location this winter.
The popular eatery opened its first site six years ago in La Jolla and now operates 11 restaurants in Southern California — seven in San Diego County and four in the Los Angeles area. Its first North County location opened in Del Mar's Flower Hill Promenade in April.
A company spokeswoman said Monday that Burger Lounge hopes to further expand in North County as soon as suitable locations are found. She said the Carlsbad site would open in December or January.
The Carlsbad Burger Lounge will be among nine tenants in a new plaza just east of the Palomar Airport Road Costco. The plaza replaces a free-standing building that was formerly a Pat and Oscar's restaurant.
Burger Lounge signed a 10-year lease in the plaza. It will join The Veggie Grill, Nothing Bundt Cakes, Starbucks, Supercuts, GNC and a nail salon, said broker Travis Farrell of Flocker & Avoyer Commercial Real Estate. Two other tenants have not yet signed leases.
Burger Lounge was founded by J. Dean Loring and Michael Gilligan. Its focus is on healthy eating and simplicity. The chain serves only "single source" grass-fed beef from a select list of farms, its ketchup is organic and it serves a "free range" turkey burger.
Its menu includes only burgers, chicken tenders, salads, French fries, onion rings, shakes and desserts. The burgers are $7.95. Beverages include beer, wine, organic iced tea and handcrafted root beer.
Customers at Burger Lounge order at a counter and place a numbered metal placard on their table so the restaurant's employees know where to bring their food.
The chain's San Diego County locations are Del Mar, La Jolla, Little Italy, Hillcrest, Coronado, Kensington and the Gaslamp Quarter.


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The Rady School of Management develops ethical and entrepreneurial leaders who make a positive impact in the world through innovation, collaboration, and knowledge.
Through philanthropic support, we were able to build a campus that has become the home to our cutting-edge, transformative program. The Rady School has achieved its present level of excellence thanks to the generosity of visionary leaders who made founding investments in the School. The generous support of alumni, parents, faculty, staff, students and friends continues to strengthen the Rady School's impact, both locally and nationally. Your gift has the power to transform individual lives and benefit whole communities. Even modest contributions, pooled with gifts from others, can achieve big results – and begin a lifetime of philanthropy with impact.


text: Statehouse beat: Breeders, owners vs casinos By Phil Kabler March 31, 2013 Story Share CHARLESTON, W.Va. -- It's hard to root for either side in the battle between thoroughbred owners and breeders and casino operators over whose funds will be raided in order to lower the state table games license fees from $2.5 million to as low as $1.5 million a year (SB615).On one hand, there's no industry that is subsidized by the state to the level of thoroughbred and greyhound racing -- most recently to the tune of $106.6 million of state Lottery funding in the 2012 budget year. From that perspective, the original bill's proposal to take $3 million out of the purse funds seems sound.Sen. Herb Snyder, D-Jefferson, who has inherited the mantle of defender of the thoroughbred industry now that Delegate John Doyle has retired, amended the bill to restore the $3 million to the purse funds, but take $5 million a year out of a $10 million matching fund that allows the racetrack-casinos to upgrade slot machines to compete with larger, fancier casinos in Pennsylvania and Ohio.That sounds harsh at a time when the state's casinos are being squeezed by out-of-state competitors. In fact, the reason for the original bill is to avoid having Wheeling Island surrender its table games license on June 30.Harsh, except that the groups that own the state casinos also own the out-of-state competitors. Gaming giant Penn National, which gets the biggest chunk of the state matching funds each year for its casino in Charles Town, also operates the Hollywood Casino and a separate "racino" in Columbus, Ohio, that are effectively killing Wheeling Island's business...***One of the ironic things about the purse and breeders' funds is that they are predominately tied to video slots revenues at the racetrack-casinos, so that the breeders' funds would be unaffected and purse funds only marginally affected, even if no one is watching or betting on the live races -- which seems to be getting close to the reality, at least for greyhound racing. These days at Mardi Gras, a good crowd for greyhound racing is about 100, I'm told. Compare that to the heyday of dog racing at Tri-State in the mid-1980s, when the papers published daily race previews and results, "Popsicle Pete" was in the sports headlines, and paid attendance -- yes, you had to buy a ticket to get into the racetrack -- in 1986 was 686,574.Even though attendance has dropped off, the greyhound breeders' fund has only declined slightly (again, driven by video slots revenue, not live betting) with $6.2 million paid out in the 2012 budget year.Top 10 recipients in 2012: Monroe Racing, Inc., $682,726; McMillion Kennel, $644,952; Joseph A. Douglas, $495,063; Ricardo Pacheco, $450,022; Rondis Cavender, $356,286; Greg Geter, $317,755; Jack Stolirchick, $245,351; Freda M. Tomblin, $220,495; Dean R. Miner, $208,167; and James B. Jackson, $207,633. ***Regarding the state hiring freeze imposed by Gov. Earl Ray Tomblin for the remainder of the 2013 budget year, callers raised two questions: One, how was Administration able to hire Gregory Melton as the new General Services Division director, and two, does the freeze apply to state hospitals, which have staffing shortages?The answers, courtesy of Tomblin spokeswoman Amy Schuler Goodwin: The GSD position became open prior to the hiring freeze order on March 19. Hires at state hospitals fall under a critical needs exception in the order and, on Friday alone, nurses were hired at the Veterans' nursing home in Clarksburg and at Mitchell-Bateman Hospital.Speaking of which, Attorney General Patrick Morrisey evidently did not get the governor's memo. He put out a "want ad" Friday, looking for, among other positions, a chief operating officer, assistant comptroller, network administrator, and staff attorneys...*** Finally, the news that the new Morgantown ballpark will host a New York-Penn League minor league ball club, which almost certainly will be a Pittsburgh Pirates' farm team, should come as no surprise to readers of this column.Again, it should be a great symbiotic relationship for the state's two premier cities, since in the normal course of player development, about half of the Morgantown team roster could expect to be promoted to the West Virginia Power the following season.(Legislation to create the sales tax TIF district that will finance the $16 million ballpark (SB125) is poised for passage, despite objections from Bridgeport Mayor Jim Christie, presumably since a ball club in Morgantown puts the kibosh on efforts to attract an independent league team to the town's Charles Pointe development ... Is there some requirement that these TIF projects have to have extraneous "e's?")Speaking of baseball, fans may want to mark May 5 on the calendar, when there will be a four-team day-night doubleheader at Power Park, with the flagship institution taking on archrival Oklahoma Sooners at 1:05 p.m., and a Power/Greenville Drive game at 5:05 p.m., as the Power observes National Train Day 2013 six days early.(National Train Day actually is May 11 and, for the first time, events will expand from stations in major cities to include so-called secondary markets. ... Closest participating towns are Huntington and Clifton Forge, Va. ... Of the two, I'd recommend Clifton Forge...)Reach Phil Kabler at firstname.lastname@example.com or 304-348-1220. Story Share Story Share Trending Now 1 Deer in 8 WV counties found dead from EHD 2 New company planning $73M synthetic fuel plant in Greenbrier County 3 Philanthropist Betty Schoenbaum of Shoney's fortune turns 100 4 WVU law professor announces run for Congress 5 'Heroin(e)' spotlights women helping combat Huntington's drug crisis Suzuki loss opens door for St. Albans dealer Previous Story Map of Monday's UMW march route Next Story


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ByRebecca Ballhaus
Former Florida Gov. Jeb Bush fueled speculation that he will run for president in 2016, telling reporters Wednesday that he is still undecided about a run and would decide later in the year.
"I'm going to think about it later," Mr. Bush, a Republican, said during a visit to a charter school.
"I don't wake up each day saying, 'What am I going to do today to make this decision?' I'm deferring the decision to the right time, which is later this year," he said.
He added that the decision would be based on whether he can "do it joyfully," adding: "We need to have candidates lift our spirits. It's a pretty pessimistic country right now." He also said he would consider whether a campaign would be right for his family.
As someone with broad support of the Republican Party, Mr. Bush could quickly become a front-runner if he entered the race, particularly in light of the dive New Jersey Gov. Chris Christie's image appears to have taken following his "bridgegate" scandal.
At least one prominent Republican has urged Mr. Bush not to run: His mother, former First Lady Barbara Bush. In an interview with C-SPAN released earlier this month, Mrs. Bush said she hopes her son doesn't run.
"If we can't find more than two or three families to run for high office, that's silly," she said. "I think that the Kennedys, Clintons, Bushes — there are just more families than that."
Mr. Bush responded to his mother's comments Wednesday, telling CBS, "She promised me she wouldn't keep saying this. But she is 89 years old, and if you have elderly parents or grandparents—you know they speak their mind."
Follow @wsjwashington on Twitter


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Posted 6 years ago
(1 item)
I've been doing some remodeling on our 1930"s house and found this in the attic covering a flue hole where a wood burning stove once was. I did some research and found that this used to be CITGO's name. Can anyone tell me the age or even the value? Any info would be great.


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1 items
Clothing. Keeping warm on the bank is almost as important as looking good!
Advances in clothing technology mean that the leading fishing manufacturers can offer some great Suits, Boots, Under suits, Hats, Gloves and even Sunglasses to give you the best protection available, on or off the bank.


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Today is the last day for north Minneapolis homeowners, renters and business owners to apply for disaster loans at a temporary help center set up in the tornado zone.
The federal Small Business Administration loans became available, after FEMA rejected the state's requests for individual disaster aid in the wake of the May 22nd storm.
Signs of the tornado are still visible in north Minneapolis, even nearly two months after the storm. Roofs are covered with blue tarps, businesses with boarded windows and tree stumps wait on street corners to be hauled away.
Flora Westbrooks and her husband were trapped in their home of 26 years after trees downed by the tornado blocked their exit. She's come to this Small Business Administration center hoping for a low-interest loan to replace a car she lost in the storm.
"It totaled-out my car," Westbrooks said, "So I need a car and so I'm here to try to get a low interest loan to buy a new car."
Insurance will cover the cost to fix her damaged roof, windows and siding, and to replace a retaining wall. Westbrooks estimates the repairs could cost as much as $80,000 on a home she said is worth about $90,000.
Westbrooks hopes she and her husband will be come out luckier than many of the people who've already come to the center for help.
The Westbrooks are still waiting for loan approval, however many applicants are turned down because they don't earn enough money, said Wade Geary from the Small Business Administration.
"Most of these folks up here are poverty-stricken and we have certain guidelines. We look at the total income versus the obligations: the rent and the car payment and all of that and most of them are being turned down based on their inability to repay the loan."
About 80 people came to the center daily over the past week, but dozens each day didn't qualify because they didn't meet minimum income requirements for household earnings: about $21,000 annually for a single-person household, and about $33,000 a year for a household of four. Homeowners who qualify can apply for up to $200,000 to repair or replace their houses. Homeowners and renters are also eligible for loans of up to $40,000 to cover damaged personal property.
The SBA disaster loan program came under fire after hurricanes Katrina and Rita, when an Associated Press investigation revealed the program wrongly rejected applications, deleted others from the SBA computer system for no valid reason and required impossible-to-meet deadlines. The same investigation found that 55 percent of the homeowners and businesses who applied for help were turned away. And people in more affluent areas were more likely to get disaster loans than people in low income areas.
The SBAs Wade Geary says those problems are not an issue at the north Minneapolis disaster loan center.
"We have clear-cut criteria for approving or disapproving and if they are in any way borderline we give them a loan application and let the loan officers determine that," Geary said.
The help is especially critical for people with home-based businesses, such as Rip and Vicki Rust, whose business lost power for a week.
"We were out of electric for a week," Rip Rust said, "and she runs a licensed daycare there. And because we didn't have power, people couldn't come to daycare. So we lost a week's worth of earnings and then a bunch of the people.
"After they did get the electric on, the roads were blocked and stuff so a bunch of people didn't come back."
The storm also destroyed their daycare center van. Rust hopes their loan application is approved so they'll be able to pay back the debts they've racked up after the tornado: "Money to keep running on until things do get back together," he said.
The Disaster Loan Outreach Center at Lucy Laney School, 3333 Penn Ave. N. closes 7 p.m. Tuesday. Applications for assistance can be made through the Small Business Administration. City and state officials have also set up several new programs to help people who are rejected for SBA disaster loans.
Minneapolis foreclosure recovery coordinator Cherie Shoquist said the city is helping connect people with other assistance options if they can't get a loan.
"We know that people that are very low income will not qualify for an SBA loan and so we have other resources available to assist them," she said.


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Note: Helene Meisler will be on vacation for the rest of the week. Her next column will appear Monday, Nov. 26.
On Tuesday, I was asked whether I thought the U.S. would go over the "fiscal cliff." I do not have high hopes that the folks in Washington can get a deal done without someone putting a gun to their heads -- so, for those who remember the vote for the Troubled Asset Relief Program, I have no visions of that kind of scenario playing out again.
For those who don't recall, in fall 2008, Congress voted down TARP -- and the markets tanked. I'd like to think that this is what changed congresspeople's minds, as it then passed on a re-vote. The big difference between now and then is that this "fiscal cliff" situation has been well-known in advance. A person had to have lived under a rock to be unaware it exists. If an investor has a fear of it, they will sell in advance; unlike the collapses of Lehman and AIG (AIG) in 2008, it won't come as a surprise.
It seems to me that, when there's a deadline for a potentially market-moving event, the market can anticipate and process it in advance. Before the currently impending fiscal cliff was Y2K in 2000 and -- as those of us who have been around for 20 or more years will remember -- the First Gulf War deadline of Jan. 15. The problems arise when it comes as a surprise, and folks haven't anticipated it.
Turning to the market at present, stocks remain oversold. Tuesday's breadth was once again a highlight in an otherwise flat market -- even when the indices were down, it was relatively mild on the downside. This better breadth is helping the McClellan Summation Index attempt to finally stabilize and turn upward. It will take a few more days of positive breadth to trigger a reversal, but at least it has begun to halt its decline.
Elsewhere, if you think emotions are not running high in the market, consider this. Last week the put-call ratio was above 100% for three days running. That's reflects fear. Even Friday's reversal had the ratio above 100% as many fought the tape. After Monday's giant-sized gains, there seemed to be plenty of folks willing to throw their hats into the bull ring as this sentiment ratio sank to low levels. With Tuesday's choppy-to-down day, the ratio soared to 110%. That tells us folks were scoffing at the day's action, which would be bullish for the markets.
Before you settle in to a comfort zone with the market, just take a look at the put-call ratio of the CBOE Volatility Index (VIX), which chimed in at a whopping 147%. Wow. We have not seen a reading like that since May 25. I have circled that on the chart -- you have to admit it looks eerily similar to today's oversold rally.
This could all be holiday-related. But I think it tells us that, once the market is back to the overbought side of the ledger, the indices are likely to head back down again.
I'd like to wish everyone a very happy Thanksgiving.


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'Chronic' Lyme disease diagnosis causes rift
A high number of Lyme disease cases across Delaware, New Jersey and Pennsylvania has pulled some patients — and their health providers — into an often-contentious debate over treatment.
For most patients, a short course of antibiotics clears the bacteria infection that causes Lyme disease. The real argument centers on treatment for the 10 to 20 percent of patients who have persistent pain and fatigue, patients such as Terri Ayoub from Lewes, Del.
"I was losing my hair, my kidneys and liver weren't functioning properly, and we were getting kind of desperate," Ayoub said. "I'm sure there are some people who are cured in four weeks of treatment. But there are a whole lot of us out there that suffer constantly."
Eventually Ayoub was told she has "chronic Lyme disease," but critics call that a "dubious diagnosis."
When new deer tick nymphs hatch each spring, public health officials send out new warnings. Use insect repellent, they advise. Wear light-colored clothing and check for ticks.
"They are very, very tiny. They are very hard to see on your body. That's why our big message is prevention," said Delaware epidemiologist Paula Eggers.
About half of Lyme patients never get the classic bull's-eye rash and early symptoms -- headaches and joint pain -- can mimic other illnesses.
"So that's why a lot of the cases can go unnoticed until later when they manifest with the big swollen joints, cardiac problems neurological problems," Eggers said.
She trusts the Lyme information and education from the Centers for Disease Control and Prevention. "We don't really acknowledge the chronic Lyme disease term," she said. "What we do acknowledge is the post-treatment Lyme disease syndrome."
Patients and doctors who claim the "chronic Lyme disease" term are at odds with federal health officials and the Infectious Disease Society of America.
"One doctor said I was probably bored and I needed to get a hobby," Ayoub said. "It's offensive, it's highly offensive."
Lack of 'Lyme literacy'?
"They [patients] don't want that kind of brush off," said Lancaster County nurse practitioner Rita Rhoads. She says patients frustrated with traditional approaches to Lyme care seek out alternatives and find her. "I listen to their symptoms," she said.
Rhoads treats her patients with a mix of traditional and alternative medicine, including supplements and immune system boosters. She also offers patients antibiotics as long as they have active infection, she said.
Many of Rhoads' patients are from New Jersey and Delaware.
"As far as I'm aware there's no physician in Delaware who's what we call a Lyme-literate doctor," Rhoads said. She and other like-minded health providers follow guidelines from the International Lyme and Associated Diseases Society.
Rhoads and others believe Lyme infection can linger in the body.
"You have a major stressor in your life, a car accident a death in the family and all of a sudden ... it uncurls, becomes active again and reinfects you," she said.
Rhoads cites studies she trusts on Lyme infection in animals, but infectious disease physician Paul Auwaerter said there is no good science to back using antibiotics over months or years.
"There have really been no compelling evidence that there's a dormant infection or resistant infection after initial courses of antibiotics," he said.
Besides, he said, the practice has big health risks.
A recent patient developed a serious infection called C. difficile colitis and was hospitalized after treatment with long-term intravenous antibiotics, he said. Another patient nearly had to have a liver transplant after taking Chinese herbs that were purported to work against chronic Lyme.
Inaccurate diagnoses cloud issue
Auwaerter leads a weekly Lyme disease clinic at Johns Hopkins University but says many patients who consult with him do not have Lyme infection. Some get that diagnosis after testing at "Lyme specialty labs," Auwaerter said.
"These are labs that don't use validated testing but purport to test Lyme disease better than currently approved FDA testing," he said.
Auwaerter said multiple sclerosis, Parkinson's and fibromyalgia are just some of the conditions frequently confused with Lyme.
"I think it's an erroneous diagnosis often and I think that patients are better served by having a more accurate diagnosis of their problems," Auwaerter said. "Though Lyme disease seems quite attractive and [long-term] antibiotics offer a hope of a cure, it is a false hope."
Several state medical boards have censured health workers who prescribe long-term antibiotics. That's led to some statehouse fights over the right to treat and efforts to make insurance companies pay for certain kinds of care.
For more on the Lyme disease treatments debate watch our newsmagazine FIRST, Friday at 11 p.m. on WHYY-TV.


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Revitalization through Community Collaboration
Watch Revitalization through Community Collaboration
Learn how residents, businesses, developers and government can work together to revitalize older commercial centers. Hosted by the Fairfax County Office of Community Revitalization and Reinvestment, the conference features three speakers discussing varied approaches to engaging the community in redevelopment projects: Peggy Gaynor, president of Gaynor, Inc. discusses working on the Thorton Creek project in Seattle, Washington; Jair Lynch, president and CEO of JAIR LYNCH Development Partners shares his experience with developing urban mixed-use projects within Washington, D.C.; and Cecilia Cassidy, executive director for Rosslyn Renaissance/Rosslyn BID, discusses how a partnership of residential, commercial and government entities worked to create a sense of place within Rosslyn. The conference was held at the Fairfax County Government Center on September 13, 2010. Fairfax County Board of Supervisors Chairman Sharon Bulova and Mount Vernon District Supervisor Gerry Hyland delivered welcoming remarks while closing remarks were given by Lee District Supervisor Jeff McKay.
Channel 16 Schedule
Revitalization through Community Collaboration can