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Daisy Eagan to Make Special Announcement at Upcoming Birdland Concert, 11/12
The Broadway at Birdland concert series has announced that Tony-winning actress/singer Daisy Eagan will be bringing her concert, "Daisy Eagan: F@¢k Off. I Love You" to the stage on Monday, November 12 at 7pm. Fans and friends will be excited to know that Daisy is making a very special, life-changing announcement at this event.
When Daisy Eagan was 11 years old she won a Tony Award for her work in The Secret Garden, making her the youngest woman to ever win that prize. Twenty years later, she decided to become an actor. "Daisy Eagan: F@¢k Off. I Love You" is her new show about surviving triumph and tragedy, and finally finding her place in an industry (and a world) that's both richly rewarding and brutally punishing. It is a show filled with music, humor, heart, and her extremely unique way of looking at things.
Daisy is the youngest female ever to win a Tony Award for her performance as Mary Lennox in The Secret Garden, for which she also received Drama Desk and Outer Critics Circle Award nominations. Most recently she opened the first national tour of Love, Loss and What I Wore. She has performed in countless stage productions, including Les Misérables and James Joyce's The Dead on Broadway, as well as world premiere productions of Be Aggressive (La Jolla Playhouse, Garland Award Honorable Mention) and Christopher Shinn's On the Mountain (South Coast Rep). Daisy won a 2006 LA Weekly Award for her performance as Sally in the Blank Theatre Company's production of Michael John LaChiusa's The Wild Party. She has appeared in several films and television shows, including Losing Isaiah, Ripe, The Mentalist, Numb3rs, Without a Trace, The Unit, and Ghost Whisperer. Her one woman show Still Daisy After All These Years has had sold out runs in Los Angeles and New York.
Ms. Eagan became a published writer with her short story "Red, White and Grey" which appeared in the premier issue of Splinter Generation (www.splintergeneration.com) and has written for LAist.com and Antiochracy, an independent magazine.
"Daisy Eagan: F@¢k Off. I Love You"
Monday, November 12 at 7pm
Birdland, 315 West 44 Street, NYC
$25 cover, $10 food/drink minimum


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17 October 2011 11:41:27
Nexus Mod Manager entering phase 2 of releaseposted by Dark0ne Site NewsBack in September I officially announced the work we've been doing on a Nexus Mod Manager.
To recap, we will soon be releasing a Nexus Mod Manager that expands and improves upon the current OBMM and FOMM offerings. On top of the mod managing capabilities you expect, the Nexus Mod Manager will integrate with the sites, allowing you to one-click download and install from the sites themselves through the manager. And what's more, it's free, advertisement free, and completely open source.
We have been in a state of closed beta for over a month now with help from a select few mod authors in the community, and we are very close to entering phase 2 of our release schedule. In phase 2 we will be offering support for Oblivion, Fallout 3 and Fallout: New Vegas, and we are going to be opening up the beta to everyone with access to the mod author forums. We're hoping this beta phase will be short so we can go in to an open beta, for everyone, soon afterwards. However, that will depend on the feedback provided and the number and severity of the bugs found!
The mod author forums (announcement article) are private forums for the mod authors of the Nexus sites to come together and talk about anything they want. It is open to any mod authors who have over 1,000 unique downloads to their name on a Nexus site, and there are currently close to 7,000 members who have access to them. It's been a really helpful source of feedback for me, and a few mod authors have told me how nice it is to be able to communicate with each other through the private forums.
While the Mod Manager does not currently support Morrowind, the Dragon Age games or the Witcher games (or Skyrim...obviously!) we are planning to support every game we have a Nexus site for. It'll just take a little while longer as we work to improve the software while expanding its compatible games. Having said that, we hope to get Skyrim support out the door as soon as possible so the Skyrim modding experience can be as simple as can be. Bear in mind that we are releasing the source code for the mod manager under a copy-left GPL license, so if you're a budding C# programmer and think you can help us bring modding support to one of the Nexus site games then feel free to get in contact with me and we can chat.
As always, I'll be back with more updates when I have more information.

subset: commoncrawl


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I've chosen to go with the Xbox One rather than the PS4, and I was reading this last night and got kind of bummed out:
Of course, I've since learned that Modern Warfare 2 on 360 was only at 600p:
And I never recall having gripes with how that game looked, so I'm not sure if I really care so much now. I'm more concerned about qualities/details within the game being different rather than screen resolution, and if there's a gap there now, hopefully with this cloud computing Microsoft has been talking about they can use that in future years to narrow the gap.
I'll be honest, though, it still does take some wind out of my sales wondering why Microsoft didn't go ahead with better hardware on a box they plan to have us playing on for 7+ years.
*edit* Before now, I hadn't been able to watch the YouTube video. It's not as bad as I feared. I think the PS4 looks better, but it's not like the XB1 looks like *** or anything remotely close to that.


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SMALL is now big business in the car world, and nowhere is this more obvious than in the SUV sector. With fuel prices rocketing and space in our cities at a premium, large, lumbering 4x4s are taking a back seat to their compact cousins.
It doesn't mean that the basic 4x4 concept – looks, high driving position – has gone stale, though. In the minds of many it remains a winning combination and is challenging the family hatch for popularity. And seeking a piece of the action is Vauxhall, with its Mokka mini SUV.
Positioned close to Nissan's Juke, Vauxhall hopes the Mokka can add a much-needed slice of excitement to its range. The lifestyle SUV is pitched as the fun-loving foil to the sensible shoe-wearing Corsa and Astra.
From the outside the Mokka is easily identifiable as a Vauxhall. The car's bold grille and streamlined profile is very much in keeping with the rest of the range. In typical Vauxhall style this is a conservative lifestyle look with a small 'c'.
Step inside and Vauxhall fans will feel very much at home thanks to the familiar fascia design and cabin layout. From the look and feel of the various cabin materials and switchgear, there's little here that will confuse an Astra owner. However, that's where the similarities end, as the Mokka's lofty seating position is something the family hatch can't match.
On a practical front, the Mokka's elevated rear load lip is a direct result of the car's raised ride height - a useful feature. Factor in the car's split-fold rear seating, ample 1,372 litres of load space with the rear seats folded, and it's clear why so many buyers are trading up from regular family hatchbacks.
The well-worn cliché of 4x4s never leaving the city might still be true in some quarters, but Vauxhall would like you to think of the Mokka as more than just a suburban runabout.
By assembling familar engines from the maker's wider range and offering the Mokka with both front and four-wheel drive, it'll do more than climb supermarket car park speed humps.
Maintaining its conservative approach, Vauxhall is offering the Mokka with two petrol engines (1.4 turbo, 1.6) and one diesel (1.7). It's manual gearboxes all round, with the option of an auto unit for the 1.4 petrol and 1.7 diesel. Power outputs range from 115 to 140 horsepower, and there's the promise of 60-plus mpg from the front-drive diesel variant and a tax-friendly 120g/km CO2 rating.
If you do opt for all-wheel drive, the potential to keep you on the Tarmac when the roads are extra slippery is there, along with the ability to tow modest amounts and get you closer to your favourite mountain bike trail.
With the focus on fuel economy the system directs all the power to the front wheels, with up to 50 per cent going to the rear wheels if it detects a loss of grip. Vauxhall's keen to stress that such a system can also help maintain composure and traction during hard on-road cornering.
Boasting UK-specific handling and steering tweaks, the Mokka acquits itself well to the challenges of city life. The steering is accurate and there's enough weight to inspire confidence, while the suspension copes well with most of what the urban environment can throw at it.
Of the petrol pairing the 1.4 turbo motor delivers the more satisfying experience and, although in this guise the Mokka is no rocketship, it will can keep up with the traffic and maintain a relaxed motorway pace without breaking into a sweat.
With a generous level of standard kit offered across the range to tempt buyers into the Mokka fold, it's good to see Vauxhall resisting the urge to cut corners. From the basic but useful Hill Start Assist to plenty of safety kit plus Bluetooth, high-end audio and sat-nav on high spec cars, the lifestyle boxes have been well and truly ticked.
Designed to appeal to both private and company car drivers with its generous levels of kit and practical cabin, it's good to see Vauxhall represented in the compact SUV sector. The competition is tough but the Mokka displays enough potential to hold its own in the marketplace.
Model: Vauxhall Mokka Tech Line 1.4 16v Turbo Start/Stop 4x4 5dr, from £18,200 on the road.Engine: 1.4-litre turbo petrol unit developing 140bhp.Transmission: 6-speed manual transmission as standard, driving all four wheels through part time 4x4 system.Performance: Maximum speed 121mph, 0-62mph 9.8 seconds.Economy: 43.5mpg.CO2 Rating: 149g/km.


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1205 Las Vegas Blvd S
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Phone (Local): (702) 384-0771
Viva Las Vegas Wedding Chapl is one of Las Vegas' most original Wedding Chapels in the heart of downtown. Want your Dream wedding to be traditional, classic and elegant or a fun filled fantasy themed wedding? These wedding chapels are a great choice for a Las Vegas wedding! Staff presents romantic traditional weddings, exciting themed Elvis wedding ceremonies, and a wide range of imaginative themed Vegas style weddings. Guests receive a free wedding website, free digital wedding invitation and free gift registration. For an additional cost, couples can purchase a live video web stream of their wedding. Check out the Viva Las Vegas Events Center next door for your reception or party afterwards!


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Note: This item is more than three years old. Please take the publication date into consideration for any date references.
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Media Contact: TPWD News, email@example.com, 512-389-8030
June 4, 2014
Texas Game Warden Marine Theft Team Finds Success
AUSTIN – Since its formation a year ago, the Texas Parks and Wildlife Department Marine Theft Investigations Team has recovered more than 100 stolen boats valued at some $800,000.
Made up of Texas game wardens, the Law Enforcement Division team works to combat boat theft, personal watercraft theft and related fraud. The nine game wardens assigned to the team focus on marine theft-related investigations roughly 25 percent of their time. The rest of the time, they perform the regular duties associated with their area.
Texas ranks in the top three states nationwide with low stolen boat recovery rates when compared to vehicle thefts. With this new team, TPWD law enforcement officials expected the boat recovery percentage in Texas to increase and it has. In addition to the 100-plus recovered boats, wardens in the unit have worked more than 200 boat registration fraud cases.
"I am most proud that this team conducted over 390 case assists with other game wardens and law enforcement agencies," said Col. Craig Hunter, TPWD Law Enforcement Division Director. "Successful law enforcement depends on teamwork — both internally and externally, and this program defines teamwork."
The team has received extensive specialized training and has also provided marine theft training to hundreds of officers from other agencies across Texas.
"I believe the team has effectively shown the importance of having investigators dedicated to marine theft investigations," said Special Operations Capt. Greg Williford. "You know you are being effective when the investigators recover stolen boats the same week they are reported stolen. In the past, these boats may have gone undetected for years."
Anyone with any information regarding boat theft or boat registration fraud in Texas is urged to call the 24-hour Operation Game Thief hotline at 1-800-792-4263.
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(5.4.16 i)


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Don't miss out on a lower price on this hotel
Get an overview of this hotelLuxury hotel with full-service spa and restaurant
Popular property highlights
Situated near the airport, this luxury hotel is 0 mi (0 km) from Lingfield Park Racecourse and Golf Club and within 9 mi (15 km) of British Wildlife Centre and Hever Castle and Gardens. Chiddingstone Castle is 9.1 mi (14.6 km) away.
Hotel Features
A full-service spa, a restaurant, and an indoor pool are available at this smoke-free hotel. Free WiFi in public areas and free self parking are also provided. Additionally, a 24-hour fitness center, a bar/lounge, and a spa tub are onsite.
Room Amenities
All 116 rooms provide conveniences like refrigerators and coffee makers, plus free WiFi and LCD TVs with satellite channels. Other amenities available to guests include MP3 docks, 24-hour room service, and wired Internet.
Guest Highlights
- Good location
- Breakfast
- Overall value of stay
- Helpful staff
- Clean guestrooms
- Overall room comfort
- Onsite bar could've been nicer
Lingfield Park Marriott Hotel & Country Club
Hotel Amenities
Hotel Amenities
In addition to a full-service spa, Lingfield Park Marriott Hotel & Country Club features an indoor pool and a spa tub. The hotel offers a restaurant. A bar/lounge is on site where guests can unwind with a drink. Wireless Internet access is complimentary.
Business-related amenities at this 4.5-star property consist of a 24-hour business center and meeting rooms. Event facilities measuring 2000 square feet (186 square meters) include conference space. This luxury hotel also offers a 24-hour fitness center, a sauna, and spa services. Onsite self parking is complimentary.
Lingfield Park Marriott Hotel & Country Club is a smoke-free property.
- 24-hour front desk
- Babysitting or childcare (surcharge)
- Total number of rooms - 116
- Number of floors - 7
- Babysitting or childcare
- Bar/lounge
- Free newspapers in lobby
- Conference space
- Dry cleaning/laundry service
- Elevator/lift
- Express check-out
- 24-hour fitness facilities
- Full-service spa
- Free WiFi
- Spa treatment room(s)
- Meeting rooms 18
- Multilingual staff
- Terrace
- Picnic area
- Porter/bellhop
- Restaurant
- Safe-deposit box at front desk
- Conference space size (meters) - 186
- Number of meeting rooms - 18
- Year Built 2010
- 24-hour business center
- Conference space size (feet) - 2000
- Free self parking
- Sauna
- Smoke-free property
- Garden
- Number of buildings/towers - 1
- Spa services on site
- Spa tub
- Steam room
- Indoor pool
- Breakfast available (surcharge)
- Wedding services
Available in all rooms: Free WiFi ,
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Pay movies
- Air conditioning
- Refrigerator
- Coffee/tea maker
- Daily housekeeping
- Private bathroom
- Free toiletries
- Hair dryer
- Shower/tub combination
- Iron/ironing board
- Desk
- MP3 docking station
- Blackout drapes/curtains
- In-room safe (laptop compatible)
- Satellite TV service
- Free WiFi
- Wired Internet access (surcharge)
- Room service (24 hours)
- Egyptian-cotton sheets
- Free cribs/infant beds
- Connecting/adjoining rooms available
- Rollaway/extra beds (free)
Where to Eat
Buffet breakfasts are available for a surcharge and are served each morning between 6:30 AM and 10 AM.
Cyprium Restaurant - Overlooking the golf course, this brasserie specializes in seafood and serves breakfast, lunch, and dinner.
Late night fare is available from 24-hour room service.
Nearby Things to Do
An indoor pool and a spa tub are on site. Other recreational amenities include a sauna and a 24-hour fitness center.
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
- Golf driving range on site
- Golf lessons on site
Spa Services
Breathe Health Spa has 5 treatment rooms. Services include massages, facials, body wraps, and body scrubs. The spa is equipped with a sauna, a spa tub, and a steam room. A variety of treatment therapies are provided, including aromatherapy.
- Steam room in spa
- Body scrubs
- Aromatherapy treatments
- Sauna in spa
- Spa tub in spa
- Massages
- Number of treatment rooms 5
- Manicures and pedicures
- Body wraps
- Body treatments
- Facial treatments
If you have requests for specific accessibility needs, please note them at check-out when you book your room.
- Accessible bathroom
- In-room accessibility
- Roll-in shower
Hotel Policies
Check-in time ends at 3 PM
Check-in time starts at 3 PM
Check-out time is noon
Payment types
Children and extra beds
- Children are welcome.
- Free rollaway/extra beds!
- Free cribs (infant beds)!
- Pets not allowed (service animals welcome)
You need to know
Extra-person charges may apply and vary depending on property policy.
- Resort fee
Optional extras
- Breakfast fee: between GBP 13.50 and GBP 15.50 per person (approximately)
- Fee for in-room wired Internet: GBP 7.50 per day (rates may vary)
Hotel Name
- Lingfield Park Marriott Country Club
- Lingfield Park Marriott Hotel & Country Club
- Lingfield Park Marriott Hotel & Country Club Surrey
We should mention
A resort fee is included in the total price displayed. The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.


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Awesome New Resort Holiday In Washington, DC – National Washington Harbor
January 10, 2010 1 Comment
by Elias Shams
Finally, I visited our National Harbor yesterday in freezing temperature. I usually don't visit places like this in Winter time, because of persistence from a few close non-DC friends, as a patriot DCian, I found it my duty to make the trip there so I can share my personal experience about the resort. You asked for it, here it is…. 🙂
I don't mean to sound like a snob, if you have already traveled outside of the US (and, I mean the other side of Atlantic Ocean, not Canada nor Mexico), you might get bored with the area. You will enjoy the awesome view of the Potomac River though.. Otherwise, it a great place to visit. I might have a better experience during the summer. It is only 5 miles from where I live in DC
National Harbor is a new 300-acre waterfront destination in the Washington, DC area that opened over a year and half ago. It is set along side of the Potomac River. The area includes hotels, restaurants, retail stores, condominiums, a full-service marina, a convention center, and commercial office space. The cornerstone of the development of National Harbor is the new Gaylord National Resort and Convention Center which was beautifully decorated for the holiday. Their great atrium is adorned with holiday lights, sculptures and a great hanging Christmas tree made of glass. I was told the place is the largest non-gaming hotel and convention center on the East Coast. The resort hotel features 2,000 guestrooms, flexible meeting and banquet facilities, 6 restaurants, a nightclub, retail shopping, a full service spa and fitness center, indoor/outdoor swimming pool and outdoor event space. The area covers 41.7 acres and has spectacular views of the Potomac River and Old Town Alexandria.
Good News for families with kids, there are plans underway to build the National Children's Museum there.
Read more…


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Upcoming Events in Annandale, Reston, McLean and More
Sept. 22, 2010
News Highlights
Upcoming events, festivals and fairs in Fairfax County:
Saturday, Sept. 25
- U.S. Citizenship and Immigration Services Naturalization Ceremony — 11 a.m., World Stage, Lake Anne Plaza, Reston. During the Tenth Annual Reston Multicultural Festival, 25 people will take the Oath of Allegiance and become American citizens. The festival is a day of global entertainment, food, crafts, activities and cultural demonstrations celebrating the community's many diverse people
- Mason District Park Festival— 10 a.m. to 4 p.m., 6621 Columbia Pike, Annandale. Enjoy live music, crafts, children's rides and more at this festival. Admission is free, but tickets must be purchased for the rides. Musical entertainers are Kristina Furey; Eric Peters; Joe Rathbone and Band; and Bill Mallonee. For more information or reasonable ADA accommodations, call 703-941-1730, TTY 711.
- "Lucille Liechty Day" in Braddock District — This day celebrates her 100th birthday. For more information, call 703-425-9300.
Sunday, Sept. 26
- Northern Virginia Memory Walk and Candlelight Rally — 4 p.m. (registration opens); 6 p.m. (program and walk begin); 7 p.m. (candlelight rally); Reston Town Center. The one-mile walk will be followed by a candlelight rally where family and friends can pay tribute to those they have lost or are losing to Alzheimer or other dementia.
Wednesday, Sept. 29
- Second annual Bird Bowl— 7:30 p.m. at Hayfield Secondary School. The field hockey teams for the Hayfield Secondary School Hawks and the Edison High School Eagles match up. Edison's head coach, Ginger White, played for Hayfield in high school and is the mother of Hayfield's head coach, Lauren White, who played for Edison in high school. The event is sponsored by Red, Hot and Blue, which will supply food during the game. The winning team will receive a trophy. Edison won last year's game, 1-0. The schools' football teams also will meet in the Bird Bowl on Friday, Nov. 5, at 7:30 p.m. at Hayfield.
Sunday, Oct. 3
- MPAartfest — 10:30 a.m. to 4:30 p.m, McLean Central Park, 1468 Dolley Madison Boulevard, McLean (intersection of Dolley Madison and Old Dominion Drive). The event will showcase and offer for sale the work of 40 juried artists. Live music and food also will be available. Admission is free, but a voluntary $5 donation to McLean Project for the Arts is suggested. Parking is only available at 6882 Elm Street; no parking at the Dolley Madison Library or McLean Community Center. Free shuttles will run from the parking lot to park. This event is sponsored by the McLean Project for the Arts; the McLean Community Center and Fairfax County Park Authority are partners. For more information, call MPA at 703-790-1953, TTY 711.
Contact: Merni Fitzgerald, Director, Office of Public Affairs
703-324-3189, TTY 711, Media Pager: 703-324-NEWS (6397)
To request this information in an alternate format, call 703-324-3187, TTY 711


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WASHINGTON --The National Retail Federation announced that it welcomed the focus on job creation and the economy expected in President Obama's State of the Union Address.
"We believe the nation's economic recovery is real and sustainable, but it needs to be protected and supported through the adoption of policies that recognize that job creation is mission-critical," NRF president and CEO Matthew Shay said. "Every job created has a positive ripple effect throughout the economy, and the President's promise to make jobs a No. 1 priority shows he understands that very clearly. As the industry that employs one out of every five Americans, we are confident President Obama recognizes the critical role the retail industry plays in job creation across the economy and stand ready to work with him to promote initiatives that support job growth."
Among other proposals, Obama is expected to ask for corporate tax reform that would eliminate many current tax breaks in return for lower rates, and to seek "responsible" cuts in government spending rather than new taxes to reduce the deficit. NRF has long supported a broader corporate tax base with lower rates because it would allow businesses to make decisions based on the economic results of investment rather than tax consequences.
"The United States has one of the highest corporate tax rates in the industrialized world, harming our competitiveness around the globe and our ability to create jobs here at home," Shay said. "Retail has one of the highest effective tax rates in the U.S., so we strongly support a simpler system with lower rates that would make it easier for our sector to grow and create more jobs."


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Given the overwhelming difficulties Japan faces as a result of the recent massive earthquake and tsunami, NAEYC spoke with Jeanne-Aimee DeMarrais, Save the Children's Director of Domestic Emergency Response, to learn about the work Save the Children is doing in Japan. We also asked how we can best support Japan's young children, their families, and the early childhood community in their profound time of need.
NAEYC: What are some ways that Save the Children considers the needs of children when responding to disasters?
Jeanne-Aimee DeMarrais: We immediately conduct an on-the-ground assessment of what has happened. What we see is that the needs of children (such as formula for infants) are usually not taken into consideration and that essentially children's specific needs may not be included in the disaster response plan. We see that children are at risk, often the youngest children.
NAEYC: What are some of the concrete recommendations you make to support young children?
Jeanne-Aimee DeMarrais: First, we recommend doing a needs assessment. We count the children to find out how many children there are and to determine their ages. When we know how many infants, toddlers, preschoolers, school-aged children, and teenagers are affected, we can better ensure that we can meet their needs.
For the very youngest children, the trauma of the event will interrupt breast-feeding. After a trauma a woman's breast-feeding may be interrupted because of the environment or stress, so we set up a supportive environment so mothers can continue breast-feeding. For children who are not breast-fed, we make sure they have access to clean formula appropriate for their age.
It's important to get children back to a regular schedule as soon as possible even when they are living in temporary shelter. It's also important to establish a child-friendly space. Child-friendly spaces are safe, supported environments for children where children can play with other children and be children themselves. These are not schools but over time they do become informal school settings until regular school is reestablished. They are safe places, clear from debris. And they are staffed with supportive adults who can provide children with caring support and opportunities to interact and play with their peers.
Establishing emergency childcare is also a priority so parents can secure supplies or go back to the disaster area if possible to secure their homes without having to take infants and toddlers with them.
NAEYC: What kinds of materials do you bring in to create child-friendly spaces?
Jeanne-Aimee DeMarrais: We have kits with arts and crafts materials, sports materials, books, and a lot of creative play materials so children can express what they've seen and experienced through play. We know that even very young children, even infants and toddlers know that a traumatic event has taken place. They may not have the words to express what has happened but they can express it through play. It's important for their well-being that we provide the space and materials so they can express themselves through play.
NAEYC: What can the early childhood community in the United States do to help?
Jeanne-Aimee DeMarrais: We're still identifying the appropriate ways to help. Most child care in Japan is supported by the government and they have specifically asked us not to fly in any materials while they assess the situation. We recommend that people who want to help young children, families, and the early childhood community focus immediate assistance on child-focused responders like Save the Children and UNICEF. We're still in the search and rescue phase so over the coming weeks as we know more about the impact and needs of the early childhood communities we will let you know about other concrete ways you can help.
One thing I do recommend is that early child care facilities in the United States review their own plans in case of a disaster. That's one of the more important things you can do for your own community.
Resources on Coping with Disasters
Disaster planning for early child care programs
Talking to children about disasters
How organizations help children in a disaster
Helping children after a disaster
Including children in post-disaster rebuilding
Post-disaster policy recommendations
Founded in 1926, the National Association for the Education of Young Children is the largest and most influential advocate for high-quality early care and education in the United States.


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Liver Positron Emission Tomography (PET) Study of Non Alcoholic Fatty Liver Disease (Liver)
- Full Text View
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- How to Read a Study Record
|Fatty Liver
|Study Type:
|Study Design:
|Observational Model: Case-Only
Time Perspective: Prospective
|Official Title:
|An Interdisciplinary Approach to the Study of Non-alcoholic Fatty Liver Disease
- Hepatic Fatty Acid Uptake [ Time Frame: 3 hours ]Liver fatty acid uptake as determined by 1-11C-palmitate PET imaging.
- Hepatic Fatty Acid Oxidation [ Time Frame: 3 hours ]Liver fatty acid oxidation as determined by 1-11C-palmitate PET imaging.
- Hepatic DNL [ Time Frame: 3 hours ]DNL (de-novo lipogenesis) as determined by 13C-acetate PET imaging.
Biospecimen Retention: Samples With DNA
|Estimated Enrollment:
|Study Start Date:
|July 2010
|Estimated Study Completion Date:
|January 2017
|Estimated Primary Completion Date:
|January 2017 (Final data collection date for primary outcome measure)
Obese Females (pre-bariatric surgery)
Twenty obese females (18-45 years of age, BMI > or equal to 45) who are scheduled to undergo bariatric surgery at Barnes-Jewish Hospital will be screened for enrollment over 2 years.
Detailed Description:
This study involves a multidisciplinary approach that will address the metabolic mechanisms responsible for Non-alcoholic Fatty Liver Disease (NAFLD) in humans. Nonalcoholic fatty liver disease (NAFLD) has become an important public health problem in many industrialized countries because of its high prevalence, potential progression to severe liver disease, and association with cardiometabolic abnormalities, including diabetes, the metabolic syndrome, dilated cardiomyopathy, and coronary heart disease. Although obesity is an important risk factor for NAFLD many obese persons have minimal or no steatosis. The mechanism responsible for the pathogenesis of steatosis is not known, but must involve one or more of the following:
- Increased hepatic fatty acid (FA) delivery
- Decreased hepatic FA oxidation
- Increased de novo lipogenesis (DNL)
- Inadequate hepatic triglyceride secretion
We hypothesize that alterations in all of these metabolic processes are involved in the pathogenesis of NAFLD. However, a comprehensive evaluation of these factors in individual cohorts of subjects has never been performed, and the ability to measure hepatic FA oxidation in vivo in human subjects has not been available.
The following Specific Aims will be evaluated in obese women with and without NAFLD, who are scheduled for bariatric surgery:
- Determine hepatic FA uptake and oxidation by using novel PET techniques in combination with measurements of DNL using stable isotope tracers and by assessing liver tissue FA oxidative capacity by evaluating gene expression of FA oxidative enzymes and mitochondrial content.
- Determine hepatic fatty acid delivery by using stable isotope tracers to assess the rate of free FA (FFA) release into plasma and cellular biology methods to determine the expression and protein content of the major tissue FA transporter (CD36).
- Determine hepatic very-low-density lipoprotein TG (VLDL-TG) secretion rate by using stable isotope tracers.
- Determine liver histology and factors involved in inflammation and fibrosis by using routine staining and immunohistochemistry.
|Ages Eligible for Study:
|18 Years to 45 Years (Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Probability Sample
Inclusion Criteria:
- Obese females with a BMI of greater then or equal to 45.
- Age range between 18-45 years.
- Patients undergoing bariatric surgery at Barnes-Jewish Hospital-St.Louis,MO.
Exclusion Criteria:
- Any prior history or evidence of liver disease other than Non-Alcoholic Fatty liver Disease, severe hypertriglyceridemia and diabetes mellitis.
- Consumed greater then or equal to 20 grams of alcohol per day.
- Taking medications that are known to cause hepatic steatosis & liver damage.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00949403
|United States, Missouri
|Washington University
|St. Louis, Missouri, United States, 63110
|Washington University School of Medicine
|St.Louis, Missouri, United States, 63110
|Principal Investigator:
|Robert J Gropler, MD
|Washington University School of Medicine
|Responsible Party:
|Washington University School of Medicine
|ClinicalTrials.gov Identifier:
|NCT00949403 History of Changes
|Other Study ID Numbers:
|Study First Received:
|July 28, 2009
|Last Updated:
|January 27, 2016
|Individual Participant Data (IPD) Sharing Statement:
|Plan to Share IPD:
Keywords provided by Washington University School of Medicine:
Non-Alcoholic Fatty Liver disease
Additional relevant MeSH terms:
Liver Diseases
Fatty Liver
Non-alcoholic Fatty Liver Disease
Digestive System Diseases
ClinicalTrials.gov processed this record on September 21, 2017


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Fiscal Integrity
The second principle in the one-plus-three model is fiscal integrity. In 1991, the Knight Commission said: "An institution of higher education has an abiding obligation to be a responsible steward of all the resources that support its activities – whether in the form of taxpayers' dollars, the hard-earned payments of students and their parents, the contributions of alumni, or the revenue stream generated by athletics programs. In this respect, the responsibility of presidents and trustees is singular."
While the growth rate of athletics expenses in Division I remains a significant concern, there have been significant improvements made in terms of institutional control of athletics-related funds. Additionally, colleges and universities are making good headway in cooperative efforts to account for the full and true costs of intercollegiate athletics programs and to provide more accurate data to campus decision-makers.
Today, the Knight Commission continues to press for greater fiscal responsibility, increased transparency, full cost accounting, and resistance to the commercialization of college sports being driven by the relentless pursuit of revenue to support escalating costs.


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By Varietal
This recipe is for 6 burgers.
This is a beef burger mixed with pine nuts and Calamato Olives. It is then topped with condiments and a Balsamic Dressing. It is a different but exciting blend of flavors.
This burger is a sophisticated twist on a classic burger. Serve with plenty of napkins!
Really the reason that I have done this recipe was the fact that I watched this on the food network and thought it would be fun to try. And I thought what it could hurt to try.
A simple comfort burger, gooey and juicy, but complex and complete in flavor. A quick and easy way to zip up that boring burger.
My husbands family is of german decent. One of our favorite dishes at family gatherings has always been German Potatoe Salad.
The perfect combination of surf and turf; bite down and enjoy!
I have always loved to cook and enjoy making up new recipes. The first and only time I made these burgers they were a hit!
I created this recipe after watching an episode of Paula Dean's show on Food Network. She introduced me to the idea of a white BBQ sauce and I have been hooked on my own version of it ever since.
A mouth watering experience, if you can get your teeth into it!
This is a burger we make in the summer with friends.
"Savoureux Faux-Filet" is "Savory Sirloin" in French..I love cooking with a French flair, so I decided to create a burger incorporating French flavors.
My girl friend and I were looking for a new way to make a burger that had most of the ingridients inside the burger instead of outside. This is what we came up with
People tend to think Texas is all about beef, but we have equal love of pork—especially sausage and bacon.
This is a great burger if you are looking for something juicy and great tasting. It has been developed over years of entering the Build-A-Better-Burger contest.
A simple twist on a breakfast classic...
This burger has a great combination of flavors: smoky, savory, sweet, tangy and spicy!


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Homemade Marshmallows
Aahhhh s'mores… They remind me of camping and fall and leaves changing colors and brisk weather and sitting around campfires. There's really nothing better than a smore. It's such a great little treat. Day or night, for kids or adults, I have yet to meet someone who doesn't love this gooey chocolately treat.
I personally love my marshmallows charred. I toast them gently at first, then light them on fire. Once I blow out the flames, I smash them onto the graham crackers and dig in!
As you know, making marshmallows is one of the things on my 30-by-30 list. And since I recently purchased a candy thermometer while up at King Arthur Flour, I decided to give it a shot to kick off a week of S'mores recipes.
After making these little fluffy white pillows of sugar, I will never go back to store-bought again. I swear to you, they are so easy and SO delicious. In fact, I just went to grab one out of the pantry to snack on just now.
I have to admit that to prep for making the marshmallows, I did do some research. I knew Alton Brown had done an episode on marshmallows, so I checked my DVR. No luck there, so I headed over to YouTube. Sure enough, the entire episode was on there (Part 1 here, Part 2 here). Now I'd trust AB with my first born child, so clearly I trust his recipes. After printing it, reading it, watching the episode about marshmallows and measuring out all of my ingredients I was ready to go!
In the end, all that prep work and research wasn't really necessary. You do need a good stand mixer. My KitchenAid worked up quite a sweat while beating the marshmallow, but that was the hardest part. Well that or watching the thermometer while the sugar was boiling. Either way, this recipe is easy peasy. The marshmallows do require a 4 hour wait time (mine set overnight) so factor that in if you plan to make these. You definitely won't regret it!
Two Years Ago: Grilled Beef Ribs
Homemade Marshmallows
Yield: ~9 dozen
3 packages unflavored gelatin
1 cup ice cold water, divided
12 ounces granulated sugar, approximately 1 1/2 cups
1 cup light corn syrup
1/4 tsp kosher salt
1 tsp vanilla extract
1/4 cup powdered sugar
1/4 cup cornstarch
Nonstick spray
Place the gelatin into the bowl of a stand mixer along with 1/2 cup of the water. Have the whisk attachment standing by.
In a small saucepan combine the remaining 1/2 cup water, granulated sugar, corn syrup and salt. Place over medium high heat, cover and allow to cook for 3 to 4 minutes. Uncover, clip a candy thermometer onto the side of the pan and continue to cook until the mixture reaches 240 degrees F, approximately 7 to 8 minutes. Once the mixture reaches this temperature, immediately remove from the heat.
Turn the mixer on low speed and, while running, slowly pour the sugar syrup down the side of the bowl into the gelatin mixture. Once you have added all of the syrup, increase the speed to high. Continue to whip until the mixture becomes very thick and is lukewarm, approximately 12 to 15 minutes. Add the vanilla during the last minute of whipping. While the mixture is whipping prepare the pans as follows.
Combine the confectioners' sugar and cornstarch in a small bowl. Lightly spray a 13 by 9-inch metal baking pan with nonstick cooking spray. Add the sugar and cornstarch mixture and move around to completely coat the bottom and sides of the pan. Return the remaining mixture to the bowl for later use.
When ready, pour the mixture into the prepared pan, using a lightly oiled spatula for spreading evenly into the pan. Dust the top with enough of the remaining sugar and cornstarch mixture to lightly cover. Reserve the rest for later. Allow the marshmallows to sit uncovered for at least 4 hours and up to overnight.
Turn the marshmallows out onto a cutting board and cut into 1-inch squares using a pizza wheel dusted with the confectioners' sugar mixture. Once cut, lightly dust all sides of each marshmallow with the remaining mixture, using additional if necessary. Store in an airtight container for up to 3 weeks.
If you want to make mini-marshmallows, click through to the original recipe for directions.
Recipe from Alton Brown
Don't forget about my Power of Pink Challenge – make something PINK by the end of the month to raise Breast Cancer Awareness!
15 Responses to "Homemade Marshmallows"
Yum! These look FABULOUS!!
I'm so curious to see what homemade marshmallows taste like! They look pretty awesome in the pictures!
yum!!! i love homemade marshmallows!!! i like to chocolate dip 2 sides so they look like little ice cream sandwiches!
I wouldn't even need chocolate and graham crackers to enjoy these. I could gobble them up all by their lonesome.
Hmm, I would think they're really tricky but it sounds like I was wrong. I'm not the biggest marshmallow fan but I have a feeling that homemade taste way better!
Marshmallows have been on my shortlist for a while now. You just pushed me over the edge. I can just see some dipped in chocolate or rolled in toasted coconut and packaged up for the holidays! Question – where do you find the gelatin in the supermarket? In the baking aisle?
You can actually put the marshmallows in the fridge, and they will set up faster.
I don't like store-bought marshmallows (unless they're toasted), but the homemade ones just have such an incredible texture… and I love that you can flavor them however you want. I used to make 5-spice marshmallows at Flour. I really want to make them at home.
These look gorgeous! I might have to make some for hot chocolate season.
Seriously. These look amazing!!
How many grams of gelatine are in each pack? I have a feeling different countries have different amounts…
I had a great cassis marshmallow at an afternoon tea recently and thought they were really hard to make.
I have yet to make homemade marshmallows….I need to get over that fear!
Silly question…
If I was making Rice Krispie Treats could I just mix the cereal in and then pour it all into a pan to set up?
I just thought they might taste better with the homemade marshmallow.
Rachel – The gelatin is near the Jello in my super market. It's up on the top shelf.
Cupcake Kelly – My box of gelatin says 1 oz for 4 small envelopes. Does that help?
yipeiokyay – Sounds like it could work. You might want to throw some butter in too? Alton Brown did say you can use them to make Rice Krispies treats during the episode, but he implied that you do it after they have set up.
To everyone who has been afraid of making marshmallows – it's seriously SO EASY. Do it!
I love love love making marshmallows! You can flavor them, too, so try out different extracts and flavorigns in them for an extra kick. Peppermint ones with mini chocolate chips on top are AWESOME
Okay, even tho I read your blog often, this is the first recipe I've actually tried. I've been dying to do homemade 'mallows because the stay-puff ones taste like the gas they use to puff them up. 🙁 Mine are drying now, so no report on how they came out yet, but I have to agree – except for my nervousness working with hot candy (legacy of a drop of hot caramel on a bare foot that left a mark for years) – these were super-easy.
Question: my gelatin smelled kind of bad when it had sat in the water for a while, tho the smell seems to have gone away. Did this happen to you? Could my gelatin have been a little funky? (Can gelatin even go funky?). Thx!!
Virginia – I do remember the gelatin having a weird smell that does go away. I hope you enjoy them as much as we do. A friend told me that if you can't wait the full 4-hours you can pop them in the fridge to speed up the process.


text: Oct. 26, 2012: Politicians; citizens; Obama; Clean Water Act; fiscal stability October 25, 2012 Story Share All politicians are to blame for U.S. woesEditor:I was appalled by the article in The Charleston Gazette that stated, "Congress kicks the can down the road and goes home." It should have added "with their tails between their legs."I wish these politicians would realize that what is best for their political party is not what is best for this great country of ours.Quit pointing fingers at the other party and blaming them for this country's woes. They are all to blame for the mess that this country is in. They must cut out the pork-barrel politics and get down to brass tacks and try to get this country back into the world's eyes as the greatest country in the world.I am proud to be an American. I am proud to be a veteran, but I am ashamed of the so-called leaders of this country. And, come election time, I will do my best to change to what I think is the best course for this nation.Now, I didn't intend to say all this, but I feel a whole lot better now that I've said it. We need to get God back in control of this great country of ours, and until we do, we'll never be able to hold our heads up high and proudly say, I am an American.Al LehmanWebster Springs Still 'responsible' and 'productive'Editor:I took responsibility for my life. I had a newspaper route at 12 years old. I worked at a bowling alley while in middle school and high school, a carryout and a Kroger store while going to college. I was drafted during the Vietnam War. Served my time and got out. I HAD a job that I was able to come back to. I married, worked, paid into Social Security, Medicare, Medicaid and paid income tax to help fund roads, streets, schools, education, fire protection, police protection, federal and state governments.I worked for over 30 years and retired, bought a home, had children who are working for their families.I haven't had the misfortune to receive welfare assistance, but I know people who have. My aunt of 92 years got $40 a month in food stamps after her husband died. She was a school cook, and he worked at a construction company, then retired from the state government. Like them, we had to plant a garden every year to help feed the family. There were eleven siblings. My dad and mom worked and he retired from a chemical plant. My mom retired but, most of her life, she was a homemaker.That's just part of our history growing up. The neighbors around us, they did the same things. Most of all, those neighbor kids I know and my siblings went on to lead productive lives.I'm retired now, leading an active life, still paying my "share" of taxes and Medicare premiums. I file an income tax return where I continue to help finance our government and pay for Mitt Romney and Paul Ryan's health-care benefits, too.Isn't that being "responsible" and a "productive" person?Jerry L. PayneRipley Who will Obama blame if he is re-elected? Editor:If President Obama is re-elected, it will be fascinating to see whom he blames for the economic and foreign policy mess he inherits.Brad AdkinsWinfield Happy birthday, Clean Water ActEditor:On Oct. 18 the Clean Water Act was 40 years old. We can celebrate the fact that, 40 years ago, our legislators did a good thing. Since then, our rivers and streams are cleaner and healthier. We can swim in many of our waterways and not get sick. We can even safely eat the fish.In this election year, many politicians promise to "Fight the EPA." I am waiting for one politician to say he or she will "Support the Clean Water Act." That person would surely get my vote.I don't want to go back to a time when our rivers caught fire and raw sewage was routinely piped into them. We still have work to do in cleaning up our waterways. Let's not take a step backward. The health of our children and grandchildren is at stake.Happy Birthday, Clean Water Act! May you have many more.Lois A LudwigCross Lanes Restoring American fiscal stabilityEditor:Reading the Gazette article about a day with Alan Simpson and Chester Bowles and their commission recommendations to rectify our substantial federal deficits, we should be reminded that, as President Clinton was leaving office, fiscal surpluses were projected for nearly a decade.What happened? Two tax cuts that mostly benefited the wealthy, two long-term wars ensued, often without authorized appropriation, an expensive Medicare drug benefit with no effort to negotiate drug prices, and a bailout of major banks, which generally undermined our economy and our current tax base.Why focus remedy on Social Security benefits? The Greenspan Commission of the early '80s effectively raised the biggest tax increase on the median income-earning American in history to fund the demographic change in the ratio of benefit recipients to workers.I suggest a far more modest foreign imperative, curtailing military deployment, a tax increase on top-margin payers, generate Medicare savings by negotiating for bulk drug prices for seniors as we do for veterans, and a more punitive corporate tax on the now prosperous financial industry that generated our economic malaise and decimated our tax base.Along with hefty taxes on enterprises that outsource existing jobs offshore, restoring fiscal stability by instituting a tax structure historically more in line with times when our country was more prosperous is the way to go.Sam StetsonLoudendale Story Share Story Share Trending Now 1 Facebook founder visits Cabin Creek Health Systems 2 Teen pleads guilty to voluntary manslaughter in Oakes Field shooting 3 'Report for America' pilot project begins in Appalachia 4 Rhode Island bank claims Justice companies owe $4.2M on helicopter loan 5 Congressional opioid investigation targets drug wholesaler Miami-Luken Justin Raber: Congress must act to help schools Previous Story Michael Davis: Why I will not vote for my fellow Republicans Next Story


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Ronnie O'Sullivan produced a flawless display to beat Ricky Walden 6-0 in under an hour and reach the Masters semi-finals.
Most remarkably, after Walden had led in the opener after a break of 38, O'Sullivan's frame-winning reply of 79 started a run of 556 points without reply.
That break was sparked by a superb opening red from distance and he followed it up with 88 in the second frame and 72 in the third, the latter after Walden attempted to escape from a snooker and hit the pink.
The frame before the interval was the best of the bunch, a 134 total clearance ensuring an emphatic 4-0 advantage.
And there was no let-up upon the resumption, with 77 to win the first frame back and 56 and 39 in the next to get over the line.
With typical understatement, O'Sullivan told BBC2: "I scored well, I potted some long ones for a change and my safety was okay with a few snookers."
Former world champion turned pundit Ken Doherty described it as "one of the best displays the crowd will have seen here" and sympathised with the outclassed Walden, who scored 39 of the first 40 points but nothing thereafter.
But O'Sullivan said: "That's snooker. I've had it numerous times, when you just sit there as a passenger.
"It can be embarrassing but at some point you just go 'well, this guy's on fire', and it's good to watch sometimes."
O'Sullivan's run of unanswered points was a record for any professional tournament, and a bewildered Walden later told BBC2: "That's the first time I've ever felt absolutely helpless on a snooker table.
"I scored about 35 points in the first frame then never saw another ball, really."
Ding Junhui held the previous record with 495 points without reply, against Stephen Hendry in the 2007 Premier League.


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|June 23, 2010
Volume 12, Issue 13
|Midwifery Today E-News
"Twin Pregnancy"
Print Page
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Attend this two-day pre-conference class and discover a wide variety of techniques that will help you in your practice. On the first day, you'll learn new things about basic midwifery skills, become aware of how you can improve hands-on techniques to determine fetal position and explore ways to prevent complications with prenatal care. You'll also learn about comfort measures for labor support. During the second day, Elizabeth Davis will discuss the holistic complete exam as well as give a suturing overview. Other topics include Labor and Birth Complications, Helping the Slow-starting Baby and Trusting Birth.
Learn more about the Strasbourg conference.
In This Week's Issue:
Quote of the Week
"The better the obstetrician, the more like a midwife he or she becomes."
— Nancy Wainer Cohen
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The Art of Midwifery
Avoid Wrist Fatigue
When a birthing woman is using the "all fours" position, have her put her hands into fists, keeping her arms and hands entirely vertical, to avoid wrist fatigue.
— Carla Hartley
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Jan's Corner
Dating a Pregnancy—Hands-on Care
Ultrasound tests are not accurate and are dangerous to the baby. Some babies even try to get away from the onslaught of sound waves. It isn't cute. It isn't funny. It is serious business, and the effects of ultrasound can possibly last a lifetime for the baby. So many mothers are getting failed inductions for being "overdue," but I wonder if the ultrasound is accurately dating these pregnancies. Are these mothers really at 42 weeks? Often they are not. And many of these inductions lead to cesareans.
So, how do we date a pregnancy without ultrasound? The Dubowitz test of gestational age is done at birth. It involves looking at the amount of vernix on the newborn (a lot may indicate an early baby; none may mean a late baby); size of fontanel, development of genitalia, cartilage in ears, size of breast buds, whether or not the testes have descended, creases in bottom of feet, length of fingernails and so on. Here is a link to the test: https://www.cebp.nl/vault_public/filesystem/?ID=1307 (opens a PDF) Many women undergo a cesarean for a too-late baby only to find their baby has been ripped from them too early. MIDIRS (Midwives Information and Resource Service, http://www.midirs.org) reports that the midwife's hands, combined with the woman's knowledge, date a pregnancy more accurately than ultrasound.
How to date your pregnancy (your midwife will hopefully know this; your doctor may not know this or may not tell you):
First, determine the length of your cycle: Start with the first day of your last period, but remember: the length of your cycle is important. How many days are between your periods? The standard 40-week pregnancy is based on a 28-day cycle, so if you have 35 days between your periods you might go two or three weeks over the 40-week mark and not be overdue at all. (Or, if the women in your family all delivered three to four weeks overdue, you may go past the typical 40-week date.) Likewise, if there are 26 days between your periods, and you ovulate at a nonconventional time, you may have a full-term baby one to three weeks earlier. Don't wait until you've had an "unnecesarean" and the Dubowitz scale lets you know that your baby wasn't late. From conception, it is approximately 266 days to birth, and 280 from last menstrual period. Midwives: Remember to listen to women. Often, they can pinpoint the exact day of conception.
First movement: Many first-time moms feel their baby move (fluttering, not hard kicks) at approximately 20 weeks. Sometimes thin moms will feel movement sooner than 20 weeks. Dating a pregnancy this way can be way off, as some moms feel first movements much later than 20 weeks, but it gives another parameter when you need to figure out if this baby is early or late. Monika, my midwife partner, and I once had a woman go into labor a full month early. We analyzed all of our charting, and we asked and noted all of the types of things you are reading about right now. We finally figured out that this mother wasn't early—she actually was right on time. She went into labor and we were comfortable that she was not 36 weeks. She had a lovely birth and a baby that was not early.
First FHT: Note when you first heard heartbeat with a fetoscope, not a Doppler. Dopplers are ultrasound and should only be used when necessary. You will generally be able to hear the FHT (fetal heart tone) between 18 and 22 weeks, give or take a bit. We used to use a Leff scope, which is shaped like a small saucepan but is heavier. I think we were able to hear the FHT sooner with this tool—often at 18 weeks. You may not be able to hear the FHT with the Pinard or other fetoscopes until later than 18 weeks.
Growth of uterus: Midwives will often perform a bimanual test to determine uterus size. If the uterus is the size of an orange, the mother is approximately 8 weeks. If it is grapefruit-size, she is approximately 12 weeks. Fundal height is measured by charting the distance from the top of the pubic bone to the top of the uterus. It is much more accurate if measured by the same person each time. Many of us liked using our fingers to measure fundal height. When the uterus can be felt at the umbilicus (bellybutton), you are at 20 weeks. You add another two weeks for every finger width past the umbilicus, so if the top of the uterus is four finger widths above the umbilicus, you are approximately 28 weeks. If you are measuring with a measuring tape, figure one centimeter for each week, so four centimeters past the umbilicus would be approximately 24 weeks. This measurement also may clue you into a twin pregnancy. Monika and I missed a twin pregnancy once. Looking back over the chart we might have suspected it had we looked harder. Oh well, sometimes things turn out better than we could have planned. You should have seen our faces when this "big baby" was so small and our mother birthed twins—on Valentine's Day!
— Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
Jan's blog: community.midwiferytoday.com/blogs/jan/default.aspx
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Researchers investigating the disproportionate rate of perinatal morbidity in twin pregnancies concluded that paying attention to "twin-specific nutrition" could help lower these rates and result in healthier twin pregnancies. Recommending nutritional intake beyond that found in a typical prenatal vitamin, the authors recommended that mothers pregnant with twins be on a carbohydrate-controlled diet and supplement their diet with iron, folate, calcium, magnesium and zinc at a rate above that normally recommended for a singleton pregnancy.
"Antepartum lactation consultation can also improve the rate of postpartum breastfeeding in twin pregnancies," the authors added.
— Goodnight, W., R. Newman and Society of Maternal-Fetal Medicine. 2009. Optimal nutrition for improved twin pregnancy outcome. Obstet Gynecol 114(5): 1121–34.
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Considerations for Twin Birth
Why do so many multiple births happen prematurely? The medical theory is that multiple pregnancy not only causes added stress on the maternal system but that over-distention of the uterus causes premature contractions and labor. If that is so, then why do so many very large babies (over 9 pounds) often go to term—or even overdue? I have seen some very over-distended abdomens, which not only carried large babies but a surplus of amniotic fluid as well, with fundal heights often measuring up to or greater than 45 centimeters. These women carried to term, some went overdue, and had completely normal labors and deliveries. I sincerely believe most twins are born prematurely because they are suffering from starvation in utero, and come out early so that they can be fed!
Several important considerations should be noted when anticipating a twin delivery. These include: the mother's commitment to her nutrition and general health; the type of twins (fraternal, monozygotic, etc.); the placental attachment site; the position of the babies and their growth and development. It must be noted that monozygotic twins have a greater likelihood of having fetal anomalies and are at risk for developing twin-to-twin transfusion. For this reason, I strongly advise clients to have at least three ultrasound examinations during the course of the pregnancy.
The first should be done at the time the multiple gestation is suspected or diagnosed. In my experience, this is usually between 16 weeks and 20 weeks. At this time, the gestational age and the type of twins expected are most easily diagnosed. Hopefully, even if only one placenta is seen (it is possible that two placentas have fused early in pregnancy), individual amniotic sacs will be identified. If both babies are within one amniotic sac, the delivery risk is very high, as the babies, and most important their umbilical cords, may become entangled. Many of the twins in this category do not survive pregnancy.
The second ultrasound should be done at about 30 weeks, so results can be compared with the first scans. At this time, problems such as intrauterine growth restriction (IUGR) may be diagnosed in one or both babies due to placental insufficiency. Or, any life-threatening anomalies in one or both babies can be identified so that preparations and plans can be made as to mode and place of delivery. An ultrasound at this time may also detect a discrepancy in size and estimated gestational age, which is possible when there is a separate conception date (rare) for the babies.
Also at the 30-week mark, if twin-to-twin transfusion is taking place, the babies will be remarkably dissimilar in size and weight, and the mother should be referred for high-risk care. In this case, the babies will be monitored closely and delivered as soon as they have reached sufficient maturity. Interestingly, the baby most at risk is the larger one, who has received a surplus of blood. This baby must be handled very delicately as its internal organs have been stressed. Often, the suffused baby will require one or more exchange transfusions to first reduce and then to supplant red blood cells. The smaller, anemic baby can simply be given extra blood.
— Valerie El Halta, CPM
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Midwifery Today: Each One Teach One!


text:
Two days with 36 one-hour sessions only begins to describe the University of Missouri annual Crop Management Conference, Dec. 18-19.
Under his leadership, Kevin Bradley increased the crop-production topics for farmers and certified crop advisors to select. Bradley, MU Extension weed specialist, will talk about new research on increasing problems with herbicide-resistant weeds, particularly waterhemp.
The "Weed, Insect and Disease Management Update" remains one of the most requested topics, Bradley says. He'll be joined by Wayne Bailey, MU entomologist, and Laura Sweets, MU plant pathologist. The session will be repeated to accommodate all.
Bill Wiebold, MU Extension crop specialist, will add a new topic: "Crop Management to Increase Yield Stability."
To bring more new topics for Missouri producers, Bradley invites specialists from land-grant universities in adjoining states.
Mark Hanna, agricultural engineer, Iowa State University, will talk on uniform application of anhydrous-ammonia fertilizer and combine settings to cut grain loss. "That equipment topic is needed because we lost a lot of lightweight corn this year," Bradley said. Too many drought-shrunken ears were lost during harvest.
Drought impact and follow-up will be covered by several speakers, Bradley says.
Randy Miles, MU soil scientist, will give an update on soil health. Peter Scharf, MU Extension soil specialist, will talk on erosion and the value of topsoil.
From the USDA research team on campus, Newell Kitchen will discuss "Long and Short Term Benefits of Cover Crops."
Another session with repeat offerings is "Crop Insurance" by Ray Massey, MU Extension economist.
Later he will join MU climatologist Pat Guinan to discuss "Managing Field Work Days." They are with the MU Commercial Agriculture team.
Guinan will return in a later session to talk about drought. He'll be joined by MU forester Michael Stambaugh, who studies drought history in the central United States. He looks for variations in tree rings for the past 1,000 years.
For forage growers, Dennis Hancock, University of Georgia, will discuss fine-tuning pasture fertilization. He will also talk about "Evaluating Novel Grazing Methods" to separate fads from systems of merit, Bradley says.
Keynote speaker, who will open the program at 8:30 a.m., Dec. 18, will be Jon Hagler, director of the Missouri Department of Agriculture. He will speak on "The Future of Agriculture."
The program runs until 4 p.m., Dec. 19. The meeting is at the Holiday Inn Select, Columbia. Call 573-445-8531 for special room rates.
Registration fee of $160 for the two-day conference includes lunches, breaks and educational materials. One-day registration is $105. Late registrations after Dec. 15 increase by $25.
Participants can register at the MU Conference Office. Details at http://plantsci.missouri.edu/cmc/.
The crop management conference started as in-service training providing continuing-education credits for crop advisers. Increasingly, Bradley sees more farmers attending.
"I've been assured by farmers that the information is worth the registration fee," Bradley says.
The conference is a program of the MU College of Agriculture, Food and Natural Resources.


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Oakland Park
The City of Oakland Park contracted with the Broward Sheriff's Office in August 2000 to provide law enforcement services for its 42,420 permanent residents.
Originally established as the City of Floranada in the mid-1920's, the city was reorganized and reincorporated as Oakland Park in 1929 when the population totaled 500. Approximately 8 square miles, Oakland Park is located immediately west of US-1 and extends south to the north fork of the Middle River and borders Cypress Creek Road to the north. Western boundaries extend to NW 31 Avenue in the farthest western section.
The district has an annual operating budget of approximately $13 million and provides for 97 positions including a district captain, two lieutenants, seven sergeants, 77 deputies and administrative personnel.
- E-mail Captain Al Hubrig
- City of Oakland Park web site
- Click here for other special services are offered by BSO.
- Combat bike theft. Register your bicycle with BSO's BikeTrack system.
- Search for and map the location of sexual offenders and sexual predators in your area.
- BSO Online Safe Transactions.
- Senior Explorer Advisor - Deputy Debra White 954-202-3131
- Our Communities Main Page
- Central Broward
- Cooper City
- Court Services
- Dania Beach
- Deerfield Beach
- Ft Lauderdale-Hollywood Int'l Airport
- Lauderdale-By-The-Sea
- Lauderdale Lakes
- North Lauderdale
- Parkland
- Pembroke Park, West Park
- Pompano Beach
- Port Everglades
- Tamarac
- Weston and unincorporated West Broward
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text:
Saeco Repair Center
Espresso Machines
Trade-in Program
Coffee Beans
Outlet Store
Miele Vacs
Java Points
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Turn, press, enjoy thats how easy it is to enter the world of IMPRESSA! With the one-switch operating concept of the Rotary Switch and the 11-language plain text display, its easy to create the perfect coffee every time. Thanks to the high-performance conical grinder, the beans are always freshly ground. The simple, compact design with its elegant combination of matte and gloss black gives the IMPRESSA C60 an imposing yet understated look in any surroundings. Enjoy the new digital display, which makes operation a breeze!
Fine foam technology
The revolutionary fine foam technology ensures unique milk foam quality with a fine, feather-light consistency. Its the perfect way to give the finishing touch to your favourite beverages.
Highest Quality Swiss Made Jura Products last for many years...
One Touch Beverage Selections
Just like a vending machine! Aside from a long list of standard Jura features the C60 introduces new technologies in the compact class. All functions are centrally located. Adding a new level of convenience, the well-designed and user-friendly rotary dial allows you to override any settings for coffee. Pushing the integrated rotary button allows you to enter an infinite amount of programming options. Froth and Foam with ease using the built-in wand!
AUTO Cleaning and AUTO Descaling Cycles Automatic cleaning cycle indicator prevents coffee oil build-up in the brew chamber. A short 15 minutes automated tablet cleaning program with clear instructions in the LED display insures clean inner parts and coffee that will never taste oily or rancid. No inner parts need to be removed. The display will remind you automatically after approx. 200 cups of coffee. The built-in program for descaling will remind you when it is time to remove any scale inside your F8. The sophisticated cleaning cycles built-in to all Jura Coffee Centers insure many years of quality enjoyment. The system will commense the maintenance of the machine so that you do not have to.
- Height and width adjustable dual coffee spouts (Butterfly design)adjusts to 6.3 inches tall for large beverages - Two step pre-infusion for maximum aroma. - Large Dual variable brewing chamber: Automatically adjusts to hold between 5 and 16 grams of ground coffee. Coffee is always tamped (pressed) perfectly. - Makes up to two 8 oz. cups of coffee at a time. - 18 bar power pump: Always high pressure brewed coffee with crema... always perfect! - Two-step pre-infusion cycle moistens and conditions the ground coffee. Maximum flavor extraction with perfect crema topping. - 64 oz. removable water container: Good for 60 espressos at a time. - Coffee Beans Empty Warning when the Bean Container is Low - 7 oz. Bean Container - Concealed storage compartment for Dual Frother Plus and Measuring Scoop. - Unique CLEARYL Water Care System . Removes chlorine, lead, aluminum and copper from your tap water for a better tasting coffee. A special organic additive removes almost all carbon and eliminates decalcifying. - Electronic CLEARYL cartridge change indicator makes sure that you always have the best water possible. - Made in Switzerland
- Rinse button automatically illuminates before use. - Automatic hot water rinse cycle cleans and preheats all internal arts. - Automatic cleaning cycle indicator prevents coffee oil build-up in the brew chamber. A short 15 minutes automated tablet cleaning program with clear instructions in the LED display insures clean inner parts and coffee that will never taste oily or rancid. No inner parts need to be removed. The display will remind you automatically after approx. 200 cups of coffee. - Automatic indicator when used coffee container is full. Used coffee container holds up to 16 coffee portions. - Electronic water level sensor will never let the machine operate without water! - Information module lets you check how many cups are made with each beverage button, how often maintenance programs were used. - Five level water hardness selector. Set the machine to your water hardness (comes with a water hardness indicator strip). - Quick Reference Guide (water proof paper) to set up your J6 correctly and to get you to the first cup of coffee in minutes, 35 minute DVD, detailed operating instructions, - frothXpress system with milk siphoning hose, 1 Clearyl Water Care Cartridge, 2 cleaning tablets, one bottle with concentrated cappuccino cleaner, water hardness indicator strip. - Two year limited warranty, or up to 6,000 cups of coffee, whichever comes first. For warranty details click here Extended warranties available. - 1450Watts / 120 V / 60 Hz - 22 Pounds
- 11.2 Inches Wide x 13 Inches High x 16 Inches Deep
Download Impressa C60 Catalog >>> Jura Accesories >>>
- Internal 16 Grams Coffee brewing chamber to brew up to 16oz of coffee at once! - Two-Step aroma brewing for maximum flavor and crema! - Commercial Grade Dual Ceramic Disc Grinders with Auto Adjusting Technology - Stainless Steel lined ThermoBlack Heating System. Unlike boiler systems, there is never any water remaining in the heating system after brewing - Bypass funnel for use with pre-ground coffee - Automatic Monitoring Systems for: Hot Water Rinse, Refill Water Tank (never run out), Refill Beans, Empty internal tray, Brew chamber cleaning cycle with tablet to remove internal oil build-up and debris removal, Water filter exchange and Decalcifying - Unlimited Steam and Hot Water Output - Removable Water Container with Valve - Fits underneath standard kitchen cabinets (16" clearing) - Cleaning Tablets and Water Filter included - Full instructions, water proof quick reference guide and DVD included! - All machines are UL Listed - Monday-Saturday: Toll Free 800 number wiht in-house Customer Service Representatives
1450 Watts while powered on and in use 0 watts in "energy saving" - Special Economy Setting in Menu
2 Year Factory Warranty - Jura Capresso White Glove Service TWO YEAR FULL WARRANTY Includes FREE 2 Way Transport within the lower 48 States.
ALWAYS FREE SHIPPING AND NO SALES TAX from aLatteHotte
Product Reviews
Write your own review
Rate this product: 1 2 3 4 5 6 7 8 9 10
"Jura C60"
Jeff Bague on 3/12/2017 2:28:40 PM
Positive Product Points: Our second Jura and we love it! The coffee is much better than our first Jura, better flavor and hotter. Perfect creme and the milk frothing works really well
Commentary: Alattelotte treated us really well and were great to work with!
"I Love my Jura C60"
Michelle on 7/21/2014 5:11:50 PM
Commentary: Outstanding espresso, easy to use and very quite operation. This machine looks even better in person than it did on line, I love it!
"Jura C5"
Charles on 3/12/2014 9:44:52 AM
Positive Product Points: easy to learn, perfect coffee, latte or coffee every time. East to understand cleaning and operating instructions.
Commentary: This machine makes coffee what it should be and that is a priority. The jura product was made with this in thought as this machine does everything for you accept fill the beans up. I couldn't be more happy with my decision on making the decision to buy the C%. I have contacted Rob several times with different questions, and he's always plesant and full of ideas and suggestions! I highly reccomend picking one up!
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text:
CONCORD, N.C. — NASCAR officials have said often that they will ramp up penalties if they believe teams aren't getting the message that they won't tolerate cheating or technical violations.
Maybe it's time for NASCAR officials to look in the mirror and follow that same advice.
NASCAR's appeals board and chief appellate officer have made three rulings in high-profile cases in the last year — Hendrick Motorsports last year and then Penske Racing and Joe Gibbs Racing in the last two days — that should tell NASCAR officials that they need to scale back their penalties.
MORE: Gibbs penalties reduced | Penske appeal | Penske crew changes | Fan missing
So far, NASCAR officials apparently aren't listening. They vow to continue ruling the garage with an iron fist, handing down severe penalties for what they deem serious infractions.
That didn't seem to do NASCAR much good in the last two days as big teams were successful in appeals, undermining NASCAR's authority.
Penske's penalty reduction Tuesday was a minor setback for NASCAR, but the Gibbs penalties were dramatically reduced Wednesday by NASCAR's own hand-picked appeals board, delivering a major blow to the sanctioning body.
In the Penske case, where crew suspensions were reduced from six points races to two on its final appeal, NASCAR got through its typical rubber-stamp appeals panel before suffering a small defeat at the hands of chief appellate officer John Middlebrook.
By upholding the 25-point penalties to drivers Brad Keselowski and Joey Logano, as well as fines and part of the suspensions,
Middlebrook created the perception that the violations were still major but that maybe Penske should get some benefit of the doubt that it was working in a gray area in the rulebook. He sent the message that working in a gray area — and not having raced the unapproved parts — shouldn't result in such hefty suspensions.
That was Tuesday. And then on Wednesday, a panel that typically upholds penalties more than 70 percent of the time delivered a big blow to NASCAR. The three-member panel apparently realized that Joe Gibbs Racing was not trying to cheat with a lightweight connecting rod in Matt Kenseth's engine at Kansas.
It sent the message that a 50-point penalty, a six-week suspension to crew chief Jason Ratcliff and a loss of owner points for six weeks was too harsh for a violation that might not have been the team's fault. Instead, it reduced the penalties to a 12-point penalty, a one-week suspension and rescinded the loss of owner points.
It even went all the way in declaring Kenseth's win valid, allowing Kenseth to be awarded Chase bonus points, or a wild-card berth, for the victory — points the team had also lost.
That comes as no surprise. Yes, it was an engine infraction, which has been sacred ground throughout NASCAR history. But rarely is there such a consensus that there was no intent or competitive advantage by Gibbs and Kenseth.
The appeals panel used common sense on this one where NASCAR's top officials, John Darby and Robin Pemberton, did not, or felt that they couldn't in order to be consistent in handing down harsh penalties for engine violations.
But now Darby and Pemberton and NASCAR officials should adjust. They obviously need to consider intent and performance when determining penalties. At least that's what these decisions seem to indicate.
NASCAR spokesman Kerry Tharp said that the sanctioning body will move on but plans to keep penalizing the same way.
That seems as if the sanctioning body will just set itself up to lose more appeal hearings. Why keep issuing the same severe penalties when they will just be overturned or reduced on appeal?
"We feel when we write a penalty and write a rules violation, there needs to be something behind it," Tharp said.
"Over the years, that's proven to be the case and it has worked and we're going to continue to look at violations as they come and be objective about them and make the best possible rulings that we can."
Tharp said intent will not be the overriding factor.
"We will look at it (being) within the rulebook or not within the rulebook," Tharp said. "That's how we're going to stay."
NASCAR has enough smart people to be able to figure out at least some level of intent.
"We cannot sit back and speculate on intention or something being unintentional," Tharp said. "We have to regulate it whether it was right or it was wrong. It was a mistake on the part of the engine builder.
"In our system, our only recourse is to reinforce this and penalize the team owner and team members."
Then the teams will use their only recourse — the appeals board and the chief appellate officer.
And if the last two days are any indication, the teams will continue to win. That will be the process until NASCAR starts listening.


text:
[p. 146]
General Overview
In the first few years after the Poles occupied Krinki and the surrounding area, in the spring of 1919 it was considered as an occupied territory, within the so-called Curzon line, the fate of which was to be decided later by a plebiscite. As a number of Polish laws, for example compulsory military service, did not apply to this territory for the time being, the Poles were interested in winning public support for their state in the region. In Krinki where the majority of the inhabitants were Jews and most members of the town administration were also Jewish, the starosta (the governor of the district) convened a special meeting of the town council. He hoped that the population would express their wish to belong to Poland on this meeting.
Following the provisional decree of the Polish county administration the seat of which was in Vilnius, relates Sheyme Kaplan, each ethnic group of the area had the right to express themselves in their own language in official places. Therefore, we declared in Yiddish that we had received a mandate from the population to administer the municipal economy of the shtetl [although] we had no legal power to represent it in political matters. The 'solemn meeting' ended with this, and the starosta and his whole retinue, which had come to the meeting with pomp and circumstance, had to leave like mourners, with empty hands .
The Eastern counties were, by law, incorporated into Poland after the Polish-Soviet war in the summer of 1920. From that time until the destruction of the community the fate of the Jews of Krinki was tied to the fate of our brethren the sons of Israel in Poland.
Jews and Christians in Krinki
According to the Polish census of 1921, the Jewish population of Krinki numbered 3,495 souls, 67.1 percent of the 5,206 inhabitants of the shtetl. Of the rest 904 were Eastern Orthodox and 922 Catholic, many of them Catholicized Belorussians who had settled in the town when the territory was under Polish papal rule. The ethnographic structure of the Christian population of Krinki corresponded in fact to the ethnic-geographic position of the shtetl on the frontier of Polish and Belorussian territory.
The Gentiles usually lived in the outskirts of Krinki close to their agricultural or semi-agricultural property, while the Jews were concentrated in the center. The Jews lived in topographic compactness and made up the majority of the town council, so they considered themselves and to a certain extent rightly so the owners of the shtetl, and indeed it was a thoroughly Jewish settlement in its character and way of life.
[p. 147]
In Krinki the relationship of the Jews and Christians, among them the Poles who were now the ruling and privileged state-forming ethnic group, was usually fair until the Nazi period, and it was not affected by the open and even official anti-Semitic agitation, which intensified especially during the 1930s.
Locally the Jews were a visible political force. In the elections to the Sejm in November 1930 the Jewish parties and blocks received 1,193 votes in Krinki, while the Christians collected only 940 votes. The Jews constituted a majority both in the town council and the town administration, although they elected a Christian as town president -- for an understandable reason. In the interwar period the vice-president, however, was always a Jew sometimes Bendet Nisht from the Tsairei Tsion, [Zionist Socialist] (the first from among our brethren, the sons of Israel, to fill such a post in Poland), sometimes Dovid Gotlib from the Bund or Meylekh Zalkin (in 1939) from the Poalei Tsion [Youths of Zion].
The Jewish councilors and aldermen were fairly active in the municipality and thanks to this they also managed to protect Jewish rights and interests, in particular the town subsidies to the Jewish school system and the institutions for social help.
The active Jewish community leaders (with the delegate from America, Lewis Sheyn-Leybke Noskes) Sitting row from right to left: Yisroel Stolarski, Yankl Levi, Lewis Sheyn, A. Eynshteyn, Barukh Stolarski, Avrom Rubinshteyn. Standing row from right to left: Dovid Gotlib, Danevitser, Nakhum Bliakher, Barkan, V. Veyner, Ephraim Afrimzon, B. Nisht, Yitzkhak Yosem, Moyshe Shmuelevits, unknown, Sh. Feyvl Nisht.
Economic Discrimination
In terms of its economy, Krinki was cut off forever from its wide unlimited Russian market where it had sold its leather products, and this ruined the economic basis of the shtetl for many years.
In the first years of Polish rule a high inflation raged in the country and the masses of people who had already become impoverished in the world war became even poorer and this resulted in the shrinking of the internal market as well. The sources of the supply of raw skin became also very meager. The leather production which gave half the shtetl their living came to an almost complete halt, reported Giterman the representative of the Joint when he visited Krinki in 1926. He left 200 dollars, which were to be distributed to those who were left without a job.
Craft and trade and other branches of industry that lived off the factories and off the people who made their living in the factories were also affected. Moreover, the traditional Jewish occupations fell victim to serious state discrimination and destruction, which were continuously showered on the Jews.
Under the pretext of progress for example, compulsory rest was introduced on Sunday and on non-Jewish holidays, as well as on Polish national and public holidays. This meant that Jewish shopkeepers, craftsmen and even manufacturers had to be content with an average of four and a half working days per week. At the same time the government distributed various concessions on cigar stores (where cigarettes, soft drinks, chocolate, etc. could be sold on rest days as well) among all kinds of proper Christians (the widows of policemen for example).
[p. 148]
At first a patent was imposed on the various trades and occupations in order to extract heavy fees from the pockets of the impoverished Jews. Then an evil decree was introduced according to which Jewish craftsmen had to get a special permit to own a workshop and employ apprentices and they could only get it if they passed an official exam in Polish for which they had to pay a high sum. Volf Ekshteyn, who was a member of the management of the Union of Jewish Craftsmen in Krinki until 1925, describes the situation as follows:
Our task was to fight as far as possible against all evil decrees that the anti-Semitic Polish government of the time showered on the Jews. We were in contact with the central committee of the Union of Jewish Craftsmen that was in Warsaw. But one day we received a letter that said that the Polish government would issue its new guild laws that aimed at completely stifling Jewish craftsmen. My father Khayim the carpenter, an elderly man, who had been working in his trade from the age of 15 had to defer to a Polish Gentile lad who was an apprentice in our workshop, to be recognized as a craftsman. My father was a good artisan and he could not endure this and he chose to leave Poland.
But the worst affliction were the heavy taxes and fees, like the poll tax, apartment tax, town tax, marriage tax, property tax, house tax, and all kinds of other taxes that the Polish anti-Semites could invent in order to shatter the last miserable opportunity of Jewish existence. And there was something worse than this system of pressure; it was the merciless method of admonition in practice which went as far as confiscating and selling out the last bag and baggage and bedding of the impoverished and hungry households.
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for verification.
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Updated 6 Dec 2003 by LA


text:
Topic: Salty Taste In Mouth... Try a Lemon
Dad has not been eating much lately, has lost nearly 50 lbs. since Nov. Likely a result of the chemo. He insists that everything tastes too salty.... even the crust of bread. He has discovered that if he chews on a lemon wedge before his meal, it helps cut through that salty taste & allows him to enjoy small amounts of food.
Thought we'd share.....