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NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Wednesday, September 20, 2017
Colon Cancer
Chemotherapy and Colon Cancer
My father had colon cancer for 8 years and eventually died from a liver metastasis. One of the things about his disease that really surprised me was that he was told that chemotherapy wasn't considered to be an effect treatment for his cancer. Have there been any new discoveries about the effectiveness of chemotherapy in treating colon cancer?
Hello, I'm sorry for my delay in replying. Until 1996 there was only one chemotherapy that worked against colon cancer and that is a drug called 5-FU. It was minimally active, e.g. improved survival for patients with metastatic disease by about 4 months. Since then there are two other chemotherapies and two types of biologic agents that have been approved for colorectal cancer. With the availability of more drugs for colorectal cancer, patients with metastatic disease are living longer. Current treatment improves survival for patients with metastatic disease by 1-2 years. Chemotherapy can increase the cure rate when used after surgery, e.g. for patients with disease that has traveled to nearby lymph nodes. However, surgery is really the most important treatment for colorectal cancer. Chemotherapy alone is not a cure for this disease.
Smitha S Krishnamurthi, MD
Assistant Professor of Medicine
School of Medicine
Case Western Reserve University


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An Alabama woman was killed and a Florida man is in critical condition at an El Paso hospital after a rollover at Interstate 10 East and Horizon Boulevard on Saturday.
The woman, 32, is from Columbiana, Ala., and the man, 24, is from Silver Springs, Fla., deputies said.
The accident occurred just after 8:30 a.m. when the woman lost control of a sport utility vehicle and it crashed, according to the Texas Department of Public Safety.
Elizabeth Barney, a spokeswoman for the DPS, said the impact of the crash caused the man and the woman to be thrown from the SUV.
The crash caused law enforcement officers to shut down I-10 East at Americas Avenue to I-10 East and Horizon, causing a backup along the interstate and part of Gateway East.
Officials have not released the names of the victims because DPS troopers were trying to notify their relatives, authorities said.
Speed might have contributed to the accident, Barney said.
It was is the fifth vehicle accident that resulted in serious injury or death last week.
Alex Hinojosa may be reached at email@example.com; 546-6137.

subset: commoncrawl


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Places to Get a Vegan Meal in Utica–Zach's Favorites
Utica has a population of about 62,000. And out of those people, there are a few of us who are vegan. Although Utica is a somewhat small city, there are some great places to go to get a vegan or vegetarian meal. I should mention that the places on the list do have meat options as well as vegan options. Today, I would like to share with you my list of favorite vegan-friendly restaurants in Utica.


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Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Over time, having too much glucose in your blood can cause health problems, such as heart disease, nerve damage, eye problems, and kidney disease. You can take steps to prevent diabetes or manage it.
As of 2014, 29.1 million people in the United States, or 9.3 percent of the population, have diabetes. One in four people with diabetes don't know they have the disease. An estimated 86 million Americans aged 20 years or older have prediabetes.
Featured Topics
Diabetes Basics
Diabetes Topics
- A1C Test and Diabetes
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Four SUNY Plattsburgh students are recipients of the 2013 Chancellor's Award for Student Excellence.
Rory Carroll, Mackenzie Kilkeary '12, Michelle Haynes '12 and Timothy Maggio received the award at a ceremony April 4 in Albany, N.Y. The award was created 16 years ago to recognize those students who have best demonstrated the integration of academic excellence with leadership, athletics, career achievement, community service or creative and performing arts. Read more.
View complete or alumni event listings.
SUNY Plattsburgh's television studios have $70,000 worth of new lighting thanks to an alumnus and his company.
Litepanels Inc. and its vice president of global marketing, Chris Marchitelli '94, donated the lighting to help upgrade the Albert R. Montanaro Television Studios, home of the PSTV college TV station and a training ground for communication students. Read more.
A nutty aroma enveloped one particular table in the Angell College Center lobby Feb 14.
There on the table, among scattered seeds and loose string, sat a grocery bag filled with pine cones, a bucket with more seeds and — the culprit of the distinctive smell — peanut butter. Read more.
Dr. Richard Schnell believes in utopias. He always has, and he thinks he may have found one — at least temporarily. Read more.
For more information about the SUNY Plattsburgh alumni newsletter, please contact:
Michelle Marasch Ouellette
Director of Public Relations and Publications
Phone: (518) 564-3095
Email: firstname.lastname@example.com
Alumni can subscribe to Calling Card by joining the Plattsburgh Alumni Community (PAC).


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Topic: Recommendations for Submitting Records and Slides to Cancer Centers fo
Hey there! The website looks fantastic! What a great resource for everyone!
I noticed over on the Cancer Compass website that one person is having difficulty getting Sloan Kettering or Mayo to accept the slides & records for review. Here is the link: http://www.cancercompass.com/message-bo … 4007,0.htm
Anyone have any advice for this person on how to convince one of the major cancer centers to review the records and offer an opinion without actually visiting the cancer center?
And perhaps this information should be posted here, too? (maybe in the general section??)


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In The 1920s There Were Speakeasies. In The 1990s There Are Cigar Lounges
(continued from page 11)
Due to the increased popularity of cigars and stringent anti-smoking regulations in cities around the country, many establishments have answered cigar smokers' prayers with the latest offshoot of the cigar craze: cigar smoking lounges.
In the past, cigar lovers could only indulge at smoker events or late at night in restaurants. Today there are places designed, developed and marketed specifically with the cigar smoker in mind, places with names such as the Grand Havana Room, Fumatore, The Churchill Bar, The Havana Tea Room and Cigar House, The Humidor, etc. Each cigar bar wants to be the preeminent place to smoke, providing cigars acquired mostly through retail tobacconists.tobacconists. Each bar stresses the importance of premium liquors such as single malt Scotches and Cognacs. Each lounge wants upscale and professional customers. And each has a unique personality.
The cigar lounge in the United States has become a phenomenon, with dozens opening in the past year and many more in the works. These lounges are appealing to a diverse and growing clientele, with longtime aficionados rubbing elbows with younger, more recent cigar converts. What follows is a representative listing of these new cigar havens.
With its restrictive smoking laws and large cigar following, New York City has proven fertile territory for these establishments, making it the hottest cigar lounge scene in the United States. Chicago is a natural second choice as new venues are opening almost monthly. From Los Angeles to Washington, D.C., Denver to Miami, cigar lounges are increasingly becoming the social outlet of choice for cigar lovers across the country.
In New York City, for example, six cigar bars opened this summer alone. Compare that to 1995, when only two cigar bars dotted the entire metropolitan landscape. These new lounges are as diverse as the neighborhoods in which they are located. The posh Upper East Side is home to the city's preeminent cigar lounge: Club Macanudo. Club Mac, as it is commonly known, is owned and operated by the General Cigar Co., makers of Macanudo and Partagas. Since its grand opening in May (see our review of Club Macanudo on page 499), crowds have been vying for entrance into this large, plush, wood-paneled mecca, which can seat 125 people comfortably in leather couches and chairs. Over the course of an average evening, about 500 people will pay a visit. Though Club Mac seeks an upscale clientele (jackets are required in the evening), the emphasis remains elegantly informal, catering to the cigar lover.
"Every inch of space in here is dedicated to cigar smoking," says Philip Darrow, manager of Club Macanudo. "If we chose to allow someone in simply because they were a person of great stature or they were a famous actor or someone like that, that would destroy our credibility with the people we built this place for, which is the cigar smoking man or woman who comes in here on a daily basis. That's really our clientele."
And the clientele seems content. Guests can choose from a limited food menu and a wide array of liquors, including single malt Scotches and Cognacs. They can pair their drinks with 100 marques of cigars, including General Cigar's Macanudo, Partagas and Canaria D'Oro, as well as brands from other manufacturers such as Ashton, Fonseca and Dunhill. The club also leases 500 humidor lockers, which were quickly snatched up by eager aficionados. Available for $600 a year, each Spanish cedar-lined unit holds up to 200 cigars. Because of these and other amenities, Darrow believes that Club Mac is New York's first true cigar bar.
But don't tell that to the proprietors of The Cigar Bar at Beekman Bar & Books. Rajmar Holdings Ltd., the owner of the Bar & Books chain, created The Cigar Bar at its midtown Beekman Bar & Books location almost two years ago. It's a small, cozy room at the back of Beekman with soft leather couches and bar stools and stained mahogany walls. It looks much like a gentlemen's club or someone's personal library or den. Co-owner Mark Grossich considers his four Bar & Books locations (Beekman, Hudson, Lexington and the new Carnegie) as upscale cocktail lounges that place a heavy emphasis on cigars.
"We have, relatively quietly, been the leaders in this whole thing for some time now. Club Mac has obviously taken center stage briefly in New York because they are new and different, and like everything new and different in town people tend to clamor to check it all out," Grossich says. "Obviously we have checked it out as well, and it is an interesting place; they serve cigars, we serve cigars. But we don't see them as a direct competitor because we are so much more than a cigar club. I think it is fair to say that our staff is trained better and differently."
While Club Mac employees get in-house training, the staff at The Cigar Bar train at the Alfred Dunhill store in New York, where they learn the proper etiquette of cutting, lighting and serving cigars. The cigar list includes more than 10 selections, many of which are acquired through an exclusive contract with the local Dunhill store. Guests can choose from a Temple Hall No. 3 Maduro for $10 or a Macanudo Vintage No. 1 for $25. The Cigar Bar also has an extensive list of single barrel Bourbons, Ports and Cognacs, among other liquors, all at more than $9 a glass. A jacket (and no jeans), $25 minimum order and reservations are required, making the Cigar Bar a very exclusive establishment.
For those who want a great cigar with a great meal, The Cigar Room at the Grand Hyatt Hotel is the answer. This cigar haven was created more than a year ago as an answer to the strict anti-smoking laws which limit smoking in main dining areas of New York City restaurants to establishments with fewer than 35 seats.
At the 34-seat Cigar Room (See Cigar Aficionado, Summer 1996), the emphasis is on service, says Bill Rizzuto, the Grand Hyatt's executive assistant food and beverage manager. The wait staff is trained in cigar etiquette, and the restaurant's humidors offer a range of cigars such as Davidoffs, Ashtons and Punches with premium liquors, such as single barrel bourbons, single malt Scotches and Cognacs. Guests can enjoy a meal in the dining room or relax with a drink in a separate lounge area. The Cigar Room provides an understated and relaxed ambience.
Another relaxed and understated cigar bar is Aubette, in the Murray Hill section of Manhattan. Opened in March, it was created by managing partners David Baxley and designer Erin Silliday. Cigar and bar manager Paul Kulig oversees the cigar lounge to the rear of this sleek bar, with its soft leather couches and chairs and wood-burning fireplace. He stocks his humidors with an extensive and impressive selection. Recent selections included Santiago Cabanas, La Gloria Cubanas and Don Juans. If your favorite brand isn't available, the very cigar savvy and helpful Kulig will recommend a comparable alternative. Prices range from $4 to $35.
Near Union Square and the Flatiron district is Granville, a lounge/restaurant that caters to cigar smokers. Owned and operated by Billy Gilroy, Peter Fay, Chris Heyman and Granville Adams, since its opening in June it has become very popular with area professionals, according to Adams. Because of city restrictions, the upstairs lounge is the only place in Granville where one can indulge in a cigar. With its Oriental carpets and mahogany walls, the room resembles an old men's club. Guests can lounge on leather banquettes, choosing from a list of cigars that includes pre-Castros such as a 1961 Romeo y Julieta Supremo, which retails for $50.
Manhattan's west side houses cigar lounges as well. Within the Michelangelo Hotel on West 51st Street lies The Grotto, a 62-seat safe haven for cigar smokers. Romeo de Gobbi, proprietor of The Grotto and its sister restaurant upstairs, Limoncello, and former manager of Le Cirque, has created a comfortable and relaxed place with tan leather couches where cigar lovers can congregate, choose from a selection of premium liquors, dine on a light repast featuring tuna carpaccio and marinated salmon, and smoke cigars from an ever-changing list. The list includes choices from the Dominican Republic such as Fonsecas and Avos as well as some choice Honduran brands, including Flor de Florez. The Grotto marks up its cigars only 25 percent, with prices ranging from $6.50 to $16.50. Manager Kim Gregory oversees an eager and attentive staff.
Across town on 51st Street is Divine Bar, an attractive two-story lounge. Opened in June, the lounge's second floor features plush antique velvet couches and chairs, where people sit back and savor the flavors of their cigars and wine. Owners Shari Schneider and Michael Vitanza are new to the cigar business, but are eager to please their customers. Cigars range in price from $6 to $14, but due to shortages, the list changes frequently. Recent offerings included Macanudos and Partagas. The wine list is extensive and carefully selected, at competitive prices. It's a place with a decidedly downtown feel, in a midtown location.
If you don't want to venture uptown, the cigar scene is abuzz downtown as well. Webster Hall, a popular four-story nightclub, has its own fourth-floor cigar bar called The Havana Lounge. A 1,450-square-foot, roped-off section of the balcony, it is the brainchild of Greg Alprin, Michael Shine and Nick Orlando, three twenty-somethings who decided that New York needed a cigar bar in a nightclub setting. Opened in August, The Havana Lounge has become a popular hangout for people who want to dance and smoke at the same time. The noise from the main dance floor below can be deafening at times, but the well-worn couches are comfortable and the staff is attentive, if a bit inexperienced. The cigars are priced competitively, from $5 to $15 for a premium smoke. Don't expect to find the usual Webster Hall clientele in The Havana Lounge, however; Orlando, Alprin and Shine created the cigar bar for professionals, not club kids. But do expect to pay a cover of $10 to $15 to get into the club.
Ten blocks south of The Havana Lounge lies The Go-Go Room, a cigar bar in Béla restaurant. Opened in mid-August, The Go-Go Room, named for a turn-of-the-century cigar brand fron New York, is a small, dark lounge with leather divans and chairs. Jerri Banks, general manager and resident cigar expert, describes her lounge as comfortable and understated; you almost feel as if you are in someone's library. Cigar lovers can choose from a revolving list of about eight cigars, which recently included Padron Coronas and El Sublimado Churchills. Cigar buyers should beware, however: a couple of the cigars had astronomical markups (the El Sublimado Churchill was 150 percent above the suggested retail price).
In lower Manhattan, the owners and operators of Windows on the World run the self-proclaimed "Greatest Bar on Earth" and private Skybox, both of which are cigar smoker retreats. The bar is a large, colorful space, with breathtaking views of the city from 106 stories above the streets. Smokers can choose from a small and pricey cigar list that includes Partagas 150s and Avo XOs. Vintage Ports as well as Scotches and Bourbons are available by the glass. The bar is bustling and can be noisy at times. If you prefer a quieter and more private retreat, you can retire to the Skybox, an extremely small (25 seats) but extremely comfortable lounge, set a distance from the bar. Guests can sit back in brown leather and blue corduroy couches and enjoy the view. The Skybox is a private lounge during regular business hours and is open to the public only after 7 p.m.
Not far away, in the heart of Tribeca, a new lounge called City Wine & Cigar Co. has been taking shape. Co-owners Chris Smith and Avra Jain consulted with hot restaurateur Drew Neiporent to create a wine and cigar bar and storage facility, which was set to open in November. Located on the ground floor of the historic former Dietz Lantern factory, City Wine & Cigar plans three smoking lounges for cigar lovers. The 8,000-square-foot establishment will have 400 private lockers for lease with annual and monthly dues. The Cigar Pub, an 800-square-foot retail store, will sell a full range of premium cigars such as Davidoff and Avo. Trained cigar girls will mill around the rooms, serving cigars. You'll have your choice of three bars: the Wine Bar, which is the largest, a private bar in the rear and a spirit bar in the Cigar Pub.
For those seeking an alcohol-free cigar environment, there is the Havana Tea Room and Cigar House on East 78th Street. Mark Nasser, co-owner and manager, created this quaint, Cuban-themed cigar bar without the bar. (The owners have twice petitioned for a liquor license but have been denied.) And therein lies the charm. With its casual and inviting atmosphere, Havana is a welcome alternative to the bar scene. Cigar lovers can choose a cleverly displayed smoke from Havana's glass humidor. Recent choices included Arturo Fuente Fumas and Montecruz Chicos. Savor your selection over a cup of Darjeeling tea or espresso and let the smoke waft up to the palm leaf-covered ceiling fans. The waiters and waitresses, attired in Cuban guayaberra shirts, serve Cuban sandwiches, cheeses and desserts. Be warned: if you come with your own cigars, expect a $3 clipping fee to be tacked onto your bill.
If Manhattan is not to your liking, you can hop over the river to Cigargoyles, a cigar bar opened in September by William Mandile. The two-story bar in Brooklyn Heights is slightly Gothic in appearance; expect to see "cigargoyles" as well as cigar girls around the bar. At street level there is a traditional pub-style bar with marble-tiled floors and wooden tables and chairs. Guests can dine on grilled-based Continental fare and choose from a wide array of beers, Ports, single malts and wines. A large cedar-lined, walk-in humidor contains selections from such brands as Arturo Fuente, Baccarat and Punch, at moderate markups. The lower level houses a dark, cavernous lounge with shell granite and sheet rock walls with faux fresco finishes, lined with leather couches and chairs. During the summer, the outdoor garden is turned into a café, with seating for 75 people. The owners anticipate a lot of business, especially from area professionals who have embraced Cigargoyles as their local cigar haven.
Whippany, New Jersey, is an unexpected place to find a cigar bar equal to the better spots in Manhattan. But the El Rey del Mundo Bar is just that. It is the social point of the huge J.R. Tobacco Outlet, a store that boasts an enormous cigar shop with enough cigar memorabilia to fill a museum. The bar area is small and cozy, with brass-trimmed mahogany shelves, an embossed tin ceiling and cigar box art adorning the walls. El Rey del Mundo may be small (seating is limited to 32) but its cigar selection is unparalleled. If none of the 27 selections on the bar menu suit your palate, you can walk a few paces into the grandiose store and pick out any one of more than 450 types of cigars, both by the box and in singles. Try the extremely rare Partagas Limited Reserve Royale ($17) or the 10-inch-long, 66 ring Casa Blanca Jeroboam $7).
The drink selection is adequate, with wines, Cognacs, Ports, beers and excellent espresso. The Outlet also sports a liquor shop, and you can purchase and consume any bottle from the shop at the bar; there's a $10 corkage fee. J.R Cigar owner Lew Rothman plans to add a cigar lounge and a museum, featuring table service and an expanded drinks menu by January 1.
Cigar bars, of course, aren't limited to the New York area. In Chicago, lounges are sprouting up right and left. Fumatore, a cigar club between the Gold Coast and Lincoln Park sections of Chicago, is fast becoming a favorite hangout for cigar smokers. Founder and principal owner John DePalma created this haven in response to the city's anti-smoking legislation.
"What really pushed me over the edge was when I was sitting in the bleachers in Wrigley Field and I went to light a cigar with my buddies and they said that I couldn't smoke there," DePalma says. "Fumatore is a neighborhood cigar club. I think the more Club Macanudos, Grand Havana Rooms and other clubs there are just reinforces the concept. It will become a staple sooner or later."
Designed much like an old European club, the 5,600-square-foot bar boasts 300 private lockers, 250 of which were rented within two months of Fumatore's grand opening in March. Renters include Fumatore investor and former Chicago Bulls center John Salley, talk show host Jerry Springer and the Caribbean Cigar Co. Members pay a $500 (individual) or $2,500 (corporate) initiation fee, and they must spend $800 (individual) or $3,000 (corporate) at Fumatore per year to retain their private humidor and other privileges.
Membership has its privileges, according to DePalma. Members have full use of the club's private salons for business and sporting purposes, which come equipped with a fax, a computer and satellite TVs. They can also dine or lounge in the special, plush Fumatore booths, each emblazoned with a giant cigar band on the outside, such as Montecristo, Cohiba and Diana Silvius.
But Fumatore is not a private club. People who don't own lockers are free to dine on Cuban food in Cafe Cubano on the first floor, or climb a flight of stairs to the Fumatore Club where on weekends they can dance the night away to salsa beats. They can choose from a wide array of drinks, including Scotches and Cognacs. And of course, they can purchase either of the two brands that are on the limited Fumatore cigar list: the Fumatore house cigar, a Dominican that comes in five sizes, or the Profesor Sila from the Canary Islands. They are reasonably priced, between $5 and $10.50.
DePalma plans on opening another Fumatore around Thanksgiving on Miami's famous South Beach, with John Salley slated to oversee the club, and in Washington, D.C., in the spring.
A hot Chicago nightspot called Drink has become a hot cigar place as well with a tri-tiered cigar room called Smoke at Drink. On any given weekend night, young professionals crowd onto the lower level of the 10,000-square-foot club to sit and relax in funky leather and upholstered couches and chairs. Murals circa 1950 line the brick walls. Twenty-somethings gravitate toward the club's well-stocked, seven-foot, cedar-lined glass humidor, where Drink's resident cigar guru, Arlen, holds court, selling cigars to his subjects. Owners Scott DeGraff and Michael Morton created this room more than two years ago in response to the demand from regular patrons.
"People would come in and smoke cigars and many of the customers would come in asking for them and I would start bringing in five of them with me and passing them out," DeGraff says. "We had this great room, so we said, Let's turn it into a cigar bar. We sell a massive amount of cigars. It is not just a matter of a small cigar bar that carries five or 10 varieties; we have the kind [of selection] that the cigar vendors in Chicago come in and ask, 'How are you carrying this?'"
Those hard-to-come-by brands include Arturo Fuentes, La Gloria Cubanas and Davidoffs. Prices for cigars range from $5 to $30. The bar offers assorted Armagnacs and Scotches as well as other liquors.
DeGraff and Morton own a Drink sibling in Las Vegas, which is 18,000 square feet and also does "tremendous business in cigar sales." This January, the owners plan on relocating their site to a former fish packing factory near the Kennedy Expressway, just one block away. It will be twice as large as the present Chicago site and will include an additional 10,000-square-foot roof deck. Of course, the cigar friendliness won't change.
In an industrial section of Chicago is another cigar haven, called Green Dolphin Street. The brainchild of owner Michael Nahabedian, it is a restaurant, club and cigar scene, all rolled into a 6,000-square-foot space. Although smoking is not allowed in the dining room, there is a separate bar and jazz room where guests can choose a cigar from the well-stocked 5,000-cigar humidor. Although the list keeps changing, one can regularly acquire Punch, Davidoff and José Martí, among other marques. Prices can get a little steep. They run from $6 for a José Martí corona to $25 for a Partagas Signature Series. The atmosphere at Green Dolphin Street is fun and bustling. Jazz bands play on most nights and diners often get up and dance.
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|August 9, 2000
Volume 2, Issue 32
|Midwifery Today E-News
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This issue of Midwifery Today E-News is sponsored by:
- Birth Works Inc.
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In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
"When a woman accepts sympathy in place of respect, her dignity goes out the window."
- Pat Thomas, AIMS Journal Summer 1997
2) The Art of Midwifery
For varicosity in legs and labia: Choose herbs high in bioflavinoids, which act to support connective tissue: crataegus oxyacantha, ginkgo biloba; caccinium spp.
- Mary Bove, ND, LM, The Birthkit, No.20
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3) News Flashes
A recent study shows that the combination of low birth weight and rapid weight gain in childhood may predispose males to heart disease because they develop a disproportionately high fat mass. Other possibilities are that the accelerated postnatal weight gain that often occurs in low birth weight babies is intrinsically damaging. Another study shows that low birth weight is a risk factor for early onset schizophrenia in males. (British Medical Journal 1999; 318 as reported in Alternative Medicine, July 1999)
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4) Nutrition
Building a competent brain: One critical period of neuronal growth is the first three months after conception, when each building block or nutrient must be present when the DNA/RNA blueprint calls for it. Much like a contractor working round the clock, when materials are coded for, they must be present at the instant of synthesis. If they are not there, synthesis stops and the process must start all over again. When a mother consumes a diet that undersupplies fats, proteins, carbohydrates, vitamins, minerals, and water for both her and the baby, some part of the baby's brain development will be curtailed. Some structure will go unbuilt; some function will not be performed....
If a period of malnutrition occurs anytime from week ten through week 23(prenatally), a time when the numbers of cells are increasing, it is possible that irreversible damage has occurred. Fewer or less optimum numbers of brain cells will be produced. If malnutrition occurs later, at a time when the size of the cells is increasing, the damage may not be as severe. It should be noted that it is possible that some recovery can occur, but only if the diet is made adequate.
During this period of fetal development, large amounts of fats are deposited into the brain tissue from Omega-3, Omega-6, and other fatty acids. The types and quantities of these fatty acids differ, depending on the period of development and the needs of the brain at that point in development. At various times, more arachidonic acids (AA) are required; at others, docosahexaenoic acid (DHA) is called upon, and so on.
Scientific literature seems to indicate that during periods of malnutrition, both prenatally and postnatally, the brain's needs take precedence over the rest of the body, at the expense of other organs. We can take small comfort from this in knowing that even if we are deprived of some of those essential nutrients that are so needed for brain growth, we'll get them somehow--if they are obtainable from the liver or other organs. It is, however, the biological equivalent of robbing Peter to pay Paul.
It is also clear that if the period of malnutrition or undernutrition occurs at critical junctures during brain development, the myelin does not develop properly, and when the myelin is underdeveloped, nerve transmission is hindered.
- The Crazy Makers: How the Food Industry is Destroying Our Brains and Harming Our Children, by Carol Simontacchi, Jeremy P. Tarcher/Putnam, ISBN 1-58542-035-2
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How do you counsel pregnant women about nutrition, especially in these fast-paced days of stress, little time, and junk food?
As a Bradley Natural Childbirth instuctor I do plenty of nutrition counseling. First I have the woman do a three day food and drink diary, keeping track of everything that goes into her mouth. Then I evaluate that information. I use Dr. Tom Brewer's diet for comparison. I look at what is missing, and I total up her protein. Some of them are downright scary (i.e. not even enough protein for her in a non-pregnant state, as little as 4 ounces of water daily, etc). What I do first is find *something* about her eating she is doing right. Then I look at it all and see how it could be improved with the least changes possible. In the areas where she is lacking (often green veggies for instance), I find out what kind of foods she likes in that category. Then I project a three-day balanced plan and ask her if she can see herself being able to do it. Time for food preparation is often one of the biggest obstacles, so I also give her recipes that are simple and satisfy more than one requirement. I suggest things to carry with her for snacks (i.e. sunflower seeds, peanuts, string cheese, apples, carrots, etc.). I suggest that she carry a bottle of purified water with her at all times. I encourage her to set a goal to get as much protein as she can first thing in the morning.
After the diet makeover I have her do a diet sheet each week. I put stars on the days that are balanced and have enough protein (she has a counter and totals it as the day goes along). I also praise everything she does right and give small suggestions each week on where she needs to improve.
Enlisting the help of her husband does wonders too. When he knows how important good nutrition is he often goes out of his way to be sure healthy foods she likes are in the house, and often cooks for her or takes her out to eat healthy food.
I never mince words on the importance of diet while a woman is pregnant. I let women know how serious it is, and that it could be life or death for them and their baby. I also never tell them it will be easy. I let them know that it is hard to do so they do not get discouraged when it is challenging. It enhances self esteem to do something that is hard. When they realize how important it is they will do all they can to eat well. I praise them openly in front of each other in class and I have them share ideas of how they are making the diet work for them. It is gratifying and exciting to see how completely and quickly changes happen.
- Anna Matsunaga AAHCC
I talk to the women in my prenatal fitness class about proper nutrition in terms of quality vs quantity. Snacking healthy: pita with peanut butter or meat, chips and salsa, cheese chunks, juices, fresh fruit, and a reminder that they must take in adequate calories. I encourage them to keep a small cooler in their car stocked if they must travel a lot, or to keep a stash in the office fridge so they can graze. I also remind them about cravings, that to a degree they are normal, to pay attention to them and to satisfy them wisely. If you want chocolate, how about a few "kisses" instead of a giant bar? We also talk a lot about Brewer, protein, salting to taste, and water, water, water. Many are so surprised to hear this from me instead of their doctors. They tell me they don't hear anything really unless they gain "too much" or come back with a positive for GD. I wish I had a nickle for every time one of them said, "How come my doctor never told me that?"
- Pam Martin, MS DONA CD, CM, apprentice midwife Poland, OH
Riboflavin is a B vitamin. Deficiencies in B vitamins tend to cause higher homocysteine levels, which increase the risk of clotting. In other disorders in which the risk of clotting is high, preeclampsia is also frequent and exacerbated by poor nutritional status. The following study is actually a good confirmation for some of Dr. Brewer's work. Doesn't he advocate eating foods rich in B vitamins during pregnancy, like eggs?
- Jennifer Rosenberg
Riboflavin deficiency can increase the risk of preeclampsia by nearly fivefold in pregnant women already at high risk of developing this complication, according to researchers at University Women's Hospital, Mannheim, Germany. The team examined the link between riboflavin deficiency and preeclampsia prospectively in 154 women already at high risk of this pregnancy complication. The incidence of riboflavin deficiency during the study was 33.8%, where 27.3% of women were riboflavin-deficient at the first antenatal visit and 53.3% were deficient by the last weeks of pregnancy. Riboflavin deficiency increased the risk of preeclampsia with an odds ratio of 4.7. Intracellular free flavin adenine dinucleotide levels were also significantly lower in women who developed preeclampsia than in those who did not. The researchers are in the process of beginning a separate study designed to better test this hypothesis using controlled supplementation. Until these data are available, the authors recommend maintaining normal riboflavin levels in pregnant women.
- Obstet Gynecol 2000;96:38-44, via Medscape
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5) Check It Out!
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6) Question of the Week
Q: At a recent birth we could not hear fetal heart tones with a fetoscope once the head was on the perineum (approx. 35 minutes). Although the scalp was always pink and mother reported fetal movement approx. 3 minutes before birth, baby was born limp and made no respiratory effort. His color was pink at birth and heart tones were always over 120 bpm. We initiated neonatal resuscitation and called EMS and baby was subsequently transported to hospital. Baby was off respirator and breastfeeding by day two and home by day six. Parents informed us that ultrasound, EEG and CT scan on day three were normal. A complaint was subsequently filed by the College of Physicians which stated that "the baby is brain damaged as evidenced by the CT scan."
1. Is there any literature/research out there to justify or confirm that a pink scalp along with fetal movement when the head is presenting is an indicator of fetal well-being? 2. Can a CT scan tell if a baby is brain damaged?
- Anon.
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7) Question of the Week Responses
Q: I am a happy, healthy 39 year old mom with thalessemia minor who is considering a homebirth for my second child. My first was born when I was 37 at a birth center with CNMs. Precautions taken (planned before labor) because of my thalessemia were a heparin lock at the beginning of second stage and a shot of Pitocin in my thigh immediately following labor to help clamp down my uterus. I labored naturally and normally with the exception of third degree vaginal and perineal tears (baby came fast, kicked his way out, and my position was not optimal). My normal hematocrit is between 27 and 30. My pregnant hematocrit just before labor was 25. Three days after it was 23 and back to 30 at six weeks. I believe my platelet count was and is normal. Am I a candidate for homebirth?
A: I was told by my midwife during my third pregnancy that if my hematocrit dropped below 30 she would not attend me at home. The reason for this may have been that she was a lay midwife (of 17 years at the time) in a state that does not allow her to legally attend homebirths, and the doctor backing her wouldn't allow it. She just needed to be extra cautious. I also know that my iron stores were adequate (we had them tested) even though my hematocrit was low. I took a supplement of iron and yellow dock root to get my level up to 30 when it dropped to 29. It took several weeks. I also ate some meat (liver) and cheese, though I was at that time a vegan. I ate those foods medicinally. My sister, also thallessemic minor (isn't it actually called thalassemia trait?), had a low hematocrit, but she was not planning a homebirth.
Supposedly, having a low hematocrit isn't as crucial as one would think since that is measuring what is in each red blood cell and we thalessemics have extra blood cells to make up for their small size. I wish some research could be done in this area to help us all understand better whether we are as bad off as they think when our crit is low. By the way, everything went fine at the birth in my home, except for a tear which caused me to have to transport for stitches since the midwife wasn't a nurse. Donovan Chase was 9 lbs. 14 oz. at birth and weighed 10 lbs 3 oz two days later.
- Anon.
A: I cared for one woman with the same condition. I helped her have her last three babies. Her very first was a vaginal birth of a premature stillborn son. The second was a c/s of a healthy, full-term son. The next was a VBAC of a full-term stillborn daughter. The fourth was another full-term VBAC of a healthy son and the last a homebirth of a healthy son. I researched her blood disorder heavily and basically determined it was of no threat to her in any way and to definitely not give iron. Her two stillborn babies had absolutely nothing to do with her thalassemia minor. We all knew that and had confidence in that fact. Also, when I first met her, I ran a bunch of expensive labwork which was of no use to us except to confirm the fact that she had thalassemia minor. I never did any other labs except H&H twice during each pregnancy.
- Anon.
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9) Switchboard
I am 34+ weeks pregnant and contemplating the homebirth of my twins. They are separate sac, placenta. Twin one head down. No complications during pregnancy. My birth assistant (doula) is enthusiastic about homebirth but has not assisted with twins. The local health authority will provide three midwives to me at home--one supervisor and two experienced midwives. They have delivered twins at home. I also have an acupuncturist. The dad will be present.
The obstetrician has attempted to scare me out of this plan. I am still keen but shaken by his suggestion that 30-40% of 2nd twins require intervention. He mentioned the possibility of my risking brain damage, cerebral palsy and death to the babies, and the danger of my bleeding at a level where syntometrine would be no help. I am 10 mins (max) by ambulance to the hospital.
Nevertheless, the obstetrician also made me feel even less inclined to go to the hospital, by suggesting routine syntocinon drip to get 2nd twin out as soon as possible. Also I am not keen on the continuous monitoring recommended throughout. Epidural is very common as is ceasarian for twins, and I feel this might be because of the attitude in the hospital (that twin birth is a very high risk procedure) and the inability for the mother to move around much. Birth pool is prohibited. A lot of people tend to be involved: obstetrician, pediatrician, anesthetist, as well as midwives.
I know I am fortunate in that I would be practically supported in choosing a homebirth by midwives. They are not at liberty to approve of my decision openly as it is against health authority protocol. I feel homebirth is right for me, in my individual circumstances. That said, the safety of my babies is paramount and I would not risk their well being by having a homebirth if I genuinely felt the risk was higher to them.
I have been told water pool to be used during labour only is risky for twin mums as it can exacerbate bleeding. Any thoughts on this?
Finding up-to-date relevant information to help me make an informed decision is proving difficult. Is there any way you can help with this during August (September too late)?
- Sara
I am due with my sixth baby this week, and was informed by my CNM that my GBS test was positive. If I deliver in a hospital, they will insist on IV antibiotics. What are the ramifications of such treatment, or lack thereof?
- Joanna
I was recently talking to a friend who was helping take care of newborn twins. Shortly after birth, one of them routinely cried hard and long. Passing it off with the old "colicky baby" label, the hospital didn't do much. The parents took the baby to a chiropractor friend when the baby was two weeks old. The chiropractor noted the baby's neck bones were out of place, almost dislocated. It probably happened during birth. The chiropractor adjusted the baby's alignment and the crying very soon stopped for good.
Taking a crying baby or "colicky baby" to a chiropractor should absolutely be on the list of things to do when trying to determine why a colicky baby cries. Find one who is knowledgeable about handling babies.
Babies cannot articulate what bothers them specifically, but they do let us know they are not comfortable. When a baby cries, don't stop until you find out why! Forget the careless phrase many like to say: "Babies just cry." This is a brush-off. They are not little people, but big people in little bodies. Being a baby is no picnic sometimes, and we should help them out any way we can.
- Anon.
Re: the article about routine induction by Nikki Lee [Issue 2:30]. I have heard some birth stories from women who had been induced with Pitocin who report that after receiving the drug their labors "failed to progress" and went on to need more intervention, and some ended up with a c-section. I wonder if there is a link between Pitocin and slowing of cervical dilation. Often I have heard this to be the reason for the interventions and c-sections.
I am also outraged that Pitocin is used as a "routine!" This means that women are being given it without question as to whether they really may benefit from it or without being asked if they want it. I know that in theory women have the right to refuse all "routine" procedures but how do you educate people about this and how do you enforce decisions made in the hospital at the time of birth?
- Brooke Russell
In response to the Bali birth story [Issue 2:31]: The blood you saw was probably either bloody show (which can be different shades of color) or it could have been placental abuption. Did the placenta slide out right after birth, or did you have to wait for separation? The baby either died from tight cord compression or placental abruption. Unless there is an unusual abnormality, the cord is inside the membranes, so with those intact it would not make sense for the cord to be the source of bleeding. I would say breaking the water would have been the best thing to do, assuming she was close to completely dilated. With mom saying the baby felt low and this being her fourth baby, the birth could have been facilitated to occur very quickly, thereby reducing the time baby's oxygen supply was cut off (checking dilation, popping water bag, coaching active pushing, and cutting episiotomy are steps to expedite birth). The baby may or may not have survived, but those are the basic steps to take. There comes a point of no return, and when baby is abnormally stressed at that point he needs to come out. You don't need to feel guilt over this birth; it was mother's choice to avoid outside help. Also, if you do feel called to continue helping at births, continue your midwifery education! There are plenty of resources out there. You will learn when to get aggressive. And don't let this shake your faith in safe homebirth.
- Danna Reed, LM, CPM
Re: checking for full dilation before encouraging the woman to push her baby out, I too shared her exact concerns and was excited to begin testing my theories about this issue once I was practicing on my own. At times I have wanted to kick myself for NOT checking because the woman ended up with a very edematous lip. There were never any serious problems because of this; I just know from reading the books how the cervix can be seriously damaged. But that kind of injury must be pretty rare because I've never encountered it. I don't always check for full dilation. It usually depends on the woman's contraction pattern, how strong the contractions are, how quickly she's progressing, etc. Also, whether or not I helped her with her last baby and if a lip was a problem before will influence my decision to check. So, I have come to completely individualize it to the present situation and know sometimes I will be able to get by without that final check and sometimes I'll regret not checking.
- Mary Ann
Once again Nikki Lee has shared some valuable stuff with the kindred spirits who subscribe to MT E-News [Issue 2:30]. I am certainly one. Our regional hospital has a very high rate of inductions (they are resisting revealing it to me-what a surprise). One of the two OBs in town is now offering "elective inductions" as of 38 weeks for moms who want one. How many 38-week pregnant women might choose induction, if offered? I shudder.
I teach childbirth classes and am trying my best to teach about the potential hazards of induction, especially if mother and baby are *not ready*! A woman in my class a few sessions ago opted for an induction and ended with a caesarean section (she never progressed past 3 cm dilation). Baby came out screaming. She called me for advice four days after the birth, when breastfeeding wasn't going well. When we discussed the birth and her son's disposition since the birth, she concluded (all on her own) that the baby had not been ready to be born. Although she gave up on breastfeeding (she was exhausted, recovering from major surgery, and just wasn't able to cope), she did get treatment (chiropractic and infant massage) to help her son come to terms with his traumatic birth.
I used to be very wishy-washy in teaching my classes--I didn't want to inflame the medical community. Now I don't hold back. It is an injustice not to share current research and ancient knowledge that backs up the fact that LESS intervention is usually best for mother and infant. I am always looking for more information to back up and beef up my teachings.
- Lisa Spracklin, B.Sc. doula, CBE
Editor's note: Readers, please share your ideas, references, links, whatever information you can give each other about routine induction. Send to email@example.com
Jennifer asked for sources of anti-Rhogam information {Issue 2:31]. Peckmann's Christian Midwifery, 2nd edition has some mild anti-Rhogam information and Polly's Birth Book does as well. She might want to contact Jehovah's Witnesses via the Internet to get more.
- Debby Sapp
In response to herbal fixes for constipated pregnant women [Issue 2:31]: yellow dock is a powerful nervine and should not be given to pregnant or lactating women under any circumstance!
- Anon.
I am desperately trying to get hold of a copy of Silent Knife: Caesarean Prevention and Vaginal Birth After Caesarean by Nancy Wainer Cohen and Lois J Estner. It is well and truly out of print! Any offers to Andrya Grubb, Independent Midwife email@example.com.
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Midwifery Today: Each One Teach One!


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JACKSONVILLE, Fla. - Ted Yoho says his rise to be the Republican favorite to win Florida's 3rd congressional district is "like a Cinderella story."
Yoho, a large-animal veterinarian from Gainesville with no political experience, managed to defeat 12-term incumbent Cliff Stearns in the August GOP primary, immediately going from tea party outsider to a darling of the Republican party.
"We've gone from virtually no name recognition to now, a lot of people recognize who we are," Yoho said.
Yoho says he likes his Democratic opponent, J.R. Gaillot, but disagrees with him on most of the big issues, like health care reform and government regulation.
"I always joke that we have the same barber because our hairline is the same, but that's about the only similarity," Yoho said. "You know he's for bigger government; I'm not. I'm for personal responsibility, free enterprise. I want to promote those things because that's what's made America strong."
"Doctor Yoho talks about getting government out of the way, complete deregulation, let the free market take over. We've tried that. It hasn't worked," Gaillot said.
Gaillot, who lives in Fleming Island, supports the Affordable Care Act and considers himself a Blue-Dog Democrat, meaning fiscally conservative. When Mitt Romney criticized 47 percent of the country for not being responsible or paying taxes, Gaillot says the governor was talking about a group that includes him.
Also on the ballot in this race is independent candidate Philip Dodds (pictured, left), a software manager and small businessman who lives in Alachua.
"My big party opponents are unknowns," Dodds told WJXT. "This is north Florida's chance to elect a new kind of representative. A free independent. A direct representative."
Copyright 2012 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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I'm always amused by Joss Whedon. His TV shows were about as individualist and libertarian as anything could be, but he's a socialist through and through. You have to admit, his comic timing is great.
Congrats to him. He's the billionth person to mention the zombie apocalypse meme as if it still resembles an original joke.
The most tiresome meme in Hollywood, book publishing, and the internets simultaneously.
It's not original, but he presents it well. The 'Parkour' bit is funny.
Underneath it is just Hobbes war of all against all. It's surprising that he is so honest about his buying into this particular old mythology.
If you even allow any less government than what the Democratic party wants it will be chaos, because human beings are mindless and inherently bad. In fact, it is easier to imagine apocalypse than not having the omnipotent state. People are sinful, but for the grace of the state. Which came into being because you and I signed a real contract with them. Also, if people don't get their abortions on demand, then there will be Malthusian nightmare.
All of this just a reiteration, and exaggeration, of already corrupt thinking among your average liberal.
Dude, wtf are you going on about?
Joss Whedon thinks if you do not vote for Obama, there will be chaos. Because Romney is an dangerous, dangerous anarchist Without the state there is no reproductive rights, education, social life, order, or anything else. It is drastic! And so he sarcastically supports Romney because wouldn't it be funny if there was really that meme we mention so much.
It's so obvious that any opinion other than the liberal one is correct that we can just make lame jokes.
I realize that Joss sympathizes with the Democrats (he has explicitly said so), but that shouldn't take away from his entertaining comedic timing.
Had the video been exactly the same, but instead described statists as 'zombies', you know you'd love it.
Holy crap. It's only been up for 1 day and already has almost 2 million views and 11,000 comments!?
These are the moments when I miss Frank Zappa. At least he always had something witty or funny about politics which both sides of the spectre could understand. Sadly now we are left with that bunch of leeches and freeloader that is his family...


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The dish on Long Island's restaurant and food scene.
Open Table, the online reservations service, has issued its list of 100 "hot spot" restaurants nationwide, and four Long Island dining rooms have sizzled in.
Monsoon in Babylon, Toku in Manhasset, Hendrick's Tavern in Roslyn, and Honu Kitchen & Cocktails in Huntington are on the 2013 list.
The restaurants are chosen from 5 million reviews by participants in Open Table.
All the local representatives sport bold designs and a lively dining scene. For food, Monsoon earned four stars; Toku and Hendrick's, three; and Honu Kitchen & Cocktails, two.
See the full list at opentable.com.


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N.C. State freshman Bryant Shirreffs accounted for two touchdowns and Pete Thomas was 24 of 31 for 237 yards
Final Stats | Photo Gallery | NCSU Quotes
RALEIGH, NC (AP) September 7, 2013 – Niklas Sade's 48-yard field goal with 33 seconds left lifted NC State past Richmond 23-21 on Saturday night.
N.C. State freshman Bryant Shirreffs accounted for two touchdowns and Pete Thomas was 24 of 31 for 237 yards while helping the Wolfpack (2-0) rally from an 11-point deficit.
"They found a way to win," said head coach Dave Doeren, who now posts a 14-0 record in home games as a head coach. "A lot of teams wouldn't do that. I told our guys I was proud of them. We made plays and a lot of mistakes too. We had 10 penalties tonight, which was disappointing and something we have to correct. But, Richmond is a good football team. They don't make many mistakes which puts pressure on us when we do."
The Wolfpack took over at its own 21 with 1:59 left and Thomas led the squad 48 yards in seven plays.
He completed 4 of 5 passes during the drive for 31 yards – including a critical 13-yard throw to Rashard Smith at the sideline – before things stalled at the 31. Sade's kick from the right hash cleared the crossbar with ease.
"As soon as it left my foot, I looked up, and it was falling right and it went in, said Sade, who left the building following the game still cradling the game ball. "I take every kick as the game-winning field goal."
Michael Strauss moved the Spiders (1-1) downfield in the final seconds, but his deep heave with no time left was batted down by Hakim Jones just short of the goal line.
The Wolfpack tallied three sacks against the Richmond squad that gave up only five last season. Carlos Gray, Art Norman and Thomas Teal each got to the Spider QB for sacks.
NC State honored those who serve during the day's Military Appreciation festivities.
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UCL and Big Data: funding announcement
UCL is involved in a number of projects under the £73 million 'Big Data' initiative announced at 6 February by the Minister for Universities and Science, David Willetts MP. More...
Published: Feb 19, 2014 1:00:20 PM
Imaging is a broad subject area encompassing the representation, manipulation and understanding of the physical world on a 2D array, at scales from human visual through robotic vehicle and aerobots through to orbital views around our planet, the Sun and the celestial bodies in the Solar System and beyond into the Universe.
Our research is focused on developing enabling imaging technologies and corresponding datasets to allow new scientific understanding with applications centred on space and climate physics. Imaging technologies include instrument development, algorithm development and software implementation, massive data processing and the display and dissemination of imaging products using 3D enabled and web-GIS systems.
We create novel geospatial products for planetary surfaces and atmospheres at scales from a rover vehicle through aerobot through to global. These include 3D land surface, surface roughness and sub-surface topography, 3D maps of smoke and cloud-top winds and heights, 3D maps of solar Coronal Mass Ejections, land surface broadband BRDF and albedo, spectral BRDF as well as their visual 2D and 3D representation. Scientific studies include looking at the relationship of solar CMEs with terrestrial (and extra-terrestrial) weather and climate (with the Solar Group) as well as time sampling issues concerned with satellite vs ground-based atmospheric measurements.
Our current focus on planetary science is to develop 3D workstations for processing rover stereo imagery from planetary surfaces (with the Planetary Group) and the development of novel life detection systems employing hyperfine hyperspectral sensors and UV-induced fluorescence.
As well as working with other groups within MSSL, we are part of the Centre for Planetary Scienes at UCL/Birkbeck.
Page last modified on 09 sep 11 13:19


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Ask Denise Johnson about the issues facing adjunct faculty and she could draw you a picture.
In fact, that's what she did for the Community College Association when she designed a variety of materials for faculty to use in observing Campus Equity Week. An artist, graphic designer, art history instructor and adjunct representative on the Chaffey College Faculty Association, Johnson has been an activist for part-time faculty since attending a conference of the New Faculty Majority three years ago.
"Rehire rights, access to health care, not enough information on the Affordable Care Act, paid office hours, access to offices, equal pay for equal work and general inclusion," she says, ticking off the list. "For some, it's a breakthrough to be invited to a department meeting."
Johnson attended that first conference to join the effort to unite full- and part-time faculty over a shared interest in quality education and equity. Since then, she has become increasingly involved in committees on campus, in her union, and now, in CCA's Part-time Issues Committee.
At their meeting in September, all the members contributed creative input to a coherent plan for CCA chapters' CEW activities, dividing up the work of designing their "tool kit" for all our campuses. As part of that committee, Johnson designed posters, certificates, mugs and buttons to call attention to equity issues, while others took on the work of research and making sample items so that our chapters could order what they needed. The committee members also staffed a table at our Fall Conference, where they handed out materials and the electronic tool kit to representatives from 23 of our chapters.
This year, community college adjuncts were joined by their California Faculty Association colleagues in the CSU system, and NEA members across the country in raising awareness of the nation's increasingly stratified higher education system.
The issue has never been more pressing. With adjunct faculty now constituting the "new faculty majority," or about two-thirds of faculty nationwide, the annual Campus Equity Week taking place in late October has become more visible at colleges across the country.
Despite their doctoral degrees and other experiences, adjunct faculty are drastically underpaid, many earning less than the average sales clerk at Wal-Mart and often having no healthcare benefits.
The majority of contingent academic workers earned an average wage of $2,700 for a three-credit course in 2010, according to the National Education Association. This figure means they barely made the minimum wage for each hour of their work, despite holding advance degrees.
Despite the dreary news, Johnson is optimistic that progress is being made.
"I think we're in the process of awakening," she said. "We're beginning to make strides in bringing equity to campuses."
Meanwhile, faculty on one campus, College of the Canyons in Santa Clarita, added a new dimension to the ongoing struggle – a forum on self-censorship.
The idea emerged from a discussion between faculty association president Vincent Devlahovich and an adjunct faculty member.
"He shared in confidence his concerns about how adjuncts often feel they cannot be candid in their respective departments or at their respective institutions for fear of how they may be perceived by full-time faculty and administrators. These perceptions could negatively influence section assignments by chairs, recommendations by full-time hiring committees, and their reputations in general – creating an environment where adjunct faculty must self-censor themselves," Devlahovich said. "Having been an adjunct, I see the phenomenon of 'self-censorship' as a symptom of the 'job insecurity' experienced by our adjunct colleagues."
A number of rallies, workshops and discussions sponsored by the California Faculty Association were held on CSU campuses as well.
CFA President Lillian Taiz opened the first event of the week saying, "What unifies us all across the country this week is a belief that a two-tiered system will destroy meaningful access for millions of working people, robbing them and our society of the benefits quality higher education can provide."
Every child deserves a chance to learn and no child succeeds alone.
© 1999-


text:
Ramos off paternity leave, ready for 'pen duty
Left-hander is expected to assume prime relief role, according to Maddon
ST. PETERSBURG -- Rays reliever Cesar Ramos made his return to the clubhouse on Tuesday following the birth of his first child, Addison Lynn Ramos.
"It's awesome," Ramos said. "You always look forward to that day, and now it's here, and it's kind of hard to explain the emotions I went through. But I'm just happy. Good delivery and healthy baby, and all is well."
Ramos' daughter was born on Saturday, and the lefty was reinstated from paternity leave on Monday, but he was not present for the series opener against the Royals.
Ramos said that he didn't get much sleep at the hospital, when all he had was a fold-out chair, but he got a couple of solid three- to four-hour stretches in at home.
"I guess that's pretty good, from what I've heard from other stories," Ramos said. "Anything that gets past two hours, I'll take."
On Monday, with Ramos getting ready to come back, manager Joe Maddon spoke about wanting to get Ramos into higher-leverage situations out of the bullpen. After all, with the stress of being a new dad, what's a little bit more at the ballpark?
Ramos' fellow reliever, Jake McGee, is also expecting his first child. McGee's wife is set to have induced labor on Wednesday, so that the baby can be delivered on the Rays' off-day on Thursday.
Did Ramos have any advice for McGee?
"If he has the opportunity to deliver, definitely do that and be a part of that," Ramos said. "It's definitely a special moment that you can't ever take away."
David Adler is an associate reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


text:
Moderators: Timko, Fritz, Solty, Booter, Blake_T, Frank Delicious
Furthur wrote:Either get a lighter one, throw harder, or find a disc with more glide.
Working Stiff wrote:Some of the discs... need to go to make room for it. To me the Coyote seems to be sitting right in that spot...
Dave D wrote:My go to drivers are R-Pro Boss 157-160, and Star Destroyer 169. I throw Vikings and Roadrunners for fairway drivers. My mids are R-Pro Cro and Champion Coyote.
Ryen91 wrote:I am pretty sure I am more intelligent then you think and have allot more knowledge then your post might suggest.
jsun3thousand wrote:Disc golfers are holding the sport back.
pointdisc wrote:...and not changing the mold midstream while not letting the public know and end up with about 3,458 different molds of the same disc of which the original was the best, but they won't go back to it (usually).
discspeed wrote:Working Stiff wrote:So what is the point of bringing back the San Marino Roc? Other than to confuse the shit out of new players, that is.Jesse B 707 wrote:if they were gonna try to clone anything im pretty sure they would go for the buzz at this point, doubt the comets sales numbers are anything to stress for innova
I guess I could see it if the San Marino flies like shit in Star and Champ and the Mako is planned for Champ and Star runs to complete with the Z and ESP Buzzz. There still is too damn many mids in that lineup if you ask me, something like the Shark or Coyote (or both) need to go.
Dave D. doesn't throw Rocs. In all my posting back and forth with him over the years I would venture to say that if it were not for the Roc's mystique and popularity Dave would have scrapped it by now. So Innova makes the Roc line of beaded mids and the non-Roc line which Dave is more personally invested. Most of these non-Roc mids have had major weaknesses compared to the Roc and its incarnates and clones. Dave still wants to fix this and make a straight mid with good HSS and glide that grips differently from the Roc. I'm not sure the Mako sounds like the answer though.
By the look and description its basically going to be an Aurora-type disc, hardly seems groundbreaking...How will Innova droll up excitement over this one? It not like they can ride the Shark's underwhelming popularity...
x-out wrote:Dave does not like Rocs very much, but he usually does keep one in the bag for a few shots though. It is like you said, its mostly due to the mystique and that so many players endorse it that it is so popular. His bag is ever changing, but he does enjoy a nice spider in the bag. He is on the constant search for a better gripping roc and a putter that will make him into a sniper.
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text:
(MCT) — MILWAUKEE—This time it wasn't a church.
But the result of Sunday's shooting rampage, at a prominent salon and spa in Brookfield, was all too familiar:
Three people murdered, four others injured, and a lone gunman dead by suicide.
In the Milwaukee area's second mass shooting in less than three months, a 45-year-old Brown Deer man — a husband, father, homeowner and ex-Marine — turned the Azana Salon and Spa near Brookfield Square into a killing ground.
Dead are three women, all shot as Radcliffe F. Haughton stormed through the salon bent on killing his wife, an employee there. About a dozen people were in the building at the time.
Police wouldn't say Sunday whether Haughton's wife, Zina, was among the dead.
But it appears she was the target. Just two weeks ago, she got a restraining order placed on Haughton after he showed up at Azana and slashed the tires of her car.
Sunday evening, Brookfield Police Chief Daniel Tushaus said it appeared that Haughton's shooting spree was rooted in domestic violence.
The killings occurred only a half mile from the 2005 murders of seven people by a gunman who opened fire at a church service, and 11 weeks after a mass shooting at the Sikh Temple in Oak Creek left another seven dead.
The former crime was the work of a religiously devout church member who came mentally unhinged. The latter apparently was motivated by ethnic hatred. This one seems to have been personal.
Haughton had sent signals recently of possible trouble.
About the time the restraining order was issued, he posted on his Facebook page: "Need to get out of Wisconsin, HELP *"
Not long afterward, he told his father — who warned him not to do "anything stupid" — that he had to leave the state.
And a Google Plus page linked to Haughton includes a bizarre photograph of a man who appears to be him, pointing what looks to be a weapon at the camera.
Outwardly, Haughton's life in some respects appeared to be on solid ground. He had worked as a salesman of pricey imported cars, and he and Zina had owned their Brown Deer home — a ranch house in a middle-class neighborhood with neatly raked lawns — since 2002.
They shared the house with their 13-year-old daughter and with Zina's 20-year-old daughter from a previous relationship.
But in suburban Chicago, where he grew up, Haughton accumulated a misdemeanor criminal record, being convicted twice of marijuana possession in the '90s and earlier this year of disorderly conduct, The Chicago Tribune reported.
In Milwaukee County, he was charged last year with disorderly conduct, but the case was dismissed after a key witness didn't show for the trial, online records show.
Sunday, Brown Deer Police Chief Steven Rinzel said his department has had contact with Haughton — most recently in the past few weeks — and been called to his home.
Haughton took a taxi Sunday to Azana, a two-story building at 200 N. Moorland Rd. He got there about 11 a.m., toting his weapon — police haven't said what kind of gun or guns he used — and a black-and-white backpack.
Then, chaos.
Katie O'Rourke heard the gunshots ring out. She and another massage therapist were upstairs, with clients. They had no idea where the shooter was, but they knew they had to act.
They took the massage tables and turned them into barricades against the unlocked door, doused the lights, turned off the piped-in music and crouched in fear in the dark, windowless room for nearly 45 terrifying minutes.
Speaking in whispers on her cell phone, O'Rourke, 23, of Wauwatosa, called 911. At first, the operator told her to leave the building — a two-story, 9,000-square-foot structure carved up into many small rooms. O'Rourke didn't like that idea.
"I didn't know where the shooter was," she said.
She said the 911 operator tried to keep her calm, that help was coming. O'Rourke told the operator what she could hear in the building.
She and the others heard the sprinklers go off in the hallway — Haughton had started a fire — but sat tight.
"We didn't even know if the building was on fire," O'Rourke said.
After nearly 45 agonizing minutes, police got to the women's room.
"The operator was talking to the officers outside the door," O'Rourke said.
She and the other three opened the door, then made for the exit.
"We all held hands, and got out of there as fast as possible," she said.
As they fled, O'Rourke said she stepped over a lifeless body on the first floor. Nearby, she saw another victim, apparently dead, on the floor.
"I don't even know how to describe it," she said of her experience. "It was scary. It was something else."
Others also were terrorized.
One woman fled, screaming, into traffic on Moorland Road.
"She ran right out into the street and was pounding on cars," said David Gosh of West Allis, who had been returning from duck hunting earlier Sunday with his father, John, and a friend, Ben Luedke.
Gosh said that moments later, a man with a handgun ran out and appeared to be chasing the girl.
Just then, Gosh said, police began streaming to the scene, and the gunman, seeing them, ran back into the building.
John Gosh said he then saw two women come out of the building who had been shot. Both were bloody, he said; one appeared to be shot in the leg and the other appeared to have been shot in the back.
Another bystander, Christopher Pfeiffer, of Pewaukee, saw a young woman run barefoot and frantic through the Brookfield Square parking lot.
"She was screaming, yelling, crying hysterical. She was pleading for help," Pfeiffer said. "She kept saying, 'My mother was shot.'"
The four women wounded by Haughton — ages 22, 30, 32 and 40 — were taken to Froedtert Hospital in Wauwatosa.
All are expected to survive, hospital officials said Sunday evening. The women were not identified.
One of the four was undergoing surgery early Sunday night and was in critical condition. A second had already undergone surgery, and was in satisfactory condition. A third was stabilized, and scheduled for surgery later Sunday night. A fourth did not require surgery, but was admitted, hospital officials said.
Details of the injuries, including the number of times victims were shot, were not provided. Dr. Gary Seabrook, director of surgical services, said four patients were brought to the hospital "with multiple gun shot wounds to their extremities."
Tushaus said police got the first call — "shooting in progress" — at 11:09 a.m.
When officers got to the salon they found three women dead at the scene, and helped evacuate the other victims as well as others who were inside the building — about a dozen in all, the chief said.
There was smoke in the building from a small fire in a hallway that they believe Haughton started. Also in the building was a one-pound propane tank, but Tushaus said it was unknown if Haughton had brought that to the salon, or if it had been left by contractors who were working at the site earlier.
It took police hours to make sure that the building was clear. The process was painstaking because of the many small rooms at the salon, and because officers didn't know Haughton was dead.
"We methodically did a search of that building expecting to encounter the suspect," Tushaus said at a news conference. "That's what took us so long....We were expecting an armed encounter if we did come across him."
Sympathy for the victims poured in Sunday. Many people posted comments on Azana's Facebook page.
Owner Tami Gemmell issued a statement thanking those who had reached out.
"We are devastated by this tragedy and remain in shock over how this could have happened," she said. "Please know that our first concern is for the victims and their families, and for our Azana family. We are grieving over the loss of our colleagues, their families and we are praying for those who are still fighting for their survival. We appreciate that you have many questions, and I will be available tomorrow to answer what I can, but tonight, we need to tend to each other."
As Pardeep Kaleka knows too well.
His father was among those killed at the Sikh Temple in August, and the sorrow Kaleka endured led him to a new role — as a volunteer grief counselor with the Salvation Army.
He was at his church when the organization texted him: More people had been shot, and he was needed.
So on another sunny Sunday morning, not so different from the day his father died, Kaleka was in Brookfield, consoling others. Some told him they'd been in the salon and heard the gunshots.
"I told them they'd hear gunshots echoing for a long time," he said.
(Journal Sentinel reporters Georgia Pabst, Don Walker, John Fauber, Karen Herzog, Crocker Stephenson, Meg Jones, Paul Gores, Ellen Gabler, Jim Nelson, John Diedrich and Bill Glauber contributed to this report.)


text:
Undergraduate Admissions
Higher Values in Higher Education
Western Illinois University is a mid-sized university with a wide variety of options, both academic and social to offer students. Whether you are a prospective student, transfer student, or a non-traditional student, the transition to college is an exciting time and we are glad you have decided to explore WIU.
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Sherman Hall 115
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Email: email@example.com
Phone: (309) 298-3157
Toll-Free: 877-PICK-WIU


text:
ARLINGTON, Va. The Safe Quality Food Institute, a division of the Food Marketing Institute, announced that it has added an ethical sourcing standard for labor and environmental practices to its supplier auditing programs.
"The ethical sourcing standard will help advance fair labor practices and environmental stewardship on a global scale using the reach of the SQF program. This standard will give the food industry and consumers an extra measure of assurance that these practices are conducted according to the best available guidance and in compliance with all applicable laws and regulations," said Jill Hollingsworth, FMI group VP food safety programs.
The standard addresses such environmental concerns as energy use, air emissions and waste management, while the labor component focuses on such issues as wage compliance, worker benefits and occupational health and safety.
The SQF Institute said it is now pilot-testing use of the standard and training auditors how to check companies for compliance.


text:
|Tysons, VA
United States
|Web Site:
|11600 Sunrise Valley Drive
Suite 290
Reston, VA 20191
United States
|ObjectVideo is the leading provider of intelligent video software for security, public safety, business intelligence gathering, process improvement and other applications. Originally founded in 1998 by world-renowned scientists and program managers from the Defense Advanced Research Projects Agency (DARPA) and headquartered in Reston, VA, ObjectVideo is a private company backed by leading venture capital partners. The company employs more than 100 highly-skilled professionals and is led by a renowned management team. Nearly 40 of the company's research and development staff are PhD's, internationally known for their research in the field of computer vision. ObjectVideo holds numerous patents in the field of computer vision, with many additional patents still pending. ObjectVideo software is primarily available to the market through original equipment manufacturers (OEMs) that embed ObjectVideo OnBoard - digital signal processor-based technology - into a variety of devices. ObjectVideos world-wide partner network includes industry leading manufacturing and technology partners.
Support ObjectVideo with Social Media services
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A resource for reliable information about significant people, places, events, and things in Minnesota history.
A poster, created by Hmong youth in June 2014, used to advertise the eighteenth annual health fair organized by the Hmong Health Care Professionals Coalition. The fair was held in July of 2014 at Lao Family Community of Minnesota's Hmong Freedom Festival at Como Park.
Logo used by the Hmong Health Care Professionals Coalition.
Hmong New Year postcard showing two young women in traditional Hmong dress, c.1980s.
Hmong paj ndaub, or story cloth, illustrating Hmong New Year activities. Made in at a refugee camp in Thailand, c.1980.
Hmong paj ndaub, or story cloth, illustrating Hmong New Year courtship rituals. Made in Ban Vinai, Thailand, c.1988.
Hmong paj ndaub, or story cloth, illustrating Hmong New Year activities. Made in Ban Vinai, Thailand, c.1989.
Paj ornament made by May Yang, c.1982.
Inset of a Hmong story cloth (paj ndau) depicting the flight of the Hmong across the Mekong River, from Laos into Thailand. Made in 1985.
Hmong students in a class at the Lao Family Community Center inside a branch of the St. Paul YMCA, c.1980.
Hmong tb lub pov courtship ball used during a Hmong New Year celebration. Made by Mai Yia Thao of St. Paul on December 16, 1994.
Made possible by the Arts and Cultural Heritage Fund through the vote of Minnesotans on November 4, 2008. Administered by the Minnesota Historical Society.
Minnesota Historical Society • 345 W. Kellogg Blvd., St. Paul, MN 55102-1906 (Map) • 651-259-3000 © .
Send questions or comments to mnopediamnhs [dot] org. View our Privacy Policy.


text:
Dear friends,
I like to point out an maybe importand issue in reagard of accumulate good "teachers" in regard of some amount of real knowledge and understanding. Usually even they appear from time to time they are soon on the flight again as far as I had seen on may places.
A Bhikkhu or somebody who has reached some amout of understanding is not really able to take something that is not given. And if he/she do so, it will cost him the possibility for further attainments. We all know from simply rules of the Bhikkhus that they are not alowed to teach when they are not asked for.
I know that there are many very compassionated people who step over it, or even say, today and here its is different, but actually it is not.
I give it up to you to consider it a little depper for your self.
Supposed there is somebody who has been given the possibility to use Internet and also has a possibility to use controlled electicity (which is by the way good if somebody takes care of if he invites such "teachers" and Bhikkhus so that they are not limited in there own development through compassionat deeds) its is how every still difficult and much of assuming where to answer a question.
Maybe it would be good to make a special section where such invited people can teach or maybe there is the possibility to put a special sign on the topic of post. I have seen some boards who have such possibilities (remeber question sign, or heart, are there in use) and visibal in the forum next to the topic titel.
So such a sign would be able to declare the wish of a teaching form such an invited person, who should be also some kind of marked or introduced. Not to forget that they should sit higher to give Dhamma the respect that is nessesary and required to teach. Otherwise its is just a matter of time till there is no more a little respect.
This would give a lot of possibility to teach straight forward and to read statements of people who are not in the need to take care to maintain their livelihood through teaching and would take away a burden of those who are living in such burdens.
It would how every increase the good influence on the board and would help those who have a lot of compassion and contine there work here. Many might fall into the thought: "He has troubles, what should be the problem with it, we are all adult." which is understandable, but even so try to give it a thought and try to develop a possibility of stringless Dhamma giving which is of cause not easy in the fine material world of the internet.
But to sign the topic generally in regard of the OP intention would be next to the "Bhikkhu" problem maybe useful:
I don't know:
* Diskussiontopic
* Sharetopic
* Teach and explain me topic
even a * I like to teach topic
maybe, so there will be no frustration in reagard of the prospects of the topic maker and lesser misunderstaning about the purpose of the topic for others, as there are some who direct questions very gently and so get actually no answers as the general attention is not always high.
Maybe there is also somebody who is able to bring this words of mine into a form that is more understandable.
Wish you anyway much success and may many wise people who join. Its all about conditions.


text:
A collision at midspan in the northbound lanes of the Golden Gate Bridge slowed traffic Friday morning.
The wreckage was cleared as the vehicles were moved to Vista Point by 7:30 a.m. There were no immediate reports of injuries.
Passing cars were hit by debris from the collision, but no other incidents were reported.
Contact Nels Johnson via email at firstname.lastname@example.com. Follow him at twitter.com/nelsjohnsonnews


text: The Department of Human Services (DHS) is dedicated to providing quality services that consistently meet expectations with the goal to protect, assist and empower economically disadvantaged individuals and families, and people with disabilities to achieve their maximum potential. We strive to ensure a seamless array of services through partnerships and collaborations with communities statewide. We seek to promote accountability, transparency and quality in all that we do.


text:
Garden Accessory Kit and Storage Box
This item is currently not available.
Additional Information
Exclusive | Essential, Grab-and-Go Gardening Accessories in a Customizable Storage Box
- Easy-to-carry storage box includes handy garden supplies
- Box keeps accessories organized and ready when you need them
- Internal panels can be arranged and rearranged to vary the size of the compartments
- Includes storage box plus Earth Staples, Garden Twine and 2-in-1 Plant Ties
Keep your gardening accessories close at hand and eliminate walking back and forth to your storage shed. Our kit includes a handy grab-and-go box with these garden essentials: 15 Earth Staples, 400 feet of jute Garden Twine and twelve 2-in-1 Plant Ties. There's still plenty of room for seed packets, garden snips, and other essential garden accessories. The long-lasting polypropylene box has two secure latches and a convenient handle. You can quickly and easily configure the internal panels to create 18 small compartments or fewer larger ones. Garden Accessory Storage Box also sold separately.
Product Details
- Polypropylene
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- 6" H Earth Staples, set of 15
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text: I know it is way too early to be talking about next years draft. But could Indy trade a player to get a first round pick, preferebly early to mid first round? If that could happen we should try to draft David Pollack. Imagine, Dwight Freeny on 1 end and David Pollack on the other. Maybe it is just me but that gives me the chills. Or maybe we save it for a later year and draft Thomas Davis, the hardest hitting linebacker in the SEC, just a thought.


text:
Many large organizations have too little capacity for external sensing, strategic reflection, and business transformation. As a recent WalMart staff proposal stated "We have cut costs too far, stores are understaffed, and ...
Scooped by
David Hain
onto Business change
Not only on the executive levvel, but also in operations. Imperative for service designers and service managers


text:
Artist LunchLogic Grid puzzles come with a handy interactive grid that will help you solve the puzzle based on the given clues.
Five budding artists are meeting for lunch today at the new Thai restaurant in town. Use the following clues to determine the first (Allie, Billie, Callie, Donnie and Effie) and last (Adams, Booker, Cheek, Devlin and Efferman) names of each artist, along with her favorite medium (Acrylic, Oil, Pastels, Pen and Ink and Watercolor) current focus (Children, Dancers, Fish, Landscapes and Nests) of each artist, along with their "day job" (Banquet Server, Bartender, Cashier, Driver and Teacher.) Nobody shares the same name, favorite medium, current focus or day job with anyone else in the group.
1. The driver has never been drawn to landscapes and the teacher paints with either acrylic or oils. Ms. Efferman is currently focusing on either children or fish. The oil painter is either the bartender or the driver.
2. Billy paints with either acrylic or watercolors. The surname of the driver is either Cheek or Adams. Callie is either Ms. Adams or Ms. Devlin. Donnie uses either acrylic or oil paint. The oil painter is focused on either dancers or landscapes.
3. The watercolorist is either the banquet server or the teacher. The one working with pen and ink is neither Allie nor Effie. The acrylic painter is not focusing on landscapes or dancers. Neither acrylic nor watercolor is used to portray children.
4. Ms. Adams is either the bartender or cashier. Allie either uses pen and ink or is focusing on children. Either Allie or Billy is the banquet server. Ms. Adams' work portrays either dancers or fish.
6. Effie and the acrylic painter shared a pizza, Ms. Cheek had a salad, while the banquet server and the nest aficionado both had the soup of the day.
AnswerFirst-Last-Medium-Theme-Day Job
Callie-Devlin-Pen and Ink-Nests-Cashier
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