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Kids 'N Comedy Presents CHRISTMAKWANZUKAH at Gotham Comedy Club, 12/16
Kids 'N Comedy, New York's leading presenter of young comic talent, will present "Christmakwanzukah," their holiday show, December 16 at Gotham Comedy Club, 208 West 23rd Street.
Wait, do you hear that? Is that church bells in the distance? Oh, wait. No. It's just a bunch of teenagers making fun of their Christmas sweaters and complaining about the worst gifts they ever received in the winter holiday season. Come see if that pair of socks you sent them made the list!
Kids 'N Comedy maintains a high standard of creativity by an emphasis on new work. It's shows feature exclusive material and each show contains new writing by its young comedians that is created expressly for the varied topics of the shows. Kids 'N Comedy's monthly shows at Gotham Comedy Club offer a turntable of talented teens and 'tweens from the tri-state area. In the company's shows, each comic performs his/her own material, which is screened to be free of profanity and abrasive or crude "low" humor. They do, however, venture into edgy comic terrain: politics, getting old, even death.
"Christmakwanzukah" will feature Val Bodurtha, Connor Carroll, Leo Frampton, Rachel Kaly, Eric Kurn, Zach Rosenfeld, Lee Wolfowitz and others.
Valerie Bodurtha hails from Stamford, CT and is a tenth grader at Horace Mann. Her mom is a reporter and her dad works in finance. She has three siblings and no pets ("Had a toad but he's dead now.") Her hobbies are belly dance, tap, Irish step dance, tuvan throat singing, improv, yoga, playing guitar, banjo, and ukulele, debate, basketball and fencing. She's been in nine plays and four dance concerts and has worked as a camp counselor. She speaks English and Hebrew and is learning Spanish. Her passions include preventing the spread of fast food corporations in other countries.
Conor Carroll recently completed filming in "Ender's Game," a sci-fi thriller by Gavin Hood starring Harrison Ford, Abigail Breslin and Ben Kingsley, which is currently in post-production. He hails from Brooklyn and is the son of a retired NYPD Sergeant and a Grant Consultant/Homemaker. His hobbies include drawing comics/anime, impressions and annoying his 16 year-old brother. He has been acting since he was four years old, performing in commercials, movies ("Away We Go," "Phoebe in Wonderland," "Perfect Holiday"), TV shows and voiceovers. He's a seventh grader at Professional Children's School and something of a language lover: he's studying French, Russian and Italian. His pets include a Great Pyrenees named Luna and a Russian tortoise named Boris. He's allergic to incorrect grammar, puns and basic idiocy. His sports are Weight Lifting, Swimming and Channel Surfing.
Leo Frampton, an eleventh grader at Winston Prep in Manhattan, is the son of a teacher and a director of Art Therapy. His hobbies are video games, comedy and school. His siblings are two cats ("Not much words are exchanged, but the peer-pressure is palpable.") He has starred in a few school plays, but mostly it's comedy for him. His passion is comedy. His only sport is comedy.
Rachel Kaly, of Queens, is an eleventh grader. Her mom is a French teacher and personal trainer. She has a pretty sweet Pez collection and a younger sister. She appeared on Sweepstakes week on Conan O'Brien and has modeled for toys like Barney. She baby sits pretty frequently. Asked if she has any languages, she claims fluency in English, but calls it a close second to Sarcasm. She is allergic to bad jokes, the Tea Party and really furry cats. Her passion is making people laugh. Her sports are Basketball and juggling her dignity.
Eric Kurn, of Jericho, NY, is the only child of a Creative Director and a Kitchen/Bath/Closet Designer. He's a tenth grader at Jericho High School and his hobbies include Xbox and Volunteer Community Service Programs. He has a beagle named Buddy and no allergies. His passions are comedy and hanging out with girls. His only sport is watching the Yankees.
Zach Rosenfeld hails from Brooklyn, where he's a ninth grader at St. Ann's. His mom's a filmmaker and his dad's a businessman. His hobbies are Computer, Trumpet, Comedy, Golf and Tennis. He has a younger brother (Noah, age 8). He did lighting for a school play and a bit part in one of his mother's films. Job experience? "Casting Assistant. Shoveling snow." He owns a Labradoodle and has no allergies. His passions are Comedy and World of Warcraft; his sports are golf and tennis, formerly soccer.
Lee Wolfowitz, of Manhattan, is an eleventh grader at Bronx Science; his parents are an investment banker and a full time Mother. His hobbies are video games, TV and music. He has a younger sister. He makes money by babysitting and giving computer assistance. His passions are material possessions and his adorable dog, Charlie.
Host of the show is David Smithyman, the dry-as-a-bone Australian-bred comedian who is Emcee, Producer and Senior Instructor of Kids 'N Comedy. Smithyman's book, "Young, Funny and Unbalanced: a Stand-Up Comedy Guide for Teens," was recently awarded a Silver Award by Literary Classics. It is available through Amazon (ISBN: 1478161752). The book outlines methods for summoning material organically out of your soul and explains the Kids 'N Comedy method of comedy training, which is an unconventional education for unconventional kids.
Kids 'N Comedy originated in 1996 as a talent show for kids at a The West End Gate restaurant on the Upper West Side that was owned at the time by Associate Director Stu Morden, Art D'Lugoff and Manny Roth (Cafe Wha). The talent of the kids caught the attention of BBC-TV, which filmed a documentary about them, which resulted in more media attention. Demand spiked among kids wishing to perform and this prompted Morden and his wife, Artistic Director Jo Ann Grossman, to establish Kids 'N Comedy to serve these budding comics through classes taught by a rotating staff, an intensive summer comedy camp, and professional gigs. Their performance series started at The Knitting Factory in 1996 and moved to Caroline's in 1998 and to Gotham Comedy Club in 2000. The founders point out that there's a ten year ramp-up to a comedy career and stage time is essential to becoming a good performer. Before there was Kids 'N Comedy, getting that stage time was nearly impossible, since Comedy Clubs are primarily bars and therefore off-limits to teens.
Distinguished alumni of Kids 'N Comedy include Josh Peck, star of Nickelodeon's "Drake & Josh," and Lucian Maisel, who can be seen in the film "The Ex" with Zack Braff and Amanda Peet. Last Spring, ensemble member David Thompson made his film debut in "WIN WIN" with Paul Giamatti (directed and written by Tom McCarthy).
Beside their regular shows at Gotham Comedy Club, Kids 'N Comedy performers have appeared at a variety of benefits and charity events, including events of the WB11 Care for Kids Fund, a fund of the Robert R. McCormick Tribune Foundation (supporting needy families, including teen mothers, homeless families and at-risk youth), Starlight Starbright Children's Foundation (it brightens the lives of seriously ill children and their families) and the Toyota Comedy Festival.
Pictured: Conor Carroll imagines himself as a Christmas present. Photo by Julia Slaff.


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Submersible LED Tea Lights, Set of 4
Item# 8586495
This item is currently not available.
Additional Information
LED Submersible Tea Lights
- Submersible tea lights have amber-colored LEDs
- Three settings: constant on, flickering and blinking
- Set of 4
- Ideal for use with Ice Globe Luminaries
Submersible LED Tea Lights have amber LEDs with three settings: constant on, flickering and blinking. Lights run 12+ hours on a set of two batteries, included.
Product Details
- Plastic, LED bulb, rubber gasket
- 1-1/8" in diameter x 1" H
- Uses two CR2032 batteries, included
Reviewed by 1 customer
- 3 Adjustments
- Any Place
- Hard To Find Lithium Rep
Best Uses
- any place
- Small Or Smallest Pl
Arrived well protected
Settings were well explained
Easy to set up, especially in small glasses where before ordinary candles were impractical
Lithium batteries last the longest, but their disposal is difficult
- Was this a gift?:
- No

subset: commoncrawl


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Coyote wrote:Anyway, couldn't one argue that formal sitting practice helps build concentration thus making "mindfulness" (in conventional terms) clearer?
One could argue that's the whole point of formal sitting practice - to facilitate mindfulness and insight off the cushion. From a practical perspective I've found that maintaining mindfulness without a sitting practice is much more difficult.


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Remote Wind Energy SCADA Control System
Like Old-Fashioned Farming, Tending a Wind Farm Is a 24/7/365 Job. At Iberdrola Renewables, the New SCADA System Is a Key "Farm Hand"
By Harm Toren
At Iberdrola Renewables (www.iberdrolarenewables.us/), our National Control Center is professionally staffed 24/7/365, performing operations, energy management, scheduling and generation dispatch functions. This helps us to better manage risks and uncertainty while fulfilling energy requirements with sustainable and clean power. Originally called PPM Energy and part of Scottish Power, our company began operating in Oregon in 2001 with 12 employees. As of 2010, more than 850 workers throughout the United States maintain, develop, build and operate nearly 5000 megawatts of wind power and other power plants.
Our recent addition to the Iberdrola Renewables fleet is the National Control Center located in Portland, Ore., the nerve center of the Iberdrola Renewables generation portfolio. In a room that looks a little like NASA's Mission Control, our generation dispatchers and systems analysts oversee every turbine at every wind farm (and soon solar and biomass projects) throughout the country, around the clock. They monitor the performance and efficiency of every turbine. They keep an eye on approaching storms to warn technicians in the field to get to safety before harsh weather hits. They even have helped scientists conduct groundbreaking wildlife research. And they coordinate in real time with the nation's various transmission system operators to insure grid reliability to help keep the lights on.
The SCADA System
A vital element of our operation is our newly developed SCADA system, supplied by PcVue (www.pcvuesolutions.com) and integrated by the Iberdrola Renewables team. Among other things, each wind turbine has a control box containing a PLC, power converter, control boards and I/O device. Sensors for wind speed, wind direction, shaft rotation speed and numerous other factors collect and transfer data to the PLC. By detecting the wind's direction, the control system can use a motorized yaw gear to turn the entire wind turbine in the proper wind direction for maximum power generation. Our wind turbines are connected to a local area network (LAN) via a fiber-based, redundant ring connection. Although the turbines are designed to operate autonomously, they also are connected to a remote-control station running the control system that manages and collects data, adjusts turbine settings, and provides intelligent alarm, troubleshooting and reporting capabilities via our central data center and control facility in Portland.
The National Control Center connects via long-haul networks to the plant-based systems and ultimately to the individual turbines, substations, meteorological stations and avian radar surveillance systems. It provides visibility for our operators to manage the behavior of all the wind turbines and all the wind farms as a whole. By keeping a record of the activity on a time-interval basis, the SCADA allows our operators to determine what adjustments and corrective actions, if any, need to be taken. It records energy output, availability and error signals, and we are designing the ability to control (among other things) power factor, voltage and reactive power production, allowing for the management of wind farms' contributions to network voltage and frequency control. It also gives our operators the capability to manage power output based on real-time grid requirements.
The SCADA communicates with the turbines via a communications network that almost always uses optical fibers. We have multiple turbine types in our fleet and each turbine supplier provides its own control/HMI system. We have found that the major advantages of using PcVue as the main SCADA system is that it is turbine supplier-agnostic. It is not tied to any one PLC vendor, so that it can be free to provide data reporting and analysis formats irrespective of turbine type.
This was of particular importance to us because our wind farm operators use multiple turbine types and a myriad of various PLCs. In addition, our team really liked how PcVue was end-user friendly and easy to configure. Its ability to iconize animated mimics and use pop-up windows reduced the risk of overlaying crucial information and helped simplify the view for our team. The creation of templates for contents and behavior associated with each mimic and GUI (graphical user interface) animation, ensures consistency of the window display. We use multi-level access rights and menus associated with each user to ensure that navigation within the application is tailored to the needs and the permissions of each individual. This allows us to have a layer of security, traceability and control of users' actions.
Historically, when we had a small number of wind turbines transmitting into the grid, it was a relatively simple operations process. As renewable energy continues to contribute more and more to the grid, transmission and generation management become larger issues. Requirements are quite strict; thus, we have designed an integrated system with operator controls in order to manage the generation profile on a real-time basis. We are designing and building a scalable system to meet the next generation of renewable energy transformation. We are installing wind turbines to operate in harmony with other sources, such as nuclear power, solar, hydro and other energy in a netting arrangement to optimize performance.
In order to manage our growing business, we also have developed multi-point monitoring, fiber-optic networks and local systems on our wind farms in the United States that all tie into the National Control Center. We use a similar system in Toledo, Spain, called CORE (Centro de Operación de Energías Renovables, or Renewable Energies Operation Center). In each case, there is a central facility where the SCADA system is able to remotely access facilities throughout the country and access alarm and event conditions.
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I would be interested to hear more about how Iberdrola monitors efficiency. I have encounted very few wind farm scada systems which perform much meaningful analysis. There are some good papers on the use of wind farm scada data but very few wind farmers seem to employ them. www.scadaminer.com/applications/wind-turbine-scada-analysis/ gives some good examples of things to look out for in scada data which require varying levels of analysis to discover.

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TWO lanes of the M4 are currently closed following a three vehicle collision just before Junction 15.
Shortly before 3pm the cars collided on the westbound carriageway before the junction for A346 Marlborough Road / A419 Marlborough Road (Swindon East).
Lanes two and three are currently closed as a police recovery operation is underway, but all vehicles have now been moved onto the hard shoulder.
Traffic is moving slowly as queues are building behind the incident.
There were no serious injuries to any of the occupants of the vehicles, but the ambulance service are in attendance.
A spokesman for Wiltshire Police said: "We were called at 2.54pm to a three vehicle road traffic collision on the M4 just before Junction 15.
"The injuries sustained are fairly minor and we expect the road should be cleared within 30 minutes.
"Lanes two and three remain closed for the recovery operation."


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New Media Series—Guido van der Werve: Number Twelve: Variations on a Theme
September 9, 2011–January 8, 2012
Number Twelve: Variations on a Theme
, Dutch artist and filmmaker Guido van der Werve interweaves the unlikely fields of chess, astronomy, and music theory. The 40-minute film is divided into three movements, each set in a distinct location—New York City's Marshall Chess Club, Mount St. Helens, and the San Andreas Fault, throughout which van der Werve creates a seamless philosophical meditation on possibility, mathematics, and infinity. Appearing in the film, the artist ponders how to calculate the number of chess games it is possible to play and the number of stars in the sky. As he plays a chess game and wanders through vast and arresting landscapes, van der Werve's meditation is accompanied by a string ensemble performing his original score.
Curated by Tricia Y. Paik, assistant curator of modern and contemporary art,
Guido van der Werve: Number Twelve: Variations on a Theme
is on view in Gallery 301 from September 9, 2011 through January 8, 2012.
The one-of-a-kind chess piano built by the artist and featured in this film is currently on display in a related exhibition at the World Chess Hall of Fame, which recently opened in St. Louis. This exhibition,
OUT OF THE BOX: Artists Play Chess
on view through February 12, 2012, also features photographs from
Number Twelve
, as well as other chess-inspired artwork by artists such as Tom Friedman, Barbara Kruger, Yoko Ono, and Diana Thater. The World Chess Hall of Fame is located at 4652 Maryland Avenue, St. Louis, MO, 63108. For more information, please visit
To celebrate the opening of the World Chess Hall of Fame in St. Louis, the Saint Louis Art Museum has collaborated with the Hall of Fame and the St. Louis Symphony to present a live performance of the chess game featured in
Number Twelve: Variations on a Theme
. With accompaniment by the Symphony, artist Guido van der Werve will use his one-of-a-kind chess piano to stage the film's game with concert pianist and chess enthusiast Matthew Bengtson.
Number Twelve: Chess Piano Concert in Three Movements
will be performed on September 13 at 6:00 pm. For more information, visit
Back to Archive


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Earlier we quoted openly gay Dallas County District Clerk Gary Fitzsimmons as saying that County Commissioner Ken Mayfield is "the most homophobic elected official in Dallas County."
Now Mayfield, a Republican, has responded by attacking Fitzsimmons, a Democrat, for being short.
The Dallas Morning News picked up our report and sought a comment from Mayfield. According to the DMN, Mayfield responded by calling Fitzsimmons "a little man with a little mind."
Mayfield also insisted he's not anti-gay and challenged Fitzsimmons to give examples of his allleged homophobia. Well, allow us to share just one:
In 1995, Mayfield and two other commissioners wrote a letter to 43 local doctors urging them to support the county's ban on distribution of condoms by the Health Department to prevent the spread of HIV/AIDS. Here's what Mayfield and the two other commissioners wrote, according to an article that appeared in The DMN on Friday, June 16, 1995.
"We don't want anyone, especially anyone in authority, telling our children or future grandchildren that it's an approved or acceptable lifestyle to be a homosexual, a prostitute or a drug user," the three commissioners wrote. "And, we don't intend to be the vehicle through which others are given this message."
Mayfield continued to support the condom ban until last year, when he opposed a measure that successfully lifted it.
Mayfield's Democratic opponent this year, Dr. Elba Garcia, helped push through two major pro-equality measures during her time on the Dallas City Council. The first was a citywide ordinance that prohibits discrimination based on sexual orientation in employment, housing, and public accommodations. The second was benefits for the domestic partners of gay and lesbian employees.


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If they plan like terrorists, talk like terrorists and act like terrorists—shouldn't they be treated like terrorists? Yet animal activists want to have their civil rights, and flaunt them, too.
The FBI Joint Terrorism Task Force has kept files on activists who expose animal welfare abuses on factory farms and recommended prosecuting them as terrorists, according to a new document uncovered through the Freedom of Information Act request.
Earlier this month, the Center for Constitutional Rights filed suit challenging the Animal Enterprise Terrorism Act, which allows prosecution of activists who trespass on and vandalize meat plants and livestock facilities as terrorists, as unconstitutional. Why? Because its "vague wording" has had a chilling effect on political activism.
At least that's the view of the animal rights activists and factory farm opponents.
Since 2003, four years before the AETA was passed by Congress, the FBI had kept files detailing the activities of several animal rights activists who went undercover to document alleged animal welfare violations. According to a report by OpEdNews.com, the FBI special agent who authored the report said they "illegally entered buildings" owned by a producer, videotaped the premises and removed several animals from the farm.
That action caused "economic loss" to the businesses, the FBI said. The apologists within the animal rights community tried to paint such violations as "acts of non-violent civil disobedience," since the perpetrators distributed press releases and conducted media interviews taking responsibility for their actions.
Now, they're outraged that the FBI has files on those who would commit such actions.
Depends on the definition of rescue
"It is deeply sobering to see one's name in an FBI file proposing terrorism charges," Ryan Shapiro, one of the activists charged with trespassing and unauthorized videotaping, said in an email to officials at the Center for Constitutional Rights. "It is even more sobering to realize the supposedly terroristic activities in question are merely exposing the horrific cruelty of factory farms, educating the public about what goes on behind those closed doors, and openly rescuing a few animals from one of those farms as an act of civil disobedience."
Rescue or theft? That's the question. One man's liberation is another man's loss of property.
Whatever label you wish to use, the point here is inescapable: The supposedly non-violent actions that opponents of animal agriculture take in capturing and removing farm animals is a violation of the law. Always has been. All that the Animal Enterprise Terrorism Act does is allow prosecution of the offenders as terrorists, rather than as common thieves.
It's no different from passing laws authorizing special punishment for so-called "hate crimes." It's always been possible to punish those who burn crosses, deface houses or otherwise harass people on the basis of race, religion or sexual orientation. But often, the small fines and minimal jail terms prescribed by trespassing and property damage statutes don't fit the egregious nature of the offenses. Thus, it's necessary to identify special circumstances that change what would normally be mere misdemeanors into the more serious crimes that they are.
Likewise with acts of property damage, trespassing and animal theft done in the name of "exposing" the conditions on so-called factory farms. The perpetrators want—indeed, desperately desire—that their actions will strike fear in the hearts of the owners of farms, ranches and meat plants. They wouldn't want to merely be hauled into some municipal court and fined as if they'd received a traffic ticket for driving 35 mph along the town's 25-mph main drag.
They want their crimes to seem sensational. They want the media to portray them as fanatical terrorists willing to do anything to change what they hope the public would agree is a horrific system of food production. Indeed, that's how the activists characterize themselves: As crusaders committed to do "whatever it takes" to destroy modern animal agriculture.
So the notion that these same activists are outraged when the FBI starts treating them exactly as they secretly (and not-so-secretly) wish to be portrayed is ironic in the extreme.
They boast about how they will "take down" an evil system that exploits animals. They glory in the "bravery" of those who go underground and steal, vandalize and disrupt operations at packing plants and livestock facilities in order to stop the abuses they decry.
Then they turn around and file suit when laws designed to deal with the very lawlessness they espouse are used against them.
That's the real outrage in this whole scenario.
The opinions expressed in this commentary are solely those of Dan Murphy, a veteran food-industry journalist and commentator.


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Prevention Toolkit Step-By-Step Guide
Getting Started
- We suggest you preview the Fairfax County Youth Survey Results Highlights video (also available in PDF). This video presents an overview of student self-reported behaviors. The results might highlight an area of interest to you.
- View the Fairfax County Youth Survey PSAs and Fairfax County Youth Survey Fact Sheets for more information, warning signs of risk behaviors, and suggestions of ways you can help.
- Read through the Guides and Frequently Asked Questions (FAQs) to familiarize yourself with the Prevention Toolkits and the Fairfax County Youth Survey.
- Consider contacting the Prevention Staff to explore ways in which you can share information with members of your community and take action to promote healthy behaviors.
Addressing a Specific Topic of Interest
- Review the Presentations, Handouts, and Resources materials for one of the listed topics of interest.
- Review the Data and Background Resources for your topic of interest. Is there information here that you would like to share with your audience?
- Read through the Guides and Frequently Asked Questions (FAQs) to familiarize yourself with the Prevention Toolkits and the Fairfax County Youth Survey.
How to Host a Community Event
- Identify your audience. The composition of your audience will determine which pieces of information from this site you want to use. Are you looking for a broad overview of Fairfax County Youth Survey results? Are there specific areas of interest in the survey (e.g., substance abuse, depression, bullying) for which your audience might want more information?
- Consider contacting one of our Prevention Staff members to brainstorm what your presentation will look like. Our staff is very familiar with the Fairfax County Youth Survey and has seen it presented a variety of ways, and so might be helpful in your planning process. There may be additional sources of information they can suggest that would be helpful to your audience.
- Review the Fairfax County Youth Survey Results Highlights presentation and other items suggested in Getting Started, if you have not already, for valuable background to hosting a community event.
- If you are interested in a particular topic or are addressing a specific audience, review the Presentations, Handouts, and Resources materials for that topic and other steps suggested in Addressing a Specific Topic of Interest.
- Discussion Questions are provided as suggestions to generate discussion with your audience with a goal toward developing a plan to take action in your community. The Discussion Guide is included in each toolkit, along with the presentations, handouts, and resources.
- Arrange a meeting place that will support the expected number of people and is available during the best time for your audience.
- Consider inviting a guest speaker who can add insight on the topic being discussed and also address questions or concerns.
- Consider the technical support available at your meeting place. If the facility does not have Internet access, you will want to download resources to your computer or print handouts before the event. The videos are only viewable with Internet access or by contacting the Prevention Staff to borrow a DVD.
- Review some suggestions to Take Action in your community. After the presentation and guided discussion you will want to help the group explore things they can do to make a positive difference.
On This Page
Have a question or suggestion? Email the Prevention Staff for assistance.


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Topic: Oh my god the pain is so deep!
It's the first long weekend without my best friend and it will be 2 months since his passing tomorrow. I woke up this morning crying and it is 9PM and I just can't stop.
I finally realize Frank is not on a business trip or visiting his Mom in England, he is gone and never coming home. Oh my God the pain is so bad, it is so deep it feels like my insides are just ripping away.I try to rationlize why after 2 months it has hit me so hard, I know that I've been waiting for him to come home.
It's my first long weekend and we would have gone somewhere to spend some time together. We were raising our Granddaughter and spent alot of time catering to her. She is a competitive dancer and we took off many weekends for competitions and Frank stayed at home. We agreed that once she was in university we would start to travel and enjoy our lives together. It did not work out that way. She will be in university in 3 years.
I miss him so so so much. I am going back to work on Tuesday and Frank would normally call me at least 3 times a day and when I was having a bad day I would call him and he would always be available for me. When he knew I was upset he would show up at my office with coffee and donuts. He was a great man!!!!!!!!!!!
What I miss the most are his hands. My husband had the nicest hands. They were strong masculine hands. You see the ads with the older couple holding hands walking down the street that was my husband- my best friend. His holding my hand was like a security blanket. I always felt safe holding his hand. I miss that so much.
I guess I'm just rambling but I don't know where else to go to express my pain. We deserved so much more time. He conquered drug and alcohol addiction 15 years ago. He went from being a terrible husband to being the most wonderful man. He conquered so much but the dreaded CANCER conquered us.
28 years and now I have nothing. Will this pain go away? I have a deep hole inside of me that cannot be filled by family or friends. You have to love your spouse deeply and then loose them to fully understand my PAIN.
I'm sorry for going on but thank you for being here to vent.


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|July 18, 2012
Volume 14, Issue 15
|Midwifery Today E-News
"Midwifery Education"
Print Page
Welcome to Midwifery Today E-News !
Midwifery Today Online Store
This issue of Midwifery Today E-News is brought to you by:
Look below for more info!
Bring natural remedies into your midwifery practice
Sign up for the full-day Herbs, Homeopathy and Alternative Practices class with Lisa Goldstein. This class includes slides for plant identification and demos for making herbal tinctures, oils, salves and homeopathic solutions. Plus, you'll be given an extensive reference book to take home. Come and learn new tips and uses for your favorite remedies. Part of our Germany conference this October.
The full program for the Midwifery Today conference in Eugene, Oregon, April 2013, is now online! Start here:
Learn more about the Eugene conference.
In This Week's Issue
Quote of the Week
Attending births is like growing roses. You have to marvel at the ones that just open up and bloom at the first kiss of the sun, but you wouldn't dream of pulling open the petals of the tightly closed buds and forcing them to blossom to your timeline.
— Gloria Lemay
Are you enjoying your copy of Midwifery Today E-News? Then show your support and get more content by subscribing to our quarterly print magazine, Midwifery Today. Subscribe here.
The Art of Midwifery
As I see it, one of our tasks as midwives is to assist mothers in becoming aware of their unconscious emotional patterns on as many levels as possible so they may broaden their resources to deal with them. Enlarging the possibilities for creating more functional and truly fulfilling experiences in their lives will serve to create a more nurturing and rewarding birth experience as well.
— Anne Frye, excerpted from "Some Insights into the Psychology of Birth," Wisdom of the Midwives, Tricks of the Trade, Vol. II, a Midwifery Today book
ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to email@example.com.
Send submissions, inquiries, and responses to newsletter items to: email@example.com.
Jan's Corner
Midwifery Today's First E-book
[Editor's note: While Jan was overseas working her magic and influencing the birth world in the land of China, Nancy Halseide, managing editor for Midwifery Today, provided the editorial for this issue of E-News.]
In honor of this issue's theme of midwifery education, Midwifery Today is pleased to announce the publication of our first e-book, Second Stage: The Pushing Phase of Labor.
In this collection of articles from Midwifery Today, influential authors such as Michel Odent, Carol Gautschi and Cornelia Enning share their knowledge regarding this stage of labor from a physiological perspective.
Midwives, doulas and childbirth educators will enjoy this wealth of information for a low price—so be sure you get a copy from Smashwords and spread the word about this amazing resource! https://www.smashwords.com/books/view/137166
— Nancy Halseide is the managing editor for Midwifery Today and mother of two beautiful little pearls. Nancy is also a childbirth educator and co-owner of Eugene Birth Education.
P.S. If there is a certain topic you would like to see compiled as a future e-book, send your ideas to firstname.lastname@example.com—we have volumes of articles waiting to be organized into e-books. Check out Midwifery Today's Smashwords profile page for more e-books: https://www.smashwords.com/profile/view/MidwiferyToday
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.
Midwifery Today on Facebook: facebook.com/midwiferytoday
News and Research
The Time Is Now
The Time Is Now, a project by Birthing the Future, is a film produced and directed by midwife Suzanne Arms that documents a roundtable of leading lights in the field of early childhood development, particularly the primal period of pre-conception, thru the first year. Suzanne gathered these extraordinary practitioners from all over the world in Tenerife, Canary Islands, to share their experiences and vast wisdom.
Volume 1 presenters include: Françoise Freedman, medical anthropologist, who shares her experiences with a tribe in the Amazon jungle of Peru; Amimo Agola, infant and young child feeding counselor from Kenya, who speaks of her experiences in refugee camps; visionary Laura Uplinger, who focuses on the power of pregnant women and has worked in the slums of Rio de Janeiro; and Marisa Alcala, a Tenerife midwife for 40 years. Other volumes will follow with more amazing presenters.
To watch a fifteen-minute excerpt of the film, go to: http://www.youtube.com/watch?v=WnY7hDPF2As&feature=youtu.be
— Arms, Suzanne. 2012. The Time Is Now. Birthing the Future. Uploaded to YouTube on February 28, 2012.
Midwives, Doulas, CBEs
2012 Practitioner Certified Thought Field Therapy (TFT) trainings: San Diego July 28–31 and Calgary August 11–14
TFT is a highly effective method for eliminating fears, anxiety, trauma and stress within the whole human system (be it emotional, mental, physical and/or spiritual). A powerful tool to offer your clients throughout pregnancy, birth and beyond. Please e-mail email@example.com or see www.tapping-into-life.com for course details.
Featured Article
The Essentials of Midwifing Midwives
In one midwifery textbook, Gail Thomas, dean of a British midwifery school, comes to the conclusion that the essentials of being a good midwife can be simplified into two aims: Be nice, and don't drop the baby! When I read her chapter, I loved this simple reminder of what it is we need to do. In the same way, I have come to believe that there are very few things needed to enable aspiring midwives to learn.
Before looking at my essentials, there are a couple of issues that are important background details for me. In the paragraph above, I deliberately avoid the word "teach." I don't believe good midwife teachers actually teach midwives. Like taking the proverbial horse to water, you cannot teach somebody something he or she doesn't want to learn. The term "teach," like the word "deliver," implies both action and a degree of credit in the achievement of the outcome. Just as the midwife doesn't do the hard work of "delivering" babies when attending births, teachers provide only the support. It is the students who deserve the credit for the number of hours and amount of effort it takes to achieve their goals and qualifications. Like a good midwife at a birth, we can only try to be there to meet their needs, offer the information that might help them make their choices and provide support where we can; but we don't do it for them.
I also feel that we need to "midwife" aspiring midwives in a way similar to the way we midwife women. People learn by example and role modeling. If we feel midwives of the future should be rigid, controlling and inflexible, then we should be offering those kinds of curricula. If we feel midwives of the future should be giving women only one side of any story, then that is what we should give them. If we want future midwives to be open, kind and supportive of women and their choices, then we should espouse those qualities in our schools, facilitators and mentors. The role of facilitator of learning is very similar to that of midwife in the birth process. The kind of facilitator/midwife we choose to be will shape the hidden curriculum we pass on to aspiring midwives.
— Sara Wickham
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Birth Q&A
Q: What do you think is the best education style for learning midwifery?
— Midwifery Today
A: Hands-on-experience is a fantastic method for learning midwifery. Textbooks only go so far; they are a necessary part of learning, I believe, but not the only method and not necessarily the best in and of themselves. Likewise, experience will only lend you to the limited experiences you may have, so textbooks can provide invaluable information. It can take years and hundreds of births to "learn" midwifery; a lot of times midwifery requires an intuition that is indescribable.
— Joy Krell Hopkins
A: Practicals all the way! Even theory-based information should be made into group discussions and exercises. Practicals help reinforce theory for me.
— Sophie Kent
A: Hands on, with a mother midwife.
— Rachel Martin Flynn
A: Hands-on apprentice-type mentorship accompanied by academic learning. I studied in New Zealand in 1976 under the most wonderful midwife—thank you, Aileen Coppock. University-style study methods do not allow for the passing on of information so vital to real midwifery.
— Judi Fuller
A: I think the best type of education is the one that allows each individual to become proficient as a midwife. For some, formal study with clinicals in a nurse-midwifery program is the way to go. For others, formal study coupled with an apprenticeship is best, and still others may prefer self-study with an apprenticeship. I don't think there is one "best" way to become a midwife—each person needs to find the way that allows her to become the midwife she is meant to be for the women and families she is meant to serve.
— Angie Lopez Chelton
Wisdom from the Web
Pregnancy and birth are complex yet elegant processes that are designed to work well. And in most cases, they do. Midwives are the universal experts in normal birth. Midwives have been receiving the generations into their hands since the dawn of time. The advent of modern obstetrics in the United States dramatically shifted our beliefs and practices about childbirth.
— Into These Hands, wisdom from midwives
Around the world, midwives play a valuable role in promoting maternal health and preventing needless maternal and newborn deaths. According to a UNFPA report titled "Towards MDG 5: Scaling up the Capacity of Midwives to Reduce Maternal Mortality and Morbidity," professional midwives present a "low-technology, high-quality solution" to the problem of maternal mortality, common in many developing countries.
— NotEnoughGood.com, because doing "good" is not enough
The birth experience matters so deeply that women in their 50s or 60s and beyond still remember vividly how their children were born and how they felt when it happened. I have heard women talk about a cesarean they didn't think they needed. I have heard them talk about having their abdomens pushed on by nurses. I have heard them talk about how incredible it was when, after multiple births without their husband present, they finally experienced a birth during which their lover held their hand. They tell me of their regrets regarding their decisions. They tell me what worked and what didn't. To these women, their birth experiences mattered deeply. That sacred time of labor and birth doesn't just impact the immediate postpartum period or even just baby bonding—it impacts women, and it impacts them for the rest of their lives.
— Midwife International, training the next generation of midwives
If you'd like to share a bit of wisdom from the Web, please send a 4–5 sentence excerpt, accompanied by a link, to email@example.com.
Conference Chatter
Serendipity and New Classes
Serendipity is wonderful. I was running late as I left the Harrisburg hotel with Eneyda Spradlin-Ramos, midwife and my Midwifery Today conference co-planner. We wound up missing our airport shuttle, but because of that, we had a chance encounter with Sharon Evans, who is now teaching at Midwifery Today conferences. Knowing the many talents of the conference teachers helps me plan appropriate classes for them to teach. Sharon has so much midwifery knowledge, and we discovered another of her talents in our little impromptu meeting. Sharon showed us a technique that the midwife can do in about three minutes that will put the uterus back in place if it prolapses (even if it prolapses a lot). It is from the Creative Healing modality that has many helpful techniques for the midwife to learn.
I just finished the Eugene, Oregon, conference program and was able to work with Sharon to include these two wonderful new classes. Here is a description of what will be taught. I am so excited about these new classes and plan to attend them.
Creative Healing for Pregnancy, Birth and Beyond, Class 1, taught by Sharon Evans
Creative Healing for Pregnancy, Birth and Beyond, Class 2, taught by Sharon Evans
— Jan Tritten
My 8-year-old daughter watched her father plant a placenta from her brother's birth under a rose bush and said, "Now the rose bush will grow placentas."
— Karen Nelson Johnson
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While some military and medical equipment is exempt from RoHS compliance, the electronics governed by the standard are among the most common you'll find in your home, from radios to MP3 players to cell phones and (increasingly) computers. In practical terms, the standard protects factory workers at the production level, sharply reducing their exposure to hazardous substances. The standard also has a profound impact on the disposal and recycling of electronics, in that disposed substances will no longer have at least six of the most hazardous chemicals formerly found in electronics, and recycled electronics will not expose workers to toxics as they harvest components.
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A Birthday PresentMath brain teasers require computations to solve.
John really wanted to know how much money he would get from grandpa for his birthday. But grandpa didn't want to tell him. Instead he said: "You get so much!"
"But how much is so much?", John asked.
"If I gave you so much, plus so much, plus the half of so much, plus 1/4 of so much, plus 1 EURO, you would have 100 EURO's.
How much will John get?
Answer36 EURO's : 36+36+18+9+1=100
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Neighbours: Toadie's stag do packs a punch
RAMSAY Street groom Toadie Rebecchi's stag do packs a punch.
So he has a boxing party and the soap's writers didn't have to work too hard to get the show's hunks to be involved.
Ryan Maloney, 32, who plays Toadie, said: "You have to remind yourself that you're actually at work, everyone suddenly reverts to their 10-year-old self."


text:
When Jessica MacKenzie Murthy needed medical attention in Bangalore for three bouts of food poisoning, a sinus infection and one pregnancy, she didn't rush to the nearest ER. With a clear head often absent in emergency situations, she bypassed the public hospitals for private clinics and, once admitted, eyeballed the facility for proper hygiene.
En route to one appointment, she and her husband witnessed a doctor's unsanitary behavior on a traffic median. In the examining room, Murthy politely asked the physician to slip on gloves or wash her hands. Thousands of miles from home, the American visitor was both the patient and the health-care advocate — for herself.
"You have to prepare very differently" for getting sick abroad, said Murthy, an Alexandria resident who lived in India for two years in the mid-2000s. "Hospitals can be zoos in other countries. Nothing works quite like it does here in the States."
Before leaving on a trip, most travelers prepare for what they imagine as the worst: rain, sunburn, boredom. The remedies for these potential inconveniences are simple: Throw in a slicker, a bottle of sunscreen and a heavily downloaded Kindle, then slam the lid shut.
But sometimes the setback is more serious than a lobster-red nose. What could ail you? Food poisoning, a broken limb, a deep laceration, typhoid, dengue fever, malaria. And what can fix you? Proper medical care, no matter the continent, country, city or mountain village.
Depending on the malady, you could self-medicate with the proper pills, lotions, bandages and rest. But when the illness exceeds your CVS medical training, you'll need to seek professional attention. A scary concept in an alien land, but done right, the experience can be painless.
To ease the ouch of mind, body and budget, we sought advice from travel medical experts on how to navigate international health-care systems as foreign and chaotic as Bangkok's street-food scene. The professionals offer tips for each step of the process, from the preventive stage to the unwell phase, when no amount of apples (or bottled water) will keep the doctor away.
On the comments page of InsureMyTrip.com, a travel insurance aggregator, travelers gush about how travel medical insurance gave them "peace of mind"; "fortunate" and "felt very comfortable" were also popular words. In the first 100 of 1,466 responses, not a single person related a negative story involving an injury or a claim. Nor did anyone complain about wasting money for an unused service.
"There's the ease and then there's the cost control," said Bruce Kirby, president of the U.S. Travel Insurance Association. "The premiums are so small because the occurrences are so small."
When you travel without insurance, you have to pay for all medical expenses out of pocket — sometimes up front, in cash. In the case of an evacuation, which can cost several thousand dollars, those pockets had better be coal-mine deep. Those with insurance, by comparison, don't have to worry about smashing the piggy bank for massive expenditures. Depending on the plan, the company will dip into its own coffers and cover your bills like a generous benefactor.
David Shlim, president-elect of the International Society of Travel Medicine, spent 15 years working at a medical clinic in Kathmandu. The physician knows the life-saving advantages of insurance. He recalled the tale of a Dutch tourist who arrived at the Nepalese facility with black spots inside his cheek. The medical care workers diagnosed blood blisters caused by a lack of platelets, a life-threatening condition. The patient's insurance company responded to the emergency with an air ambulance that transported blood from Singapore to Kathmandu and retrieved the patient for a transfusion. Tragedy averted.
To determine whether you're a good candidate for travel medical insurance, Peter Evans, executive vice president of InsureMyTrip.com, suggests that you first check your U.S. medical insurance. If your plan covers health incidents abroad, including evacuations, then skip to the next section of this article. If it doesn't, keep reading.
When choosing a plan, you need to factor in such variables as your destination (remote and rural or modern and urban), planned activities (strolling or scuba diving) and your age and personal health, specifically any preexisting conditions. You can also choose between single- and multi-trip coverage, depending upon how often you spin the globe.
For the most basic plan, the cost will equal your daily Starbucks coffee-and-scone fix — from $3 to $8 a day. For example, Evans, who's 52, calculated that for a three-week international trip, he would spend $58 on a plan that would pay up to $50,000 in emergency medical protection and up to $500,000 for an evacuation.
Apparently, peace of mind is a bargain.
"It's probably one of the most unsettling things to be ill in a foreign country," said Phyllis Kozarsky, a travel health consultant for the Centers for Disease Control and Prevention, "and there's nothing sadder than being in dire straits and having to pay $50,000 to $100,000 for medical care."
Kozarsky has experienced the discomfort of ailing abroad and the disappointment of a ruined trip. Soon after arriving in India in 1987, she succumbed to illness and had to fly home for treatment.
"I did everything wrong that you could imagine," said the professor of medicine and infectious diseases at Emory University in Atlanta. "I was outside at night in shorts. I had no access to clean water. I had holes in the screen and an old air-conditioner. I ate anything. I was a high-risk individual."
Physician friends of her Indian sponsor family diagnosed her symptoms as pneumonia, diarrhea, dehydration and an unconfirmed case of Legionnaire's disease. Kozarsky did not have supplemental travel health insurance, but she had connections, which absolved her from the quest for outside medical care.
The flip side: If you buy insurance, you gain connections.
In addition to easing the financial strain, travel medical insurance also pairs the patient with an assistance company that will provide support from the first distress call to the final discharge. The advocate offers such invaluable guidance as pointing the patient to a reputable hospital and facilitating treatment by corresponding with the attending physicians.
No matter how great the care we get, sometimes we just want our mommy. After seven days of hospitalization, some firms will fly your mom, or another family member or a friend, to your bedside. Your favorite stuffed animal can come, too.
In case of emergency, call 911, or the foreign equivalent of H.E.L.P. For non-urgent matters, dial yourself.
When mild health issues crop up, such as a persistent cough or food poisoning, you have the power to self-heal. But you'll need the proper instruments.
"If people have the skills to self-treat for minor respiratory illness or diarrhea," says Kozarsky, "it's sort of empowering."
Before you depart on your travels, the CDC consultant recommends walking up and down the pharmacy aisles, tossing in necessary items. Her kit, for instance, might include an anti-diarrheal such as Imodium, a painkiller such as Advil, bandages, steroid cream, cough medicine (tablet or capsule), a mild laxative and sleep aids. If you're allergic to bee stings, pack an EpiPen; if pollen or other allergens tickle your nose, stock up on Claritin or another antihistamine. Also throw in extras of any medications you normally take at home, in case you lose a few or your return is delayed. And don't forget the Cipro or Zithromax, prescribed antibiotics that can resolve a slew of stomach and respiratory ailments caused by bacteria. (Ask your doctor for instructions on use.)
If you're parachuting into an exotic locale with such potential risks as malaria or typhoid, visit a travel health clinic for counseling and possibly an armful of vaccinations and a mouthful of medications. (The International Society of Travel Medicine manages the Global Travel Clinic Directory, a list of facilities around the world.) Travelers with chronic diseases or conditions should also consult with a travel health provider and share all the details of their trip, including the altitude. Thin air can bedevil folks with compromised respiratory systems, for example.
Despite extreme vigilance — frequent hand-washing, drinking only bottled water, abstaining from raw fruits and veggies — pesky viruses and bacteria may still scale your fortified walls. But if you're patient, they'll leave.
For example, food poisoning symptoms should pass within six to 12 hours, and untreated diarrhea typically improves within five days. In addition to taking intestinal medicine, sick individuals should stay hydrated with "safe" liquids, doctors say; serious dehydration can land you in the hospital.
Fever can be trickier to self-diagnose. If you are traveling in a malaria-free area, Shlim says to wait a day or so; if the fever exists, seek medical attention. However, if you are in a region where the mosquito-borne disease persists, hang up your stethoscope and flag down a real doctor.
There's a right way and a wrong way to receive medical care while traveling internationally. Here is an example of how you should not do it.
A year ago in Havana, I was hobbling around the Cuban capital with a Snuffleupagus-size appendage puffy with fire-ant bites. (The accident — stepping on the insects' low-rise home — had occurred in southern Florida.) I didn't know how to find medical attention in a communist country that didn't accept credit cards or provide ATMs. At the urging of another American traveler, I visited the hotel infirmary, where a nurse flipped me on my stomach and poked me with a needle. I spent the remaining days with an itchy, swollen foot and a throbbing posterior. For all I knew, she'd shot me up with vodka.
The lesson learned: You need to be well informed about where to go for medical help and what treatment you're receiving. And maybe learn a few phrases in the native language, such as, "Is this going to hurt?"
For starters, travelers should tap into the fairy godmother resources offering medical guidance. For example, the Joint Commission, a nonprofit organization that certifies health-care facilities in the United States, has expanded to international hospitals and institutions. Its list covers countries from Austria to Yemen, with Brazil, China, Kazakhstan, Mauritius and many other destinations in between.
For more than a half-century, the International Association for Medical Assistance to Travellers has been on a mission "to coordinate an international network of qualified doctors and mental health practitioners committed to providing the highest standards of medical care to travellers." Italian physician Vincenzo Marcolongo was inspired to create the organization after he assisted a distressed Canadian in Rome. The group provides a growing database of more than 400 clinics in 120 countries that agree to treat any member (free to join; donation much appreciated) for a set fee of $100 per office visit and $170 for a night call.
"We visit the doctors and have close relationships with them," said IAMAT president Assunta Uffer-Marcolongo, the founder's wife. "The traveler knows that he will not be overcharged."
Health-care systems vary tremendously worldwide, as do hospital cultures. Shlim, for one, praises facilities in Thailand, such as Bangkok's Bumrungrad International Hospital, which has garnered several awards for its quality service. In India, Murthy preferred private hospitals over the government-run options, even though her physician husband worked in a public institution. She found the private venues to be better funded and stocked with more modern equipment. Nonetheless, in certain cases, she said, patients would have to purchase their own supplies — sutures, saline solution and medications, for instance — in advance. Her recommendation: Bring cash and a gofer/friend who can run to the pharmacy for you.
Despite the diversity in systems, some universal tips do apply. Americans can often find familiar care at hospitals affiliated with universities, such as Johns Hopkins, or U.S. health-care centers, such as Harvard Health. Or look for places that cater to expats, business travelers or medical tourists. Kirby suggests contacting the U.S. Embassy for recommendations or asking a hotel concierge working at an international chain.
Of course, no one wishes to interrupt his or her holiday with a hospital visit. But to look on the bright side, sampling a country's health-care system is a truly immersive experience. Too Pollyannish? How about this: You might have saved some money by falling ill abroad rather than at home.
When my friend Ed suffered a stroke in Mongolia, he paid less than $950 for a three-day hospital stay including a private room, around-the-clock nurses and an MRI. After he returned home, Ed received a bill from an American doctor who had been visiting Ulan Bator and had initially assisted with his care. The fee for the two-hour consultation was hundreds more than the entire hospital portion in Mongolia.
Have your own tale of sickness while traveling abroad? Share it in the comments section of this story here.
More from Travel:
the health issue


text:
a Study to Evaluate Adhesion Risk in Fertility Patients' Status Post Laparoscopic Myomectomy. (VLocmyo)
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|Uterine Fibroids Infertility
|Device: surgery utilizing V-Loc suture
|Study Type:
|Study Design:
|Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|A Case Study to Evaluate Adhesion Risk in Fertility Patients' Post Laparoscopic Myomectomy Utilizing Vloc Suture.
- Following Laparoscopic myomectomy utilizing V-Loc 180 suture , Post operative adhesion formation will be measured by an independent reviewer at the time of second look laparoscopy utilizing a scoring tool. [ Time Frame: 1 year ]The primary objective of this study is to evaluate post operative adhesion formation after using V-Loc™ 180 during laparoscopic myomectomy.
- The time required to close the incision as well as the ease of use to the surgeon will be measured utilizing a 1-5 ease of use scale. [ Time Frame: 1 year ]The time required to close the incision as well as the ease of use to the surgeon will be measured .
|Study Start Date:
|August 2013
|Study Completion Date:
|October 2014
|Primary Completion Date:
|October 2014 (Final data collection date for primary outcome measure)
|Assigned Interventions
Experimental: V-Loc suture
Laparoscopic surgery utilizing V-Loc suture
Device: surgery utilizing V-Loc suture
V-Loc suture will be utilized in the repair of the uterus following removal of fibroid tumors. a second look laparoscopy will be done on all subjects to evaluate scar tissue formation.
Other Names:
Detailed Description:
This is a post-market, controlled, single-center study to evaluate V-Loc suture. 10 subjects will be included in this study. Premenopausal women ages 18-42 will undergo a laparoscopic myomectomy. Adhesion scoring will be done prior to the myomectomy using a modified American Fertility Society scoring technique. V-loc 180 suture will be utilized in all patients for closure of all uterine defects. All patients will then be evaluated by means of a second look laparoscopy (SLL) 6-12 weeks after the initial surgery and evaluated via modified American Fertility Society scoring techniques.
An independent reviewer will also score adhesions utilizing video recordings made from the second look laparoscopic surgery , using the same scoring techniques employed by the PI..
Patients will undergo routine preoperative blood tests in accordance with the Primary Investigators' usual standard of practice. All patients who meet the inclusion criteria will be considered. Patients will be consented prior to entry into the operating room. Surgical time will be measured from start of procedure, start of myomectomy, and start and finish time of each individual uterine closure. All investigators will provide usual and customary care to research subjects during the first look laparoscopy. This includes the use of all standard practice anti-adhesive agents and heparinized irrigation fluids
. Physicians will be surveyed on ease of use and any problems that occur with V-Loc suture.
All patients will be treated with post-operative antibiotics per the Primary Investigator's usual standard of care. Patients will be contacted both one and 4 weeks post surgery and evaluated for complications using a phone survey for pain and bowel functioning. The patient will also have a standard post operative exam with the physician 4-6 weeks post-operatively. A second look laparoscopy will be performed 6-12 weeks following the initial myomectomy. Adhesions will be evaluated using a modified American Fertility Society evaluation tool. Any adhesions seen at the time of SLL will be treated using the physician's preferred method of adhesiolysis. A recording will be obtained of the second look laparoscopy and will be reviewed and scored by an independent reviewer as to the level of adhesions seen .
|Ages Eligible for Study:
|18 Years to 42 Years (Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
Premenopausal female ages 18-42 At least one fibroid 3 cm or greater requiring at least one uterine incision Preparing to undergo Laparoscopic myomectomy
Exclusion Criteria:
Post-menopausal or Pregnant
- Endometriosis involving the uterus
- Adhesions to the uterus found at the time of initial laparoscopy
- History of /Current cancer , except basal cell
- Surgery Contraindications, including cardiac or other major system issue
- Greater than 5 fibroids
- The patient has ever been treated with uterine artery embolization of the myoma or magnetic resonance imaging (MRI) or other guided ultrasonification of myoma(s).
- The patient has any medical condition that might interfere with the safety of surgery and the second look laparoscopy, such as active intra-abdominal infection or abscess
Please refer to this study by its ClinicalTrials.gov identifier: NCT01971060
|United States, Illinois
|The Advanced gynecologic Surgery Institute
|Naperville, Illinois, United States, 60540
|Principal Investigator:
|Charles E Miller, MD
|Advanced GSI
|Responsible Party:
|Charles E Miller MD, President, The Advanced Gynecologic Surgery Institute
|ClinicalTrials.gov Identifier:
|NCT01971060 History of Changes
|Other Study ID Numbers:
|Study First Received:
|September 24, 2013
|Last Updated:
|January 24, 2017
Keywords provided by Charles E Miller MD, The Advanced Gynecologic Surgery Institute:
uterine fibroids
barbed suture
Additional relevant MeSH terms:
Tissue Adhesions
Genital Diseases, Male
Genital Diseases, Female
Neoplasms, Muscle Tissue
Neoplasms, Connective and Soft Tissue
Neoplasms by Histologic Type
Pathologic Processes
Neoplasms, Connective Tissue
Connective Tissue Diseases
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- Rheumatoid Arthritis, Handout on Health
- ¿Qué es la artritis reumatoide? (Esenciales: Hojas informativas de fácil lectura)
- What Is Rheumatoid Arthritis? (in Chinese 繁體中文)
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Rheumatoid Arthritis
- PDF Version Size: 57 KB
- Audio Version Time: 10:20 Size: 9.7 MB
November 2014
What Is Rheumatoid Arthritis?
Fast Facts: An Easy-to-Read Series of Publications for the Public
Rheumatoid arthritis is a disease that affects the joints. It causes pain, swelling, and stiffness. If one knee or hand has rheumatoid arthritis, usually the other does too. This disease often occurs in more than one joint and can affect any joint in the body. People with this disease may feel sick and tired, and they sometimes get fevers.
Some people have mild or moderate forms of the disease with times when the symptoms get worse and times when they get better. Others have a severe form of the disease that can last for many years or a lifetime. This form of the disease can cause serious joint damage.
- Who Gets Rheumatoid Arthritis?
- What Causes Rheumatoid Arthritis?
- How Is Rheumatoid Arthritis Diagnosed?
- How Is Rheumatoid Arthritis Treated?
- What Research Is Being Done on Rheumatoid Arthritis?
Who Gets Rheumatoid Arthritis?
Anyone can get this disease, though it occurs more often in women. Rheumatoid arthritis often starts in middle age and is most common in older people. But children and young adults can also get it.
What Causes Rheumatoid Arthritis?
Doctors don't know the exact cause of rheumatoid arthritis. They know that with this arthritis, a person's immune system attacks his or her own body tissues. Researchers are learning many things about why and how this happens. Things that may cause rheumatoid arthritis are:
- Genes (passed from parent to child)
- Environment
- Hormones.
How Is Rheumatoid Arthritis Diagnosed?
People can go to a family doctor or rheumatologist to be diagnosed. A rheumatologist is a doctor who helps people with problems in the joints, bones, and muscles. Rheumatoid arthritis can be hard to diagnose because:
- There is no single test for the disease
- The symptoms can be the same as other kinds of joint disease
- The full symptoms can take time to develop.
To diagnose rheumatoid arthritis, doctors use medical history, physical exam, x rays, and lab tests.
How Is Rheumatoid Arthritis Treated?
Doctors have many ways to treat this disease. The goals of treatment are to:
- Take away pain
- Reduce swelling
- Slow down or stop joint damage
- Help people feel better
- Help people stay active.
Treatment can include patient education, self-management programs, and support groups that help people learn about:
- Treatments
- How to exercise and relax
- How to talk with their doctor
- Problem solving.
These programs help people:
- Learn about the disease
- Reduce pain
- Cope with physical issues and emotions
- Feel more control over the disease
- Build confidence
- Lead full and active lives.
Treatment for rheumatoid arthritis may involve:
- Lifestyle changes
- Medicine
- Surgery
- Regular doctor visits
- Alternative therapies.
Lifestyle Changes
Here are some ways to take care of yourself:
- Keep a good balance between rest and exercise
- Take care of your joints
- Lower your stress
- Eat a healthy diet.
Most people with rheumatoid arthritis take medicine. Drugs can be used for pain relief, to reduce swelling, and to stop the disease from getting worse. What a doctor prescribes depends on:
- The person's general health
- How serious the rheumatoid arthritis is
- How serious the rheumatoid arthritis may become
- How long the person will take the drug
- How well the drug works
- Possible side effects.
There are many kinds of surgery for people with severe joint damage. Surgery is used to:
- Reduce pain
- Help a joint work better
- Help people be able to do daily activities.
Surgery is not for everyone. Talk about the option with your doctor.
Regular Doctor Visits
Regular medical care is important so doctors can:
- See if the disease gets worse
- See if drugs are helping
- Look for drug side effects
- Change treatment when needed.
Your care may include blood, urine, and other lab tests and x rays.
Alternative Therapies
Special diets, vitamins, and other alternative therapies are sometimes suggested to treat rheumatoid arthritis. Some therapies help people reduce stress. Many of these treatments are not harmful, but they may not be well tested or have any real benefits.
People should talk with their doctor before starting an alternative therapy. If the doctor feels the therapy might help and isn't harmful, it can become part of regular care.
What Research Is Being Done on Rheumatoid Arthritis?
Research is being done in many areas:
- Immune systems
- Genes
- Families with rheumatoid arthritis
- New drugs or drug combinations
- Rheumatoid arthritis and disability
- Preventing related health problems
- Quality of life for people with rheumatoid arthritis.
For More Information on Rheumatoid Arthritis and Other Related Conditions:
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Information Clearinghouse
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484
Toll free: 877-22-NIAMS (877-226-4267)
Fax: 301-718-6366
Email: firstname.lastname@example.com
Website: https://www.niams.nih.gov
If you need more information about available resources in your language or another language, please visit our website or contact the NIAMS Information Clearinghouse at firstname.lastname@example.com.
The information in this publication was summarized in easy-to-read format from information in a more detailed NIAMS publication. To order Rheumatoid Arthritis Handout on Health full-text version, please contact NIAMS using the contact information above. To view the complete text or to order online, visit www.niams.nih.gov.
For Your Information
This publication contains information about medications used to treat the health condition discussed here. When this publication was developed, we included the most up-to-date (accurate) information available. Occasionally, new information on medication is released.
For updates and for any questions about any medications you are taking, please contact
U.S. Food and Drug Administration
Toll free: 888-INFO-FDA (888-463-6332)
Website: https://www.fda.gov
For additional information on specific medications, visit Drugs@FDA at www.accessdata.fda.gov/scripts/cder/drugsatfda. Drugs@FDA is a searchable catalog of FDA-approved drug products.
This publication is not copyrighted. Readers are encouraged to duplicate and distribute as many copies as needed.
Additional copies of this publication are available from:
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Information Clearinghouse
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484
Toll free: 877-22-NIAMS (877-226-4267)
Fax: 301-718-6366
Email: firstname.lastname@example.com
Website: https://www.niams.nih.gov


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Prospect DeShields sidelined by cheek fracture
OAKLAND -- Astros outfield prospect Delino DeShields Jr. is expected to be out several weeks after suffering a broken cheekbone when he was hit in the face by a 90-mph fastball in Double-A Corpus Christi's game in Frisco, Texas, on Friday night.
Astros general manager Jeff Luhnow said Saturday that DeShields, the Astros' seventh-ranked prospect, has a non-displaced maxillary sinus fracture in his left cheek. DeShields was to be further evaluated later Saturday, but the team didn't know how long he'd be out.
"He's lucky, considering," Hooks manager Keith Bodie said. "It could have been horrific, could have been catastrophic. He never saw the ball out of the pitcher's hand and took a 90-mph fastball right in the face. You can imagine how lucky we are that he's only got a fracture of his cheekbone. His head looks like a beach ball right now."
Bodie said DeShields was released from the hospital early Saturday morning and spent the night at the team hotel, where teammates kept a close eye on him. Bodie said DeShields was resting with no problems, other than some major swelling.
To anyone that is concerned as you can see I'm doing fantastic! Blessed to see another day! Always smiling ??ol pic.twitter.com/C5koD0Z5t9
- Delino DeShields (@LinoDeShields) April 19, 2014
"I'm sure that when we get back to Corpus they may want to take a look at him in Houston and go from there," Bodie said. "He's going to be around us today, and we need to keep an eye on him. He did OK through the night, and that's good news. Hopefully he's on the road back to being mended."
Bodie suggested that the fact DeShields didn't see the pitch could be a silver lining.
"So it doesn't leave any lasting impressions imprinted in his mind in the future, where he might be leery," Bodie said. "On the other hand, it was just a horrible thing to see. It's going to be a very uncomfortable road back for him."
DeShields, 21, went 1-for-3 and is hitting .259 with two homers and four RBIs this season as the Hooks' starting center fielder.
DeShields hit .317 with five homers, 54 RBIs and 51 stolen bases last season at Class A Lancaster. Following the season, he made the move back to center field after playing a few seasons at second base.
Brian McTaggart is reporter for MLB.com and writes an MLBlog, Tag's Lines. Follow @brianmctaggart on Twitter. This story was not subject to the approval of Major League Baseball or its clubs.


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A Delaware bankruptcy court could decide as early as today whether to allow Emivest Aerospace to continue operations after the company filed for creditor protection and reorganization under Chapter 11 of the U.S. bankruptcy code late last week. The maker of the $7.5 million SJ30 light jet indicated that it could obtain up to $4 million in debtor-in-possession financing to keep its doors open and continue to support the four in-service SJ30s. Dubai-based Emivest purchased 80 percent of Sino Swearingen Aircraft in 2008 with plans to pump more than $1 billion into the company to restart serial production. While the company did deliver two aircraft last year, those grander plans never materialized and no aircraft were delivered subsequently. Three more aircraft currently are stranded on the production line. Court documents revealed that Emivest actually infused $38.4 million into the company from a revolving credit line. After 16 years of development and estimated expenditures of $700 million, the SJ30 was certified in 2005. Then the company said it had orders for more than 200 of the aircraft. However, last week there was only one employee remaining at its Martinsburg, W.Va. plant, built with more than $2 million in state funds on the premise of creating 400 jobs, where the SJ30's wings, fuselage and tail are made. The telephone is still being answered at the company's San Antonio headquarters.
SJ30 Maker Emivest Files for Ch. 11 Reorganization
- October 26, 2010, 12:02 PM


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People in Wiltshire will shape the future of the next European Parliament by voting at one of 354 polling stations across the county next week.
Roughly 353,774 people are eligible to vote and can choose from eight parties on Thursday. Their choices will be closely scrutinised by politicians gearing up for the 2015 General Election.
The parties to choose from are Conservative, Labour, Lib Dems, UKIP, Green Party, BNP, An Independence From Europe and English Democrats.
Wiltshire is represented by the South West constituency, made up of Bristol, Cornwall, Devon, Gloucestershire, Somerset, Dorset, Wiltshire and Gibraltar.
Each party has listed six candidates and of the 48 candidates put forward, six will be elected to represent the South West.
Britain's membership of the European Union has been heavily debated in Westminster, with Prime Minister David Cameron promising to hold a referendum on the issue.
A televised debate on Europe involving Lib Dem leader Nick Clegg and UKIP leader Nigel Farage also attracted national media coverage.
Paul Morris, regional returning officer for the European Election, said this had helped to increase awareness and he expected more people to vote as a result.
He: "I think this year is going to be very interesting following all the national coverage Europe has been given. Often European elections get a little bit forgotten but I don't think that will be the case this time around."
Wiltshire Council is expecting a turnout of between 40 to 45 per cent on Thursday. Voting begins at 7am on Thursday, May 22, and finishes at 10pm.
The council will verify papers from 9am on Friday at Malmesbury Leisure Centre, Devizes Leisure Centre, Trowbridge Civic Centre and Salisbury Five Rivers Leisure Centre.
The count will be held at the Christie Miller Leisure Centre in Melksham, on Sunday, May 25, and will start at 2pm, but cannot be declared until the last European country has voted, which will be Italy at 10pm.


text: Second printing. Published with a digital code that may no longer be redeemable from the publisher. Do not purchase with the expectation that the code is still valid. Dimension Z continues! 'Remember their faces, their families. Remember what they love. Learn how to turn it against them. ' Arnim Zola's ambitions leave Captain America stranded in the upside-down territory known as Dimension Z. Steve has saved the life of Zola's son, but can he keep him alive? Who are the barbarians of Phrox and what are their intentions for Steve and his new ward? $3.99 cover price.


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What Will Heaven Be Like?
from R.C. Sproul Nov 05, 2016 Category: R.C. SproulWhen I was in seminary, I studied under an extremely learned professor who I was convinced at the time knew the answer to every possible theological question. I remember I was so in awe of him that I asked him one day with stars in my eyes, "What's heaven like?" I asked him as if he had been there and could give me a firsthand report! Of course, he steered me immediately to the last two chapters of the New Testament, Revelation 21 and 22, in which we get an extensive visual image of what heaven is like. Some dismiss it as being pure symbolism, but we must remember that the symbols in the New Testament point beyond themselves to a deeper and better reality than they themselves describe. Keep Reading
Does Prayer Change God's Mind?
from R.C. Sproul Sep 16, 2016 Category: R.C. SproulDoes prayer make any difference? Does it really change anything? Someone once asked me that question, only in a slightly different manner: "Does prayer change God's mind?" My answer brought storms of protest. I said simply, "No." Now, if the person had asked me, "Does prayer change things?" I would have answered, "Of course!" Keep Reading
The Holiness of God, Free on Kindle for a Limited Time
from Karisa Schlehr Dec 04, 2011 Category: R.C. SproulThe Holiness of God, Dr. Sproul's classic introduction to the majestic character of God, is now free on the Amazon Kindle store for a limited time. Keep Reading
Video: Burk Parsons on Serving with R.C. Sproul
from Karisa Schlehr Aug 17, 2011 Category: R.C. SproulBurk Parsons is editor of Tabletalk magazine and associate minister at Saint Andrew's in Sanford, Florida, where he serves alongside Dr. R.C. Sproul. Recently, he sat down with Dustin Neeley, church planter, pastor, and founder of the ministry Church Planting for the Rest of Us, to discuss what it is like to pastor with Dr. Sproul and the lessons we can learn from those who have gone before us. Watch the video or read the transcript. Keep Reading
From Brokenness to Mission is the Human Pattern
from Chris Larson Aug 15, 2011 Category: R.C. SproulDr. Sproul conveys a powerful gospel dynamic here from Isaiah 6. Keep Reading
R.C. Sproul in Arabic
from Karisa Schlehr Jul 20, 2011 Category: R.C. SproulNow you can watch R.C. Sproul in Arabic. Find select messages from teaching series including Defending Your Faith, The Mystery of the Trinity, and The Last Days According to Jesus. Keep Reading
R.C. Sproul on Demons
from Karisa Schlehr Jul 15, 2011 Category: R.C. SproulI think we can take some solace in the thought that it's unlikely we'll ever meet with Satan in our lifetimes. He has bigger fish to fry. He's not going to chase after the little guys. But nevertheless, he has a host of minions, his demons, to do his work for him, and so they may surround us as close as our clothes, and satanic emissaries may besiege us, and we have to be alert to that. But it's unlikely that you and I will encounter the Prince of Darkness himself. I say that because he is not omnipresent. That is an attribute that belongs only to God. Also, he's not omniscient. Satan does not know everything. Satan is a creature, and he is defined by the limits of creatureliness. Keep Reading
R.C. Sproul on Angels
from Karisa Schlehr Jul 14, 2011 Category: R.C. SproulAngels are part and parcel of the biblical message from early in creation, from the book of Genesis all the way to the book of Revelation. We don't simply see a flurry of angelic activity concentrated in the pages of the New Testament during the life of Jesus; we encounter them throughout the whole scope of redemptive history. Keep Reading
On True Seekers
from R.C. Sproul May 03, 2011 Category: R.C. SproulJonathan Edwards used to say that the chief business of the Christian was the seeking of the Kingdom of God. And what he meant by that was the chief business of the Christian is seeking after God. We have such a superficial understanding of seeking that we attribute it to non-believers when the non-believer is not seeking God—he's running away from God. Keep Reading
The Place of God's Disfavor
from R.C. Sproul Apr 03, 2011 Category: R.C. SproulIn recent days, the evangelical church has been rocked by Rob Bell's open questioning of the doctrine of hell. Dr. Sproul answers those questions in a forthcoming book, Unseen Realities: Heaven, Hell, Angels and Demons. In the following excerpt from the book, Dr. R. C. Sproul strongly affirms that hell is a biblical concept and a very real place. Unseen Realities, which is jointly published by Christian Focus Publications and Ligonier Ministries, will be released in the United Kingdom in May and in the United States in July. Keep Reading


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BIGDOGBRAG Saturday, August 2, Colorado Springs, CO
Hawk Productions LLC
We call it a FUN MUD RUN and you will too! The BIGDOGBRAG is a mud obstacle event featuring a 5k course with 25+ obstacles that will challenge even the elite athlete and a family-friendly 2k course with 12+ obstacles for everyone…both courses offer a lot of MUD and CHALLENGE for every level of fitness and ALL levels of FUN!!!
Reminder... this is a rain or shine, nonrefundable event however, you can transfer your registration. If you have a promotional code please apply it first then make your selections. If you have any trouble processing your registration please contact Eventbrite our registrtion partner by email at Eventbrite or at 1-800-350-8850. If you have any other event questions please contact BIGDOGBRAG! Welcome to the Playground!
PACKET PICK UP: Pick up is available from REI is during store hours from July 23-30. Participants must be registered by Tuesday, July 22 to pick up your race packet from REI! If registered after July 22 your packet pick up will be on race day!
We are a Colorado event management company partnering with BIGDOGBRAG to bring you an amazing fun filled, mud obstacle event. Hawk events are built by the community, to benefit the community and to inspire community. Together we can make an impact!
In order to purchase these tickets in installments, you'll need an Eventbrite account. Log in or sign up for a free account to continue.


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Scott showing shoulder shouldn't be a burden
LAKELAND, Fla. -- Rays designated hitter Luke Scott has been in and out of the lineup this spring, battling a hamstring injury. He spent the last two seasons dealing with shoulder problems. But he was back, starting in right field Tuesday, and looked as though the time off hadn't hurt him at bit.
Scott had a walk, a double and a grand slam in the fourth to spark Tampa Bay to an 11-5 win over the Tigers at Joker Marchant Stadium. Now that he's feeling better physically, he's optimistic he can produce at the plate this season.
"It's like being able to drive a car on four wheels instead of three. My whole life I've been able to do certain things with my body. My shoulder and my mechanics have worked a certain way. The last two years I haven't been able to do that," he said. "So that's a tremendous adjustment to make. Now that I've had a chance to heal and get back to my former self, it feels good to get back to where I used to be. It feels good to once again be able to control the bat head."
Said manager Joe Maddon: "He could be very big for us. He's been a good RBI guy. If we can get him out there more, we could see a lot of that. He's got that knack for driving in runs. He likes being out there in that moment. His swing is effortless now. It's not like he's trying to do too much. An easier swing with better results. I think in the past he was concerned about swinging and missing, because that would hurt."
Paul Hagen is a reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.