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|May 29, 2002
Volume 4, Issue 22
|Midwifery Today E-News
"HIV and Breastfeeding"
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Midwifery Today Conferences
Chinese Traditional Medicine to Change Breech Presentation
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The three-day conference will have components of Midwifery Today conferences as well as the presentation of several papers. Chinese doctors have been asked to arrange for midwives to be present as well as doctors, and it has been noted that we are interested in Chinese medicine. A hospital focused on the practice of Chinese medicine is located across the street from Shamin Island, where our venue is located.
INNOVATIVE MIDWIVES: Midwifery Today literally searches the world for them. Then we bring those midwives to you for the most in-depth learning experiences.
Eugene, OREGON, Five-Day Intensive Workshops: August 26-30, 2002
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A two-day midwifery education conference precedes three days of international conferencing.
Send submissions, inquiries and responses to newsletter items to
In This Week's Issue:
1) Quote of the Week
1) Quote of the Week
"We cannot prepare for the future without embracing the meaning and the relevance of the baby's perspective on life."
- Michel Odent, MD
2) The Art of Midwifery
Doula trick of the trade: In an effort to encourage the laboring mom to make noise and keep her noises low and deep, I began modeling that sound. We usually end up humming and moaning together. Once that ritual is established, it almost becomes like singing or a meditative mantra. The last mom whose birth I attended said she vividly remembers being surrounded in a gentle bubble of vibration from our sounds. Not only does it help relax mom, but it seems to frighten the nursing staff to the point where they just sit back and watch in amazement!
- Kathleen Hickey
DOULAS: We encourage you to continue to send in your favorite tricks of your trade!
3) News Flashes
Two recent studies confirm that breastfeeding makes babies more intelligent and healthier. One of the studies shows that babies breastfed for up to nine months have higher IQs. It is not clear which nutrients may play a role, but human milk contains docosahexaenoic acid and arachidonic acid -- fatty acids that seem to be important in brain development. The American Academy of Pediatrics recommends that babies should get nothing but breastmilk for six months and advises women to breastfeed to some extent for a full year. The World Health Organization recommends that mothers should breastfeed babies for two years.
- Reuters, May 8, 2002
4) HIV and Breastfeeding
Response to notation by Karen Ehrlich about studies on HIV-positive women and the effects of breastfeeding on transmission [Issue 4:20]:
While the results from these studies are provocative, they must be looked at in a larger context. We do know that breastmilk from HIV-positive women contains the virus and that populations of HIV-positive women who breastfeed have higher rates of transmission of the virus to their babies through breastfeeding. The two articles by Anna Cousoudis, et al. are actually reports of data from two different points in the same study. The results show that at six months infants breastfed exclusively for three months or more have no greater risk of HIV infection than those never breastfed - 19.4% in both groups. Infants who had mixed feeding of breastmilk and other fluids or formula or foods had a higher risk of infection (24.7%). By 15 months the percentages were 24.7% for those exclusively breastfed for at least three months and 35.9% for mixed feeders (vs. 19.4 never breastfed). It is clear that exclusive breastfeeding is better than mixed feeding, but after six months babies in the exclusive breastfeeding group became infected (increase from 19.4% to 24.7%). The mothers and the infants did not receive any antiretroviral medications.
This is a small study in which only 103 women exclusively breastfed to at least three months and 156 women never breastfed. In addition, the 95% confidence intervals are large. Both these facts mean the data can more easily be flawed than if the study were larger and the confidence intervals small.
The authors made several interpretations of their results. One very important interpretation is the authors' statement that the WHO, UNAIDS, UNICEF recommendations for infant feeding be reinforced in developing countries, with added emphasis on encouraging HIV-positive women who have no access to safe alternatives to exclusively breastfeed. Another conclusion is that other studies must be done to confirm the results before they should influence any policy changes. And finally, on the basis of their data (which needs confirmation) a recommendation can be made to HIV-positive women with no access to safe breastmilk substitutes to exclusively breastfeed for at least three months but not longer than six months.
The WHO, UNAIDS, UNICEF current policies for infant feeding are as follows: Exclusive breastfeeding should be promoted, protected and supported for six months for women who are known to be HIV negative and whose HIV status is unknown. For HIV-positive women the use of breastmilk substitutes is recommended where "acceptable, feasible, affordable, sustainable and safe"; otherwise exclusive breastfeeding is recommended for the first months.
Other risk factors have been suggested to increase the risk of transmission of HIV during breastfeeding. Cracked nipples, engorgement and mastitis can increase the risk of exposure to maternal blood during feedings. Oral thrush in the infant may be another factor.
All of the above has been focused on developing countries. Another recent study in Kenya reports a higher mortality in HIV-positive women who breastfed. The Coutsoudis et al. study showed no increase in mortality in women who breastfed compared to those who never breastfed. A further and refined look at all these issues must be done before conclusions can be drawn and recommendations made.
What about the developed world? Currently the standard of care includes a regime of antiretroviral drugs for HIV-positive women during pregnancy and birth, antiretroviral medication for the baby to six weeks of age and breastmilk substitutes for infant feeding. Here the risk of maternal to child transmission of HIV is less than 2%.
Could those women with undetectable viral loads who continue to take antiretroviral medications postpartum safely breastfeed? No information exists about the effects of long-term exposure of the infant to the drugs through breastmilk or if the mother taking the drugs while breastfeeding eliminates the risk of transmission to the baby. Does exclusive breastfeeding provide any protection against HIV infection to the infant exposed at birth? It is just not known.
Given the above, where breastmilk substitutes are safe and readily available, I regrettably could not recommend to an HIV-positive woman that she breastfeed. Of course, it is her decision. It is my job to give her all the known and unknown information, to the best of my ability, and it is my job to support her in whatever decision she makes.
References: Coutsoudis, Anna, et al. Influence of infant-feeding patterns on early mother-to-child transmission of HIV-1 in Durban, South Africa: a prospective cohort study. The Lancet: (354), August 7, 1999. pp 471-476. Coutsoudis, Anna et al. Method of feeding and transmission of HIV-1 from mothers to children by 15 months of age: prospective cohort study from Durban, South Africa. AIDS, 15 (3) 2001. pp 379-387. Coutsoudis, Anna. Promotion of exclusive breastfeeding in the face of the HIV pandemic. The Lancet: (356), November 11 2000. pp.1620-1621. Coutsoudis, Anna. Shaffer, Nathan. Numazaki, Kei. Correspondence, HIV infant-feeding patterns and HIV-1transmission The Lancet: (354) November 27 1999. pp.1901-1904. Effect on Breastfeeding on Mortality among HIV-Infected Women. WHO Statement, June 7 2001. Found online www.who.int/HIV_AIDS/MCTC/
- Nancy Miller, CNM
5) Check It Out!
Dr. Michel Odent discusses peak experiences and their effect on human health and well being. An informative, inspiring and deeply thought-provoking book!
BIRTHSONG MIDWIFERY WORKBOOK 3rd ed., by Daphne Singingtree
Designed to help you learn the basics about birth and midwifery.
6) Midwifery Today's Online Forums
I am a first-year midwifery student at The National College of Midwifery. I am looking for a 2-3 month apprenticeship opportunity in Mexico or Central America. My preference is a medium volume clinic (10-15 births a month). My Spanish is minimal but I am very eager to learn. Any information is greatly appreciated.
Go to our forums to share your thoughts and experience.
SEND YOUR RESPONSE to firstname.lastname@example.com with "Question of the Week" in the subject line.
7) Question of the Week Responses
Q: I am seeking insight about having a VBAC after four c-sections. Does anyone have experience with a situation like mine? I labored with all but one of my babies and was labeled CPD. All my labors were augmented. We are considering having another baby.
- NV, midwife
A: I've had eight homebirths after three cesareans. All went well.
- Kathy
A: I had an emergency c-section at 36 weeks, another that was planned in advance (before I became informed) and an ectopic rupture, for which I was opened up through the convenient previous scar. I was induced with Pitocin with the third, vaginal birth successful, then a spontaneous natural birth with a midwife attending with my fourth. We'll have another, at home.
- Unsigned
A: My favorite VBAC story is about the woman who had had four previous c-sections. For her fifth pregnancy four years ago (before everyone got so hyper about VBACs) we discovered that she had gestational diabetes. She was very careful about her diet. She started taking red raspberry leaf, black cohosh and evening primrose in tincture form at 36 weeks. At 37 weeks she went into spontaneous labor. We were not doing continuous monitoring of VBACs then. When she reached 5 cm, she got into the tub for comfort. An hour later she was fully dilated with the head on the perineum. She birthed a 6 lb. 10 oz.-girl in the tub. The baby was about two pounds smaller than her previous smallest baby.
In January she had another successful VBAC despite pregnancy-induced hypertension and gestational diabetes. Because of these and the cultural changes and fears about VBAC, she was continuously monitored and augmented with Pitocin. Active labor lasted about an hour and she had another beautiful girl, weighing 6 lbs. 3 oz. No herbs this time around.
The answer to your question is yes, you can VBAC after four c-sections. Watch your diet. Even if you are not diabetic in the pregnancy, eat well and emphasize balanced meals. Avoid sugar. Get enough rest and help at home. Remember that the good Lord made your body to have babies. Trust in birth.
- Tricia Shute, CNM
A: While apprenticing with an experienced midwife, we had two clients who had had multiple c-sections and both delivered vaginally at home in very efficient, uncomplicated births. The first woman had had four c-sections, starting with the first baby diagnosed as cephalopelvic disproportion. With her fifth baby she had an eight-hour labor and delivered her biggest baby yet - a baby girl just over 8 pounds. What made her situation more significant was that this woman's mother-in-law was at the time a state legislator who had not supported the legalization of midwifery in our state a few years earlier, although we are legal and VBACs are included in our scope of practice. I don't know that she has changed her opinion on legalization, but the birth made a favorable impression on her.
The second woman had had 13 pregnancies (2 miscarriages, 7 cesareans for failure to progress, 2 vaginal births all in hospital) and successfully gave birth at home in less than five hours to a healthy 8+ pound baby boy! No complications whatsoever. What a triumph!
- Dotti Kirkpatrick, registered midwife
A: I had one mother who gave birth vaginally after four c-sections and another after three. Both had good deliveries. Remember that the labor probably will be long and slow because the uterus is finding its own way again. Stay hydrated and eat! Get as much rest as possible. Most important, do not allow yourself to be induced or your labor augmented! Let your body do its work in its own way and work with it. Use water, massage, whatever to stick with it. Be sure to have only those with you who believe you can and will give birth. You CAN!
- Judy, CPM
A: A lady came to me with her seventh pregnancy; the first five had been c-sections - the first for "CPD" with an 8 lb 1 oz baby, the next four repeats because of doctor preference. The sixth baby was an 8 lb. 3 oz. VBAC. She had VBACs at home with me for babies seven and eight, with weights of 8-12 and 8-7. The labors were pokey, and I had to camp out for about 24 hours each, but once she was dilated she had no difficulty pushing the baby out and no problems with bleeding, etc.
Baby nine weighed 9 lbs. Her contractions were not good quality and irregular but she was complete after 12 hours of active labor. After pushing with contractions (which were not very strong and 5-12 minutes apart) for 2 hours without real progress, we elected to transport due to failure to descend (despite all kinds of positions) and maternal exhaustion.
I was shocked when we reached the hospital (one I had not transported to before) when they told her they were going to "give her some IV fluids and let her rest a bit before letting her push her baby out! I was glad they were going to give her a fair chance. When she was given Pitocin I got very worried, knowing her uterus was quite worn out. But after about 3-4 hours she had a c-sec. for "failure to progress." Her uterus was found to be total mush. Nonetheless she had a very healthy, big baby and had her tubes tied.
This woman was 39, obese, on a poor diet and didn't exercise. She had had all nine babies one to two years apart. So she had a lot going against her, yet things still went amazingly well for her. (I don't like to have clients who don't take better care of themselves and do a lot of teaching, but when you don't meet them until baby number seven, sometimes they think they already know it all! I did have her using lots of red raspberry and a good prenatal which I think helped some.)
- Esther RN, CPM
A: I have attended home VBACs after only one cesarean, as have many; but I know of one woman who has had eight babies including traumatic cesareans, and she now has peaceful homebirths. She is truly a birth goddess and is out to revolutionize birth with her own stories as well as her outspoken unashamed glorious writings which can be found at http://www.birthlove.com I highly recommend you consult with her; she would be happy to share her wide knowledge of this issue.
- Anon.
8) Switchboard
International Connections
I am an apprentice at a birthing center in Manila, Philippines and would like to get a U.S. license when I return. I am interested in locating a school to get my academic learning achieved. Ideally I would like to do all or part of that learning by extension so I could begin my studies while still in Manila and continue while again living overseas. Are there any good options to doing my schooling in this manner?
- Krista
In Australia we have some of the highest rates of obstetric intervention in the world: 21.9% caesaraean and 25.9% induction in 1999. You can guess that our obstetric system is dominated by the medical model and obstetricians! But you can help us change that. We have formulated a National Maternity Action Plan (NMAP) demanding that every woman in Australia have the option of one-on-one midwifery care, similar to what our neighbours in New Zealand are enjoying. Our document tells Australian politicians why and how to do it here. It's a great summary of the benefits of midwifery care. We are asking for support and endorsement from as many groups and individuals as possible. All you have to do is read the Adobe document found at
and send your e-mail endorsement to the convenors as listed. If you are a member of an organisation, you can ask that your organisation formally endorse us also. We figure that a flood of endorsements from Australia and overseas will help the state and federal governments see the light. We would like to have them all in by late June. Thank you from all of us in Australia!
- Sarah Buckley, for the NMAP
As a family physician who practices obstetrics, I've enjoyed receiving your e-mail newsletters and updates and quote your sources frequently when asked to justify my "midwife-like" techniques and tendencies. I am therefore dismayed at the sense of hostility I got while reading a recent issue, in regard to your allopathic medical colleagues. Allopathic obstetricians (meaning those with medical degrees, as we who do deliveries are all obstetricians of a sort, are we not?) have very heartily admitted and agreed with the results of the study you quoted from ACOG regarding VBAC. Please remember that the "us versus them" mentality is not productive. All of "us" want to see healthy happy mothers and babies - just like all of "you."
- Shenary Fote MD
A reader asked why evening primrose oil is not recommended for VBACs [Issue 4:21]. When there is *any* question about potential scar integrity (i.e., if pregnancies have been very close together after a c-section and/or if the incision was not the basic low horizontal), it is not advisable to do *anything* to push the body toward softening any faster than it does on its own. My point is that anything that softens the cervix has the potential to soften the scar. Again, this is a "use your judgment" issue. We have to remember that our herbs and oils can have medically significant effects, that they are not safe in every single instance. Is it possible that not using something to "help" the uterus along may mean a VBAC mom may have to transport? Yep. But there's also a risk that helping the uterus along will make for a much more emergent transport later. If nothing else, the whole Cytotec debacle highlights the need for us to respect the natural process and respect our limitations.
- Jen
Re the tiny mother [Issue 4:21]: The woman I described was having her first baby, not her second, which made it an even bigger
- Cynthia B. Flynn, CNM, PhD
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Midwifery Today: Each One Teach One!


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Biopsychology |
Comparative |
Cognitive |
Developmental |
Language |
Individual differences |
Personality |
Philosophy |
Social |
Methods | Statistics | Clinical | Educational | Industrial | Professional items | World psychology |
Clinical: Approaches · Group therapy · Techniques · Types of problem · Areas of specialism · Taxonomies · Therapeutic issues · Modes of delivery · Model translation project · Personal experiences ·
| Psychology and suicide
|Psychological research and suicide
|Epidemiology of suicide
|Causes of suicide
|Suicide methods
|Suicide and adolesence
|Suicide and the elderly
|Suicide and depression
|Suicide and anxiety
|Suicide and personality disorder
|Suicide and psychosis
|Suicide and substance abuse
|Psychological care and suicide
|Assessment of suicide risk
|Predicting suicide
|Managing suicide risk
|Suicide prevention
|Crisis hotline
|Crisis hotlines by country
|Medical care and suicide
|Medical views of suicide
|Suicide risk and antidepressants
|Suicide watch
Murphy GE. Psychiatric aspects of suicidal behaviour: substance abuse. In: Hawton K, van Heeringen K, eds. International handbook of suicide and attempted suicide. Chichester: Wiley, 2000:135–146.

subset: commoncrawl


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Texas Bill Would Require Registration of Homeschoolers
There are currently two homeschool participation bills in the Texas Legislature: H.B. 214 and its sister bill S.B. 412. These bills provide that a homeschool student may enroll in public school in the district as a part time student. The bills allow the school to give homeschool students access to laboratory facilities. A school district may permit a homeschooled student entitled under Section 25.001 to attend public school in the district to participate in an online course. A school district may furnish textbooks without cost to a homeschooled student. A school district may permit a homeschooled student to participate in a district sponsored extracurricular activity.
While Home School Legal Defense Association generally takes a neutral stance on equal access to public school programs, we are concerned with the wording of these two bills. If enacted they would create a new category of education under the Texas compulsory attendance code.
Up until this time, homeschoolers have clearly been considered "private schools." This right to be a "private school" was earned through years of hard fought litigation culminating in the Leeper decision by the Texas Supreme Court. HSLDA has personally handled scores of cases fighting for homeschool freedom.
By creating a bill allowing for a new category of students, "homeschool students," we are setting ourselves up for a fall. This "home school" language, added to bills involving compulsory attendance age students, gives future legislatures the excuse to regulate us. This will also cause confusion in the courts and may separate us from the precedent in Leeper.
The homeschool organizations in other states where homeschools are recognized as "private schools" are of one mind on this issue as well. They routinely oppose all attempts to add the term "home school' into their education codes.
We must add that Representative McCall's intent is good. He only wants to help homeschoolers. However, Tom Sanders our Texas Legislative Counsel, has visited his office and explained this danger but Representative McCall has chosen not to change his position.
To amend the language and remove the term "home school" student and replace it with "private school" student is not feasible because neither the legislature nor the public schools want to open all these public schools programs to all private school students. The expenses are too high.
HSLDA believes it is in the best interest of homeschoolers in Texas to remain in the same loosely regulated category as private school students. If both groups enjoy the same legal status, we will more easily maintain the freedom homeschools enjoy.
It is important to note, there is another bill, H.B. 580, that completely scraps the Universtiy Interscholastic League and creates a new commission that will create rules for participation in sports by private schools, public schools and charter schools. The sponsor of this bill removed the term "home school" thus avoiding the potential danger. Homeschools could simply fit under private schools in that bill in order to participate in sports.
HSLDA does not know for certain what the courts or legislatures will do with the statutorily created category of "home school" in Texas. But we would rather preserve our liberty than receive more "freebies." Homeschoolers have fought too hard for freedom to take this risk.


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Sobeh wrote:It has to do with impermanence, and how not even a fantastic mythical powerhouse is free from such. Only those Noble Disciples are free who follow the Dhamma.
That's what I get from it. Chances are it was delivered to brahmins, hence their extant mythical structure being bent to the purpose of this teaching on anicca.
bodom wrote:The Sermon Of The Seven Suns
http://buddhasutra.com/files/sermon_of_ ... n_suns.htm
The Master Sunetto preached to his disciples the doctrine of fellowship with the world of God; and those who understood all his religion in every way, when he preached this doctrine, were born again, upon the dissolution of the body after death, to weal in the world of God...
2. I am not sure of the meaning of this word...
1. Translation uncertain. The word saddhâtâ is not in Childers, and I can find no equivalent in Sanskrit...
2. There is no break in the Pâli, but the present division is made for the sake of another Gospel parallel.
Virgo wrote:Noble Disciples aren't there-- neither here nor there my friend.
Ben wrote:bodom wrote:The Sermon Of The Seven Suns
http://buddhasutra.com/files/sermon_of_ ... n_suns.htm
Thanks Bodom, it looks like a copy of the one I found when googling the title. The translation is way too suspect for my liking.
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After throwing Roc - Comet for several years, I'm feeling the need for a straight-stable mid with little fade. Yeah, I know the Comet can do that shot, but I hope to find something a little less touchy. Beat Roc could do straight-stable, too, but I never seem to have any beat Rocs.
Changing one mid can affect the whole lineup, so I'm heading out to Seneca Creek with a bag full of midranges. Contenders:
Roc DX 165-6
Buzzz ESP 165-6
Tangent Neutron 167-8
Comet Z 164-6
Fuse GL 167-8
The Roc is probably safe, because it can do things that none of the other discs can do. I prefer Buzzz over Roc for FH because the Buzzz gives me a cleaner release. I will be very interested to see whether the Tangent competes with the Buzzz for the straight-stable slot, whether it competes with Comet/Fuse for straight to under stable, or whether it is versatile enough to take over both roles.
Noodle-arm midrange report to follow.


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NEW YORK ( TheStreet) -- Popular searches on the Internet include Call of Duty: Black Ops II as the highly anticipated Activision Blizzard ( ATVI) game went on sale at midnight. Gamers from around the world lined up outside stores to buy the game, which hit 16,000 retailers globally. The game is available for PC, PlayStation 3 and Xbox 360. It will also be available on Nintendo's Wii U console, which is set to be released in the U.S. next week. Activision announced last week that the game also features the ability for players to live stream their gameplay. It will also feature audio commentary and Webcam footage on YouTube. Black Ops II centers on a Cold War taking place in the year 2025. It is the sequel to the world's best-selling console game, which was released in 2010.
Home Depot ( HD) is trending as the retailer reported third-quarter profit that beat expectations as the U.S. housing market improved. Net earnings climbed to $947 million, or 63 cents a share, compared to $934 million, or 60 cents a share, a year earlier. Excluding a charge tied to closing stores in China, the company said earnings were 74 cents a share, beating analysts' expectations of 70 cents. Sales also beat expectations, rising nearly 5% to $18.13 billion. Analysts had been looking for sales of $17.93 billion. Home Depot raised its full-year outlook as well. It now expects a fiscal-year profit of $3.03 a share, excluding charges. Its prior forecast was $2.95 a share. The company has benefited from the improvement in the housing market as consumers buy more home improvement and construction products. Home Depot itself has also focused on cutting costs, localizing marketing and merchandising, as well as improving distribution. The company is the world's largest home-improvement chain.
Pepsi ( PEP) is another popular search. Pepsi-Cola in Japan is coming out with a new soda that claims to block fat in the body. "Pepsi Special" features the ingredient dextrin, which is said to help reduce fat levels, according to distributor Suntory. The new beverage goes on sale in the country Tuesday. Bottles will sell for 150 yen, or about $1.87, in Japan.
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Some things are too good to let die.
That's the case for the Latino Roundtable that used to meet in the old North County Times building on Coast Highway in Oceanside.
And while the roundtable has been inactive for six months, since the sale and merger of the newspaper to U-T San Diego, a group of interested people outside the newspaper are bringing it back to life.
A half dozen or so gathered around a folding table on the fourth Thursday of April at the Chavez Center, 605 San Diego St., in Oceanside. This will be the regular meeting time and place — come join us, if you care to.
When the North County Times was in its infancy, some of the region's Hispanic community had pointed criticism of the newspaper.
It didn't cover their community. It was insensitive to matters touching on their ethnicity. It — or more accurately, "we" — didn't seem to care.
Responding, then-publisher Dick High, created a regular forum, a Latino roundtable, for members of that community, and anyone else who wanted to attend, to come talk to the newspaper's staff.
When I came in October 1996, I had the privilege of becoming the newspaper's point person.
The rules of the forum were simple and safe: Nobody set an agenda for the conversation; whatever people wanted to talk about, that was the topic of the day.
Nobody acted as gatekeeper for who could attend — anybody, of any race or ethnicity or political persuasion, was welcome.
What was said in the room, stayed in the room, unless special permission was granted by all.
The roundtables gave us journalists insight that we might not have otherwise gotten into people's culture, values, lifestyle and traditions.
Those who attended did some remarkable work.
A used-computer giveaway program was hatched in one of those sessions. So was the Encuentros Leadership of North County — an organization that set out to reduce the high school dropout rate of Latino boys and to increase the number successfully graduating from college (encuentrosleadership.org.)
The group puts on an career exploration conference each fall, a leadership academy at Cal State San Marcos for outstanding high school boys during the summer, and a classroom project in several middle schools.
Encuentros was formed when Ofie Escobedo of Lola's Market in Carlsbad looked at the men at the roundtable, noted that the North County Latina Association was working with young Latinas, and challenged the men around the table to do something for the boys.
Such was the quality of the conversation and the real community-building that happened at our roundtables.
Oh sure, sometimes things got heated — we took a lot of criticism from time to time about the letters to the editor, or at times, Mark Thornhill's editorial page cartoons.
But generally, people exchanged ideas, met each other and built relationships, and shared resources.
That's what those who gathered a couple of Thursdays ago want to re-create, and they asked whether I would please come act as the moderator.
I said I wasn't Latino — I'm a mix of English, Scottish and Swede.
One of the women looked up and replied: "Consider yourself baptized."
Kent Davy is the former editor of the North County Times. Contact him at firstname.lastname@example.com.


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Centiva is pleased to announce Delores T. Aaron Elementary in New Orleans, Louisiana as our "Centiva Green School Innovation Grant" recipient for the 2013-2014 school year.
With the destruction from Hurricane Katrina, Delores T. Aaron Elementary has just recently moved into a new a school. The $3,000 from the "Centiva Green School Innovation Grant "will help build an outdoor classroom with a local marsh environment containing native Louisiana plant species, as well as a garden space that will be harvested and studied throughout the year.
The "Centiva Green School Innovation Grant" is intended to encourage schools to develop creative, innovative, cost effective environmental projects that improve the environment; make schools a healthier place to learn, play, and work; and save money through reduced use of natural resources.
This year we received a total of 53 deserving entries. Two commendation of excellence awards were also given to Highland Elementary in Milwaukee, Wisconsin and Winchester Thurston in Pittsburgh, Pennsylvania.
A special thank you to our prestigious judges: Susan S. Szenasay – Editor in Chief, METROPOLIS; Mike Stanley – Publisher, Interiors & Sources; and Meghan Edwards – Web Editor, Interior Design.


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June 2015
Osteoporosis literally means "porous bone." This disease is characterized by too little bone formation, excessive bone loss, or a combination of both. People with osteoporosis have an increased risk of fractures. It is most common in older people, especially older women.
Osteoporosis is rare in children and adolescents. When it does occur, it is usually caused by an underlying medical disorder or by medications used to treat the disorder. This is called secondary osteoporosis. Sometimes, however, there is no identifiable cause of osteoporosis in a child. This is known as idiopathic osteoporosis.
No matter what causes it, juvenile osteoporosis can be a significant problem because it occurs during the child's prime bone-building years. From birth through young adulthood, children steadily accumulate bone mass, which peaks sometime before age 30. The greater their peak bone mass, the lower their risk for osteoporosis later in life. After people reach their mid thirties, bone mass typically begins to decline—very slowly at first but increasing in their fifties and sixties. Both heredity and lifestyle choices—especially the amount of calcium in the diet and the level of physical activity influence the development of peak bone mass and the rate at which bone is lost later in life.
Secondary osteoporosis, which can affect both adults and children, results from another primary disorder or therapy. Some examples are included in the box below.
As the primary condition, juvenile idiopathic arthritis (also known as juvenile rheumatoid arthritis) provides a good illustration of the possible causes of secondary osteoporosis. In some cases, the disease process itself can cause osteoporosis. For example, some studies have found that children with juvenile idiopathic arthritis have bone mass that is lower than expected, especially near the joints affected by arthritis. In other cases, medication used to treat the primary disorder may reduce bone mass. For example, drugs such as prednisone, used to treat severe cases of juvenile idiopathic arthritis, negatively affect bone mass. Finally, some behaviors associated with the primary disorder may lead to bone loss or reduction in bone formation. For example, a child with juvenile idiopathic arthritis may avoid physical activity, which is necessary for building and maintaining bone mass, because it may aggravate his or her condition or cause pain.
Primary Disorders
* This is not a complete list. The cause of a child's osteoporosis can best be determined with the help of his or her doctor.
For children secondary osteoporosis, the best course of action is to identify and treat the underlying disorder. In the case of medication-induced juvenile osteoporosis, it is best to treat the primary disorder with the lowest effective dose of the osteoporosis-inducing medication. If an alternative medication is available and effective, the child's doctor may consider prescribing it. Like all children, those with secondary osteoporosis also need a diet rich in calcium and vitamin D and as much physical activity as possible given the limitations of the primary disorder.
Idiopathic juvenile osteoporosis (IJO) is a primary condition with no known cause. It is diagnosed after the doctor has excluded other causes of juvenile osteoporosis, including primary diseases or medical therapies known to cause bone loss.
This rare form of osteoporosis typically occurs just before the onset of puberty in previously healthy children. The average age at onset is 7 years, with a range of 1 to 13 years. The good news is that most children experience complete recovery of bone.
Clinical features. The first sign of IJO is usually pain in the lower back, hips, and feet, often accompanied by difficulty walking. Knee and ankle pain and fractures of the lower extremities also may occur. Physical malformations include abnormal curvature of the upper spine (kyphosis), loss of height, a sunken chest, or a limp. These physical malformations are sometimes reversible after IJO has run its course.
X-rays of children with IJO often show low bone density, fractures of weight-bearing bones, and collapsed or misshapen vertebrae. However, conventional x-rays may not be able to detect osteoporosis until significant bone mass already has been lost. Newer methods such as dual energy x-ray absorptiometry (DXA), dual photon absorptiometry (DPA), and quantitative computed tomography (CAT scans) allow for earlier and more accurate diagnosis of low bone mass. These noninvasive, painless tests are a bit like x-rays.
Treatment. There is no established medical or surgical therapy for juvenile osteoporosis. In some cases, no treatment may be needed because the condition usually goes away spontaneously. However, early diagnosis of juvenile osteoporosis is important so that steps can be taken to protect the child's spine and other bones from fracture until remission occurs. These steps may include physical therapy, using crutches, avoiding unsafe weight-bearing activities, and other supportive care. A well-balanced diet rich in calcium and vitamin D is also important. In severe, long-lasting cases of juvenile osteoporosis, some medications called bisphosphonates, approved by the Food and Drug Administration for the treatment of osteoporosis in adults, have been given to children experimentally.
Prognosis. Most children with IJO experience a complete recovery of bone tissue. Although growth may be somewhat impaired during the acute phase of the disorder, normal growth resumes—and catch-up growth often occurs—afterward. Unfortunately, in some cases, IJO can result in permanent disability such as curvature of the upper spine (kyphoscoliosis) or collapse of the rib cage.
Osteogenesis imperfecta (OI) is a rare genetic disorder that, like juvenile osteoporosis, is characterized by bones that break easily, often from little or no apparent cause. However, OI is caused by a problem with the quantity or quality of bone collagen resulting from a genetic defect.
Because most children with OI never attain normal bone mass, they suffer from secondary osteoporosis as well. There are several distinct forms of OI, representing extreme variations in severity. For example, a person with OI may have as few as 10 or as many as several hundred fractures in a lifetime. Although the number of people affected with OI in the United States is unknown, the best estimate suggests a minimum of 20,000 and possibly as many as 50,000. The clinical features of OI and their severity vary greatly from person to person. Many individuals with OI have some, but not all, of the clinical features. Children with milder OI, in particular, may have few obvious clinical symptoms. The most common features of OI include:
The features that most often distinguish OI from juvenile osteoporosis are the family history of the disease and the blue, purple, or gray sclera commonly found in patients with OI. Distinguishing between OI and IJO may require genetic testing or, in some cases, bone biopsy.
The National Institutes of Health Osteoporosis and Related Bone Diseases ~
National Resource Center acknowledges the assistance of the
Osteogenesis Imperfecta Foundation in the preparation of this publication.
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.
NIH Pub. No. 15-7886
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Phone: 202-223-0344
Toll free: 800-624-BONE (2663)
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Website: http://www.bones.nih.gov
If you need more information about available resources in your language or another language, contact the NIH Osteoporosis and Related Bone Diseases ~ National Resource Center at firstname.lastname@example.com.
The NIH Osteoporosis and Related Bone Diseases ~ National Resource Center provides patients, health professionals, and the public with an important link to resources and information on metabolic bone diseases. The mission of NIH ORBD~NRC is to expand awareness and enhance knowledge and understanding of the prevention, early detection, and treatment of these diseases as well as strategies for coping with them.
The NIH Osteoporosis and Related Bone Diseases ~ National Resource Center is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases with contributions from:
The National Institutes of Health (NIH) is a component of the U.S. Department of Health and Human Services (HHS).
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Heide Wilson
"I want to contribute to the healing of the world."
At the Foundation, we know Heide as articulate, dependable, and passionate about fighting lupus.
But perhaps the best word to describe her is resilient.
She's not only dealt with her own battles with lupus, but lost her 33-year-old brother to the disease. Now she has an even stronger determination to reach out to others, and let them know they aren't alone.
At monthly Foundation support groups, Heide is the one who consistently tells others, "Stay strong. You can do it."
How does this former Air Force Technical Sergeant and Brooklyn mother of two seem to manage so well?
You've had lupus symptoms since you were a teenager on Long Island. When were you diagnosed, and how are you doing now?
In my teens I had bouts with fatigue and sore joints. When I was first diagnosed with a lupus/collagen vascular disease in 1982, I was on active duty in the Air Force. But I never followed up.
It wasn't until I had what felt like a heart attack at age 26—it was actually a panic attack—in a subway station in downtown Brooklyn that lupus was officially diagnosed. I'd had a few years of swollen, hot-to-the-touch joints, extreme fatigue, and hair loss. The doctors attributed these difficulties to everything from stress to allergic reactions, and the difficulties of going through a divorce.
I showed the emergency room doctor my hands, which hurt terribly, and told him how much it hurt to walk or even move. He examined me, took some blood, prescribed some non-steroidal anti-inflammatory drugs, and told me to come back in a week. When I did, he confirmed lupus.
These days, I feel OK. I still have joint pain and I get fatigued easily. But I have learned to pace myself and I can tell if my lupus is trying to flare up.
You've had so many hard knocks yet seem to stay so strong. What keeps you going? How do you manage to stay positive?
I basically believe God gives each one of us "crosses" to bear; my cross is lupus. I'm not discounting education, but until you walk a block (or as far as you can walk) in the steps of someone who has lupus, it is very hard to understand the pain, fatigue, depression and other symptoms of the disease. I believe God allows us to go through these experiences so that we can help others in our situation in a real—not a textbook—way.
I am also constantly reading books and articles about how others have overcome the obstacles of a chronic disease, such as Strong at the Broken Places: Voices of Illness, Chorus of Hope, by Richard Cohen (Harper Collins, 2008).
My dog, Deuce, is also a great source of inspiration. He's an Alaskan Husky that I rescued from the animal shelter.
Raising kids is so much work. How did you manage with lupus at the same time?
It takes a village! For the first six years I lived with my grandmother and uncle in New Jersey who did everything so that I could spend what energy I did have in just hugging my kids, a girl and a boy now in their 20s.
From there to my parent's home in Brooklyn, and my South Carolina in-laws in the summers and on school breaks, the kids were very comfortable wherever they were, and had clothes and toys. We felt like gypsies!
At a very young age the kids also knew how to call 911 to get an ambulance to the house. Then they would call my parents and tell them what was going on.
My church family was also very supportive and helped me manage my children and my situation.
All told, I did not manage raising kids without building a lot of guilt for not being able to do things like stay for my son's football games or go to the beach or amusement parks. Professional counseling helped me to deal with these feelings.
When you do get discouraged, what do you think about to stay focused on the positive?
I try to get busy helping others, like helping to distribute food at church, or just being outdoors and meditating. Going to the support group and attending lupus seminars are also means of staying focused on the positive.
And my children are a big source of my joy and reason to stay positive. I do not want to have my negative attitudes affect them and other people around me.
You joined a clinical trial in December 2008. How did that happen?
After a hospital stay in 2008, I was so discouraged because I was not responding to any of the medicines (methotrexate, plaquenil, prednisone). Every doctor that came in to see me had a group of students. I felt like a guinea pig. I thought I was going to die.
They sent me home—and not because I was better, but because my white blood count had dropped below 1,000 and they decided it was safer for me to recuperate at home, where there was less risk of getting an infection.
I got a letter from North Shore Long Island Jewish Hospital, asking if I'd be interested in participating in a clinical trial. They explained how clinical trials are very controlled. They dispelled some of the fears and rumors I had about joining a trial.
What made you think to yourself, 'this is the right thing to do'?
I found out that enrollment on the part of African Americans is very low. I felt that I could contribute to this cause and help change the attitude towards participation in clinical trials—let it begin with ME!
The experience in this clinical trial has been great! I have to keep a diary of symptoms and illnesses. The staff is very attentive. I get a full exam by one of the top doctors in rheumatology, Dr Richard Furie, about every two weeks!
I also get compensated for my participation. So this has helped me reduce my medical cost which I am paying very steeply for through COBRA and get top medical care at the same time.
At support groups, you always reach out to others and offer your help. What is it about helping others that feels so right to you?
It feels right because I believe that "what goes around, comes around…" I would not be able to give back did I not have the encouragement, support and assistance of others.
I want to contribute to the healing of the world. This is my way of giving back.


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"When I went to Tippecanoe Valley, I actually called the board members and told them, 'I'll take the job. I guarantee I'll stay three years, but not any more than five,' " Patrick said. "We'll get some young guy and train him. Well, it's gone from five to 15 years. Time drifts by. I had no intention of that when I first went there."
Proving that basketball coaching has no age limit, Patrick is 235-97 in his 15 years at Tippecanoe Valley, including 20-3 this season. The school will play in its fifth regional under Patrick, seeking its second regional title.
Tippecanoe Valley plays Norwell (17-6) at noon Saturday in the Class 3A Blackford Regional. The winner plays the winner of Concordia Lutheran vs. Hamilton Heights for the championship at 7:30 p.m. Saturday.
Patrick acknowledges players have changed over the course of his career, which included 24 years as the head coach at Whitko. He has adjusted, too, although the same concepts he espoused as a young coach emphasizing teamwork and sacrifice remain true.
"Go back 20 years, kids were raised on farms and they knew what it was to work hard," Patrick said. "Now the hardest thing they do is two hours of basketball practice. It's hard to run a practice exactly like I did back then. I'm not sure kids would respond to it. So I had to make some changes. Not a lot. We still do basically a lot of things we've always done. But kids don't want to be pushed."
Patrick talks a little more, decides maybe he's being a bit harsh on today's teens.
"There's still a lot of kids that don't mind working," Patrick said. "Hopefully, you can find enough of those for a good team. I've got a group of kids that really work hard this year."
Patrick, who is already in the Indiana Basketball Hall of Fame, won his 700th game against Fairfield on Dec. 21. He joined four other Indiana coaches who have reached the milestone: Jack Butcher (806), Howard Sharp (723), Pat Rady (716) and Bill Stearman (714). Patrick's overall record is 713-277 in 44 years.
Despite his longevity, Patrick still saw something new this season.
Wabash attempted to full-court press and trap for an entire 32 minutes when the teams met Feb. 1 at Tippecanoe Valley.
Tippecanoe Valley won 146-56, a score that made statewide news.
"I'm sure a lot of people thought we ran the score up," Patrick said. "If we ran the score up, we probably could have scored 200 pressing and trapping."
Patrick was surprised by the Wabash strategy and by the decision by Wabash to keep using it after Tippecanoe Valley scored 78 first-half points. Wabash took 99 shots, Patrick said, including more than 40 three-pointers.
"I've never been involved in a game like that," he said. "The only thing we could have done when they trapped us was hand the ball to them and let them score. They sent two or three guys at the ball every time."
Patrick played his reserves the entire fourth quarter and took leading scorer Nick Kindig out of the game after he tied the school record with 51 points. "I didn't want him to break the record in a game like that," Patrick said.
Like most people with memories of the now-defunct single-class Indiana high school tournament, Patrick feels the tournament isn't what it used to be.
"It's still a good game, but I think the IHSAA did some damage to it," Patrick said. "When they went to class basketball, it was a mistake. I really think we need to have one state champ. I'm in the minority, I guess."
Patrick said he would like to see a postseason tournament that would pit the Class A vs. Class 2A champions and Class 3A vs. Class 4A champions, with the two winners meeting for the overall title. The IHSAA tried a version of that early in the switch to class basketball.
"Everybody can't win in life," Patrick said.
Patrick has won his share, and he faces what he thinks is the best regional field in the state this weekend. His son, Chad, his assistant coach, will be by his side as usual.
Win or lose, Bill Patrick plans to return next season.
"It's kind of hard when you've done it as long as I have," Patrick said. "One of these days I've got to walk away from it."
He's in no hurry. Retirement can wait. Tipoff approaches.


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Stuart Broad was already casting his mind forward to "a new era of English cricket" after a three-run defeat to South Africa ended his side's World Twenty20 hopes.
England have one more Super 10 match to fulfil, an unwanted banana skin against Holland, but cannot qualify for the semi-finals after falling just short of a huge 197-run target.
Captain Broad was disappointed not to have fared better in the competition, which England won in 2010, but after a long and torrid winter he was also keen to look forward rather than back.
Since winning the Ashes last summer England have suffered a whitewash in the return series in Australia and lost a handful of senior figures including team director Andy Flower, retired spinner Graeme Swann and the controversially sacked Kevin Pietersen.
An early exit from the World T20 is small beer compared to those seismic events and Broad expects the England that will emerge from the wreckage this summer to be ready to start anew.
"We're disappointed to be out of a World Cup but we can hold our heads high with some of the performances we've put in," he said.
"If we had got out of the group there'd have been a lot of surprised people, no doubt about that. So yes, we're disappointed, but we did some pretty good stuff with the squad we had available.
"It's been a really tough winter and Australia was a really tough tour.
"It's been draining and I'll have to be honest I'm looking forward to a bit of a break.
"It's going to be a new era of English cricket that April, May period...it's always been lined up as that.
"There's going to be a decision on the coach so there might be a few changes in the next two months or so. Change can be exciting from time to time."
Broad's precise role in the new era may not be apparent immediately.
He has been struggling for some time with tendonitis in his right knee and is in need of a two-month rehabilitation period.
When he takes that will only be decided in discussion with the new coach, though a conversation must already have taken place with incumbent - and hot favourite - Ashley Giles.
At this stage, Broad could not even guarantee he would continue playing or captaining Twenty20s.
"I don't know. It's not a question I can really answer having just walked off the field," he said.
"I'm probably going to be unavailable for the start of the season one-day cricket-wise to sort my knee out.
"It's hard to say 100 per cent, I don't know who is going to be the new coach and it will have to be run past whoever takes charge.
"It's pretty sore and needs sorting out and in international cricket you can't perform when you're carrying an injury."
Reflecting momentarily on the specifics of his side's defeat on Saturday, Broad diagnosed errors in the field and a superb innings from opposite number AB de Villiers, who blazed 69 not out in 28 balls.
"We've come up three runs short and there's some pretty clear ways we could have stopped those runs," he said.
"We missed chances and South Africa outfielded us, no doubt about that.
"But sometimes you have to hold your hands up. That knock from AB was as good as you'll ever see.
"The whole game was pretty much reliant on AB's knock."


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Celtics hold on for win over Clippers
The Celtics have struggled mightily this season with late-game execution and they had another opportunity to seal a victory with one well-executed possession against Sunday against the Los Angeles Clippers.
Paul Pierce took the responsibility in his own hands with the clock winding down and the Celtics desperately needing a hoop. Against defensive menace Matt Barnes, faked a forward dribble and then released one of his customary 3-point stepback jumpers. The result? Swish.
Pierce's 3-pointer with 2.5 seconds left helped the Celtics beat the Clippers 106-104, avoiding blowing a 19-point lead and notching another impressive victory without Rajon Rondo.
Pierce scored 15 of his 22 points in the second half as the Celtics barely held on to the hard-charging Clippers, who used the hot-shooting of Jamal Crawford and Eric Bledsoe to creep back into the game.
Bledoe's 3-pointer got the Clippers to within 103-101 with 56.2 seconds left.
After a Celtics turnover, Avery Bradley drew a key offensive foul from Crawford, allowing Pierce to seal the Celtics' fourth straight win.
Leandro Barbosa and Jeff Green each added 14 points from Jason Terry scored 13.
Bledsoe and Crawford led Los Angeles with 23 points while Blake Griffin pitched in 20 points and 11 rebounds.
The Clippers awoke offensively in the third quarter, scoring 37 points (Doc Rivers laments 30-point quarters by opponents) in shooting 60 percent and canning four 3-pointers, two of those by Sixth Man of the Year candidate Jamal Crawford, who was playing with a nasal fracture.
Point guard Eric Bledsoe also caused the Celtics major issues with his speed, he seemingly got to the basket at will and scored 10 points in the period on a series of runners and layups. Still, the Celtics withstood that charge and headed to the fourth with a 15-point lead thanks to 11 points from Pierce and another strong offensive showing from Leandro Barbosa, whose runner at the buzzer gave the Celtics a 92-77 lead.
They needed nearly every point of that margin to hold on. The Celtics turned in one of their best quarters of the season in the second, turning a 3-point lead into a 19-point halftime advantage as the blended strong defense, ball movement and the Clippers' propensity for mistakes into control of the game.
Nine Celtics scored in the quarter but the suddenly revived bench was responsible for extending the lead. Jason Terry scored 6 of the 19 points by the reserved in the quarter, while Jeff Green added a 3-pointer with 20.7 seconds left in the period for a 59-40 lead. That play, called after a timeout, caused Doc Rivers to smile walking into the tunnel when the half ended.
Meanwhile, the Clippers, playing without Chris Paul for the eighth consecutive game because of a bruised right kneecap, were out of sync, scoring 10 points on 4-for-18 shooting and committing nine turnovers. Blake Griffin, in foul trouble and psyched out by Kevin Garnett, went scoreless in the period, as did Caron Butler, who scored 8 points in the first 3:34 of the game.
What was stunning about the Celtics' stellar first half that produced 52.6 percent shooting was that all 10 players scored but none scored in double figures. Terry and Green scored 9 points each while Kevin Garnett and Paul Pierce teamed for just 13, a testament that the Celtics are requiring their Big Three to score big to stay competitive.


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Actually, not. The methodology that cultivates the factors leads to insight got called insight/vipassana well after the fact. The Burmese progenitors of this practice knew full well how vipassana is used in the suttas and commentaries. And that something I have heard explained by teachers more than once at vipassana retreats.hermitwin wrote:Once again, the term 'vipassana' comes up.
Beginners have a hard time separating the unique significance
of this word in the burmese tradition vs others eg thai tradition.
In the burmese tradition (mahasi sayadaw) tradition, 'vipassana' is THE method taught by Buddha to reach enlightenment.
If that is your point, I do not see anyone disagreeing with you.hermitwin wrote:it is however important to present the bigger picture of the diversity of views concerning 'vipassana'. esp since we are talking about ajahn chah here.
hermitwin wrote:"As I see it, the meditation itself might rightly be called satipatthana, whereas the possible result of that satipatthana practice is vipassana (clear seeing)."
thanks retro, i am in full agreement.
Cittasanto wrote:There is a technique called satipatthana originating from Thailand, it involves body movement even in sitting practice.
Bakmoon wrote:Forgive me if I am wrong, but I believe that tradition of meditation is called "Mahasati" developed by a Monk called Ajahn Teean.
Bakmoon wrote:Cittasanto wrote:There is a technique called satipatthana originating from Thailand, it involves body movement even in sitting practice.
Forgive me if I am wrong, but I believe that tradition of meditation is called "Mahasati" developed by a Monk called Ajahn Teean.
befriend wrote:what is ajahn chahs method of vipassana?
Insight Meditation (Vipassana)
If you have faith it doesn't matter whether you have studied theory or not. If our believing mind leads us to develop practice, if it leads us to constantly develop energy and patience, then study doesn't matter. We have mindfulness as a foundation for our practice. We are mindful in all bodily postures, whether sitting, standing, walking or lying. And if there is mindfulness there will be clear comprehension to accompany it. Mindfulness and clear comprehension will arise together. They may arise so rapidly, however, that we can't tell them apart. But, when there is mindfulness, there will also be clear comprehension.
When our mind is firm and stable, mindfulness will arise quickly and easily and this is also where we have wisdom. Sometimes, though, wisdom is insufficient or doesn't arise at the right time. There may be mindfulness and clear comprehension, but these alone are not enough to control the situation. Generally, if mindfulness and clear comprehension are a foundation of mind, then wisdom will be there to assist. However, we must constantly develop this wisdom through the practice of Insight Meditation. This means that whatever arises in the mind can be the object of mindfulness and clear comprehension. But we must see according to Anicca, Dukkha, Anatta. Impermanence (Anicca) is the basis. Dukkha refers to the quality of unsatisfactoriness, and Anatta says that it is without individual entity. We see that it's simply a sensation that has arisen, that it has no self, no entity and that it disappears of its own accord. Just that! Someone who is deluded, someone who doesn't have wisdom, will miss this occasion, he won't be able to use these things to advantage.
If wisdom is present then mindfulness and clear comprehension will be right there with it. However, at this initial stage the wisdom may not be perfectly clear. Thus mindfulness and clear comprehension aren't able to catch every object, but wisdom comes to help. It can see what quality of mindfulness there is and what kind of sensation has arisen. Or, in its most general aspect, whatever mindfulness there is or whatever sensation there is, it's all Dhamma.
The Buddha took the practice of Insight Meditation as His foundation. He saw that this mindfulness and clear comprehension were both uncertain and unstable. Anything that's unstable, and which we want to have stable, causes us to suffer. We want things to be according to our own desires, but we must suffer because things just aren't that way. This is the influence of an unclean mind, the influence of a mind which is lacking wisdom.
When we practice we tend to become caught up in wanting it easy, wanting it to be the way we like it. We don't have to go very far to understand such an attitude. Merely look at this body! Is it ever really the way we want it? One minute we like it to be one way and the next minute we like it to be another way. Have we ever really had it the way we liked? The nature of our bodies and minds is exactly the same in this regard. It simply is the way it is.
This point in our practice can be easily missed. Usually, whatever we feel doesn't agree with us, we throw out; whatever doesn't please us, we throw out. We don't stop to think whether the way we like and dislike things is really the correct way or not. We merely think that the things we find disagreeable must be wrong, and those which we find agreeable must be right.
This is where craving comes from. When we receive stimuli by way of eye, ear, nose, tongue, body or mind, a feeling of liking or disliking arises. This shows that the minds is full of attachment. so the Buddha gave us this Teaching of Impermanence. He gave us a way to contemplate things. If we cling to something which isn't permanent, then we'll experience suffering. There's no reason why we should want to have these things in accordance with our likes and dislikes. It isn't possible for us to make things be that way. We don't have that kind of authority or power. Regardless of however we may like things to be, everything is already the way it is. Wanting like this is not the way out of suffering.
Here we can see how the mind which is deluded understands in one way, and the mind which is not deluded understands in another way. When the mind with wisdom receives some sensation for example, it sees it as something not to be clung to or identified with. This is what indicates wisdom. If there isn't any wisdom then we merely follow our stupidity. This stupidity is not seeing impermanence, unsatisfactoriness and not-self. That which we like we see as good and right. That which we don't like we see as not good. We can't arrive at Dhamma this way -- wisdom cannot arise. If we can see this, then wisdom arises.
The Buddha firmly established the practice of Insight Meditation in His mind and used it to investigate all the various mental impressions. Whatever arose in His mind He investigated like this: even though we like it, it's uncertain. It's suffering, because these things which are constantly rising and falling don't follow the influence of our minds. All these things are not a being or a self, they don't belong to us. The Buddha taught us to see them just as they are. It is this principle on which we stand in practice.
We understand then, that we aren't able to just bring about various moods as we wish. Both good moods and bad moods are going to come up. Some of them are helpful and some of them are not. If we don't understand rightly regarding these things, then we won't be able to judge correctly. Rather we will go running after craving -- running off following our desire.
Sometimes we feel happy and sometimes we feel sad, but this is natural. Sometimes we'll feel pleased and at other times disappointed. What we like we hold as good, and what we don't like we hold as bad. In this way we separate ourselves further and further and further from Dhamma. When this happens, we aren't able to understand or recognize Dhamma, and thus we are confused. Desires increase because our minds have nothing but delusion.
This is how we talk about the mind. It isn't necessary to go far away from ourselves to find understanding. We simply see that these states of mind aren't permanent. We see that they are unsatisfactory and that they aren't a permanent self. If we continue to develop our practice in this way, we call it the practice of Vipassana or Insight Meditation. We say that it is recognizing the contents of our mind and in this way we develop wisdom.
Samatha (Calm) Meditation
Our practice of Samatha is like this: We establish the practice of mindfulness on the in-and out-breath, for example, as a foundation or means of controlling the mind. By having the mind follow the flow of the breath it becomes steadfast, calm and still. This practice of calming the mind is called Samatha Meditation. It's necessary to do a lot of this kind of practice because the mind is full of many disturbances. It's very confused. We can't say how many years or how many lives it's been this way. If we sit and contemplate we'll see that there's a lot that doesn't conduce to peace and calm and a lot that leads to confusion!
For this reason the Buddha taught that we must find a meditation subject which is suitable to our particular tendencies, a way of practice which is right for our character. For example, going over and over the parts of the body: hair of the head, hair of the body, nails, teeth and skin, can be very calming. The mind can become very peaceful from this practice. If contemplating these five things leads to calm, it's because they are appropriate objects for contemplation according to our tendencies. Whatever we find to be appropriate in this way, we can consider to be our practice and use it to subdue the defilements.
Another example is recollection of death. For those who still have strong greed, aversion and delusion and find them difficult to contain, it's useful to take this subject of personal death as a meditation. We'll come to see that everybody has to die, whether rich or poor. We'll see both good and evil people die. Everybody must die! Developing this practice we find that an attitude of dispassion arises. The more we practice the easier our sitting produces calm. This is because it's a suitable and appropriate practice for us. If this practice of Calm Meditation is not agreeable to our particular tendencies, it won't produce this attitude of dispassion. If the object is truly suited to us then we'll find it arising regularly, without great difficulty, and we'll find ourselves thinking about it often.
Regarding this we can see an example in our everyday lives. When laypeople bring trays of many different types of food to offer the monks, we taste them all to see which we like. When we have tried each one we can tell which is most agreeable to us. This is just an example. That which we find agreeable to our taste we'll eat, we find most suitable. We won't bother about the other various dishes.
The practice of concentrating our attention on the in-and out-breath is an example of a type of meditation which is suitable for us all. It seems that when we go around doing various different practices, we don't feel so good. But as soon as we sit and observe our breath we have a good feeling, we can see it clearly. There's no need to go looking far away, we can use what is close to us and this will be better for us. Just watch the breath. It goes out and comes in, out and in -- we watch it like this. For a long time we keep watching our breathing in and out and slowly our mind settles. Other activity will arise but we feel like it is distant from us. Just like when we live apart from each other and don't feel so close anymore. We don't have the same strong contact anymore or perhaps no contact at all.
When we have a feeling for this practice of mindfulness of breathing, it becomes easier. If we keep on with this practice we gain experience and become skilled at knowing the nature of the breath. We'll know what it's like when it's long and what it's like when it's short.
Looking at it one way we can talk about the food of the breath. While sitting or walking we breathe, while sleeping we breathe, while awake we breathe. If we don't breathe then we die. If we think about it we see that we exist only with the help of food. If we don't eat ordinary food for ten minutes, an hour or even a day, it doesn't matter. This is a course kind of food. However, if we don't breathe for even a short time we'll die. If we don't breathe for five or ten minutes we would be dead. Try it!
One who is practicing mindfulness of breathing should have this kind of understanding. The knowledge that comes from this practice is indeed wonderful. If we don't contemplate then we won't see the breath as food, but actually we are "eating" air all the time, in, out, in, out...all the time. Also you'll find that the more you contemplate in this way, the greater the benefits derived from the practice and the more delicate the breath becomes. It may even happen that the breath stops. It appears as if we aren't breathing at all. Actually, the breath is passing through the pores of the skin. This is called the "delicate breath." When our mind is perfectly calm, normal breathing can cease in this way. We need not be at all startled or afraid. If there's no breathing what should we do? Just know it! Know that there is no breathing, that's all. This is the right practice here.
Here we are talking about the way of Samatha practice, the practice of developing calm. If the object which we are using is right and appropriate for us, it will lead to this kind of experience. This is the beginning, but there is enough in this practice to take us all the way, or at least to where we can see clearly and continue in strong faith. If we keep on with contemplation in this manner, energy will come to us. This is similar to the water in an urn. We put in water and keep it topped up. We keep on filling the urn with water and thereby the insects which live in the water don't die. Making effort and doing our everyday practice is just like this. It all comes back to practice. We feel very good and peaceful.
This peacefulness comes from our one-pointed state of mind. This one-pointed state of mind, however, can be very troublesome, since we don't want other mental states to disturb us. Actually, other mental states do come and, if we think about it, that in itself can be the one-pointed state of mind. It's like when we see various men and women, but we don't have the same feeling about them as we do about our mother and father. In reality all men are male just like our father and all women are female just like our mother, but we don't have the same feeling about them. We feel that our parents are more important. They hold greater value for us.
This is how it should be with our one-pointed state of mind. We should have the same attitude towards it as we would have towards our own mother and father. All other activity which arises we appreciate in the same way as we feel towards men and women in general. We don't stop seeing them, we simply acknowledge their presence and don't ascribe to them the same value as our parents.
Thanks for that.danieLion wrote:befriend wrote:what is ajahn chahs method of vipassana?
In Reading The Natural Mind Ajahn Chah said:Insight Meditation (Vipassana). . .
tiltbillings wrote:Thanks for that.danieLion wrote:befriend wrote:what is ajahn chahs method of vipassana?
In Reading The Natural Mind Ajahn Chah said:Insight Meditation (Vipassana). . .
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Syracuse and Wichita State punched their tickets to the 2013 Final Four on Saturday. Michigan and Louisville joined them Sunday. Syracuse will play Michigan while Wichita State will take on Louisville.
Here's a look at the 2013 Final Four (all times ET):
Location: Georgia Dome, Atlanta (Host: Georgia Institute of Technology)
— Saturday, April 6: Louisville vs. Wichita State, 6:09 p.m.; Syracuse vs. Michigan, about 8:49 p.m.; both games CBS
— Monday, April 8: National Championship game, 9:23 p.m., CBS
TV: All games on CBS.
Broadcasters: Jim Nantz, Clark Kellogg, Steve Kerr and reporter Tracy Wolfson


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Lots of groups are looking to raise some money this weekend, from the Dallas Bears holding a poker tourney that benefits AIN on Saturday at The Brick. to a fundraiser for the Mr. Texas Leather Travel Fund on Sunday at the Dallas Eagle. But you don't have to do go — in fact, you might wanna get a little naughty.
Trans porn star Buck Angel is one of the guests at this weekend' Beyond Vanilla, the 22nd weekend of kink. That takes place at the host hotel, Downtown's Crowne Plaza, this weekend; then starting on Thursday, the hotel turns over but continues to stay gay with the opening of Dallas Southern Pride. It begins with the B/HAP conference and the Ms. Dallas Southern Pride pageant.
For something less kinky but no less edgy, check out the Dallas VideoFest at the Dallas Museum of Art all weekend, which boasts a substantial gay video program, including a documentary about the Beat Generation, including Alan Ginsberg and his lover Peter Orlofsky, pictured. Or cross the Arts District to see gay choreographer Doug Varone's new recital at the Winspear, or the final weeks of The Second City Does Dallas at the Wyly.
Of course, the State Fair commences today, but if you can wait until Tuesday, you can also see the opening night of The Addams Family, this year's State Fair musical. (And this just in: The Lexus Broadway series will include The Book of Mormon for its 2013–14 season; dates will be announced in January.)
Finally, we started a new weekly online-only advice column this week, Tex'n the City. Check it out.


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Q I have noticed a large sign westbound between Interstate 80 and the connector ramp for Highway 4. What project is coming up there? I can't find any information on it. In addition to the sign on 80, there have been small, solar-powered, digital boards put up on both the east and west sides of San Pablo on either side of the Highway 4 entrance referencing something about I-80, but the sign is mostly covered up.
Jeff Geer
A You're not the only one curious.
Q There are orange detour signs up all over El Sobrante and Pinole roads for Interstate 80. Is this the start of the San Pablo Dam Road exit construction? I can't find anything on the Caltrans website. Do they have a start date? As I use that entrance/exit at least twice a day, I'd like to know when it's going to start. It may just be time to retire!
Mike Horowitz.
El Sobrante
A Hold off on that retirement, for most of the work will occur at night. Construction is about to begin in earnest on improving I-80 — adding sensors, linking ramp metering to the flow of freeway traffic, adding carpool bypass at onramps, posting variable advisory speed limit notices and coordinating traffic signals on local streets. This will take a couple of years, and K-rail barriers could slow the commute, but ramps will not be closed during the day.
Go to www.dot.ca.gov/dist4/projects/80icm for details.
Q Can you explain why all of a sudden there are several green-and-white freeway signs on El Camino Real in Burlingame and San Mateo? They are on both sides of the street and simply say "101" or "101 South" and they are not directional. It's as though the sign installer got lost!
Susan Horwitz
San Mateo
A This is part of the San Mateo County Smart Corridor Project to install cameras, signs, system detectors and wiring to connect 250 signals between El Camino and 101 along a 14-mile stretch. It will connect Caltrans lights with those controlled by local agencies from San Bruno to Redwood City between El Camino and 101.
The purpose of this project is provide a traffic management tool and communication system to better manage local traffic in the event of a major incident along 101. This traffic management tool may have day-to-day and special events benefits as well.
The signs are associated with this $5.4 million project. Some are paired with electronic signs and others are basic directional signs. If there is an incident on 101, freeway traffic can be detoured around the area. The electronic signs will turn on and direct drivers to go straight, right or left to get back to 101.
Go to www.dot.ca.gov/dist4/projects/smsmartcorridor for more details.
Q With the current construction project on Interstate 580 through Livermore, Pleasanton and Dublin, the lanes are very inconsistent, with several jogs to the right and left with little or no warning. I was happy to see the speed limit lowered to 55 mph because of this. But the 55 signs are hard to see from the two fast lanes, as another reader mentioned last week. Truck traffic blocks the view of the right shoulder, where the 55 signs are. Could Caltrans mount some signs on posts already in the center divide? This area is one to avoid every day at all hours.
Joe Kettwig
A Caltrans has had a change of heart. State officials now say they will reconsider posting the lower speed-limit signs in the median, after first saying that was unlikely. This may be easier eastbound than westbound because of the need to widen the westbound direction, but more 55 mph signs could be added in both directions where possible.
Q Just a follow-up on my wife's FasTrak ticket on I-680. The day my letter was in your column, my wife, Dallas, got her courtesy notice from the courts. Even though her ticket had the "correctable violation" box checked and it clearly says in the officer's writing that the ticket was for not having the FasTrak transponder attached to the windshield, the box on the courtesy notice was marked "NA." Her only choice was to pay a $238 fine or pay $238 and get a court date.
My wife had already gotten her ticket signed off, and her son is a sheriff's deputy (who also thinks this was a bogus ticket). So my wife with her ticket in hand and a copy of her FasTrak statement showing she had paid the toll only seven minutes earlier went to the courthouse thinking it was a mistake. The clerk there was really nice, but said the officer made a mistake by putting the violation of avoiding a toll, which is not a correctable violation.
Her only option is to go to court, and I can only see two possible ways of this turning out: The officer won't show up, or if he does and is honest, he will admit that he meant for this to be a fix-it ticket. I will let you know how the court date goes.
Bob Jones
Santa Clara
A You better. Dallas was initially told she had to have her transponder attached to her windshield, but she had instead laid it on her dashboard and was ticketed for that reason. That ignited a howl of protests from FasTrak users and a second look by the CHP, which concluded that transponders don't have to be attached to windshields.
Join Gary Richards for an hourlong chat noon Wednesday at www.mercurynews.com/live-chats. Look for Gary at Facebook.com/mr.roadshow or contact him at firstname.lastname@example.com or 408-920-5335.


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The pressure is on Jay Cutler, not just Marc Trestman.
The Chicago Bears decision to hire Trestman as their head coach Wednesday morning is a risky move designed to get the most out of Cutler's potential as a quarterback. Risky because no matter who coaches Cutler, he may be a quarterback who never becomes as good as his talent suggests.
— Marc Trestman news archive | All things Bears | NFL coaching info
That has been the case so far during Cutler's seven-year career. Cutler has only been to the playoffs once. He has never had a season in which his passer rating topped 88.1. That was in 2007 with the Broncos. His tenure in Chicago has been marked by too many interceptions, too many temper tantrums and not enough production.
You can blame Cutler's inconsistency on the Bears' offensive line. You can blame the different offensive coordinators Cutler has been forced to deal with. You can blame Lovie Smith, who was fired after a 10-win season, with the Bears citing Smith's shortcomings as an offensive coach.
Trestman has been labeled a quarterback guru, but the decision to fire Smith only pays off if Cutler gets better and the Bears improve. Rich Gannon won an MVP in 2002 under Trestman's guidance when he was the Oakland Raiders' offensive coordinator. Steve Young, a Hall of Fame quarterback, also sings Trestman's praises from their days working together when Trestman was the San Francisco 49ers' coordinator.
There is no reason to doubt Trestman's credentials with quarterbacks. If he's that good, we should see more consistency from Cutler. ESPN reported Wednesday that Saints offensive line coach Aaron Kromer will be hired as the Bears' offensive coordinator and offensive line coach, another move targeted at helping Cutler.
If Cutler isn't more consistent, the Bears will regret firing Smith. His record over the past three seasons was 29-19 and Smith had the support of a locker room that never fractured under his leadership.
Offensive-minded coaches are being hired left and right this offseason, but defense still matters. Of the four coaches left in the playoffs, three of them have defensive backgrounds — Bill Belichick, Mike Smith and John Harbaugh, who was a defensive back in college. He was a special teams and defensive backs coach with the Philadelphia Eagles before becoming the Baltimore Ravens' head coach.
Chicago missed the playoffs five of the last six seasons, which is the strongest case you can make to support Smith's firing. But Smith is one of the NFL's top defensive coaches. Smith went to a Super Bowl with Rex Grossman as his quarterback. Face it, that's pretty impressive.
The Bears traded for Cutler in 2009, believing he could lead them back to a Super Bowl. General manager Phil Emery has continued to make bold moves trying to help Cutler. Last offseason, Emery traded for wide receiver Brandon Marshall, who delivered an All-Pro season. Emery also signed running back Matt Forte to a long-term deal and took wide receiver Alshon Jeffery in the second round of last year's draft.
Now it's time for Cutler to raise his game. Other quarterbacks are passing him. Three rookie quarterbacks led their teams to the playoffs this season. Colin Kaepernick could be going to a Super Bowl in his first season as a starter.
Joe Flacco has taken plenty of heat during his tenure with the Ravens. So has Matt Ryan for his playoff failures before this season. But do you think the Ravens would trade Flacco for Cutler? How about the Falcons trading Ryan for Cutler? No way.
Emery conducted an extensive coaching search, reportedly interviewing at least 13 candidates before settling on Trestman. The Bears finally have a new head coach. Now, Trestman needs to create a new Cutler.


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Add this tidy taxonomy snapshot to your mix of wall art for a really neat focal point. In this photo print, a carefully collected and prepared composition of seeds, leaves and tools are laid out for a well-ordered look at the farmer's essentials. Who'd a thunk things organized neatly could be such an aesthetic experience?
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Seems a bit over saturated, but good.
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Due to the over saturation, I would not recommend it to other artists as an accurate reference source. Having seen the original, it plays a bit high in the color, but for those without the concern, I'm sure they would find it a very handsome print.
Bottom Line No, I would not recommend this to a friend
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Jack BB Dakota, a brand aimed toward a slightly younger, edgier contemporary customer than its parent brand, offers everything from tunics, dresses, and shorts, to buttondowns and jackets. You can find the latest street fashion blended with a sophisticated personable style with this BB Dakota brand. BB Dakota is a modern lifestyle brand designed by mother-daughter team Gloria and Katharine Brandes. Jack was launched in 2007, two years after BB Dakota was founded in 2005. Jack strives to unite opposites—feminine and masculine, edgy and sweet, quirky and cool. It also aspires to bring good, smart design to strong women, hoping to create clothing whose sexiness emanates from its subtlety and sense of humor.
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