text:
IT has been an uncertain few months for Wild Wings Birds of Prey Education and Rehabilitation Centre.
But it is hoped their luck is returning to the right flight path with plans taking shape for the centre to relocate to a new plot of land in Culcheth.
Director and co-owner Carole Rose said: "Paul Taylor from Taylor Business Park has offered us a fabulous piece of land and if we can raise the funding, we can offer so much more in the way of rescue, rehabilitation and education.
"We propose to have an indoor flying area as well so that we can train, rehabilitate and offer flying displays all year round.
"Funding will be crucial to the survival of the centre and we are hoping to encourage businesses to support us in this."
The past few months have proved difficult for the team at Wild Wings, who were not only asked to vacate their current site at Bents Garden Centre, but also had their van stolen with £3,000 worth of equipment on July 5.
Carol said: "We were only 30ft away when it was stolen so we couldn't believe it. This was a huge loss to us and we are still trying to find a replacement vehicle to allow us to attend rescues and continue with all the outside events."
But the public support has been a huge help to the team with Central Van Hire offering their services during this time.
The team, who regularly rescue birds of prey and bring them back to health, is hoping this support will not waver and they have since launched an appeal to find people to help raise £70,000, provide labour and material to build the new aviary.
She added: "The future of the centre is the most important thing to us to protect these vulnerable and beautiful birds, we will do everything we can to raise the funding required but we don't have long to raise the amount we need so any support will be very welcome."
Until the new aviary is completed, the centre will remain at Bents Garden Centre until the end of the year.
The centre will be holding activity sessions throughout the summer holidays where visitors can meet reptiles, exotic birds and even a racoon.


text:
Riveridge Produce Marketing Inc., Sparta, Mich., plans to expand use of a vacuum harvest aid on apples this fall after a six-week pilot test last year found benefits in productivity and quality.
The harvest aid and its automated picking platform were invented and patented by Phil Brown Welding Inc. Besides machinist Phil Brown, it was developed under the direction of growers Chuck Dietrich and Mike Rasch.
It was used on about 5% of Riveridge acreage in 2013.
"What we wanted to see last year was how well the vacuum harvest machinery handled the fruit from the picker into bin filler, as the first test of whether the system was a viable option for us," Justin Finkler, Riveridge operations manager, said in a news release. "We were very pleased with the results of the bruising trials."
Riveridge Produce sells more than a third of Michigan's fresh apples and anticipates a 32 million bushel crop.
"While we plan additional tests this year, we believe the vacuum harvesting aid has potential to help address our labor issues and bring better quality fruit to harvest," Don Armock, president, said in the release.
In side-by-side trials on the same days, blocks and varieties, the company found bruising was less frequent where the vacuum aid was used. "We believe that our future includes harvest-assist machinery, quite possibly this system," Armock said.
The system's components include a picking platform that carries four workers up or down on a hydraulic platform. It's self-propelled by a driverless tractor.
Apples are still picked by hand, but conveyed by vacuum equipment. That equipment resembles traditional sash-supported pails used by harvesters, except that the bottom is a padded vacuum hose conveying apples into a bin.
A third component lowers the filled bin into the aisle, where a box hauler removes it from the orchard and replaces it with an empty bin. A fifth worker acts as a monitor.
During the pilot, conventional harvesters picked fruit from the ground as high as they could reach. Workers on the vacuum harvesting platform picked tree tops.
"Anytime you can take the ladder out of the equation, it's better on bruising, faster for the workers and better on safety," Finkler said. "In some of the trials we tried to use the vacuum harvester to do it all. But the worker on the ground is hard to beat for efficiency."
The ground crew worked about 15% to 20% faster, he said.
Under LED lighting, the system enabled 24-hour harvesting.
The technology comes at a time when Michigan apple growers find securing a sufficient labor force difficult.
"Adequate labor in the orchard at harvest continues to be a challenge for us and most other apple growers," Armock said. "This kind of harvest aid allows us to more fully use our labor pool. The less physical nature of using the vacuum harvester to pick apples also means we're more likely to be able to recruit domestic laborers."
Last year's experience and subsequent improvements to the equipment allow Riveridge to begin paying workers the more customary piece rate instead of hourly wages, Finkler said.
The vacuum-harvest aid requires trees that have been planted and trained to about 12 feet in a two-plane system. Most Michigan orchards planted in the last decade are trained to these newer spindle or axis systems.

subset: commoncrawl


text:
I Love Angola - Iso Code Long-sleeve T-Shirt
Product Color:
Product information
The Long-sleeve T-Shirt I Love Angola - Iso Code is the long sleeve version of the popular favorite t-shape. It provides comfort and control over most weathers and can also be worn underneath a t-shirt or a shirt for extra protection.
Put I Love Angola - Iso Code on the finest combed jersey which feels soothing against your skin. Shoulder-to-shoulder taping guarantees long life and a good fit. Angola Long-sleeve T-Shirt is available in 10 different color options. Heather Grey: 80% Peruvian Cotton 20% Polyester, Remaining Colors: 100% Cotton.
Sku: LW1BL0000001770101010002WHRE00000


text:
I just wanted to congratulate the admins and moderators on this sight for allowing open and meaningful discussion of the Dhamma.
As many of you would have seen I sometimes post views that are contary to the classical traditional view but I have been allowed to voice these views and engage in meaningful discussion about them without fear of censorship.
This site if a great benefit to all who seek the Dhamma, it does a great service
Just wanted to express my gratitude.


text: Veeder-Root acquired the assets of Catlow Inc., based in Tipp City, Ohio. Catlow is a manufacturer of petroleum dispensing equipment, serving the global market with a broad range of nozzles, swivels, breakaways and other hanging hardware components. Catlow's customers include large regional retailers in North America, Petroleum Equipment Industry (PEI) distributors and commercial and industrial


text:
Quality CareFind out why Mayo Clinic is the right place for your health care. Make an appointment.
Meet the StaffFind a directory of doctors and departments at all Mayo Clinic campuses. Visit now.
Research and Clinical TrialsSee how Mayo Clinic research and clinical trials advance the science of medicine and improve patient care. Explore now.
Visit Our SchoolsEducators at Mayo Clinic train tomorrow's leaders to deliver compassionate, high-value, safe patient care. Choose a degree.
Professional ServicesExplore Mayo Clinic's many resources and see jobs available for medical professionals. Get updates.
Give to Mayo ClinicHelp set a new world standard in care for people everywhere. Give now.
Dr. Lawrence Gibson likens bad health information on the Internet to food poisoning.
Consumers, he says, need to be aware and will find reliable information at MayoClinic.com.
Dr. Gibson, a Covington, Ky., native, has been with Mayo Clinic since 1986 and is board certified in dermatology, dermatopathology and immunodermatology. He is a professor of dermatology at Mayo Medical School and a consultant in the Department of Dermatology.
Dr. Gibson has served as the fellowship director for dermatopathology and as chair of the Laboratory Division in the Department of Dermatology. He is especially interested in inflammatory disorders of the skin, including vasculitis, and in lymphoma affecting the skin.
"Electronic information has become a staple in the diet of a health conscious society," he says. "It's important to avoid misinformation and provide a credible source for health information. Using this analogy, it's critical to avoid 'indigestion' or, worse yet, 'food poisoning' by the ingestion of tainted information."
Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.
A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.
We comply with the HONcode standard for trustworthy health information: verify here.


text:
found a new home!
Plenty of my friends are looking
for one too. Find a pet to adopt.
Mitzi, a Avondale Chinchilla was adopted! Here's how you can benefit by looking at adoption as an option to buying a Chinchilla for sale in Avondale, or seeking a Chinchilla from a breeder in Avondale.


text:
Moderators: Timko, Fritz, Solty, Booter, Blake_T, Frank Delicious
nick344 wrote:I threw the D4 &d1 today not impressed. D4 plastic was slick and d1 plastic does not seem durable. I was getting more distance out of my wraith. It might do better for a more powerful thrower.
dstearns5 wrote:Spoiler alert: The mold shape is round, like a circle.
dstearns5 wrote:Spoiler alert: The mold shape is round, like a circle.
keltik wrote:can anyone say with certainty if Prodigy has their own molding machines or if someone else is doing the molding for them?
JHern wrote:If your putter isn't your favorite disc, get a new putter.
what'shisname wrote:Marshall Street just put a few D1's and 4's up.
Frank Delicious wrote:Every groove is a unique snowflake of suck.
allsport1313 wrote:...Realistically, they are normal discs no different than any other brands I've tried in terms of flight or glide or anything, but loved the plastic...
allsport1313 wrote:With all the pros saying, "There are no discs to compare these to, they just go SO FAR!", they didn't live up to the hype for me...
Users browsing this forum: No registered users and 2 guests


text:
A RADIOTHERAPY unit could open as early as 2017 at the Great Western Hospital after proposals for a new centre were submitted to planning chiefs.
Oxford University Hospitals NHS Trust have lodged a planning application for the new service which would allow thousands of cancer sufferers in Swindon to receive care on their doorstep and avoid the long drive to John Radcliffe Hospital for radiotherapy treatment.
Earlier this year, the OUHT board proposed to invest £14.7million in a new unit to be built at GWH with the hospital asked to raise the remaining £2.5m necessary to make the service a reality.
The application will be put to Swindon Council's planning committee for approval.
The single-storey unit, which would eventually be part of a larger cancer centre, would include an internal courtyard to allow natural light to filter through the building and make the setting as reassuring, welcoming and calming as possible for patients. It would also offer 24 parking spaces and five dedicated disabled bays.
In the application, OUHT said the new satellite unit would bring care close to home for Swindonians who currently have 'to travel considerable distance' to Oxford.
"The trust have worked closely with Great Western Hospitals NHS Trust to develop the design for a new Satellite Radiotherapy Unit on the Great Western Hospital site in Swindon to allow these vital services to be brought closer to patients who currently have to travel considerable distance to Oxford for radiotherapy treatment," said a spokesman.
"The design of the Satellite Radiotherapy Unit has been done in close consultation with all stakeholders from the Oxford University Hospital Trust and Great Western Hospitals NHS Trust and included consultation with patient representative groups with a strong focus on delivering care in a state-of-the-art environment that feels calming and compassionate and is conducive to the healing process."
Cancer patients in and around Swindon currently have to travel up to 90 minutes each way to Oxford to use one of five machines available. This is much more than the 45 minutes recommended by the National Radiotherapy Advisory Group.
On average each year, patients from Swindon and Wiltshire make 13,000 trips to Churchill Hospital's radiotherapy department and spend nearly 20,000 hours, or more than two years, on the road.
Dr Guy Rooney, medical director at the Great Western Hospitals NHS Foundations Trust, said: "We are really pleased that a planning application has been made to Swindon Council to build a radiotherapy treatment facility on the Great Western Hospital site.
"We are committed to bringing radiotherapy to Swindon and continue to work closely with Oxford University Hospitals NHS Trust."


text:
If anyone has battlefield 4, dead rising 3, or NBA 2k14 hit me up. I made a whole new XBOX account and have only two buddies on there, looking for more. PM me and we can get gamertags.
'); var yuipath = 'clientscript/yui'; var yuicombopath = ''; var remoteyui = false; } else // Load Rest of YUI remotely (where possible) { var yuipath = 'http://yui.yahooapis.com/2.9.0/build'; var yuicombopath = 'http://yui.yahooapis.com/combo'; var remoteyui = true; if (!yuicombopath) { document.write('
If anyone has battlefield 4, dead rising 3, or NBA 2k14 hit me up. I made a whole new XBOX account and have only two buddies on there, looking for more. PM me and we can get gamertags.
Dear P_George,
You have received an infraction at Pacers Digest.
Reason: Unacceptable Comment and/or Content
I give up on NBA 2k14. I really should get a refund. no mode works it is complete BS. MyGM doesnnt work and mycareer doesn't work the game is useless to me. I don't know what to do about it is there a way to get a refund or what?
Select next gen titles on sale at Sam's Club for $34.98 http://www.cheapassgamer.com/topic/3...-at-sams-club/
I've had no issues playing 2K for what it's worth..
I own battlefield. Hit me up: th3 franchise
2K works for me.
I'm mostly enjoying it quite a bit when I do play (I'm basically just doing MyCareer at the moment). One minor thing is I don't like when the in-game challenges ask you to reach goals that the only way to reach them is to become a ball hog when your player is meant to be an all-around SF. I can do it, possibly, but I have to become a black hole to do it when they say "LOL go prove U is star by scoring 10 straight points" and how it FAILS you for this if you let a teammate score. It's stupid.
Mine does this every time https://www.youtube.com/watch?v=lwVg...ature=youtu.be
The battery life on the controller is much better. I just now switched the batteries out that came with the system.
And that was only because rumble was shut off, I assume due to lower battery, it wasn't like the controller was dying. I just wanted rumble back, because it felt odd without it.
Super Bowl XLI Champions
2000 Eastern Conference Champions
So I got one for Xmas. Just put in 2k14 disc and it is trying to install but has been stuck at 0% for like 10 minutes, am I doing something wrong?
Finally started installing but kind of silly that it is this slow off a disc.
Nearly two hours later I am stuck on 99% now for installation from a disc. This is unbelievable.
That's what happened to me with the first installs but after each one now it seems to take less and less time, idk what dictates the speed of the install. Seems odd that it would take that long to install a physical copy of a game.
Yeah the installs take a lot longer than I thought they would. I figured they would be a lot faster installing. I got Battlefield 4 for Christmas and a gift card to go get 2K14 tomorrow.
Used Skype today with our brother-in-law in Afghanistan. The kinect is so much better and I love how it tracks people.
Ok FIFA 14 a much smoother install.
Hope everyone got the 10k VC with the locker code that came out a day or two ago. I was able to max out my 3pt shot and dunking.
First time in a long time, I've been happy with the team that was constructed, and now they struggle. I blame the coach.
The update pretty much damaged any save files most users had. If you create a new profile all modes should be working fine. They need to delete the last update via a patch. If you call Microsoft they will give you a refund. GameStop is also doing returns
re: nba 2k
MyCareer is now ****ed up. Never had any of the reported problems before this morning, but as of today I can't load my myCareer save; it has ****** ******* where my first and last name used to be on the initial loading screen, and then it just crashes to the dashboard.
Way to ****ing go, 2K Sports. What a mess.
Wait, if I call Microsoft I can get a refund for digitally buying the game? How does that work, exactly?
Bought this system the day after Christmas, and I have to say that I feel pretty underwhelmed by it, to say the least. I got 2K14, Call of Duty: Ghosts, Battlefield 4, and LEGO Marvel Superheroes. So far, 2K has been absolute garbage -- I literally haven't been able to start a single game, even trying Quick Game -- and COD:G has been a lot of fun, though the aiming mechanism seems a little off. I will say that I've never played any of the previous COD games so maybe it's just an adjustment that I need to make, but that part of the game has been really frustrating. I haven't tried Battlefield or the LEGO game yet. Has anyone else?
I've had the same frustration with installing games. 2K14 probably took at least an hour, and COD took around 45 minutes, after being stuck on 1% for like 20 minutes right away. I'm hoping Microsoft gets their ***** together and releases multiple patches to correct the problems I've been having so far. I have no faith that 2K is going to fix their hot mess of a game. *sigh* If only NBA Live wasn't terrible.
ALSO!:It's incredibly frustrating that features such as SkyDrive and Skype require a Gold membership to use. They're free services (well, you have to own a computer to use them) on every other device, but with the Xbox you have to pay $60 a year to use them. Severely disappointing.
Last edited by spreedom; 12-29-2013 at 03:53 AM.
The normal Xbox support number just google it
Also, when you got your refund, I'm assuming you now cannot download the game, or due to the fault being on 2K or whomever, can you actually still try to play if you want to?


text:
Vitamin D Requirements During Infancy:
Reading Between the Lines
Heather Will, MD, Sarah N. Taylor, MD, and Carol L. Wagner, MD
Division of Neonatology, Department of Pediatrics, Medical University of South Carolina,
Charleston, SC, USA
From: Leaven, Vol. 45 No. 1, 2009, pp. 2-6.
Pregnancy and lactation represent unique time periods in human development where the health and nutritional status of one individual, the mother, directly impacts another, the fetus or infant. Expanding knowledge about vitamin D during these time periods has illuminated the role of vitamin D on maternal and infant bone health, cardiovascular health, immune function, and glucose metabolism. Despite these findings, studies continue to report extensive vitamin D insufficiency and deficiency during pregnancy and lactation that particularly affect women and their offspring who are of darker pigmentation, living at higher latitudes, and in the winter season. Caution must be taken with experimentation during these critical periods of human development, but also must proceed expeditiously as available research indicates long term health consequences of continued vitamin D insufficiency and deficiency.
Historical Perspective
Historical writings of bony deformities resembling rickets date back as far as the first century Greek and Roman writings but the definitive description emerged in the mid 17th century (1-3). In 1645, an English medical student by the name of Daniel Whistler first published a description of the disease, which was rampant in southwest England (1-3). In 1650, Francis Glissen published a more scientific report on rickets, which remains a classic historic resource on the disease (1-4). The following two centuries led to little advancement in the understanding or treatment of rickets (5). By the early 20th century, rickets was epidemic in the northern, industrialized regions of the United States and Europe with 96 percent of infants demonstrating microscopic findings of the disease at autopsy (5,6). In 1919, Edward Mellanby conducted the first experiment designed to find the underlying cause and possible treatment of rickets (7,8). Through experimentation with puppies, Mellanby declared a clear role for diet in the etiology of rickets (8). Elmer McCollum and his colleagues at Johns Hopkins University can be credited with determining the nutritional factor deficient in diets leading to rickets, then named vitamin D (7,9,10).
Recognition of the role of sunlight in the development of rickets dates back to the mid- 1800s with reports of lack of sunlight and poor diet leading the rickets (5). In 1890, Palm -- a European researcher, noted that despite a superior diet and sanitary living conditions, infants living in Britain had an increased incidence of rickets when compared to infants living in the tropics(11). He, then recommended sun-baths for prevention and treatment of rickets (11). Finally in the 1920s, Park (12) and Harriette Chick and her coworkers (13) were able to confirm the use of cod liver oil (vitamin D) supplementation and sun exposure for the prevention and treatment of rickets. By the 1930s, routine vitamin D supplementation, sun exposure, and milk fortification in the United States led to an eradication of rickets (12,14).
Unfortunately, nutritional rickets reemerged in the 1980s, particularly among the African American and other darkly pigmented populations. The recurring thread amongst the reported cases is that the infants are darkly pigmented, often living at higher latitudes, and are exclusively breastfed without vitamin D supplementation beyond six months of age (15). This finding led to a revised American Academy of Pediatrics (AAP) statement in 2003 recommending 200 IU of vitamin D supplementation to all infants receiving less than 500ml of fortified formula per day to begin within the first two months of life (16). Continued reports of rickets, limited dietary sources of vitamin D, inadequate sun exposure for vitamin D synthesis, and an enhanced understanding of vitamin D physiology and its actions have led to the most recent revision of the AAP statement in 2008. The current recommendations are for all infants and children to be supplemented with a minimum of 400 IU per day of vitamin D beginning in the first few days of life (17).
Vitamin in Pregnancy
It had been known for decades that maternal vitamin D concentration largely determines the vitamin D status of the developing fetus and neonate. Despite this observation, the Institute of Medicine in 1997 (18) and a Cochrane Review in 2002 (19) concluded that little data exist regarding maternal vitamin D supplementation during pregnancy. During pregnancy, a women needs vitamin D not only to maintain her health status, but also that of the placenta and developing fetus.
Adult vitamin D deficiency is widespread. Recent data indicates that an ideal level for 25(OH)D is greater than 40 ng/mL or 100 nmol/L (20). The first report of widespread vitamin D deficiency in women of child bearing age came from the United States Center for Disease Control (CDC) NHANES III report revealing that 42 percent of African American women had 25(OH)D levels below 15 ng/mL or 37.5 nmol/L (21), and more recent data in a large cohort in SC suggests this prevalence is around 75 percent (22).
A long standing unawareness of the short and long term health consequences of vitamin D insufficiency has led to widespread insufficiencies in most populations. A representation of the prevalence of vitamin D insufficiency around the world is as follows: 8 percent in Western women in the Netherlands (23), 18 percent in the United Kingdom (24), 25 percent in the United Arab Emirates (25), 42 percent in Northern India (26), 46 percent in Canada (27), 50 percent in non-European ethnic minority women in South Wales (28), 59-84 percent in women with darker igmentation in the Netherlands (23), 61 percent in New Zealand (29), 71 percent in Pakistani women in Norway (30), and 80 percent in Iran (31).
A recent focus on fetal origin of adult disease has led to investigation of the exposure to vitamin D insufficiency during fetal development and its relationship to later disease processes. Specifically, there is growing evidence of vitamin D's effect in utero on fetal bone (32,33); later risk for schizophrenia (34-39), multiple sclerosis (40,41), childhood and adult cancers (42,43), autoimmune diseases and inflammatory disease states such as lupus (44), rheumatoid arthritis (45), and diabetes (46,47); concern about maternal and early infant vitamin D status is justified (1,48,49). Other support for the effect of vitamin D during fetal development comes from the work of Zimmermann, et al. (50), who showed a significant correlation between IL-10 (anti-inflammatory cytokine) and 25(OH)D status at birth. In addition to effects on the fetus, an article published by Bodnar in 2007 proposes that vitamin D deficiency may act as an independent risk factor for maternal preeclampsia (a form of toxemia of pregnancy; a condition that may develop during pregnancy leading to severely elevated blood pressure, large amounts of protein in the urine, and can progress to seizures) (51). It is becoming increasingly clear that adequate maternal vitamin D status is essential not only to maternal well being but also to fetal development during pregnancy. Obstetrical healthcare providers should consider assessing maternal vitamin D status by measuring serum 25-OH-D levels in pregnant patients. If found to be insufficient, a mother should be supplemented with vitamin D3 to reach sufficient 25-OH-D concentrations (greater than 32 ng/mL or 80 nmol/L) (52-56).
Vitamin D and Human Milk
The natural progression from placental nutrition during pregnancy is human milk provided after delivery(57). Human milk is considered the ideal nutrition for the neonate and growing infant with one caveat – it lacks sufficient concentrations of one essential vitamin – vitamin D (16). Without adequate vitamin D supplementation, the infant is at risk for developing rickets, a disease most often associated with exclusive breastfeeding.
One may wonder why the ideal infant nutrition would be deficient in an essential vitamin for normal human development. Over the centuries, society has changed from one with significant sun exposure allowing synthesis of maternal vitamin D in the skin to one in which people remain indoors or block the sun with clothing, lotions, and hats to avoid the possibility of sun damage. Unfortunately, this has resulted in widespread maternal vitamin D deficiency. With lactating mothers having inadequate stores of vitamin D for themselves or their infants, vitamin D deficient human milk ensues.
Even with maternal supplementation of recommended daily intake of 400 IU per day of vitamin D3, human milk contains only 33-68 IU/L, far below the required 200-800 IU per day to prevent rickets (58-61). With an evolving understanding of vitamin D sufficiency and vitamin D toxicity and the advent of higher doses for supplementation of vitamin D to achieve sufficiency in adults, the concept of maternal supplementation to achieve infant vitamin D sufficiency has developed. Ongoing investigations to determine a safe yet effective vitamin D dose to maintain maternal and infant vitamin D sufficiency are underway (62). Prior investigations have demonstrated the ability to improve vitamin D concentration in human milk through exposure to UVB radiation as well as through maternal supplementation (58,59,61,63).
Vitamin D and Lactation
Infants who are exclusively breastfed without vitamin D supplementation or adequate sunlight exposure have an increased risk of developing vitamin D deficiency or even rickets (64-71). Darkly pigmented children in particular are at risk, in part due to maternal insufficiency or frank deficiency resulting in an infant with vitamin D insufficiency at birth and in reduced vitamin D concentrations in the mother's milk (72). The evaluation of the efficacy and safety of maternal vitamin D supplementation to achieve vitamin D-sufficient human milk is limited secondary to the misconception that vitamin D toxicity occurs at a dose of 4,000 IU per day vitamin D (18,73). Early trials in the 1980s with maternal supplementation of 500-1000 IU per day of vitamin D showed no significant change in human milk concentrations of vitamin D (63,69,74,75) but more recent trials support the use of daily maternal supplementation for maintenance of maternal and infant vitamin D sufficiency (59,61). (See table 1.) Although results of recent investigations are promising in that vitamin D concentrations can be increased in milk of lactating women by using large vitamin D supplements, the pilot studies in lactating women must be validated and demonstrated to be safe in larger, more representative populations of women across the United States and throughout the world. Large prospective, randomized controlled trials are currently underway, but until their completion, high-dose vitamin D supplementation for all breastfeeding mothers cannot be recommended. Infant supplementation therefore remains necessary at this time.
|Table 1. Contemporary Clinical Trials of
Vitamin D Supplementation during Lactation
|Maternal vitamin D supplementation
|Infant vitamin D supplementation
|Maternal serum 25(OH)D (ng/ml)
|Milk Antirachitic Activity (IU/L)
|Infant serum 25(OH)D (ng/ml)
|2,000 IU/day
|4,000 IU/day
|6,000 IU/day
|400 IU/day
|300 IU/day
|45.6 - 78.6
Vitamin D Supplementation of the Breastfeeding Infant
In 2003, in accordance with the National Academy of Sciences recommendations, the AAP reduced its previous recommendation for 400 IU of vitamin D per day for infants to supplementation of 200 IU of vitamin D per day to all breastfed infants in the first 2 months of life, at a time when breastfeeding was well established (16) . This was in agreement with a 1997 report from the Institute of Medicine as well (18). The change was based principally on data from the United States, Norway, and China showing that 200 IU of vitamin D would prevent physical signs of vitamin D deficiency as well as maintain 25-OHD levels in the sufficient range, greater than or equal to 11 ng/mL or 27.5 nmol/L (16). Research has shown that breastfed infants can maintain sufficient vitamin D status solely through adequate sunlight exposure (76,77); however, concerns regarding the future development of skin cancers and subsequent application of sunscreens and protective barriers makes adequate sun exposure for vitamin D synthesis unlikely in most infants (17,78).
Since the implementation of the AAP recommendations in 2003 (79), there has been increased information in adults linking vitamin D insufficiency to other biochemical markers involved in bone mineralization, calcium absorption, insulin resistance, and the function of the immune system (17,80,81). As a result, concerns have arisen regarding the adequacy of supplementation with only 200 IU of vitamin D. (See table 2.) In fact, in response to these findings, new definitions of vitamin D deficiency and insufficiency have developed. For adults, vitamin D deficiency is now defined as a 25-OHD level less than 20 ng/mL or 50 nmol/L, and vitamin D insufficiency as a 25-OH-D level in the range of 20 ng/mL 50 nmol/L to 32 ng/mL or 80 nmol/L; therefore, vitamin D sufficiency is defined as a 25-OH-D level of greater than 32 ng/mL or 80 nmol/L.
|Table 2. Vitamin D Deficiency
|Clinical Signs and Stages of Vitamin D Deficiency
|Disease States Associated with Vitamin D Deficiency
Definitive ranges for infants and children have yet to be declared, but research has shown that supplementation with 200 IU per day of vitamin D is inadequate to achieve 25-OH-D levels greater than 20 ng/mL or 50 nmol/L while supplementation with 400 IU per day of vitamin D is adequate to achieve 25-OHD levels of at least 20 ng/mL or 50 nmol/L (17,59,82). This premise is based on the following well established facts:
- Vitamin D deficiency can occur early in life, particularly when many pregnant women themselves are deficient.
- 25-OH-D levels of unsupplemented breastfed infants are often below 20 ng/mL or 50 nmol/L, particularly in winter months and latitudes farther from the equator, probably as a result of maternal deficiency.
- Adequate sunlight exposure in a given infant to achieve adequate vitamin D synthesis is difficult to determine and often not achieved.
- 25-OHD levels can be maintained greater than 20 ng/mL or 50 nmol/L in breastfed infants with vitamin D supplementation of 400 IU per day of vitamin D (17).
In light of these observations, the AAP recently amended its previous recommendation for vitamin D supplementation of infants and children (17). The current recommendation reads, "A supplement of 400 IU/day of vitamin D should begin within the first few days of life and continue throughout childhood. Any breastfeeding infant, regardless of whether he or she is being supplemented with formula, should be supplemented with 400 IU of vitamin D." Vitamin D preparations either in vitamin D-only or multi-vitamin supplements are readily available and inexpensive. (See table 3.)
Note that higher-dose oral preparations may be necessary for the treatment of those with rickets in the first few months of therapy or for patients with chronic diseases such as fat malabsorption (cystic fibrosis) or patients chronically taking medications that interfere with vitamin D metabolism (such as antiseizure medications).
From the AAP statement (17); reproduced with permission.
As human milk has repeatedly been reaffirmed as the ideal nutrition for infants' healthy growth and development with the exception of inadequate concentrations of vitamin D, the ideal situation would be to improve the nutritional status of the human milk to avoid the need for any supplementation. Early investigation to improve maternal vitamin D status, thereby improving the nutritional status of a mother's milk, is promising, but a well established dose to achieve this goal has not yet been determined. In addition, we know that vitamin D insufficiency affects multiple organ systems including the immune system, bone mineralization, and the cardiovascular system based upon adult literature, but the long term implications for fetuses and infants developing in a vitamin insufficient state have not been studied. A current area of interest is the fetal origin of adult disease. How does vitamin D insufficiency and frank deficiency during early development of an embryo and into infancy impact the innate programming for adult disease? In order to answer these questions further research is needed, particularly in the areas of vitamin D in relation to pregnancy, lactation, and long term consequences for the infant.
As a result of inadequate nutritional vitamin D intake and global concerns regarding sun exposure as well as changes in the definition of vitamin D sufficiency, vitamin D deficiency and insufficiency have become commonplace. Of upmost importance to our field of medicine is the incidence of vitamin D deficiency during pregnancy and lactation, which then impacts the fetus and newborn. Literature clearly supports supplementation of pregnant women to improve their health status as well as that of their developing fetus. Although supplementation of a lactating mother should be recommended for her health benefits, the dose at which supplementation of the mother would also benefit the breastfeeding infant has yet to be clearly defined. Therefore, at this time, supplementation of the breastfeeding infant with 400 IU of vitamin D per day should continue to be recommended.
1. Hess, A. (1929). Rickets including osteomalacia and tetany. Philadelphia, PA: Lea & Febiger.
2. Ruhrah, J. (1925). Pedatrics of the past. New York, NY: Paul B. Hoeber, Inc,.
3. Still, G. (1931). The history of pediatrics. The progress of the study of children up to the end of the XVIIIth century. London, United Kingdom: Oxford University Press, Humphrey Milford.
4. Dunn, P. (1998). Francis Glisson (1597-1677) and the "discovery" of rickets. Arch Dis Child Fetal Neonatal Ed, 78, F154-55.
5. Rajakumar, K. (2003). Vitamin D, cod-liver oil, sunlight, and rickets: A historical perspective. Pediatrics, 112(2),e132-35.
6. Hess, A. (1922). Infantile rickets: the significance of clinical, radiographic, and chemical explanations in its diagnosis and incidence. Am J Dis Child, xxiv, 327.
7. McCollum, E. (1957). A History of Nutrition. Cambridge, MA: Riverside Press.
8. Mellanby, E. (1919). An experimental investigation on rickets. Lancet, 1, 407-12.
9. McCollum, E. (1964). From Kansas Farm Boy to Scientist. Lawrence, KS: University of Kansas Press.
10. McCollum, E., Simmonds, N., Becker, J. E., et al. (1922). Studies on experimental rickets. XXI. An experimental demonstration of the existence of a vitamin which promotes calcium deposition. J Biol Chem, 53, 293-312.
11. Palm, T. (1890). The geographical distribution and aetiology of rickets. Practitioner, 45, 270-79, 321-42.
12. Park, E. (1923). The etiology of rickets. Physiol, Rev 3, 106-19.
13. Chick, H. (1976). Study of rickets in Vienna 1919-1922. Med Hist, 20, 41-51.
14. Park, E. A. (1940). The therapy of rickets. JAMA, 115(5), 370-79.
15. Rajakumar, K., & Thomas, S. B. (2005). Reemerging Nutritional Rickets: A Historical Perspective. Arch Pediatr Adolesc Med, 159(4), 335-41.
16. Gartner, L., Greer, F., American Academy of Pediatrics Section on Breastfeeding Medicine & Committee on Nutrition. (2003). Prevention of Rickets and Vitamin D Deficiency: New Guidelines for Vitamin D Intake. Pediatrics, 111(4), 908-10.
17. Wagner, C.L, Greer, F. R., American Academy of Pediatrics Section on Breastfeeding Medicine & Committee on Nutrition. (2008). Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents. Pediatrics, 122(5), 1142-52.
18. Standing Committee on the Scientific Evaluation of Dietary Reference Intakes Food and Nutrition Board IoM. (1997). Calcium, phosphorus, magnesium, vitamin D and fluoride. Dietary Reference Intakes. Washington, DC: National Academy Press.
19. Mahomed, K., & Gulmezoglu, A. M. (2002). Vitamin D supplementation in pregnancy (Cochrane Review). The Cochrane Library. Oxford: Update Software.
20. Holick, M. (2007). Optimal vitamin D status for the prevention and treatment of osteoporosis. Drugs Aging, 24, 1017-29.
21. Nesby-O'Dell, S., Scanlon, K., Cogswell, M., et al. (2002). Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age: Third National Health and Nutrition Examination Survey: 1988-1994. Amer J Clin Nutr, 76, 187-92.
22. Wagner, C, Johnson, D., Hulsey, T., et al. (2008). Vitamin D Deficiency (VDD) during Pregnancy: At Epidemic Proportions in SC (abstract). Pediatr Res.
23. van der Meer, I. M., Karamali, N. S., Boeke, A. J. P., et al. (2006). High prevalence of vitamin D deficiency in pregnant non-Western women in The Hague, Netherlands. Am J Clin Nutr, 84(2), 350-53.
24. Javaid, M. K., Crozier, S. R., Harvey, N. C., et al. (2006). Maternal vitamin D status during pregnancy and childhood bone mass at age 9 years: a longitudinal study. The Lancet, 367(9504), 36-43.
25. Dawodu, A., Agarwal, M., & Patel, M. (ea 1997). Serum 25-hydroxyvitamin D and calcium homeostasis in the United Arab Emirates mothers and neonates: a preliminary report. Middle East Paediatr, 2, 9-12.
26. Sachan, A., Gupta, R., Das, V., et al. (2005). High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. Am J Clin Nutr, 81(5), 1060-64.
27. Weiler, H., Fitzpatrick-Wong, S., & Veitch, R. (ea 2005). Vitamin D deficiency and whole-body and femur bone mass relative to weight in healthy newborns. Canadian Medical Association Journal, 172(6), 757-61.
28. Datta, S., Alfaham, M., & Davies, D. P. (ea 2002). Vitamin D deficiency in pregnant women from a non-European ethnic minority population-an interventional study. BJOG: An International Journal of Obstetrics & Gynaecology, 109(8), 905-08.
29. Judkins, A. (EC 2006). Vitamin D deficiency in pregnant New Zealand women. New Zealand Medical Journal, 119, U2144.
30. Brunvard, L., Shah, S. S. & Bergstroem, S. (ea 1998). Vitamin D deficiency in pregnancy is not associated with obstructed labor. A study among Pakistani women in Karachi. Acta Obstet Gynecol Scand, 77, 303-06.
31. Bassir, M., Laborie, S., Lapillonne, A., et al. (2001). Vitamin D deficiency in Iranian mothers and their neonates: a pilot study. Acta Paediatrica, 90(5), 577 - 79.
32. Brooke, O. G., Brown, I. R. F., Bone, C. D. M., et al. (1980). Vitamin D supplements in pregnant Asian women: Effects on calcium status and fetal growth. Brit Med J, 1, 751-54.
33. Namgung, R., Tsang, R. C., Specker, B. L., et al. (1993). Reduced serum osteocalcin and 1,25-dihydroxyvitamin D concentrations and low bone mineral content in small for gestational age infants: evidence of decreased bone formation rates. J Pediatr, 122(2), 269-75.
34. McGrath, J. (1999). Hypothesis: is low prenatal vitamin D a risk-modifying factor for schizophrenia? Schizophr Res, 49, 173-77.
35. McGrath, J., Selten, J. P., & Chant, D. (2002). Longterm trends in sunshine duration and its association with schizophrenia birth rates and age at first registration-data from Australia and the Netherlands. Schizophr Res, 54, 199-212.
36. Eyles, D., Brown, J., MacKay-Sim, A., et al. (2003). Vitamin D3 and brain development. Neuroscience, 118(3), 641-53.
37. Brown, J., Bianco, J., McGrath, J., et al. (2003). 1,25- Dihydroxyvitamin D-3 induces nerve growth factor, promotes neurite outgrowth and inhibits mitosis in embryonic rat hippocampal neurons. . Neurosci Lett, 343,139-43.
38. Burkert, R., McGrath, J., & Eyles, D. (2003). Vitamin D receptor expression in the embryonic rat brain. Neurosci Res Commun, 33,63-71.
39. Ko, P., Burkert, R., McGrath, J., et al. (2004). Maternal vitamin D3 deprivation and the regulation of apoptosis and cell cyle during rat brain development. Dev Brain Res, 153, 61-68.
40. Hayes, C. E. (2000). Vitamin D: a natural inhibitor of multiple sclerosis. Proc Nutr Soc, 59, 531-35.
41. Munger, K., Zhang, S., O'Reilly, E., et al. (2004). Vitamin D intake and incidence of multiple sclerosis. Neurology, 62, 60-65.
42. Holick, M. F. (2004). Vitamin D: Importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr, 79, 362-71.
43. Lappe, J. M., Travers-Gustafson, D., Davies, K. M., et al. (2007). Vitamin D and calcium supplementation reduces cancer risk: results of a randomized trial. Am J Clin Nutr, vol. 85, pp 1586-91.
44. Kamen, D. L., Cooper, G. S., Bouali, H., et al. (2006). Vitamin D deficiency in systemic lupus erythematosus. Autoimmun Rev, 5(2), 114-7.
45. Merlino, L. A., Curtis, J., Mikuls, T. R., et al. (2004). Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women's Health Study. Arthritis Rheum, 50(1), 72-7.
46. Pittas, A. G., Lau, J., Hu, F. B., et al. (2007). The role of vitamin D and calcium in type 2 diabetes. A systematic review and meta-analysis. Journal of Clinical Endocrinology and Metabolism, 92(6).
47. Arnson, Y., Amital, H., Shoenfeld, Y. (2007). Vitamin D and autoimmunity: new aetiological and therapeutic considerations. Ann Rheum Dis, 66, 1137-42.
48. McGrath, J., Selten, J-P, Chant, D. (2002). Long-term trends in sunshine duration and its association with schizophrenia birth rates and age at first registration— data from Australia and the Netherlands. Schizophrenia Research, 54(3),199-212.
49. Weiler, H. A., Leslie, W. D., Krahn, J., et al. (2007). Canadian Aboriginal Women Have a Higher Prevalence of Vitamin D Deficiency than Non-Aboriginal Women Despite Similar Dietary Vitamin D Intakes. J. Nutr, 137(2), 461-65.
50. Zittermann, A. , Dembinski, J., Stehle, P. (2004). Low vitamin D status is associated with low cord blood levels of the immunosuppressive cytokine interleukin-10. Pediatr Allergy Immunol, 15, 242-46.
51. Bodnar, L. M., Catov, J. M., Simhan, H. N., et al. (2007). Maternal Vitamin D Deficiency Increases the Risk of Preeclampsia. J Clin Endocrinol Metab, 92(9), 3517-22.
52. Hathcock, J. N., Shao, A., Vieth, R., et al. (2007). Risk assessment for vitamin D. Am J Clin Nutr, 85(1), 6-18.
53. Hollick, M. (2007). Vitamin D Deficiency. New England Journal of Medicine, 357(3), 266-81.
54. Vieth, R., Bischoff-Ferrari, H., Boucher, B. J., et al. (2007). The urgent need to recommend an intake of vitamin D that is effective. Am J Clin Nutr, 85(3), 649-50.
55. Hollis, B. W., (2005). Circulating 25-Hydroxyvitamin D Levels Indicative of Vitamin D Sufficiency: Implications for Establishing a New Effective Dietary Intake Recommendation for Vitamin D. J. Nutr, 135(2), 317-22.
56. Hollis, B., Wagner, C. L., Kratz, A., et al. (2005). Normal serum vitamin D levels. Correspondence. New England Journal of Medicine, 352(5), 515-16.
57. Wagner, C. L., Taylor, S. N., Johnson, D. (2008). Host factors in amniotic fluid and breast milk that contribute to gut maturation. Clin Rev Allergy Immunol, 34(2), 191-204.
58. Greer, F., Hollis, B. W., Cripps, D. J., et al. (1984). Effects of maternal ultraviolet B irradiation on vitamin D content of human milk. Journal of Pediatrics, 105, 431-33.
59. Wagner, C., Hulsey, T. C., Fanning, D., et al. (2006). High dose vitamin D3 supplementation in a cohort of breastfeeding mothers and their infants: a six-month follow-up pilot study. Breastfeeding Medicine, 1(2), 59-70.
60. Hollis, B. W. (1983). Individual quantitation of vitamin D2, vitamin D3, 25(OH)D2, and 25(OH)D3 in human milk. Analytical Biochemistry, 131, 211-19.
61. Hollis, B. W., Wagner, C. L. (2004). Vitamin D requirements during lactation: high-dose maternal supplementation as therapy to prevent hypovitaminosis D for both the mother and the nursing infant. Am J Clin Nutr, 80(6), 1752S-58.
62. Hollis, B. W. (2007). Vitamin D requirement during pregnancy and lactation. J Bone Miner Res, 22, V39-44.
63. Ala-Houhala, M., Koskinen, T., Terho, A., et al. (1986). Maternal compared with infant vitamin D supplementation. Arch Dis Child, 61, 1159-63.
64. Mylott, B., Kump, T., Bolton, M. L., et al. (2004). Rickets in the Dairy State. WMJ, 103(5), 84-87.
65. Kreiter, S. R., Schwartz, R. P., Kirkman, H. N, et al. (2000). Nutritional rickets in African American breast-fed infants. The Journal of Pediatrics, 137(2), 153-57.
66. Pugliese, M. T., Blumberg, D. L., Hludzinski, J., et al. (1998). Nutritional Rickets in Suburbia. J Am Coll Nutr, 17(6), 637-41.
67. Sills, I., Skuza, K. A., Horlick, M. N., et al. (1994). Vitamin D deficiency rickets: reports of its demise are exaggerated. Clin Pediatr (Phila), 33(8), 491-93.
68. Binet, A., Kooh, S. W. (1996). Persistence of Vitamin D-deficiency rickets in Toronto in the 1990s. Can J Public Health, 87(4), 227-30.
69. Ala-Houhala, M. (1985). 25(OH)D levels during breastfeeding with or without maternal or infantile supplementation of vitamin D. J Pediatr Gastroenterology Nutri, 4, 220-26.
70. Daaboul, J., Sanderson, S., Kristensen, K., et al. (1997). Vitamin D deficiency in pregnant and breast-feeding women and their infants. J Perinatology, 17(1), 10-14.
71. Weisburg, P., Scanlon, K. S., Li, R., et al. (2004). Nutritional rickets among children in the United States: review of cases reported between 1986 and 2003. Am J Clin Nutr, 80(suppl), 1697S-70S.
72. Cancela, L., LeBoulch, N., Miravet, L. (1986). Relationship between the vitamin D content of maternal milk and the vitamin D status of nursing women and breastfed infants. J Endocrinol, 110, 43-50.
73. Narang, N., Gupta, R., Jain, M., et al. (1984). Role of vitamin D in pulmonary tuberculosis. J Assoc Physicians India, 32, 185-86.
74. Takeuchi, A., Okano, T., Tsugawa, H., et al. (1989). Effects of ergocalciferol supplementation on the concentration of vitamin D and its metabolites in human milk. J Nutr, 119, 1639-46.
75. Rothberg, A., Pettifor, J. M., Cohen, D. F., et al. (1982). Maternal-infant vitamin D relationships during breast-feeding. Journal of Pediatrics, 101, 500-03.
76. Specker, B. L., Valanis, B., Hertzberg, V., et al. (1985). Sunshine exposure and serum 25-hydroxyvitamin D concentrations in exclusively breast-fed infants. J Pediatr, 107(3), 372-6.
77. Ho, M. L., Yen, H. C., Tsang, R. C., et al. (1985). Randomized study of sunshine exposure and serum 25- OHD in breast-fed infants in Beijing, China. J Pediatr, 107(6), 928-31.
78. American Academy of Pediatrics. (1999). Policy Statement. Ultraviolet light: A hazard to children (RE9913). Pediatrics, 104(2), 328-33.
79. Gartner, L., Greer, F., American Academy of Pediatrics Section on Breastfeeding Medicine & Committee on Nutrition. (2003). Prevention of rickets and vitamin D deficiency: New guidelines for vitamin D intake. Pediatrics,111(4), 908-10.
80. Taylor, S. N., Wagner, C. L., Hollis, B. W. (2008). Vitamin D supplementation during lactation to support infant and mother. J Am Coll Nutr, 27(6):690-701.
81. Wagner, C. L., Taylor, S. N., Hollis, B. W. (2008). Does vitamin D make the world go 'round'? Breastfeed Med, 3(4), 239-50.
82. Pittard, W. B., Geddes, K. M., Hulsey, T. C., et al. (1991). How much vitamin D for neonates? Amer J Dis Child, 145, 1147-49.


text:
yum install kernel-devel kernel-headers gcc make
Searching for a valid kernel header path...
The path "" is not valid.
Would you like to change it? [yes]
What is the location of the directory of C header files that match your running kernel?
uname -r
find / -name headers
if (-e $answer . '/generated/utsrelease.h') {
$uts_headers .= "#include <./generated/utsrelease.h> \n";
All trademarks, and forum posts in this site are property of their respective owner(s).
FedoraForum.org is privately owned and is not directly sponsored by the Fedora Project or Red Hat, Inc. Privacy Policy | Term of Use | Posting Guidelines | Archive | Contact Us | Founding MembersPowered by vBulletin® Copyright ©2000 - 2012, vBulletin Solutions, Inc.


text:
Serving all people by providing personalized health and wellness through exemplary care, education and research.
Our Services
Explore health content from A to Z.
I need information about...
LDH, lactic dehydrogenase
This is a blood test to measure the different LDH isoenzymes that may be in your blood. Enzymes are proteins that cause chemical reactions in your body and provide energy. LDH enzymes are found in many tissues in the body, including the heart, red blood cells, liver, kidneys, brain, lungs, and skeletal muscles.
LDH exists in five forms, or isoenzymes. Each isoenzyme has a slightly different structure and is found in different concentrations in different tissues. For example, LDH-1 is found mostly in red blood cells and heart muscle. LDH-3 is concentrated in the lungs, although it is also found in other tissues. When LDH isoenzymes spill into your blood, it indicates damaged or diseased tissue. The results may tell your healthcare providers which tissue may be damaged or injured.
You might have this test to see whether you have had a heart attack, blood disorder, or damage to your liver or other tissues.
Your healthcare provider might order other blood tests that can detect elevated enzyme levels.
For liver enzymes:
Aspartate aminotransferase, or AST
Gamma-glutamyl transpeptidase
Alkaline phosphatase
Alanine aminotransferase, or ALT
Leucine aminopeptidase
For heart and skeletal muscle:
Creatine phosphokinase, or CPK
Your healthcare provider might also order a urine test for LDH.
Many things may affect your lab test results. These include the method each lab uses to do the test. Even if your test results are different from the normal value, you may not have a problem. To learn what the results mean for you, talk with your healthcare provider.
Normal results for isoenzymes are listed below.
Adult/older adults:
LDH-1: 17% to 27%
LDH-2: 27% to 37%
LDH-3: 18% to 25%
LDH-4: 3% to 8%
LDH-5: 0% to 5%
Normal ratios are:
LDH-1 less than LDH-2
LDH-5 less than LDH-4
When your LDH-1 is greater than your LDH-2, it could mean that you had a heart attack in the past week. Healthcare providers refer to this as "flipped LDH" because normally your LDH-2 is higher than your LDH-1.
When your LDH-5 is greater than your LDH-4 it could mean you have damage to your liver or liver disease. This includes cirrhosis and hepatitis.
If you have two diseases that have caused more than one LDH isoenzyme to rise, one disease could hide the other.
The test requires a blood sample, which is drawn through a needle from a vein in your arm.
Taking a blood sample with a needle carries risks that include bleeding, infection, bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight stinging sensation or pain. Afterward, the site may be slightly sore.
If the blood sample is contaminated by broken red blood cells, a condition called hemolysis, your LDH will be elevated.
If you exercise strenuously before the sample is taken, you could have elevated LDH-1, LDH-2, and LDH-5.
Anesthetics, aspirin, narcotics, and certain other medicines can elevate your LDH. Medicines that contain ascorbic acid (vitamin C) can decrease your LDH levels. Alcohol also can affect your LDH levels.
You don't need to prepare for this test. Be sure your healthcare provider knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
Copyright © 2017 Baylor Scott & White Health. All Rights Reserved. |
3500 Gaston Ave., Dallas, TX 75246-2017 | 1.800.4BAYLOR
Privacy and Patient Rights | Terms of Use | Notice of Non-Discrimination | Site Map | Contact Us


text:
Verizon collecting phones for soldiers
December 6, 2012
South Lake Tahoe and Wireless Stores Inc./Verizon Wireless and the nonprofit Cell Phones for Soldiers Inc. are asking South Lake Tahoe residents to help troops call home by donating gently used cellular phones.
Although the military landscape is ever changing, as many as 369,000 troops are serving in the U.S. military overseas around the world, according to a press release. By donating to Cell Phones for Soldiers, South Lake Tahoe residents can provide troops with a connection to loved ones back home.
Residents can donate phones at Verizon's South Lake Tahoe location, 2230 South Lake Tahoe Blvd. Donating a gently used phone helps get rid of ewaste and the money goes toward phone cards for soldiers to use to call home, manager Ty Strong said. Donated phones are not required to have been purchased from Verizon.
For more information, visit http://www.verizonwireless.com or http://www.cellphonesforsoldiers.com


text:
Theme Park Discount Coupons
Everyone loves a deal right? At CVS drugstores and Giant grocery stores, I've been able to find coupons to several theme parks in the Mid-Atlantic. I'm sure you can find similar coupons at a grocery store, fast food restaurant, or drugstore near you.
Kings Dominion – Doswell, VA
I found a Kings Dominion coupon for $7 off a single-day ticket at a Giant grocery store. There, you'll experience Volcano – The Blast Coaster and Flight of Fear. More on Kings Dominion..>>
Busch Gardens Europe – Williamsburg, VA
With this coupon you can save $10 on a week day or $5 on a weekend on single-day admission. With Griffon just opening and all of BGE's other world-class roller coasters and attractions this park is well worth the discounted price of admission. More info on Busch Gardens Europe..>>
Six Flags America – Largo, MD
Check out this coupon for $15 off the already relatively low single-day admission. Superman: Ride of Steel and the Batwing flying coaster are two reasons to visit this smaller Six Flags park. More on Six Flags America..>>
Hersheypark – Hershey, PA
Here's a coupon for $8.00 off of admission to Hersheypark and $2.00 of admission to Dutch Wonderland. If the chocolate isn't enough to get you to Hershey, Storm Runner, Lightning Racer, and Great Bear should do the trick.


text:
Languages: English • 日本語 • (Add your language)
Display the rss enclosure for the current post.
Uses the global $post to check whether the post requires a password and if the user has the password for the post. If not then it will return before displaying.
Also uses the function get_post_custom() to get the post's 'enclosure' metadata field and parses the value to display the enclosure(s). The enclosure(s) consist of enclosure HTML tag(s) with a URI and other attributes.
<?php rss_enclosure() ?>
Since: 1.5.0
rss_enclosure() is located in


text:
Kim A. Gandy
President & CEO
Kim A. Gandy currently serves as the president and CEO of the National Network to End Domestic Violence. From her years as a young activist in her native Louisiana, to her work prosecuting violent offenders, to her energetic participation in the passage of the Violence Against Women Act (VAWA) in 1994, and its reauthorization in 2000 and 2005, Kim has remained profoundly committed to ensuring that women have the opportunity to lead healthy lives in safety and prosperity. Her long career in advocacy, legislative reform and coalition-building includes areas such as violence against women, family law, workplace fairness, poverty and economic issues, and social security. In addition to volunteering at a local shelter, Kim was a founder and director of the New Orleans Metropolitan Battered Women's Program. She served as an Assistant District Attorney in Orleans Parish, during which time she gained particular insight into the systemic challenges facing survivors of domestic violence and sexual assault. In addition to serving domestic violence survivors pro bono in private practice, Kim wrote state legislation addressing women's concerns, including Louisiana's first Domestic Abuse Assistance Act in 1983. On the national level, Kim worked closely with then-Senator Joe Biden and then-Congresswoman Barbara Boxer on the passage and funding of VAWA, and helped organize 200,000 people to rally in Washington the following year in a call for the release of VAWA funding, and with Congresswoman Carolyn Maloney for passage and funding of the 2004 Debbie Smith Act, a law that supports the prosecution of criminal offenders and which expanded VAWA legal assistance to include survivors of dating violence. Kim has also worked extensively toward expanded protections from violence for women, including women in the workplace.
Prior to joining NNEDV, Kim was Vice President of and General Counsel of the Feminist Majority and the Feminist Majority Foundation, where she led their successful campaign to modernize the FBI Uniform Crime Report definition of rape. She spent 22 years as a top leader of the National Organization for Women (NOW), first as National Secretary, then Executive Vice President and finally, President. Kim served on the legislative drafting committees for the Civil Rights Act of 1991 and the 1994 Freedom of Access to Clinic Entrances Act, and during her work with both organizations was a guiding force in many landmark cases and legislative gains, such as the Lilly Ledbetter Fair Pay Act of 2009. A widely sought-after media commentator, Kim has participated in more than 400 major media interviews with news organizations such as TIME, Newsweek CNN, ABC, NBC, CBS, FOX and NPR, and has appeared on programs including "The Colbert Report," "Oprah" and "The O'Reilly Factor." Kim is a graduate of Louisiana Tech University with Bachelor of Science degrees in mathematics and education and holds a Juris doctorate degree from Loyola University School of Law.


text:
Big Foreclosure Settlement Still Not Really, Truly, Finally Done
And here we go again. Last month I wondered when we were going to see the documentation behind the '$25 billion' mortgage settlement. Despite the massive action this settlement is now supposedly leading to, there didn't seem to be a huge rush to get the deal finalized.
The same day I posted my blog it was reported that prosecutors would likely be filing the documents in the courts by the end of the month.
Well February has come and gone, and it appears we're no closer to seeing the final settlement document. March has started more like a lamb then a lion.
Just as it did when it went up last month, the government's settlement website still says coming soon where the document should be.
HUD secretary Shaun Donovan told the Senate Housing Committee Tuesday that they shouldn't worry, that there were just a few i's to be dotted and a few t's to be crossed.
Uh huh. Isn't that what they said the last time? Until the settlement is signed, sealed and delivered, there will still be lingering doubt about it's language.
Schneiderman Could Focus on REMICs
We're still seeing just how Eric Schneiderman's RMBS working group will come together. Today it was reported that Congressman Brad Miller will not become it's staff director, as the group is seeking an "experienced prosecutor for the job".
But Chris Whalen of HousingWire offered his idea on how Schneiderman will go after the banks, and as I have also speculated, he believes its tax fraud that could ultimately bring them down.
Continue reading


text:
An AFX Show Exclusive...
Kotobukiya shares with Marvel fans a new variant of their Black Widow Bishoujo Statue. This Covert Ops Gray Costume version of the lovely super spy will be exclusive to San Diego Comic-Con through retailer Action Figure Xpress. It also includes Hawkeye's mask on the base. Grab yours at the AFX booth #3345. Only 2000 are being produced.
To insure your action figure collection, get in touch with Collectibles Insurance, the official insurance company of the Figures.com network. Say "Figures.com" to get 5% off your first term premiums.
To buy action figures, take a look at BigBadToyStore.com, RedfordFilms.com, Toynk.com, PastGenerationToys.com, BriansToys.com, ToyWiz.com, and MonkeyDepot.com.


text:
Welcome to the Muppet Central Forum!
You are viewing our forum as a guest. Join our free community to post topics and start private conversations. Please contact us if you need help with registration or your account login.
The New Movie: The Muppets
Discussion in 'Muppet Headlines' started by Psammeadboi, Sep 11, 2009.
Page 15 of 20
Page 15 of 20


text:
Third Line Highly Active Antiretroviral Therapy (HAART) in HIV-infected Children
This study has been completed.
The HIV Netherlands Australia Thailand Research Collaboration
Ministry of Education, Thailand
National Health Security Office, Thailand
Information provided by (Responsible Party):
The HIV Netherlands Australia Thailand Research Collaboration
ClinicalTrials.gov Identifier:
First received: October 18, 2010
Last updated: January 25, 2017
Last verified: January 2017
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Biospecimen Retention: Samples Without DNA
Detailed Description:
This is an observational cohort study of virologic and immunologic outcome after at least 48 weeks of third line antiretroviral therapy. Upto 150 children at 8 Thai sites will be enrolled. Third line antiretroviral therapy in this study is defined as an antiretroviral (ARV) regimen in a patient who has failure or intolerance to first line NNRTI-based therapy and second line PI-based therapy. Such regimens may contain new drugs or drug classes such as darunavir, tipranavir, etravirine and raltegravir The knowledge gained from this study will help the Thai government in planning its strategy to provide third line ARV therapy to children within the national program.
|This Study is Designed to Collect Treatment Data of Thai Children on Third Line ARV Therapy
|Drug: Tenofovir
|Study Type:
|Study Design:
|Observational Model: Cohort
Time Perspective: Other
|Official Title:
|Treatment Cohort of HIV-infected Children With Resistance or Intolerance to Non Nucleoside Reverse Transcriptase Inhibitor (NNRTI) First Line and PI Second Line Antiretroviral Therapy
Resource links provided by NLM:
MedlinePlus related topics: HIV/AIDS
Drug Information available for: TenofovirU.S. FDA Resources
Further study details as provided by The HIV Netherlands Australia Thailand Research Collaboration:
Primary Outcome Measures:
- undetectable viral load [ Time Frame: 48 weeks ]Primary endpoint will be the proportions of subjects with HIV RNA below 400 and 50 copies/ml at 48 weeks.
Secondary Outcome Measures:
- Hyperlipidemia [ Time Frame: 48 weeks ]Number of subjects with hyperlipidemia as a measure of safety
Biospecimen Retention: Samples Without DNA
Plasma and PBMC
|Study Start Date:
|August 2010
|Study Completion Date:
|December 2013
|Primary Completion Date:
|August 2013 (Final data collection date for primary outcome measure)
|Assigned Interventions
third line naive
Children on second line or other regimen who switch or start third line regimen
|Drug: Tenofovir
third line experienced
children who are on third line regimen
|Drug: Tenofovir
Detailed Description:
The primary objective of this study is to assess the virological efficacy, as measured by the proportions of children with HIV RNA below 400 and 50 copies/ml at 48 weeks after initiating third line ARV therapy.
Third line ARV therapy is defined as an ARV regimen in a patient who has failure or intolerance to first line NNRTI-based therapy and second line PI-based therapy. Such regimens may contain new drugs or drug classes such as darunavir, tipranavir, etravirine and raltegravir
|Ages Eligible for Study:
|up to 18 Years (Child, Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Study Population
Thai children aged < 18 years old who are on or are switching to third line antiretroviral therapy
Inclusion Criteria:
Children (< 18 years old) with HIV infection may enroll if one of the following criteria is met:
- Have resistance to at least one drug in each of the 3 classes (NRTI, NNRTI and PI) and have plasma HIV RNA > 1000 copies/ml prior to switching to third line ARV therapy
- Have intolerance to the current NRTI, NNRTI or PI treatment and need to receive darunavir, etravirine, tipranavir or raltegravir
Exclusion Criteria:
- Have hepatic impairment with ALT ≥ 5 upper limit of normal
- Pregnant or breastfeeding
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01225406
Please refer to this study by its ClinicalTrials.gov identifier: NCT01225406
|Chulalongkorn University
|Bangkok, Thailand, 10330
|Bangkok, Thailand, 10330
|Siriraj Hospital, Mahidol University
|Bangkok, Thailand, 10700
|Prapokklao Chantaburi
|Chantaburi, Thailand, 22000
|Nakornping Hospital
|Chiang Mai, Thailand, 50180
|Chiang Rai Regional Hospital
|Chiang Rai, Thailand, 57000
|Khon Kaen University
|Khon Kaen, Thailand, 40002
|Bamrasnaradura Institute
|Nonthaburi, Thailand, 11000
|Surin Hospital
|Surin, Thailand, 32000
Sponsors and Collaborators
The HIV Netherlands Australia Thailand Research Collaboration
Ministry of Education, Thailand
National Health Security Office, Thailand
|Principal Investigator:
|Thanyawee Puthanakit, MD
|Chulalongkorn University, Bangkok
|Principal Investigator:
|Kulkanya Chokephaibulkit, MD
|Siriraj Hospital, Mahidol University, Bangkok, Thailand
More Information
Additional Information:
Keywords provided by The HIV Netherlands Australia Thailand Research Collaboration:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 25, 2017
Additional Information:
Chokephaibulkit K, Prasitsuebsai W, Wittawatmongkol O, Gorowara M, Phongsamart W, Sophonphan J, Kerr SJ, Vanprapar N, Puthanakit T, Pasomsap C, Suwanlerk T, Sekar V, Burger D, Ananworanich J; HIV-NAT 113 Pharmacokinetic Study Group. Pharmacokinetics of darunavir/ritonavir in Asian HIV-1-infected children aged ≥7 years. Antivir Ther. 2012;17(7):1263-9. doi: 10.3851/IMP2347. Epub 2012 Sep 6.
|Responsible Party:
|The HIV Netherlands Australia Thailand Research Collaboration
|ClinicalTrials.gov Identifier:
|NCT01225406 History of Changes
|Other Study ID Numbers:
|Study First Received:
|October 18, 2010
|Last Updated:
|January 25, 2017
Keywords provided by The HIV Netherlands Australia Thailand Research Collaboration:
Third line ARV therapy
Absolute CD4+ T cell count
serious adverse events (SAEs)
Drug resistance
Additional relevant MeSH terms:
Reverse Transcriptase Inhibitors
Antiviral Agents
Anti-Infective Agents
Nucleic Acid Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Retroviral Agents
Anti-HIV Agents
ClinicalTrials.gov processed this record on September 25, 2017


text:
Herron Professor Anila Agha presents new exhibition: Intersections
Assistant Professor of Foundations Anila Quayyum Agha will present an exhibition of works created as part of her 2012-13 New Frontiers Research Grant from Indiana University. The exhibition entitled Intersections will be on view in the Frank and Katrina Basile Gallery from Sept. 25 – Oct.17, 2013.
Agha writes in the artist statement for Intersections:
I used a 2012-13 New Frontier's Research Grant from Indiana University for a large-scale installation project composed of patterned wood. With this project I explored intersections of culture and religion, the dynamics and interpretation of space and sight as it threaded through cultures and emerged as varied expressions that redefine themselves with the passage of time. In this piece, a motif that is believed to represent certitude is explored to reveal its fluidity i.e. the geometrical patterning in Islamic sacred spaces. This project is meant to uncover the contradictory nature of all intersections; which are simultaneously boundaries and also points of meeting.
The Intersections project takes the seminal experience of exclusion as a woman from a space of community and creativity such as a Mosque and translates the complex expressions of both wonder and exclusion that have been my experience while growing up in Pakistan. The wooden frieze emulates a pattern from the Alhambra, which was poised at the intersection of history, culture and art and was a place where Islamic and Western discourses, met and co-existed in harmony and served as a testament to the symbiosis of difference. I have given substance to this mutualism with the installation project exploring the binaries of public and private, light and shadow, and static and dynamic. This installation project relies on the purity and inner symmetry of geometric design, the interpretation of the cast shadows and the viewer's presence with in a public space.
The object in the Basile Gallery is a smaller version of the larger design.


text:
Hi everyone,
"He who sees dhamma sees dhammas." [citation required.]
"Monks, it is by making some compounded thing one's object that evil,
unprofitable states arise, not without doing so. By abandoning just that
compound those states exist not."
[PTS Gradual Sayings I, Woodward, page 75.][Book of twos, chapter 8, item 10.]
Is there an assumed psychology in the five Nikaya which is not made explicit?
An assumption that all unenlightened states of mind are based on some object.
That this object is just a misconception fabricated by wrong thinking.
Attending to the misconception causes a certain state of mind to arise.
What is present can then be analysed as a state-of-mind (subject) attending
to an object.
misconception > contact > feeling > craving > clinging.
....object..................state of mind ............
Can we say that if there were no object then there would be no state of mind?
Can we say that the goal is to eliminate all these objects?
Can we say that these objects are sometimes called dhammas (plural)?
Regards, Vincent.


text:
SOMC Rehabilitation Services
Get Directions
Our largest facility provides users with over 33,000 square feet dedicated to fitness and one of the most experienced fitness staffs you will find anywhere.
Among the features of the Portsmouth LIFE Center are:
- 3 lane 1/16 mile indoor track
- Full size basketball court
- Dedicated group fitness room with a cushioned wood floor
- 25 meter pool with dedicated lanes for lap swimming
- Hydrotherapy pool (limited hours)
- Fully furnished locker rooms
- Dry Heat Saunas
- Over 40 cardiovascular machines including treadmills, elliptical trainers, stationary bikes, steppers, and upper body cycles
- Full line of stacked weight equipment
- Multiple benches, racks, and free weights
- Family hours on weekends
- Group fitness classes including Zumba, Yoga, Cycling, Step, Toning, Senior classes, Arthritis Aquatics, and Water Aerobics. For a complete schedule of classes and descriptions please click here.
Facility Hours*
Monday - Friday 5:30 am -10:00 pm
Saturday 7:00 am - 6:00 pm
Sunday 1:00 pm - 6:00 pm
* Hours Subject to change. Pool closes 2 hours before facility.


text:
Do you repeat the same errors, time after time, in ways which are unique to you but different than the errors made by others?
A recent study in basketball suggests this happens with Pros shooting free throws. A system called SportVU has been set up in 13 Professional Basketball arenas which has 6 different camera angles recording the action 25 frames per second. A computer analysis evidently shows that when players miss free throws they make the same kind of errors on most misses yet those errors are different than the errors made by other players. So each player has a "signature" way to miss the shot.
It seems to me that a putt in disc golf has certain similarities to a free throw in basketball (each is basically an easy shot in terms of physical difficulty, no one plays defense against the shot and consistency is mostly a function of mental focus and mental toughness/confidence). So perhaps the basket study extends to disc golf as well.
To look at the study go to: http://www.foxnews.com/science/2012/10/ ... -+Mixed%29
I know that when I miss a putt it often happens in the same ways. I seldom miss to the left or too high. I am much more likely to miss too far right on longer putts or too low on closer putts. At least this is my impression without the benefit of 6 camera angles recording my shots at 25 frames per second. What would we learn if our shots were analyzed by speed, spin, launch height, loft, angle, right/left deviation and off axis torque? I don't know the answer but I would love to make use of this technology.
So what do you think? Do you have a "signature" kind of missed putt? Or is this just high-tech nonsense?


text:
Compensation and Benefits
In our industry, the demands on you can be high, but the satisfaction and challenge of working alongside bright people on challenging projects offer the prospect of a truly rewarding career.
Your compensation will be reviewed annually and may consist of salary, discretionary compensation, and certain local allowances, where applicable.
Compensation is determined by a number of factors, including the firm's performance, divisional performance and individual performance.
We spend a great deal of time ensuring that people are compensated appropriately and we aim to provide highly competitive pay levels over the long term.
Health Care, Insurance and Other Benefits
Goldman Sachs provides a variety of benefits that vary by region but generally include the following features:
- Health care: a choice of medical plans, as well as prescription drug, vision and dental care plans
- Insurance: life, disability and sickness, and business travel accident insurance plans
- Holiday and vacation policies: a competitive offering of vacation time, generally based on employee status and years of service
Select your region below to learn about additional benefits.


text:
Your browser does not support iframes.
Lancaster resident Rhonda Hodge said she was familiar with the 1897 column, "Yes, Virginia, there is a Santa Claus," by Frances Pharcellus Church that was published in The New York Sun.
However, Hodge was unfamiliar with how it came about, saying she would love to share its background with others.
Hodge laments that many people today are so enamored with celebrities that she hopes they, too, will become familiar with the background of this famous column.
In the early 1950s there were flimflam men rambling the countryside taking advantage of the elderly and widow women. My father worked at the mill in Kershaw and got all the news a week before it was in the paper. Daddy passed the news to us 10 children and mama at supper every night so we would be aware of such people.
We had to look after Grandma and her two sisters, Sally and Carrie, who lived 300 yards up the road in the big house. We lived in a tenant house under the hill and got our water from a spring, but we had a nice three-hole toilet.
There's a reasonable tendency among Americans to view the education of their kids as an exclusively local issue and distinct to their communities.
After all, school buildings are constant fixtures in neighborhoods, sports teams play cross-town rivals and the vast majority of public students still attend schools based solely on zip code.
In my family, it's a tradition that my daughter does all the cooking for Thanksgiving. Like all good traditions, it is a part of the fabric of our family holidays.
On Wednesday before Thanksgiving, she and I went to the local Publix to buy all the ingredients for this special dinner. I know that it's special as the tape read $157.23 for this one meal's fixings, but we'll have to save the high price of groceries for another column.
At the beginning of November, Lancaster County homeowners received their tax bills, which are due by Jan. 15 without penalties.
If you have not received your tax bill, please contact our office for us to help locate your bill and make sure we have the correct address on file for you. Please do so as soon as possible to make sure your taxes are paid on time to avoid late penalties.
At this week's organizational session, South Carolina House lawmakers will be asked to make several important decisions, including who becomes speaker of the house and speaker pro tempore.
The identity of the next speaker, however, was all but a foregone conclusion, and some other points may be both more controversial and more important.
As the S.C. House returns next month to debate a proposed rule that critics say would discourage citizen testimony before legislative committees, an incoming freshman representative is pursuing defamation lawsuits against two supporters of his opponent in the 2012 race.
Newly elected Rep. Greg Duckworth, R-Horry, filed separate suits in December 2012 against an Horry County couple, Charles Collins and Bren Gibson, contending they defamed him in separate online letters to the editor, which asked readers to support then-Rep. Tracy Edge in the June 2012 Republican primary.
On Monday, Dec. 8, Lancaster County Council will decide whether or not to give final approval to the building of the Lennar TreeTops cluster development of 835 homes. Building this development will be a substantial step backward for Lancaster County.
For those of us opposed to the concept of nationalized health care, learning the shameful way that Obamacare was forced on us was like pouring salt in an open wound.
Even after President Barack Obama's election-year promise that his health-care discussions would be held openly and even televised they were shrouded in secrecy. Details were kept from the public, and backroom favors were exchanged to gain the necessary votes of a few reluctant Democratic senators.
First, a disclaimer: If you aren't 65 or older, don't read this. If you haven't been exposed to farm life in the 1950s and '60s, don't read this. If it has been so long since you have been on the farm that you stand at the wrong end of the horse to get your information, don't read this. If you don't understand what you just read, don't read this.
Copyright © 2017
The Lancaster News is your source for local news, sports, events, and information in Lancaster County and Lancaster, South Carolina, and the surrounding area..


text:
Case Construction Equipment introduces the 570M XT Series 3 loader/tool carrier with a new Tier-3-compliant Case Family III turbocharged engine that delivers 79 net hp. The series features a single-lever loader control designed for easy effort and ergonomic comfort. Push-button differential lock and transmission declutch are located close at hand. An automatic self-leveling feature minimizes bucket spills as the operator raises the loader. The optional Ride Control feature helps to cushion the loader arms to prevent spills when carrying full loads over rough terrain.
Reader Service No. 151 • freeproductinfo.net/rer
Classen expands its product offerings with a line of hydrostatic-drive sod cutters that feature a smooth, consistent power flow with transport speeds up to 4.7 mph and powered-reverse. The unit offers multiple cutting widths of 12, 18, 20 and 24 inches; finger-tip throttle for easy, adjustable speed control; and easy depth adjustment up to 2.5 inches. The center blade placement ensures a more consistent cutting depth, and the unit offers options of a 5.5- or 8-hp Honda engine.
Reader Service No. 152 • freeproductinfo.net/rer
Bosch Power Tools & Accessories
Bosch introduces the second-generation PS20 pocket driver, which features upgrades in speed and torque. The new PS20 features 100 inch-pounds of torque and a 500-rpm operating speed, both measures represent 25-percent increases versus the original tool. The pocket driver comes equipped with two 12-volt Max Litheon batteries, a 30-minute quick charger and a sturdy canvas carrying bag.
Reader Service No. 153 • freeproductinfo.net/rer
The Danuser industrial group auger bucket is designed to mix, transport and dispense concrete (up to 1-inch slump), sand, washed gravel (3/4-inch maximum) and asphalt. The auger bucket has a ½-yard capacity of 22 bags (80 pounds each) of premix concrete, and offers accurate and controlled discharge of ½-yard in 50 seconds. The quick-attach frame on either side of a unit allows for right- or left-hand discharge.
Reader Service No. 154 • freeproductinfo.net/rer
Kaeser Compressors
Kaeser Compressors introduces the M15 and M17 to its Mobilair portable compressor line. With a durable polymer shell, the models combine Kaeser's proprietary Sigma Profile airend with an industrial Honda gasoline engine. These units produce 50 to 60 scfm at 100 psig with variable pressures from 70 to 190 psig also available. The dent- and temperature-resistant molded polymer shell is suited for a variety of uses, while the lightweight, wheel-mounted package and hinged handle bar offers easy maneuverability. Vibration isolator pads absorb shock from the engine and airend, ensuring quiet operation.
Reader Service No. 155 • freeproductinfo.net/rer
DeWalt announces its new family of self-leveling rotary lasers for interior and exterior uses — DW074 (pictured) and DW079 — and exterior-only use — DW078. The lasers are designed for various applications including site leveling, excavation, post installation, concrete leveling, multi-level construction and elevation leveling. The DW078 and DW079 are equipped with an enclosed battery door that is dust and water resistant and allows users to easily remove batteries. These models also have a rubber over-molding that provides additional protection to critical laser areas when dropped. The DW074 is designed with an automatic horizontal self-leveling system that provides accuracy at plus or minus 1/4-inch per 100 feet.
Reader Service No. 156 • freeproductinfo.net/rer
Komatsu introduces the PC27MR-3 compact hydraulic excavator, which is designed to bring increased production and added operator comfort, according to the manufacturer, to contractors in a variety of construction, utility and landscaping applications. The PC27MR-3 features an operating weight of 6,460 pounds and a maximum dig depth of 9 feet, 4 inches. The unit is powered by a 25.3-hp Komatsu direct-injection engine that meets EPA emissions requirements and is fuel efficient without sacrificing power of efficiency. The X-track frame is designed to deter the build-up of dirt and debris, saving the operator time when cleaning the machine.
Reader Service No. 157 • freeproductinfo.net/rer
Allmand Bros.
Allmand's Port-A-Lite Balloon-Lite models are designed for applications requiring high illumination levels with minimum glare and reduced shadows. Three models are available — the BL 2000 TH, BL 1000 MH and BL 2000 MH — and come equipped with either half-translucence or full-translucence balloon styles. The BL 2000 TH uses a 2,000-watt tungsten halogen bulb and produces 33,000 lumens. For additional light output, the BL 1000 MH and BL 2000 MH each feature energy-efficient metal halide lamps. The BL 1000 MH uses one 1,000-watt metal halide lamp to produce 110,000 lumens, while the BL 2000 MH has two 1,000-watt lamps that combine for an output of 220,000 lumens.
Reader Service No. 158 • freeproductinfo.net/rer
Atlas Copco Compressors
Atlas Copco's XRVS 1250 compressor delivers 435 psi and features the company's FuelXpert system and Oiltronix technology, which are designed to improve fuel consumption and component longevity. The XRVS also features a dual-pressure system for higher-capacity drilling, an increased fuel tank capacity and the availability of skid, off-road or truck mounting. This compressor is also designed for use in all weather conditions.
Reader Service No. 159 • freeproductinfo.net/rer
John Deere
John Deere introduces the 75D mid-sized hydraulic excavator that features a 54-net hp EPA Interim Tier-4 emission standards diesel engine and Deere's Powerwise engine/hydraulic management system that is designed to maximize power output, save fuel and deliver smooth, multifunction operation. The convenient boom, reduced-tail-swing unit weighs in at 17,637 pounds, has a 15-foot, 1-inch dig depth and is suited for light residential, site development, underground and landscaping applications. Optional rubber tracks allow operators to cross driveways and sidewalks without damage.
Reader Service No. 160 • freeproductinfo.net/rer
Volvo Construction Equipment
Volvo introduces the C-Series heavy-duty tracked feller bunchers that are designed for forestry-based applications. The C-Series includes three models — the 37-ton, full-swing-radius FB3800C, the 30-ton short-swing-radius FB2800C, and the 30-ton zero-swing-radius FBR2880C. All three models can be configured to accommodate a feller buncher or heavy-duty harvesting processing head. They are also equipped with Volvo Tier-3-compliant engines, load-sensing hydraulics and Volvo Care Cabs.
Reader Service No. 161 • freeproductinfo.net/rer
Doosan Infracore Portable Power
Doosan Infracore Portable Power introduces the Ingersoll Rand L20, a combination light tower and mobile generator. The L20's lighting system consists of four 1,000-watt metal halide lamps mounted to a telescoping mast, featuring 360-degree rotation and extension from 12 to 30 feet. The 20-kW generator powers the lighting system and provides power to various receptacles, delivering up to 63 amps at 240 volts and 126 amps at 120 volts. When the lighting system is not in use, the generator can output up to 80 amps at 240 volts and 160 amps at 120 volts.
Reader Service No. 162 • freeproductinfo.net/rer


text:
Dear Sambojjangha who likes forest wat,
3 days ago.. I was so happy to see the article/pictures of Bhikkhu Dick and his new temple in Virginia.Luangta Bua always praised Bhikkhu Dick, Bhikkhu Panya, Bhikkhu Sherry and Bhikkhu Martin when talking dhamma to people who came to his Wat Paa Baan Taad. I/Tep/Sirikanya will definitely donate money to help building Bhikkhu Dick's temple.
http://www.facebook.com/media/set/?set= ... 376&type=1
I wish this temple closer to my house so I/Tep could go often...Oh how far away ...Virginia and Texas.
I know I'll this FOREST DHAMMA MONASTERY...because I/my husband know Bhikkhu Dick personally..he's a true forest bhikkhu!!


text:
This content is protected - please log in with your customer account to continue.
New Customer?Sign up →
We will send you an email to reset your password.
Join our Mailing List: New Releases, Sale Promotions and more...
© 2017 Scan Design Furniture | Modern and Contemporary | Florida.
Ecommerce Software by Shopify


text:
D. Nurkse
Photo: © Jeremiah Kuhfeld
About the Author
D. Nurkse is the author of nine previous books of poetry. His recent prizes include a Literature Award from the American Academy of Arts and Letters and a Guggenheim Fellowship. A former poet laureate of Brooklyn, he has also written widely on human rights.


text:
Next year looks to be a year that Mississippi State will have to look for a QB. With Chris Relf graduating, the Bulldogs will be looking for a dual threat quarterback to help fill his shoes.
One of the early candidates for the job is Richmond Hill, Ga., signal caller Dominique Allen. Allen is a 6-foot-1, 210-pounder that has already been to MSU once and plans to make a return trip.
Allen received an invitation to attend a camp at Mississippi State and he was quick to jump on it. He came away with a very favorable impression of the Bulldogs.
"I went there this summer," Allen said. "I was very excited to receive that invitation. One of the things that stood out to me was the campus. It was the nicest one I have ever seen. Everything looked brand new. Coach (Les) Koenning told me that I was very impressive and that MSU would be on me very hard. He said that I would be one of the QB's they try to get next year. Coach Les is a great guy. Another thing that impresses me is Dan Mullen. I love the offense that they run there. It's for sure a school I will look at hard."
The recruiting process has already started for Allen, and he is already hearing from several schools. Allen is taking everything in stride and is staying humble about the whole situation.
"I am just blessed to be in the situation I am in," Allen said. "I am hearing from Georgia, Mississippi State, Georgia Tech, Vandy, Georgia Southern, UCF, South Florida, and Miami. All of these schools are recruiting me at QB, but the Vandy coach said he would like to see me play LB for him. I know next year I plan on camping at Mississippi State again. And I will also go to camp at Vandy, Georgia Tech, Georgia, UCF and South Florida."
Tomorrow night will be a game time for the Richmond Hill Wildcats. Allen and his team mates will be trying to improve off of a season that saw them get the most wins the school has achieved in several years.
"I think we should be pretty good," Allen said. "We have a lot of the same guys returning from last year. It is the same competition as before. We beat ourselves a lot last year with dumb mistakes. We are working very hard on playing a complete game and getting rid of those mistakes."


text:
Mail: Southern statues symbolize suppession
Mail: Thanks for helping Aiden
More opinion
Fall: Good time to spray musk thistle in rosette stage
Robertson and Delsing re-elected chair, vice chair of NWB
More Ag News
LEXINGTON - One person died at midnight Monday in a fiery crash and a Kansas man is charged with vehicular homicide.
Just before midnight, a State Trooper tried to stop of a 2004 Dodge Ram pickup for reckless driving and failing to stop at a sign sign at Sixth and Grant in Lexington, Collins said.
Instead of stopping, the driver continued south on U.S. Highway 283 and over the overpass. A few blocks further, he ran a red light at U.S. 283 and Cattlemen Drive and collided with a westbound pickup.
The westbound pickup burst into flames on impact and the driver was killed, Collins said.
The name of the deceased has not been released, pending identification and notification of family.
The driver of the Dodge Ram pickup, Destry S. Swartz, 22, of Coats, Kan. and a 17-year-old teenage male passenger from Lexington were not injured, but Swartz was arrested and jailed on charges that include:
Second offense driving under the influence,
Felony motor vehicle homicide,
Felony operation of a motor vehicle to avoid arrest, and
Willful reckless driving, Collins said.
The Lexington Police Department and the Dawson County Sheriffs Office, with assistance from the South Central Allied Law Enforcement System (SCALES), are investigating the crash.
Flatrock Publishing, Inc.
1300 E 4th St., Suite F
North Platte, NE 69101


text:
An Interview With Manuel Quesada
The head of Manufactura de Tabacos S.A. (Matasa), makers of Fonseca, Cubita and other cigars.
In June 1974, Manuel Quesada, his brother Alvaro and their father, Manuel Sr., opened a cigar factory called Manufactura de Tabacos S.A. (Matasa) in Santiago, Dominican Republic. The Quesada family had worked with tobacco since the late 1800s in Cuba, but this was its first venture into cigar making. At the time, Dominican cigars were virtually unknown in the cigar world, but Matasa grew from making thousands of cigars a year to millions, thanks to the popularity of house brands such as Fonseca and Cubita, as well as a host of brands made under contract for other companies importing cigars to the United States.
Manuel Quesada, 57, visited the New York City offices of Cigar Aficionado in February to talk about his 30 years in business with senior editor David Savona, and to discuss his greatest challenge ever, dealing with the tragic accident that claimed the lives of his brother, nephew and right-hand man.
David Savona: This is a big year for you, 2004.
Quesada: Thirty years.
Q: Tell us about the history of Matasa. What month was it founded?
A: June ,74, with $100, a chair and a phone.
Q: You and your father?
A: We were running the leaf business, so I sort of moved over from the leaf business to start a factory. But my brother had come back already from college and the seminary.
Q: Why begin making cigars in the Dominican Republic?
A: In Miami, the cigarmakers that had come out of Cuba were getting older, and with the Social Security a lot of them had to be paid under the table, and it started to become a hassle. The free zones had just started in the Dominican Republic. So it was a good idea to transfer production from Miami to the Dominican Republic. In the Dominican Republic at the time, even though it didn't have a cigar history of exports, it did have a local cigar history. But for exports, nobody had thought about it, except, of course, Consolidated, which had already started in La Romana.
Q: So when you started in the Santiago free zone, was there any other cigar factory there?
A: Nobody in the free zone. The free zones started in ,72, and the first free zone to open was in La Romana.
Q: When did Santiago's free zone open?
A: Seventy-four. The building where we are is where [then president Joaquin] Balaguer inaugurated the free zone of Santiago. Our building was used for the ceremony, and right after the ceremony, we moved in.
Q: What other companies were there?
A: There were three buildings. Ours was in the middle.
Q: That was it?
A: That was it.
Q: Today it's so large. You must look at it now and say, "My God, I don't even recognize this place."
A: There are 45,000 or 47,000 people working in the free zone. There aren't many towns in the Dominican Republic that have as many
people as the free zone has.
Q: And when it opened?
A: When we started the factory, there may have been a couple hundred people working.
Q: How many rollers did you have at the beginning?
A: Three. We started by trying to hire some people, but they had all kinds of ideas. They thought that they were worth more than they were really worth. So we decided to train. And we started teaching people with a Cuban guy that we had brought in from Miami. Espinosa was his name. And he was in charge of teaching the cigarmakers. I would case and strip and prepare the leaf and do everything for him.
Q: I guess there wasn't a lot of tobacco for you to get ready for just three rollers.
A: Yeah, so I would do all of that, and he would take care of making the cigars.
Q: What brands did you begin with?
A: Ah, we had Sosa and Fonseca.
Q: How many cigars did you make in the first year?
A: Oh, heavens! Twenty thousand.
Q: Could you be a viable business at that level?
A: Well, it was being supported by the leaf business at the time, because we were getting started. We had to buy a whole bunch of equipment, molds, and buy some tobacco, and the wrapper, binders, and so on. It was a very meager and very humble start. And difficult, because nobody knew the Dominican Republic blend.
Q: Was there ever a time when the cigar business looked a little bit dicey, when you thought this might not work?
A: Quite so. In the ,80s, it was doldrums. It was very, very slow. The leaf business was always steady because the dark cigarettes were always big in Europe.
Log in if you're already registered.
Or register for Cigar Aficionado today—it's free.
Registration allows you to:
Keep track of your favorite cigars in your personal humidor.
Comment on all our stories.
Ratings & Reviews
Search our database of more than 17,000 cigar tasting notes by score, brand, country, size, price range, year, wrapper and more, plus add your favorites to your Personal Humidor.


text: Oeuf® baby lightning one-piece Item 25054 Size: Size Charts Quantity: 1 2 3 4 5 6 7 8 9 Add to Bag Wishlist Add to Bag Add To Wishlist share: Find In Store Please select a size above. size & fit Product Details When buying something you love also means helping out someone else, everything just seems to make sense. And that's what you're doing when you choose this baby alpaca one-piece made by Oeuf. While they're based in Brooklyn, their knits are made in Bolivia by a self-managed community of indigenous women. The artisanal crafts they produce enable them to afford proper health care and an education for their children. With sustainability in mind, Oeuf creates simple, intuitive products using three key principles: quality, practicality and functionality. And we have to say—we're pretty into that as well. Online only. Baby alpaca. Long sleeves. Button closure. Hand wash. Import. Item 25054.