text:
Introduce your business and tell us your story: How did you decide on what to sell, and how did you source your products?
After my son was born in July 2013, I soon realized I wasn't going to be able to wear jewelry around him. He was just too quick to pull on my necklace or bracelets and always wanted to stick them in his mouth. At the time there was one company offering teething necklaces but I just couldn't bring myself to wear one. They looked like you were wearing a brightly colored toy, and with all the strain of being a new mom and lack of sleep during that time I really just needed to feel pretty.
I knew that there were other moms who felt the same and recognized an opportunity to design jewelry that was both functional and cute — something that I would want to wear even if I wasn't around my son. With $1,500 in cash I started Mama & Little in January 2014. I had spent the previous few months drawing designs and laying out color palettes and I had a good plan for what I wanted to do. So after talking with several silicone manufacturers I chose one and spent most of my budget on a small amount of inventory and a custom mold for a hexagon bead design I drew out by hand. I even paid extra for custom colors.
Free Webinar: How to Quickly Start a Profitable Dropshipping Business
Every week, Shopify hosts a free workshop that walks you through how to setup your online store, step-by-step, using dropshipping to fulfill orders. You'll learn how to find awesome products you can quickly import into your store and begin selling immediately. Can't make it? Register to get the recording after the event goes live.Register for Webinar
How did you earn your first sales? Which channels are now generating the most traffic and sales for you?
When we officially launched our website I mainly used Instagram. I was fortunate to have become friends with a group of women who were also starting their own businesses and we had this amazing community of women supporting us. Plus, Instagram was the perfect place for us. Our jewelry looked awesome in pictures and could be styled with super cute outfits. I was getting pictures back from our first few customers that were adorable. We quickly had all this content that people wanted to share, and they did.
That first year was a shock. Our sales more than doubled every single month. Business had grown so much that my husband was able to join me full time in early 2015. With the two of us, and some help from our families, Mama & Little has continued to grow at an incredible rate. Our jewelry can now be found at over 30 retailers and boutiques, including being offered at Nordstrom.com. Our website continues to be our greatest sales channel. I personally have spent hundreds of hours adjusting photos, taking new ones, rewriting descriptions and blog entries, and just working to convey my passion and excitement. It has paid off for us and continues to do so.
Tell us about the back-end of your business. What tools and apps do you use to run your store? How do you handle shipping and fulfillment?
We really try to keep it simple, using a few apps from Shopify to integrate with Facebook, Google Shopping, and Product Reviews. But without a doubt the single most important app is ShipStation. It solved all of our shipping issues and cut down on so much unnecessary stress we had before. Other shipping programs had little problems that added more time and management. ShipStation solved that and continues to be a solution as we grow. It integrates with all of our key marketplaces and even with our wholesale portal. It has been critical to our execution.
We fulfill in-house, literally. Our home has been converted to an office and warehouse, and we ship everything from here. It can be chaotic at times and we're busting at the seams from our continued growth this year, but it was a good choice for us. Being self-fulfilled allowed us to add a personal touch to every order and I really believe that has made a big difference.
What are your top recommendations for new store owners?
Don't delay launching your new business because of trivial things. As I was putting together our Shopify store I would sometimes get hung-up on pictures or descriptions that weren't absolutely perfect in my mind. I wasted a couple of months by delaying our launch so that I could make everything "perfect." The truth is there will always be something that could be better or more compelling, don't use that as an excuse. A good business will continually evolve over time, especially after gaining experience and feedback.


text:
"I am...".
When asked to define ourselves, we tend to start our self-descriptions that way, going over lists and concepts which seem to fit in with the conceptions we have of ourselves. "I am tall, I am thin, I am a hockey player, I am a good kisser".
More than what we are, though, we are defined by all those things which we are not. When we meet one another, so much of what we think of eachother is based on those first 15 or 20 seconds we're given to make a good impression. If we don't, the other person walks away with a skewed vision of who "we are", assigning stereotypes and preconceived notions like tags. They don't care about what we "aren't". And why should they? Well, for one, most of those tags are probably wrong. We aren't lots of things that they might think we are.
This is especially significant if they think you're a pretentious asshole - the importance of proving that you are not a pretentious asshole cannot be understated. Or, at the very least, convincing them of that - assuming, of course, that you're not a pretentious asshole. It's been a while since I really gave much thought to the things I'm not. I can separate my list into two sections; a) The things I'm not that I should strive to be, and b) the things I'm not that I should keep on not being.
Got that? Good.
a) Things I'm not which should be changed:
- A great chef. I'm a good cook, but I need to work on my attention to detail. I made some lovely Cornish Hen with my Dad for our Christmas dinner - this was probably the most intimidating dish I've ever attempted, and it turned out great. But I'd like to be able to create a much larger number of dishes, instead of the 4 or 5 staples I always fall back on when I need to make a nice dinner. I like the idea of my friends telling their friends what an amazing meal they had at my place. I like hosting friends, and I want them to look forward to the meal that I'll have made for them, since it'll always be something new, original, varied and delicious. I want to pick the perfect wine or beer to complement my dish. Use just the right amount of spices.
- A good dancer. Or a half-decent dancer. Or a mediocre dancer. Or a dancer who doesn't make a complete ass of himself. Ok, I can manage to look not-too-goofy when some techno, dance or electronica is blaring, but I wish I could take to the floor with a confident smirk when the salsa or merengue hits. And without first pumping enough alcohol into my system to kill a small animal.
- An effective speaker. Maybe I'm being a bit harsh on myself on this one. I actually have an excellent track record with my training workshops on open source digital media training, and every panel I've spoken on has been very well-received. I feel, however, that most of that is because the source material is always so interesting, I always plan every conference differently based on the audience, and I use lots of presentation tools, without reaching the point where they become crutches or gimmicks. I'm painfully aware, however, that I should work on my speaking skills, especially when dealing with audiences who don't appreciate my continuous use of "Awesome!" or "Right On!"...
- In great shape. That's right. I said it. I'm not in great shape. I'm in "OK" shape. Daniel Craig is in great shape. Daivari is in great shape. And please, it's got nothing to do with vanity or "looking good", either - it's about being strong. Independent. Able. I can do things myself, without needing to rely on anyone else. I can move shit around my house, lug couches, refrigerators, beds and ovens around by myself. I can bike up Mont Royal at full speed without stopping. I can playfight with my nephews for hours - although I don't quite outlast them. Being able to do all these things makes me feel "more" human, because to me, being human is being able to do everything we dream of, or as much of it. When we start to lose the ability to do these things, whether through bad eating, obesity, smoking or even lack of time, we lose touch with the very essence of what it means to be human. I don't feel like myself sitting here at home in front of the computer - although it's something that I need to do on occasion. I feel like myself after running in the morning. After biking across Cuba.
After amazing s...Err, skip that. After coming home from the gym with my best friends and having a great meal together. Of course, the beauty of all this is that you'll never "reach" your goal, because there will always be more that you wish you could do. I'm always going to try to better myself, to make a faster run, to bike down a harder path, to swim faster, to lift heavier weights. It's something that I always feel will be important to me. Even after I have Daniel Craig's body. ;)
- Confident. It's true, and it's one of my biggest problems. For the first time in a while, I think it got worse this year. I stutter more, I forget important parts of what I'm trying to say, I get clumsy and oafish. Maybe this is related to my speaking mentioned above. I don't even know where to start on this one though; I've always had self-confidence issues.
b) Things I'm not which I should continue not being:
- An "entrepreneur". Ugh. The "e" word. I never claimed to be an "entrepreneur", or a "Web 2.0 businessman" or whatever, and I'm glad I'm not. The word carries overly negative connotations with me, perhaps, but I can't help of think of some 30-something latte-drinking yuppy mouthing off loudly about all his latest design contracts, or an anti-social nerd in an ironic t-shirt and art-school glasses slaving away at code during some ungodly hour in the hopes of getting noticed by Yahoo or Google. Because that's what it's all come down to now, hasn't it? Make something that Yahoogle buys and cannibalizes. That right there describes the entire business model of my generation of "entrepreneurs". There is no little to no innovation, and where there is, it is quickly assimilated and converted into something nice and shiny for the masses. The other option, of course, is to just keep chugging along on one design contract or development job after another until your life can basically be recreated as a series of short interpretive dances by novice Bulgarian ballerinas. It sucks, it's boring and I refuse to sit through that. The life or the ballet. I've turned down oppurtunities that - at the time, not only in restrospect - would've clearly fetched me huge moneybags. On of the very, very few things that bothers me about Montreal is the huge swath of entrepreneurs - otherwise good people, to be sure - we have hanging out in every trendy cafe, just looking at how they can milk their gimmick to make the most money possible, ethics be damned. "Integrity", anyone?
- A capitalist. Yes, I'm a product of a society that wholeheartedly embraced capitalism long before I was born. Yes, I owe much of my current lifestyle to what it has made possible. But I was also fortunate enough to recognize very early on that for each person like myself who has benefitted from capitalistic, credit-based economies, there are dozens who have suffered because of it. Capitalism is broken. We've proven that it doesn't work. We're long past the point where we can bring the developing world to the same lifestyle that we've reached. Instead, we're going to have to lower our own standards to make things equal. That means the rich - you and me - will need to adapt. Sacrifice. Give things up. "But I'm not rich!", you say... well, if you're reading this, I imagine you have some access to the internet. If you've got that, it's a safe bet that you've also got a roof over your head and food in your tummy. Those two things along mean you're richer than most other humans, and you better damn well appreciate it. We are my own worst enemy. ;)
"The security guard came up to me and he says, 'Sorry sir, but you're going to have to move. You're blocking the fire exit'. As if, if there was a fire, that I wasn't going to move. If you are flammable and you have two legs, then you are never blocking a fire exit." - Mitch Hedberg
- A communist. Surprised? I'm surprised lots of people actually think that I'm a communist until we sit down and talk about it. I'm definitely heavily influenced by socialism and socialist values, but I recognize the need for differentation, open (fair) markets, and regulated competition. In a perfect world, yes, I think communism would be a viable system. Us humans being the finicky, weak, greedy creatures that we are, however, we need to keep looking for something that will try to address as many of our shortcomings as possible while making sure that there is enough accountability to prevent any one entity from controlling a bigger piece of the pie than they should. In that sense, there's a lot to be learned from the successes and failures that both capitalism and communism have had.
- A smoker. Sorry, but cigarettes are gross. They mess up your body, they smell bad, they cause bad breath. Smoking is not sexy, no matter what Hollywood says. They don't have the coolness factor of cigars, or all the benefits of Marijuana. Yet, they're completely legal and anyone can buy them anywhere. Logic loses again! If I ever become a smoker, you have my official permission to kick me in the nuts, OK?
- In Love. Ouch. Harsh? Not really. I came close a couple times this year, but everything I seem to come into contact with seems to kinda fall apart after a while, you know? Regardless of the whole question of whether Love itself actually exists or not (although my capitalization of the word should be some indication of where I stand on that issue), it's a phenomenon that requires huge amounts of energy and time to maintain. At least in my experience. In my life, energy and time are at a premium right now. That's not to say I don't love of course; indeed, I think the main reason for doing nearly anything I do is Love.
At the risk of seeming ridiculous, let me say that the true revolutionary is guided by a great feeling of love. It is impossible to think of a genuine revolutionary lacking this quality. - Ernesto Che Guevara
- Sober. Goodnight. :p
What we aren't can often be much more significant than what we are. What about you? What are some of the things you aren't?
technorati tags:personal
After amazing whaaaaaaaaaaat
After amazing whaaaaaaaaaaat ? i didnt get it ..
u dont want to be in love? i think we all crave it ..i have been going on and on about how love is not for me for years now..yes it might be filled with disappointments,,but it does suck a person in ,,sometimes it just forces its way while you try so hard to push it away..or maybe it's just circumstances that forces you to do that..but not wanting to be in love? no it makes me feel human more than anything else i guess...wow....i never even repeated that to myself
about your self confidence,,i simple can NOT will NOT believe it..you're not only the most confident person i met ,, its one of first things i noticed when i first met you (the other was that ur a hunk..anyway) ..so maybe it's all in ur head eh?
 the things im not and wish to be
 -Confident: although i got to admit this has changed well improved ..over the years..in a good way
- A great cook: the things i can cook..hmmm i cant think of anything..would love to just give myself a chance in that area
-A dancer: yeah would loooooove to know how to dance,,and i dont mean the bobbing of ur head and shaking of ur hips hoping you can pull off a beyonce/shakira dance thing..i mean serious belly dancing .*whispers* : i bet you look like a dork dancing..boy oh boy would love to see you dance,,maybe i would need a couple of drinks =p
-A problem solver: i mean you can come to me with ur problems anytime..but when im in a problem,,i go blank,,would love to have the ability to just think clearly when im in deep shit lol
-Life changer: by that i mean changing people's lives to the better,,helping.,..i wish i can do that more and hopefully i will
-A traveller: would like to come to montreal "alone"
Hi Aaliyah, Maybe you're
Hi Aaliyah,
Maybe you're right - I guess that when you're in the midst of a relationship, love because a much cheaper commodity and you can allow yourself to think about / depend on it more. But I'm far enough away from that right now that it's not something I worry about very much. Of course, all that tends to change very quickly.
Confidence (or a lack thereof) is easily masked by attitude and personality. Some of the most outgoing, dynamic people I've met eventually confessed to me that they had serious (much worse than mine) self-image problems.
You can't think of anything you can cook? Neither can I... :p hehehe.
You're a girl, and you're not white: you can automatically dance. ;) Make you a deal: you can see me dance if I can see you belly dance.
It's a lot easier to deal with other's problems when you're on the outside looking in, than with your own problems. "Taking our own advice..."
You're welcome in Montreal any time!
and oh,,i enjoyed this entry
and oh,,i enjoyed this entry very much,,love you steve-o

subset: commoncrawl


text:
We would like to ensure that you have the best customer experience while visiting our website, so we defined a quick and easy return policy.
If you are not fully satisfied with your purchase, you can return any item purchased on our store within 30 days from the date the order was delivered to you.
The Items must be in the same condition you received them in, with all tags still attached and in their original packaging. Beachwear, Underwear and Perfumes can be returned only with the package sealed.
Products that belong to the same order must be returned to us in a single parcel, and must be shipped from the same Country where you received them to avoid extra handling expenses.
Before requesting the return, please read our full Return Conditions carefully.
Complete the printed Return form available on the original packing slip and include it in the return package. If you can't find your form, please contact us.
● Securely repackage your item(s) in the original order box if possible, if not use appropriate packaging for shipment.
● Use the return label provided we have placed inside the box of your original order.
● Call the courier UPS to arrange pick up (regardless of the original shipping method and courier) or bring your parcel to a UPS Access point. You can find further contact and access point information on www.ups.com . Please make sure the courier collects your parcel within 30 days from the delivery date.
We will verify and accept your order within 1-3 business days from when we receive your return. We will send you an email to confirm the credit has been issued.
If you have selected Cash on Delivery as your payment method, please communicate to the following address email@example.com your bank details in order for us to be able to process your refund:
- Account Holder Name and Surname
- Bank Name
- SWIFT Code / BIC
- Order number
The refund you will receive will include both the costs of returned items and the original shipping costs. For our return service, you will be deducted a sum equal to the order shipping costs (in case you have taken advantage of free shipping, your return will be costless).
Please note we can issue the refund only through the same payment method used for the original purchase. Cash on Delivery orders (where available) will be refunded through wire transfer.
The timing for your refund to show in your account will depend on the payment method used when purchasing and on local banking procedures.
We recommend shipping returned items using the procedure and courier described above, for tracking and insurance purposes.
However, if you prefer to use your own shipping method, please ship your return items to:
Arvato Distribution GmbH
Schleefstrasse 30
44287 Dortmund
If you choose to return the package using a different courier or shipping method, all return shipping charges will be at your expense and must be pre-paid by you.
Diesel will not assume responsibility for reimbursement or compensation in the event that return packages are lost, stolen, mishandled or damaged.
● We cannot accommodate exchanges at this time
● Underwear and Perfumes can be returned only with the package sealed.
● The return must be sent from the same Country in which you placed your order. We are not able to accept returns from different Countries.
If you have any question or need help with your account, you may contact us to assist you.
We will respont to every message within 1 working day. Monday to Saturday, excluding national holidays.
Phone: 0230321047 From 9 am to 8 pm CET (from 8 am to 7 pm GMT), Monday to Saturday.
E-mail From 9 am to 8 pm, Monday to Saturday


text:
BOSTON, July 19, 2012 -- PAREXEL International Corporation (NASDAQ: PRXL), a leading global biopharmaceutical services provider, today announced it is the first contract research organization (CRO) chosen by the Korea Drug Development Fund (KDDF) to help Korean companies develop and commercialize healthcare products for the global market.
"Under the leadership of Dr. Dongho Lee, the KDDF is expected to be an important resource for emerging biopharmaceutical companies to advance their promising new technologies," said Ron Kraus, Corporate Vice President and Worldwide Head of PAREXEL Consulting and Medical Communications Services. "This partnership further demonstrates PAREXEL's continued commitment to the Asia-Pacific region and helps increase our opportunities for industry innovation. We are excited to provide our fusion of expertise to support KDDF and its mission of supporting global drug development."
"The Korea Drug Development Fund is pleased to work with PAREXEL to establish various collaborative channels providing essential resources to Korean academic and research institutions and biopharmaceutical companies," said Dr. Dong Ho Lee, CEO of KDDF. "Together with PAREXEL, KDDF will be able to provide professional consulting services to the Korean research communities to advance research activities and promote important innovation."
The KDDF is a consortium of three health-related Korean ministries: the Ministry of Knowledge Economy, the Ministry of Education, Science and Technology, and the Ministry of Health and Welfare. KDDF was established in September 2011 with assets of $1 billion to develop at least 10 new drugs by 2019 for the global market. Its alliance with PAREXEL enhances its development network and will provide access to a broad range of drug development support services for its selected investments. These services are tailored to meet the needs of Korean national companies and will span the entire drug development continuum.
The alliance with KDDF follows PAREXEL's 2012 collaborative research agreement with ASAN Medical Center (AMC), based in Seoul, Korea. PAREXEL is one of Asia's leading providers of biopharmaceutical services and has had a presence in the Asia/Pacific region for over 16 years. PAREXEL has more than 2,800 employees and 21 offices throughout important industry centers in the region, including locations in Australia, China, Hong Kong, India, Indonesia, Japan, Malaysia, the Philippines, Singapore, South Korea, Taiwan, and Thailand. PAREXEL experts support biopharmaceutical companies in accessing diverse patient populations, navigating regulatory issues, identifying investigators, and ensuring data quality throughout the Asia/Pacific region.
About PAREXEL International
PAREXEL International Corporation is a leading global bio/pharmaceutical services organization, providing a broad range of knowledge-based contract research, consulting, and medical communications services to the worldwide pharmaceutical, biotechnology and medical device industries. Committed to providing solutions that expedite time-to-market and peak-market penetration, PAREXEL has developed significant expertise across the development and commercialization continuum, from drug development and regulatory consulting to clinical pharmacology, clinical trials management, medical education and reimbursement. Perceptive Informatics, Inc., a subsidiary of PAREXEL, provides advanced technology solutions, including medical imaging, to facilitate the clinical development process. Headquartered near Boston, Massachusetts, PAREXEL operates in 71 locations throughout 50 countries around the world, and has approximately 11,920 employees. For more information about PAREXEL International visit www.PAREXEL.com.
This release contains "forward-looking" statements regarding future results and events, including, without limitation, statements regarding expected financial results, future growth and customer demand. For this purpose, any statements contained herein that are not statements of historical fact may be deemed forward-looking statements. Without limiting the foregoing, the words "believes," "anticipates," "plans," "expects," "intends," "appears," "estimates," "projects," "will," "would," "could," "should," "targets," and similar expressions are also intended to identify forward-looking statements. The forward-looking statements in this release involve a number of risks and uncertainties. The Company's actual future results may differ significantly from the results discussed in the forward-looking statements contained in this release. Important factors that might cause such a difference include, but are not limited to, risks associated with: actual operating performance; actual expense savings and other operating improvements resulting from recent and anticipated restructurings; the loss, modification, or delay of contracts which would, among other things, adversely impact the Company's recognition of revenue included in backlog; the Company's dependence on certain industries and clients; the Company's ability to win new business, manage growth and costs, and attract and retain employees; the Company's ability to complete additional acquisitions and to integrate newly acquired businesses or enter into new lines of business; the impact on the Company's business of government regulation of the drug, medical device and biotechnology industry; consolidation within the pharmaceutical industry and competition within the biopharmaceutical services industry; the potential for significant liability to clients and third parties; the potential adverse impact of health care reform; and the effects of exchange rate fluctuations and other international economic, political, and other risks. Such factors and others are discussed more fully in the section entitled "Risk Factors" of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2012 as filed with the SEC on May 10, 2012, which "Risk Factors" discussion is incorporated by reference in this press release. The Company specifically disclaims any obligation to update these forward-looking statements in the future. These forward-looking statements should not be relied upon as representing the Company's estimates or views as of any date subsequent to the date of this press release.
PAREXEL is a registered trademark of PAREXEL International Corporation, and Perceptive Informatics is a trademark of Perceptive Informatics, Inc. All other names or marks may be registered trademarks or trademarks of PAREXEL International Corporation, Perceptive Informatics, Inc. or their respective owners and are hereby acknowledged.


text:
© 2007-2020 College For Financial Planning. All Rights Reserved.
The following trademarks or federally registered service marks are owned by the College for Financial Planning and may not be used without the express written consent of the College
Accredited Asset Management SpecialistSM or AAMS® | Accredited Domestic Partnership AdvisorSM or ADPA® | Accredited Portfolio Management AdvisorSM or APMA® | Accredited Wealth Management AdvisorSM or AWMA® | Chartered Mutual Fund CounselorSM or CMFC® | Chartered Retirement Planning CounselorSM or CRPC® | Chartered Retirement Plans SpecialistSM or CRPS® | Chartered SRI Counselor™ or CSRIC™ | Financial Paraplanner Qualified ProfessionalTM or FPQPTM | Master Planner Advanced StudiesSM or MPAS®


text:
(KPHO/KTVK/CNN) - An Arizona police officer paid for a woman's plane ticket home after a scam left her "essentially homeless."
Gilbert Police Officer Adam Walicke was called out for a welfare check at a Walmart after Subway employees became worried about a woman who had been sitting inside the restaurant for more than day.
"She had flown in on Friday from Illinois under the impression she would meet somebody, have a relationship and change of life and when she got to the airport there was nobody here to pick her up," Walicke said.
Instead, the scammer told her he needed money in the form of gift cards.
She followed his instructions and he disappeared.
"When I looked at some of the phone text messages you could see the criminals were speaking to her like, 'Hey hon, can't wait to meet you, to see you' and this had been going on for at least a year," Walicke said.
Walicke used his own money to buy her a ticket back home.
"Taking her to a homeless shelter for a day or two wasn't a long-term viable solution for her. She gave me a hug and I think she had a lot of soul-searching to do on that ride home," Walicke said.
The woman allegedly had stopped paying rent on her trailer and thought she was starting a new life in Arizona.
Copyright 2020 KPHO/KTVK via CNN. All rights reserved.


text:
Already registered? Log in here
Not yet registered? Signup for free
To use more features please log in here!
To use more features please sign up here for free!
try www.femdomcam.net for free!
Insert a promotion code here!
You did not receive a welcome email?
Your password has been reset due to security reasons. Please use the Lost Password link in order to set a new password.
More questions? Contact us!
00 800 300 000 77 | firstname.lastname@example.com


text:
It's a network setup game. You have to connect all PCs to a server. Every time you connect PC to the server, the monitor will turn blue. There are 4 level available, Novice, Normal, Expert and Master. At the left bottom screen, you will see how many clicks that you've made.
From Ubuntu Terminal screen (Applications > Accessories > Terminal), type:
taufanlubis@toshiba:~$ sudo apt-get install knetwalk
Reading package lists… Done
Building dependency tree
Reading state information… Done
The following NEW packages will be installed:
0 upgraded, 1 newly installed, 0 to remove and 0 not upgraded.


text:
Hi guest ·
Log in
Log in to check your private messages
Kid's rigs?
iWindsurf Community Forum Index
Southwest USA, Hawaii, Mexico
View previous topic
View next topic
Joined: 21 Apr 1999
Posts: 13
Posted: Mon May 07, 2007 7:19 pm
Post subject: Kid's rigs?
My son is about to turn nine, and (hallelujah!) he wants to learn to sail. Does anybody know where I can get a good setup for 4'5" and 59 lbs? I've been looking at new kid's gear, and guess what? it costs as much as grownup gear! Why am I surprised?
Anyway, his birthday's in two weeks, so if anyone knows where I can get a reasonable deal on a new or used kid's rig and board, let me know, OK?
Lisa Stark-Berryman
Back to top
Joined: 10 Apr 2000
Posts: 25
Posted: Tue May 08, 2007 1:55 pm
Post subject:
I have a 2.5 m2 complete kids rig that has only been used a couple of times available here in the bay area. PM me if you are interested.
Back to top
Joined: 14 May 1998
Posts: 322
Posted: Tue May 08, 2007 4:39 pm
Post subject:
Same thing. We have a 2.0 and a 2.5 Hifly kid's complete rigs that are in great condition. You can call or email us if you're interested and in the bay area. I can probably ship these as well.
Also, we teach kid down to the age of 4 and have tons of kid's camps in the sumemer.
Boardsports School
"Best of the Bay," 2004, 2005, 2006
Back to top
Joined: 22 Feb 2002
Posts: 2743
Posted: Tue May 08, 2007 5:11 pm
Post subject: kids windsurfing
I got my excited daughter a rig, board, wetsuit, etc. so she could learn, and her excitement lasted about two sessions. When she realized that she wasn't able to sail perfectly right off the bat, her interest disappeared. Now, that's just her, and maybe your kid is different, but I would consider renting or a sailing camp before investing $$$.
At least he don't wanna be a kiter. Not that there's anything wrong with that....
Back to top
Joined: 21 Apr 1999
Posts: 13
Posted: Tue May 08, 2007 8:10 pm
Post subject: Kid's rigs?
I've tried to mentally prepare my son for the fact windsurfing has a slow learning curve, but you're right, he may get sick of it. Still for me, I didn't get into the sport until I had my own rig that was my size.
It'll probably depend on how cheap a rig I can score...
Thanks for the input,
Back to top
Joined: 08 Apr 2001
Posts: 4
Posted: Wed May 09, 2007 11:13 am
Post subject:
You definitely should start with a few 30 min./1hr lessons before buying all the gear. After a few lessons, you'll see if he wants to pursue the adventure. You'll have to go to his pace.
Good used Kid's board like the Starboard Kiddy and alike are very tough to find. Sails are not really an issue. Rebecca has a few used Super Freak in her shack.
When you're ready to buy gear, buy small sails to start with. Your kid will have more fun that way, rather than struggling with large sails. My son is 7 yrs/58lbs and he sails 1.2 and 1.6 in wind from 8 to 20 mph. He's been sailing for 2 years now. He's doing very well but he's not quite ready for the 2.1 yet. Rebecca started him.
Ask Rebecca above, for lessons and used gear. You can also call Jeff Anderson, at Hot Sails Maui for used Kiddy boards and sails.
I wouldn't start w/ 2.0 or 2.5 sails. Way too big to begin with. It'll be too hard to handle and he'll get discouraged.
Be patient and never put any pressure on the kid.
It is not an easy sport for young kids.
Back to top
Joined: 15 Mar 2003
Posts: 51
Location: Far East Bay
Posted: Wed May 09, 2007 12:54 pm
Post subject:
I have started my 6 and a half year old son last summer on a 2.2 kids rig (by Gun Sails). I just put it on the family board: Starboard Start L (225 liters/100 cm wide). He is like on an island. The board has a very soft surface which helps avoid abrasions. Very light winds (2-6 knots). We'll see if he sticks to it this summer. I think he will since there are two others waiting in line... The 2.2 rig was about $250. I have the center fin installed, which is crucial for staying upwind. I figure this year he will take the five year old cruising on that board. Last year we sailed together a lot. He was holding on to the mast and the foot of the sail, when not sitting on the nose. All the spray was on him (he was shivering and smiling a lot), so I got him a wetsuit this year.
Back to top
Joined: 14 May 1998
Posts: 322
Posted: Wed May 09, 2007 3:51 pm
Post subject: Help with Kids
I'm not sure if you're in the Bay Area or not, but we've taught 1000s of kids. We do have very small Superfreaks, but most are new or like new (we now have about 10 kids specific rigs ranging from 0.8m - 3.2 meters). The prices will be cheaper than ordering brand new, but not as much as you might like giving that some have only been used 2 times. I can also order any Hot Sails Kid's rigs for you.
If you do live closely, I suggest an hour lesson on a very small sail and wide board with our instructors. We have specifically designed instruction for kids. If you're not in the Bay Area feel free to call me. I'm happy to provide plenty of advice on sail sizes, effective boards, effective/critical teaching techniques, etc.
All the best,
Boardsports School
Back to top
Joined: 21 Apr 1999
Posts: 13
Posted: Thu May 10, 2007 10:11 am
Post subject: kid's rigs advice
Thanks for all the advice, his dad and I are discussing whether we want to start with lessons -- that probably does make the most sense. We live in Santa Cruz, so we're not too far away from the lesson centers.
Rebecca, I'll definitely be in touch about lessons and your prices on the Superfreaks...would you mind e-mailing me with those prices? My address is
Regardless of what we choose, our attitude is that he only has to do it as long as he's having fun ... and praise, praise, praise. I don't really expect any proficiency for a long time, I just want him to think it might be a fun thing to do someday. Even though I learned back in the days of 9-foot booms and Dacron sails, I vividly remember how stupid and hard I thought the sport was -- until I got my first ride!
Back to top
Display posts from previous:
All Posts
1 Day
7 Days
2 Weeks
1 Month
3 Months
6 Months
1 Year
Oldest First
Newest First
iWindsurf Community Forum Index
Southwest USA, Hawaii, Mexico
All times are GMT - 5 Hours
Jump to:
Select a forum
Windsurfing Discussion
Regional Discussion: Places, Sessions, Events, Access, Associations
Southwest USA, Hawaii, Mexico
Northwest USA & Canada
Eastern and Central USA & Canada
Europe, Caribbean & S. America, Australia & NZ, Africa, Asia
Industry News & Promotions
Politics, Off-Topic, Opinions
Lost and Found
Self-Help Forum
WeatherFlow Labs
post new topics in this forum
reply to topics in this forum
edit your posts in this forum
delete your posts in this forum
vote in polls in this forum
attach files in this forum
download files in this forum
Log in
© Copyright 1999-2007
WeatherFlow, Inc
Contact Us
Privacy Policy
Terms and Conditions
Ad Marketplace
Powered by
© 2001, 2005 phpBB Group


text:
Effects of Parenteral Nutrition With Different Lipid Emulsions in Preterm Infants
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT01683162
Recruitment Status : Unknown
Verified September 2012 by Wei Cai, Shanghai Jiao Tong University School of Medicine.
Recruitment status was: Recruiting
First Posted : September 11, 2012
Last Update Posted : September 18, 2012
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
|Condition or disease
|Preterm Infant
|Drug: ClinOleic Drug: Lipofundin Drug: Intralipid
|Phase 4
For a number of years, lipid emulsions have been used in the nutritional support of surgical and critically ill patients, with the aim of supplying substrates to meet energy demands and providing building blocks for wound healing and tissue repair. Two types of lipid emulsions are currently used for adult as well as pediatric patients: one lipid emulsions prepared from soybean oil that are composed of long-chain triacylglycerols (LCTs), 62% of which are polyunsaturated fatty acids (PUFAs), and the other lipid emulsions composed of 50% medium-chain triacylglycerols (MCTs) and 50% LCT soybean oil. A new lipid emulsion prepared from a mixture of soybean oil and olive oil contains only LCTs and has a lower proportion (20%) of PUFAs and 60% monounsaturated fatty acids (MUFAs). There are so many investigations with olive oil-based emulsion including in-vitro studies, animal studies, and infusion studies in healthy subjects and in various patient groups. In-vitro and animal studies demonstrate that the impairment of immune function, especially of T cell responses, that occurs with soybean oil-based emulsions is avoided with ClinOleic. Studies in infants and adults have consistently shown that olive oil-based emulsion increases the oleic acid content of blood lipids and that it avoids the depletion of long chain n-6 PUFA derivatives of linoleic acid that is seen with soybean oil-based emulsion. The less unsaturated nature of olive oil-based emulsion compared will possibly decrease oxidative stress. Further studies are required to test their beneficial effect from olive oil consumption in preterm infants.
The investigators designed a double-blind, randomized clinical trial to performed the effect of lipometabolism, oxidative stress and clinical outcomes of olive oil , MCY/LCT and LCT lipid emulsions.
|Study Type :
|Interventional (Clinical Trial)
|Estimated Enrollment :
|150 participants
|Intervention Model:
|Parallel Assignment
|Triple (Participant, Care Provider, Investigator)
|Primary Purpose:
|Supportive Care
|Official Title:
|Effects of Parenteral Nutrition With Different Lipid Emulsions in Preterm Infants
|Study Start Date :
|July 2012
|Estimated Primary Completion Date :
|December 2012
|Estimated Study Completion Date :
|February 2013
Experimental: Olive oil lipid emulsion
the olive oil lipid emulsion is ClinOleic
Drug: ClinOleic
the lipid of all-in-one, 0.5-3.5g/kg.d
Experimental: MCT/LCT lipid emulsion
the MCT/LCT lipid emulsion is Lipofundin
Drug: Lipofundin
the lipid of all-in-one, 0.5-3.5g/kg.d
Experimental: LCT lipid emulsion
the LCT lipid emulsion is Intralipid
Drug: Intralipid
the lipid of all-in-one, 0.5-3.5g/kg.d
- lipometabolism [ Time Frame: Change from Baseline in fatty acid at 7 days and 14 days ]fatty acid
- oxidative stress [ Time Frame: Change from Baseline in liver function at 7 days and 14 days ]superoxidase dismutase(SOD),malondialdehyde(MDA),glutathione peroxidase(GSH-Px),total-anti-oxidizing-capability(T-AOC)
- clinical outcomes [ Time Frame: before PN; participants will be followed for the duration of hospital stay, an expected average of 5 weeks ]the growth of weight and head circumference, days on ventilator, length of hospitalization, morbidity of sepsis and NEC
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, Learn About Clinical Studies.
|Ages Eligible for Study:
|up to 1 Year (Child)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Infants of both genders
- Hospitalized
- The parent of the infant agreed to participate by signing an informed consent form
- Infants admitted hospital within 72 hours after birth(gestational age<37 weeks)
- Birth weight <= 2000g
- No PN support contraindications
- Parenteral nutrition for 14 days or more
- The parent of the infant is to sign an informed consent form prior to enrollment
Exclusion Criteria:
- Receiving PN before screening
- EN caloric>10%
- Obstruction jaundice
- Suspected or identified biliary tract atresia
- Neonatal hepatitis
- Infants with liver markers >2 times normal levels
- Infants with renal markers >2 times normal levels
- Congenital metabolic situations
- Identified as having major chromosomal disease
- CMV, virus hepatitis and syphilis infection
- Congenital or acquired immune deficiency
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01683162
|Contact: Ying Wang, Phd
|Contact: Wei Cai, Phd
|China, Shanghai
|Xin Hua Hospital, School of Medicine, Shanghai Jiao Tong University
|Shanghai, Shanghai, China, 200092
|Contact: Ying Wang, Phd 8613611884226 firstname.lastname@example.com
|Contact: Wei Cai, Phd email@example.com
|Principal Investigator: Ying Wang, Phd
|Sub-Investigator: Qing-ya Tang, MD
|Sub-Investigator: Li-na Lu, MD
|Principal Investigator: Wei Cai, Phd
|Principal Investigator: Li Hong, Phd
|Sub-Investigator: Yi Feng
|Principal Investigator:
|Ying Wang, phd
|Xin Hua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai,China
|Responsible Party:
|Wei Cai, vice-president, Shanghai Jiao Tong University School of Medicine
|ClinicalTrials.gov Identifier:
|Other Study ID Numbers:
|First Posted:
|September 11, 2012 Key Record Dates
|Last Update Posted:
|September 18, 2012
|Last Verified:
|September 2012
parenteral nutrition
lipid emulsion
olive oil
liver function
fatty acid
clinical outcomes
Premature Birth
Obstetric Labor, Premature
Obstetric Labor Complications
Pregnancy Complications
Soybean oil, phospholipid emulsion
Fat Emulsions, Intravenous
Parenteral Nutrition Solutions
Pharmaceutical Solutions


text:
Monday, December 31, 2018
Posted by Oleg Bezverkhnii at 18:47 0 comments Links to this post
Friday, December 28, 2018
Russia brought to the occupied Crimea a million of its citizens
December 28, 2018 The Russian Federation brought to the occupied Crimea since the occupation from 800 thousand to 1 million of its citizens. This was stated by the leader of the Crimean Tatar people, MP Mustafa Dzhemilev, referring to the data of the Mejlis, during a speech in the Crimean House in Kyiv. According to him, data on the population of Crimea are very carefully hidden.
"There are some sources, I will not talk about them now, which give us reason to say how much the number of people in the occupied Crimea has increased," said Dzhemilev. "We have their plans for a sharp increase in the population of Kerch, Sevastopol. To what extent are they performed? They are even overfulfilled, this is also evident," added the leader of the Crimean Tatars. He recalled that he had previously stated that since the occupation, about 500 thousand citizens of the Russian Federation had been brought to the Crimea.
"When our compatriots came, they said that we reduced the number. According to our compatriots, there are from 800 thousand to 1 million there," said Dzhemilev. According to him, in the Crimea, there is a very high mortality rate, which is 33% higher than the birth rate. "The highest mortality rate among the indigenous population," said Dzhemilev. He told how the citizens of the Russian Federation are resettled to the occupied Crimea.
"First of all, these are citizens of the Russian Federation - servicemen, employees of the interior, the FSB (the Federal Security Service of Russia - ed.) who have retired, receive a certificate that gives the right to purchase housing in the amount of 16 square meters per person. The state is obliged to pay cash to purchase housing. If there is a problem with these certificates in other regions of Russia, then in Crimea these certificates are instantly provided," explained Dzhemilev. According to him, in the Crimea, especially in Evpatoria, Sevastopol, and Simferopol, housing is being actively built, primarily for migrants from the Russian Federation.
Posted by Oleg Bezverkhnii at 16:20 0 comments Links to this post
Wednesday, December 26, 2018
December 26, 2018 (Radio Lemberg) December 25 has been celebrated as Christmas Day by Christians for centuries. Ukrainians, predominantly adherents of Eastern Orthodoxy, still observe Christmas on January 7. But Ukraine has a new, unified, independent and national Orthodox church. "Red letter days" (church holidays) will be very slowly moving from the Julian calendar to the Gregorian calendar. For now there are two Christmases in Ukraine, both observed as statutory holidays: December 25 and January 7. The Orthodox church in Ukraine had been illegally annexed by Moscow since 1686. Late in 2018, Orthodox believers in Ukraine recovered their ancient church and chose a leader from among themselves. It is called the Orthodox Church of Ukraine, and it restores the canonical authority of Constantinople and Kyiv that goes back more than a millennium.
The man elected as primate of the Orthodox Church of Ukraine is Epifaniy, Metropolitan of Kyiv and All Ukraine. The completion of autocephaly – having a self-chosen head – will come on 6 January 2019 in Istanbul. That's when Ecumenical Patriarch Bartholomew, the Archbishop of Constantinople, intends to give the tomos to the Ukrainian primate, Metropolitan Epifaniy. A tomos is a letter or book granting self-governing authority to a national church, in communion with the "first among equals" of the Ecumenical Patriarchate. The Orthodox Church of Ukraine intends to switch to the Gregorian calendar from the Julian calendar, but do it very slowly. "We will do it calmly, wisely, and carefully, because our work needs to unite, not separate," Metropolitan Epifaniy said in an interview with Radio Liberty on December 16.
Posted by Oleg Bezverkhnii at 09:28 0 comments Links to this post
Russian Fighter Jets Moved To Annexed Ukrainian Region
December 26, 2018 (Radio Free Europe/Radio Liberty) More than a dozen advanced Russian fighter jets have arrived at a base in the Ukrainian region of Crimea, which Moscow occupied and annexed in 2014. The Reuters news agency cited witnesses who saw the Su-27 and Su-30 fighters arriving at the Belbek air base on December 22.
The move comes amid high tensions between Ukraine and Russia across the region, which were raised on November 25 when Russia seized three Ukrainian Navy vessels and their crews near the Kerch Strait, which connects the Black Sea and the Sea of Azov. Russian Foreign Minister Sergei Lavrov has said Ukraine was preparing a "provocation" in the area before the end of the year.
Kyiv, for its part, has charged that Russia was building up military forces along the two countries' mutual border. President Petro Poroshenko has said Russia has moved "more than 80,000 troops, 1,400 artillery and multiple rocket launch systems, 900 tanks, 2,300 armored combat vehicles" and hundreds of aircraft to the area.
Posted by Oleg Bezverkhnii at 00:30 0 comments Links to this post
Friday, December 21, 2018
100th anniversary of the outstanding Ukrainian scientist Boris Paton
On November 27, 2018, the outstanding Ukrainian scientist academician Boris E. Paton turned 100 years old. Thanks to his inventions, he is known all over the world. Its developments help to produce welding in space, under water and in various areas of medicine: general surgery, gynecology, urology, ophthalmology, abdominal surgery, neurosurgery, etc. For selfless service to science, outstanding achievements in the area of welding and special electrometallurgy in 1998 academician Paton Boris was awarded the title of Hero of Ukraine.
Since 1962, Boris Paton heads the National Academy of Sciences of Ukraine, which was founded in 1918 by Hetman Pavel Skoropadsky. The Academician Boris Paton is the only head of the state Academy of Sciences in the world, who is its age (the day of Foundation of the National Academy of Sciences of Ukraine and the birthday of Boris E. coincide - November 27, 1918).
He was born in Kyiv in the family of scientist and founder of Paton Institute of Electric Welding in Kiev, Professor Evgeny Oscarovich Paton. His mother was a housewife. In 1941, he completed Kyiv Polytechnic Institute and became an engineer. Paton joined the National Academy of Sciences of Ukraine on November 18, 1958 and is the first person to have been awarded the title of the Hero of Ukraine. He holds a doctoral degree in technical sciences and is known for his works in electric welding. Paton's father, Evgeny Paton, was also famous for his works in electric welding. The first welded bridge in Kyiv, constructed under the supervision of Evgeny Paton, bears his name. In the early 1970s and 1980s Paton had advised the Soviet authorities not to build the Chornobyl Nuclear Power Plant.
Paton Bridge is one of the bridges across the Dnieper in Kyiv, Ukraine named after its constructor Evgeny Paton. Built between 1941 and 1953, it is the world's first all-welded bridge and is also the longest bridge in Kiev having a length of 1,543 metres (5,062 ft). Traffic across the bridge was opened on 5 November 1953.
Posted by Oleg Bezverkhnii at 23:15 0 comments Links to this post
Monday, December 17, 2018
Russia to deploy warplanes to Crimea amid Ukraine standoff
December 17, 2018 (Deutsche Welle) The Russian Defense Ministry on Monday said it would "return" more than 10 warplanes to Crimea, according to Russian news agency Interfax. The ministry said fighter jets, including Sukhoi Su-27 and Su-30's, will be sent to the annexed Ukrainian territory as part of a "permanent deployment." They are expected to arrive by Saturday. The announcement comes after Russian Foreign Minister Sergey Lavrov claimed in an interview that Ukraine was preparing an "armed provocation with Russia on the border with Crimea during the last ten days of December."
Russia's SU-27 fight jet is one of the types of warplanes headed to Crimea
In comments carried by the state-run TASS news agency, Lavrov said Moscow would not allow the Ukrainian government to act on those plans, saying "they will regret it." But he also said that Russia "will not wage war against Ukraine." "We are not fighting the Ukrainian regime," Lavrov said. "It is Ukrainian citizens living in Donbass who are fighting against the Ukrainian regime, which has full Nazi and neo-Nazi characteristics." Last month, Russian warships captured three Ukrainian naval vessels as they crossed through the strategic Kerch Strait, detaining 24 sailors on board. Russian authorities accused the Ukrainian vessels of military provocations.
Posted by Oleg Bezverkhnii at 21:51 0 comments Links to this post
Subscribe to: Posts (Atom)


text:
Frosted Pale Blue Bead Pair - Handmade Lampwork Beads
A pair of handmade lampwork beads in transparent pale blue. The beads have been decorated with sparkling pure silver foil and a band of silvered ivory stringer. Etched for a frosted finish.
A pair of small spacer beads is also included.
These would make a pretty pair of sparkling, wintery earrings.
Approximately 13mm diameter
Made on 2mm mandrels
Kiln annealed from the flame.
Beads are handmade to order and may vary slightly from those shown.
Shipping & delivery
This item will be posted to you by Josephine Wadman Designs within 14 days of receiving payment.
|Shipping destination
|Additional items
|United Kingdom
Italy, Greece, Cyprus, Germany, France, Spain, Finland, Belgium, Portugal, Poland, Ireland, Sweden, Denmark, Netherlands, Austria, Latvia, Bulgaria, Czech Republic, Estonia, Hungary, Lithuania, Luxembourg, Malta, Romania, Slovakia, Slovenia, Isle of Man, Jersey, Guernsey, Gibraltar
|United States
|Rest of the World
Returns Policy
You have 14 days, from receipt, to notify the seller if you wish to cancel your order or exchange an item.
Unless faulty, the following types of items are non-refundable: items that are personalised, bespoke or made-to-order to your specific requirements; items which deteriorate quickly (e.g. food), personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken.


text:
1971 Chevy C10 Pickup - Dedication
Sweating the Details
Covers are elusive. Much like the "perfect 10" woman, who loves you for your flaws, doesn't mind your stinky shoes, and is a gourmet chef in the kitchen; cover trucks can sometimes be mythical. Whereas, women are one of our greatest gifts, cover trucks can sometimes be our biggest pains. Money, time, frustration, and just getting the darn thing done are the usual suspects involved. Ricky Holly of Houston found his perfect 10 in his wife Sherrie, and when it came time to build his next cover truck, a classic Chevy would fulfill his love of building custom rides. Tracking down a pretty decent '71 C10, Ricky began the search for shops in the area that could bring his newest purchase from bucket to beauty. Talking with Ray at Mind to Metal in Houston, a full build was in order and the sparks immediately began to fly. Starting with 2x4-inch 1/4-inch steel, Ray bent up framerails to make the body rest firmly on the ground. Up front, Western 2-inch drop spindles were bolted onto the custom tubular upper and lower A-arms with horizontal hot-rod styled shocks. After everything was fabricated, each piece was meticulously chromed or painted. Mounted to the spindles are 14-inch SSBC big brakes, front and rear. A Flaming River rack and pinion controls the steering, while Slam Specialties airbags with GC450 valves and Viair compressors provide the air control. The wheels of choice for the front of the C10 were Bonspeed Intense 22x8-1/2-inch billet hoops with Toyo 265/35R22 high-performance tires keeping them protected.
Out back, Ray at Mind to Metal went crazy with the welder and created a custom four-link cantilever airbag setup. Slam Specialties 'bags were once again used in the rear, along with identical GC 450 1/2-inch valves. A 15-gallon fuel cell was welded together and wedged in between the framerails. Chrome air tanks add good looks to the painted and chromed suspension pieces. Rear wheels are matching Bonspeed Intense, only this time sized 24x10 inches, with larger 295/30R24 Toyo tires. The look and function of the rear suspension is down right awesome. Of course, going up and down is only part of the fun with this truck. Going fast is also easy to do.
Under the hood lies an '02 LS1 with a chromed Professional Products intake and throttle-body. Other goodies equipped onto the small-block are Mind-to-Metal-modified Hedman Hedders and a trick dual-inlet K&N air filter intake. A Flex-a-lite electric fan keeps the Flex-a-lite aluminum radiator nice and cool during the Houston heat. The polished 3-inch exhaust flows into MagnaFlow mufflers. Moser axles were installed into the 8-inch-narrower 12-bolt, and most of the engine mods can be accredited to Jessie's Auto Repair. Two Optima batteries supply the juice, one behind the seat and one under the hood. Heath Moore from Kingpin Kustomz in Dickinson, Texas, created the one-off engine cover that was appropriately painted to match.
Body modifications were extensive on Ricky's C10 and included the loss of door handles, driprails, marker lights, mirrors, and the gas filler. Additions consisted of a Grant Kustoms one-piece tailgate/roll pan skin, HiTech LED brakelight in the tailgate, suicide door hinges, and a tilt hood. The front bumper was sectioned and welded to the fenders, creating a one-piece front end. Alamo Customs in Alvin, Texas, handled all of the bodywork. Making the truck stand out amongst a crowd of C10s is the trick tilt bed, exposing the killer suspension work. A 1-1/2-inch body drop by Mind to Metal brought the Chevy even closer to the ground. Keeping the truck looking good are single panes of glass from One Piece Products. Once Robert Mesa, from Alamo Customs was happy with every panel being straight, he applied the PPG Corvette orange and tambourine flame body colors. Patrick Reed then stepped in and sprayed the chrome and brushed aluminum separating line and the green graphics onto the bed. The truck now looked incredible, but every cover truck must have a great interior, and Kingpin Kustomz was up to the task.
Heath Moore at Kingpin created a smoothed dash out of fiberglass, housing the Dakota Digital display. Kingpin is also responsible for the center console with billet switches, center console with 10-inch JBL subwoofer, and door panels featuring 6-inch JBL components in trick speaker pods. Two JBL amps power the system, while Dynomat from front to back keeps the sound inside the cab. The Alpine head unit was mounted in the headliner that received matching stainless stringers. A Klassix Inc. billet steering wheel caps the painted tilt column and the custom seats were covered in camel leather by Robbie's Upholstery in Alvin, Texas.
It took 2 years to make Ricky's newest dream a reality and the wait was worth it. Winning Best Truck at this year's Heat Wave show, everyone who saw the truck admired the classy look and engineering behind the build. Now, Ricky has a pair of perfect 10s at his house.


text:
Rocking Delight!
It's lightweight and super cute! This Personalized rocking chair will provide your child with hours of fun. Unlike other rockers that are heavy and bulky, this rocker weighs only 5 lb., kids will feel so big taking their very own rocker all around the house. Personalize the rocking chair for the perfect gift idea!
Shipping: FREE
This chair is awesome for little ones. The chair is lightweight yet sturdy. My niece's daughter could carry it where ever she wanted to go! Colors and name were wonderful!
I bought 2 and my twins love them. I like that I can take them with us any where.
The chair is adorable and the new parents were thrilled with the git.
I got this for my son's first birthday and he absolutely loves it! It makes him feel really big rocking just like mom and dad! I also love the way it looks in his room, I got the white w/ denim seat which matches both his furniture an bedding! I would definitely consider giving this as a gift!
I gifted this personalized rocking chair to my niece. She was thrilled. She loves carrying it everywhere. Lovely color options and perfect for a toddler.


text:
A North Texas teenager has been charged in connection with a crash that left four people dead and injured nine others.
Ethan Couch, 16, has been charged with four counts of intoxication manslaughter and two counts of intoxication assault.
Fort Worth investigators say Couch, was driving a pickup truck between 68 and 70 miles an hour in a 40 mph zone when he struck an SUV that was parked on the side of the road with a flat tire.
The latest news from around North Texas.
The June 15 accident killed youth pastor Brian Jennings, mother and daughter Hollie and Shelby Boyles and 24-year-old Breanna Mitchell, whom the three had stopped to help.
The four who were killed were standing outside the vehicle. Nine others were hurt.
Couch's blood alcohol content was .24, said Tarrant County Sheriff Dee Anderson. That's three times the legal limit, although it's illegal for anyone under 21 to drive with any amount of alcohol in their system.
Scott Sharman, head pastor of Alsbury Baptist Church where Jennings worked, said he was notified that charges would be filed. "I knew charges would be coming, but we're not going to say anything else for now," Sharman said.
Couch already had a pair of alcohol citations related to an incident on Feb. 19 in the town of Lakeside, in northwest Tarrant County. Officers found him in possession of a 12-ounce can of beer and a 1.75 liter bottle of vodka. He pled no contest in both counts and was required to take an alcohol awareness class and participate in 12 hours of community services, according to court records.
Prosecutors are seeking a 20-year prison term for Couch, which is the maximum allowed for someone who is charged as a minor.
Couch was released to his parents and is wearing an ankle monitor while he awaits trial.
A trial date has not been set.


text:
Go Beyond Cost Savings with Xerox Next Generation Managed Print Services
Sure – our Managed Print Services will save you up to 30% on your print costs. And we'll handle non-Xerox printers.
But cutting costs and reducing hassle is just the start of the MPS journey. The real benefits come when we help you change the way you work.
Watch our video to learn how Xerox Next Generation Managed Print Services can help you improve your document processes and become more productive.


text:
Advanced Manufacturing Management
Co-op Option
Students in this program may apply to the co-op program during their first academic semester. Enrolment in the co-op program is limited through an additional co-op application process that takes place in the first semester. Students in the co-op program are eligible to complete a co-op work term during the 4-month term following the second semester. The program-specific academic standard required for participation in co-op can be found here: Academic Standards for Co-op and Internship.
Co-operative Education is a form of work-integrated learning that links classroom learning with paid or unpaid work experiences within a professional environment. Co-op work terms are related specifically to the academic studies of each student. The work terms provide an opportunity to learn by doing. You'll apply theory to practice, develop a meaningful view of the working world, and cultivate an awareness of yourself as a professional.
Students receive in-class and 1-on-1 career education support to help prepare for the work term. The co-op component is delivered by Sheridan's Co-operative Education Office, which facilitates over 1,800 co-op and internship work terms per year Sheridan-wide.
Learn more about Co-operative Education and Internships at Sheridan.


text:
Happy Birthday Sarah!
We celebrated Sarah's 8th birthday last weekend with a Baking Party! It was such an adorable party and everything turned out so well. 10 of her classmates came to "Sarah's Kitchen" to bake with Miss Liz from Food Jules. It was so wonderful to have someone else run the party - I just got to stand back and take lots of pictures to remember the fun!
I googled 'baking party' and came across a wonderful site called One Charming Party. That is where I found the garland and hat making ideas for the party. For the garland I simply strung cupcake liners and coffee filters on a string and hung it from our front mirror.
Once all the girls had arrived we decorated chef hats with 'cup cake liner flowers'. It was so simple. They glued some coffee filters and assorted cupcake liners together to create the flower which and I then pinned to their chef hat.
Here is Chef Sarah!
Next, the girls started baking!
Sarah was able to select the menu for the party. She choose from 3 egg dishes, 3 waffle/pancake dishes, and 3 desserts. These were Sarah's yummy choices for the party.
Once the food was in the oven the girls did the clean up and set the table themselves. They were even excited about sweeping!
Finally, they sat down to enjoy their hard work!
Here is Jillian modeling the party favor aprons. I ordered kids aprons from KNG and then simply ironed on the girls first initial (I had enough letters for Jillian and Sarah to get their full names on their aprons ; ).
These scones tasted as yummy as they looked. The girls did a GREAT job!
Happy Birthday to our Sweet Sarah!


text:
- Home
- About Us
- Holy Syriac Orthodox Church
- Patriarch
- Late Lamented Patriarch
- Archbishop
- Archdiocese - Administration
- Archdiocese - Brief History
- Priests
- Deacons
- Archdiocesan Council
- P.R.O. & Diocesan Auditors
- Constitution of the Holy Universal Syriac Orthodox Church
- Constitution & Amendments of the Malankara Archdiocese
- Spiritual Organizations
- Orthodoxy
- Messages
- Media
- Calendar
- Directory
- Resources
- Contact Us
Very Rev. Joseph C. Joseph Corepiscops celebrates 35 years of Priesthood
Submitted by frjerry on Tue, 2013-03-12 18:25
Heartfelt congratulations are due to our beloved Corepiscopa Achen for completing 35 years of dedicated priesthood services for our Archdiocese
Very Rev. Joseph C. Joseph Corepiscopa was born January 13, 1952, son of the late Paulose and Mariamma Joseph, a very religious Syrian Orthodox Christian family from Vazhamuttom, Kerala. Joseph was the middle child of seven, five sisters and one brother. He was baptized at St. Ignatius Dayara in Manjanikkara, India. His parents dedicated him to His Holiness Mar Ignatius Elias the III's final resting place ("Kabarin Adeema Vetchu"). As a young boy, Joseph expressed much interest in the church and participated in many church functions including teaching Sunday school and being actively involved in various church programs. He also served as an altar boy at his home parish in Kerala. In 1974 he moved to New Delhi for professional opportunities where he continued to serve at the local parish altar and furthered his theological studies. Joseph married Mariamma in 1975 and migrated to the United States in 1976.
When Joseph arrived in Texas, he realized there was a need for an established place of worship for the Syrian Orthodox Christians. The Lord's calling, fulfillment of a childhood dream, the request of Father John Jacob (presently H.G. Yuhanon Mor Philexinos) and the encouragement from the people in Dallas and Houston, Joseph decided that he wanted to serve the Lord through priesthood ordination. At the age of 26, By the grace of God, Late Lamented His Eminence Mor Athanasius Yeshu Samuel ordained Joseph to the holy order of priesthood on March 12, 1978 in Dallas, Texas. It is commendable to note that Fr. Joseph was the first priest ordained for this Archdiocese and has been serving this archdiocese for the last 35 years.
Fr. Joseph organized and served as the first vicar of both St. Ignatius Syrian Orthodox Cathedral in Dallas, Texas and St. Mary's Syrian Orthodox Church in Houston, Texas. Due to employment opportunities, Fr. Joseph and family moved to Atlanta, Georgia in 1987. With the direction and with a blessing Kalpana from Late Lamented His Eminence Mor Athanasius Yeshu Samuel, Fr. Joseph started the first Syrian Orthodox parish in Metro Atlanta, in the blessed intersession of Saint Mary and has been serving that parish since then. Fr. Joseph assisted in formally organizing and establishing the St. George Syrian Orthodox Church in Chicago, Illinois and St. George Syrian Orthodox Church, Charlotte, North Carolina in addition to serving as the Vicar at St. Mary's Syrian Orthodox Church in Dallas, Texas, the Archdiocesan Council and in the Archdiocesan Clergy Council.
On May 17, 2003, St. Mary's Syrian Orthodox Church celebrated Fr. Joseph's 25th Priesthood Ordination Silver Jubilee. Holy Qurbana, led by His Beatitude Aboon Mor Baselios Thomas I Catholicose, and assisted by His Eminence Dr. Yuhanon Mor Philexinos, and His Eminence Dr. Mathews Mor Ivanios, During the Holy Qurbana a golden pectoral cross chain was blessed, and His Beatitude presented the chain to Fr. Joseph for his dedicated service to the Malankara Archdiocese of the Syrian Orthodox Archdiocese in North America for the past 25 years. With Apostolic blessing from His Holiness Moran Mor Ignatius Zakka I Iwas Patriarch of Antioch and all the East Supreme Head of the Universal Syriac Orthodox Church, on April 29, 2006, Fr. Joseph was elevated to Corepiscopo by His Eminence Mor Titus Yeldho, the Archbishop of North America.
Very Rev. Fr. Joseph's entire priesthood has been one of dedicated service. His attributes of selfless service, compassion and love is a model for each of us. We pray that God Almighty continue to give Achen strength, good health, and joy in the continued service of our Lord to the parish and to our Archdiocese.
Publish Date:
Tue, 2013-03-12 19:19


text:
Servicios Personalizados
Links relacionados
- Citado por Google
- Similares en Google
SAMJ: South African Medical Journal
versión On-line ISSN 2078-5135
versión impresa ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.101 no.4 Pretoria abr. 2011
EHPBA/ASSA SAGES 2011 12 - 16 April 2011, Cape Town SAGES abstracts
Morganayagi GovenderI,II, Lucien FerndaleI,II, Sandie ThomsonI,III
IPietermaritzburg Metropolitan Hospitals - Department of Surgery, Grey's Hospital, KZN
IINelson Mandela School of Medicine, University of KwaZulu-Natal
IIIUniversity of Cape Town; Surgical Research Society
BACKGROUND: Endoscopic placement of self-expanding metal stents (SEMS) is widely used for palliation of dysphagia in patients with inoperable malignant oesophageal lesions. This study was undertaken to document the periprocedural experience with a pure endoscopic placement technique.
PATIENTS AND METHODS: Retrospective analysis of all patients stented for oesophageal cancer at the GI Unit at Grey's Hospital, Pietermaritzburg, over a 4-year period (2007 -2010). Data were analysed from completed procedure forms and included demographics, tumour length, the presence of fistulas, stent size and complications. Stenting was performed without radiological guidance. At endoscopy the oesophageal lesion was dilated over a guidewire, the stent passed over the wire and positioned and deployed under direct endoscopic vision.
RESULTS: A total of 394 stents were inserted over a 4-year period, 27 for benign and 367 for malignant disease. There were 347 patients in the malignant group, 30 of whom required repeat stenting. Of the 347 patients, 142 (40.9%) were female and 205 (59.1%) male. The mean age was 60 years (range 38 -101). Of the patients 328 were black (94.5%), 15 white (4.2%) and 4 Indian (1.3%).
The reasons for palliative stenting were distributed as follows: age >70 - 67 patients; tumour length >8 m - 102; presence of tracheooesophageal fistula - 23; unspecified - 142. There was also one patient who had metastases, another who refused surgery, and one stent for post-oesophagectomy leak.
Of those requiring repeat stenting, 8 had stent migration, 10 proximal tumour overgrowth, 10 distal tumour overgrowth, 1 a blocked stent and 1 a stricture. Only 3 complications were recorded (0.9%) - 2 iatrogenic tracheo-oesophageal fistulas and 1 false tract created through a long lesion. All 3 were nevertheless successfully stented.
CONCLUSION: The number of patients seen with inoperable oesophageal cancer at Grey's Hospital is sizeable. The average annual load of palliative stents is 90 patients. Pure endoscopic SEMS placement is a viable and safe option with a low periprocedural complication rate. It forms the core of palliative care for patients with dysphagia, with or without fistulas. Recurrent dysphagia can still be effectively managed by restenting. More detailed follow-up is required to assess the long-term efficacy of SEMS in our setting. A prospective analysis, including quality of life surveys, is planned.
Outcome of endotherapy in bleeding peptic ulcer patients at Groote Schuur Hospital
Dion LevinI; Gillian WatermeyerI; Eduan DeetlefsI; David MetzII; Sandie ThomsonI
IUniversity of Cape Town
IIUniversity of Pennsylvania, USA
INTRODUCTION: Endotherapy is highly effective at controlling bleeding from peptic ulceration.
AIMS: To assess the efficacy of endoscopic intervention for high-risk bleeding peptic ulcer disease and benchmark our surgical and mortality rates, for current and future comparison.
METHODS: 227 patients with high-risk peptic ulcers underwent therapeutic intervention (adrenalin injection) between January 2004 and December 2009 (median age 57 years (range 19 -87); 60.4% males).
RESULTS: Primary endoscopic haemostasis failed in 51/227 patients (22.5%); 8 patients underwent surgery, of whom 1 died; 5 patients were deemed unfit or died prior to further intervention; 38 patients underwent second endoscopic endotherapy, and 10 of these underwent surgery, of whom 3 died; 24 patients had successful second endotherapy; and 18/227 patients (7.9%) required surgery for bleeding not controlled at initial (44.4%) or second endoscopy (56.6%). Surgical patients had a higher Forrest classification (odds ratio (OR) 0.4 (2a/2b v. 1a/1b), p=0.01) and required more blood (OR 1.4, p=0.0001), but demonstrated no difference in mortality. Overall 30 patients (13.2%) died, 5.3% by day 3 and 7.9% by day 30; 4 patients died after surgery, 2 by day 3 and 2 by day 30; and 16 patients, all of whom had significant co-morbid medical conditions, died after successful primary endotherapy. Rebleeding was the only predictor of death in patients who died at day 3 (OR 14.9, 95% confidence interval (CI) 2.6 - 83.4). A high Rockall score was the only predictor of death at day 30 (OR 2.09, 95% CI 1.3 - 3.17).
CONCLUSION: Our overall benchmark mortality is 13.2% and surgical mortality 22%. More than half of the patients who died did so as a result of medical co-morbidity, despite successful primary endotherapy. Our rate of failed primary endoscopic haemostasis is 22.5%. Rebleeding after primary endoscopic intervention is a predictor of death at day 3. This study supports the use of the Rockall score to predict mortality at day 30.
Amylase and alanine transaminase levels as discriminators of aetiology in an urban South African population with acute pancreatitis
Zaheer Moolla; Frank Anderson; Sandie Thomson
University of KwaZulu-Natal, Durban
INTRODUCTION: In acute pancreatitis (AP), serum elevations of amylase and alanine transaminase (ALT) have been shown in Western series to be predictive of aetiology. We analysed these predictors in the context of a South African cohort which includes antiretroviral therapy and hypertriglyceridaemia.
MATERIALS AND METHODS: A prospectively collected database of 386 AP patients admitted to Addington Hospital, Durban, between 2001 and 2008, was analysed. The relationship between admission amylase or ALT and aetiology based on history, abdominal ultrasound and serum triglycerides was studied: 238 patients (17 females) were admitted with acute alcoholic pancreatitis (AAP), 76 (21 males) with acute gallstone pancreatitis (GSAP), 42 (15 males) with pancreatitis secondary to antiretroviral therapy (ARVAP) and 30 (4 males) with AP due to hypertriglyceridaemia (HAP).
RESULTS: The levels according to aetiology are set out in the table.
Amylases and ALT levels in GSAP were significantly higher than those for all other aetiologies and were similar for non-biliary causes. An ALT level of >56 U/l had a sensitivity of 71%, a specificity of 80% and a negative predictive value of 91% for gallstones.
CONCLUSION: GSAP average amylases were double those for other aetiologies. A normal ALT was highly predictive of non-gallstone aetiology. Neither amylase nor ALT could help differentiate the other aetiologies.
Cox-2 and pparg expression in colorectal cancer: a role for inflammation?
Mary Ngaira; Ernst Fredericks; Gill Dealtry; Saartjie Roux
Nmmu, Port Elizabeth, South Africa
BACKGROUND: In 2010 we showed that PPARg, a nuclear receptor involved in cell signalling and promoting normal differentiation, is 7.5-fold down-regulated in colorectal cancer (CRC) patients compared with normal. Inflammation and oxidative stress can modulate PPARg expression. Inflammation could therefore be one of the important causes of CRC as indicated by the higher incidence of CRC among inflammatory bowel disease (IBD) patients.
AIM: To investigate the role of COX-2 as a marker of inflammation in the pathogenesis of CRC.
METHOD: Colon biopsies of 99 patients in the following groups: control, IBD (Crohn's and ulcerative colitis (UC) - inflammatory group) and irritable bowel syndrome (IBS) (diarrhoea (D) or constipation (C) predominant - non-inflammatory group). Immunohistochemical analysis was performed and compared with PPARg qPCR.
RESULTS: A striking increase in COX-2 protein expression was observed in the lamina propria of CRC patients, as previously reported. In the IBD group, UC patients had higher total COX-2 expression in both lamina propria and epithelial cells compared with Crohn's disease patients, regardless of treatment. Surprisingly, D-IBS patients had significantly higher (p<0.01) COX-2 expression in the epithelial cells than the control group, unlike the C-IBS group. The reason for this is not clear.
Although the CRC patients had raised COX-2 expression in the epithelial cells as well as the lamina propria and low PPARg expression, a direct relationship between PPARg and COX-2 expression could not be established in the other colorectal pathologies investigated.
CONCLUSION: Our surprising observation of low COX-2 expression in IBD patients is supported by Vong et al., 2010. This partially explains the exacerbation of IBD when treated with COX-2 inhibitors. The pathogenesis of CRC is not necessarily COX-2 driven, but may involve other cytokines. It is clear that more research is needed on the regulation of the different cytokines and homeostatic control of the colon environment.
Identifying families with lynch syndrome in South Africa
S MacaulayI; J F BothaII; A KrauseIII
INational Laboratory Service, Johannesburg
IIUniversity of the Witwatersrand, Johannesburg
IIISandton Medi-Clinic, Johannesburg
BACKGROUND: Lynch syndrome (hereditary non-polyposis colorectal cancer (HNPCC)) is an autosomal dominant condition predisposing individuals to the development of colorectal and endometrial cancers as well as stomach, hepatobiliary, small-bowel and central nervous system cancers. Lynch syndrome occurs as a result of mutations in one of four main genes (MLH1, MSH2, MSH6 and PMS2) involved in the DNA mismatch repair pathway.
AIM: The study aimed to highlight the necessary steps clinicians and genetic counsellors need to take in order to assess the likelihood and then confirm a diagnosis of Lynch syndrome. We present cases of South African Caucasian families in whom a diagnosis of Lynch syndrome was suspected.
METHODS: Baseline analysis involved drawing the family pedigree. On the basis of the family history alone it can be determined whether or not a family is at high risk for a genetic cancer syndrome.
Secondly, immunohistochemistry (IHC) analysis on histology blocks was performed. In an ideal situation, microsatellite instability analysis should also be performed; however, this is not available in South Africa, so IHC in conjunction with pedigree analysis is relied upon. IHC has its own limitations and the interpretation of results requires technical expertise.
Thirdly, diagnostic genetic testing was performed on patients' DNA once the work-up suggested a likely diagnosis of Lynch syndrome.
RESULTS: In one family a novel MSH2 mutation was identified (c. 1811C>A). Extensive IHC and genetic testing was required in order to confirm its pathogenicity. Another family had a rare MSH6 (c. 644dupT) mutation identified.
CONCLUSION: Genetic counselling is important in baseline pedigree ascertainment and risk assessment. It also serves an important role in educating and informing such families about the condition and providing options for genetic testing and management. These cases illustrate the complex process of confirming and managing Lynch syndrome in South African families.
Case report: upper gastro-intestinal kaposi's sarcoma in an hiv-positive patient without cutaneous disease as a cause for anaemia and abdominal pain
Nazeer Ahmed Chopdat; Reidwaan Ally
African Institute of Digestive Disease, Soweto, Johannesburg
BACKGROUND: In June 2010 a 31-year-old woman was referred to our outpatient clinic. She had been diagnosed with HIV 1 month before her referral. She complained of constant abdominal pain, and difficulty and pain on swallowing. She had lost 10 kg over the past month. On physical examination she was wasted, pale and weak. She had generalised lymphadenopathy and oral thrush. No evidence of cutaneous karposis sarcoma lesions was seen.
INVESTIGATION AND MANAGEMENT: Laboratory investigations revealed an albumin level of 11 g/l, a haemoglobin concentration of 7.8 g/ dl and a normal mean cell volume of 85 fl. The CD4 count was 95 cells/µl. The patient underwent oesophago-gastro-duodenoscopy which revealed oesophageal candidiasis and multiple plaque-like lesions. Histological examination and immunohistochemistry of the biopsy specimens were consistent with Kaposi's sarcoma, positive nuclear staining for HHV 8 and Helicobacter pylori-associated chronic gastritis. The patient was started on eradication therapy, referred for highly active antiretroviral therapy (HAART) and sent to a specialised oncology unit to commence chemotherapy. She was, however, lost to follow-up.
DISCUSSION: Infection with HIV results in a wide range of opportunistic infections and tumours, commonest of which is Kaposi's sarcoma. Gastro-intestinal Kaposi's sarcoma is usually most common in patients with extensive cutaneous disease; however, mucosal involvement without cutaneous involvement, though rare, has been described. We might well have attributed our patient's symptoms to candidiasis, and had we not performed endoscopy we would have failed to diagnose the gastro-intestinal Kaposi's sarcoma.
CONCLUSION: Biopsy of all suspicious lesions is necessary in HIV-positive patients. Early diagnosis of gastro-intestinal Kaposi's sarcoma is desirable from prognostic and therapeutic points of view. Symptoms may resolve and progression of disease be delayed with HAART and chemotherapy.
We therefore recommend early endoscopy in all patients with HIV who have persistent upper gastro-intestinal symptoms.
Dietary intake and total dietary fibre intake in patients with irritable bowel syndrome
C Stevenson; E Fredericks; R Theunissen; G Dealtry; S Roux
Nelson Mandela Metropolitan University, Port Elizabeth, E Cape
INTRODUCTION: In the USA and the European Union, adult dietary fibre intake falls well below the recommended range of 20 -35 g per day. Poor fibre intake is reflected in altered gut microbiota and short-chain fatty acid production.
AIM: To assess the dietary intake of patients with irritable bowel syndrome (IBS) and compare this with healthy controls and international recommendations (dietary reference intakes, DRIs).
METHODS: Three-day estimated food records were obtained from 26 C-IBS, 10 D-IBS and 21 controls.
RESULTS: Total energy intake and macronutrient distribution did not differ significantly between the groups. Total protein and carbohydrate consumption was higher than the recommended DRIs in all three groups. Fat intake was higher than the acceptable DRI range of 20 -35% for the D-IBS group (D-IBS 37.59%, C-IBS 35.26%, controls 33.46%). Total dietary fibre intake did not reach the recommended intake for all three groups, but was higher in the control group than both the C-IBS and D-IBS groups (D-IBS 13.64 g, C-IBS 14.59 g, controls 16.73 g, p=0.363). Intakes of insoluble and soluble dietary fibre were low in all three groups, but the controls had a better intake than either of the IBS groups (insoluble fibre D-IBS 3.68 g, C-IBS 3.48 g and controls 5.01 g, p=0.126; soluble fibre D-IBS 2.66 g, C-IBS 2.71 g and controls 3.83 g, p=0.111). The D-IBS group had a statistically significant lower intake of vitamin A compared with the C-IBS and control groups (D-IBS 411.80 RE, C-IBS 695.76 RE, controls 893.97 RE, p=0.06) and significantly lower intakes of total carotenoids, A-carotene and B-carotene.
CONCLUSION: This study highlighted that IBS patients did not meet recommendations for fibre intake and that intake was poor. The D-IBS group had an insufficient intake of vitamin A and carotenoids. This is similar to the findings of Aller et al. (2004), and warrants further research.
Over-the-counter sale of non-steroidal anti-inflammatory drugs should be banned!
Theshni Govender; Martin Brand
University of the Witwatersrand, Johannesburg
BACKGROUND: Non-steroidal anti-inflammatory drugs (NSAIDs) are known for their complications. The US FDA issued a ruling in 2009 that made it compulsory to list the gastro-intestinal and cardiac side-effects of NSAIDs on all NSAID packaging. Large proportions of patients admitted to our hospital with upper gastro-intestinal (GIT) complaints are users of NSAIDs, and appear to be unaware of their significant side-effects. It is of concern that in South Africa NSAID preparations are freely available over the counter.
METHODS: We performed a retrospective study from 1 January 2010 to 31 December 2010 at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH). All patients who were admitted with an upper GIT complaint, and subsequently underwent oesophagogastro-duodenoscopy or a surgical procedure and who did not have portal hypertension, were included. We used a university-associated hospital's cost structure, including hospital and doctors' fees, to calculate the cost of these NSAID-associated upper GIT complications.
RESULTS: In 2010, 163 patients were admitted with epigastric pain, upper GIT haemorrhage or perforation. Of 94 patient files collected to date, 36 confirmed NSAID use. Of these patients, 4 underwent laparotomy.
Each of such admissions cost R20 520, which included only the following: 4 days in a general ward, consultation fees and oesophagogastro-duodenoscopy, and excluded intensive care unit admission and blood products. Each patient who required a laparotomy accrued a cost of R88 800. The estimated cost for these 36 patients was R1 093 920.
CONCLUSION: The cost to the CMJAH associated with NSAID use is substantial. This may be minimised by making NSAIDs available on prescription only.
Questran colonic crystal: bystander or offender?
Kgaogelo MoengI,II; Adam MahomedI,II
IUniversity of the Witwatersrand, Johannesburg
IICharlotte Maxeke Johannesburg Academic Hospital, Johannesburg
AIM: To report on a rare but previously described gastrointestinal complication of a commonly used anion exchange resin, cholestyramine, and to explore the possibility of this agent's being a cause of mucosal lesions.
CASE SUMMARY: A 32-year-old immunocompromised patient was found to have colonic mucosal crystal deposits on histopathological specimens while being investigated for chronic diarrhoea. The mucosal biopsies were obtained after the patient had been treated with Questran 4 g 3 times a day for 6½ days. Endoscopy revealed associated fungating, ulcerating lesions with necrotic areas. An additional diagnosis of MTB was made from specimens obtained.
DISCUSSION: Ion exchange resins are commonly used in clinical practice, with not many reported complications. Kayexalate and kalimate, the cation exchange resins used to treat hyperkalaemia, and cholestyramine (Questran), a bile-acid-binding anion exchange resin, have all been previously described as potential causes of gastrointestinal mucosal crystal deposits. While kayexalate and kalimate have both been found to cause mucosal ulceration, haemorrhage and necrosis, there is a paucity of information regarding such lesions in relation to cholestyramine. Our patients had tuberculosis of the colon, which could have been the cause of the ulcerating lesions found at endoscopy.
CONCLUSION: Ion exchange resins can cause gastro-intestinal mucosal crystal deposition in some patients. It is, however, not clear whether cholestyramine causes mucosal lesions in addition to crystal deposition. Our patient had MTB, which could potentially have caused the mucosal lesions.
Jaundice as an unusual presentation of Hodgkin's Lymphoma in a patient with tuberculosis
Mfanufikile NomveteI,II; Keith NewtonI,II; VG NaidooI,II; Sadia SaeedII
IUniversity of KwaZulu-Natal, Durban
IIInkosi Albert Luthuli Central Hospital, Durban
INTRODUCTION: Cholestatic jaundice is a rare paraneoplastic complication of Hodgkin's lymphoma.
CASE: A 36-year-old black man was started on antituberculosis (TB) therapy at a peripheral hospital on an unclear basis. Cholestatic jaundice preceded the commencement of the anti-TB treatment and persisted despite discontinuation of the therapy. He had no risk factors for chronic liver disease, and presented with pruritus, dark urine and normal stools. Physical examination revealed deep jaundice, pallor, cervical lymphadenopathy, 4 cm hepatomegaly and 2 cm splenomegaly. Laboratory results showed a total bilirubin level of 384.5 µmol/l (conjugated 276.7 µmol/l), alkaline phosphatase 681 U/l, gamma-glutamyl transferase 107 U/l, and alanine transferase 130 U/l. A chest radiograph was normal and an abdominal ultrasound scan confirmed hepatosplenomegaly and displayed no features of biliary obstruction or lymphadenopathy. A magnetic resonance cholangiopancreatogram was equivocal and an endoscopic retrograde cholangiopancreatogram revealed no biliary obstruction. Sputa were positive for acid-fast bacilli (AFB) and confirmed to be drug sensitive, so anti-TB treatment was re-instituted. A liver biopsy revealed homeostasis, no granulomas or AFB and no neoplastic infiltrate, and 6-week TB culture was negative. Hodgkin's lymphoma (HL) was diagnosed on a lymph node biopsy and subsequent bone marrow biopsy. A staging computed tomography scan revealed intraabdominal lymphadenopathy, but none at the porta hepatis or peripancreatic area. Following successful chemotherapy for the HL, the patient's liver function test results normalised.
DISCUSSION: Cholestatic jaundice is an uncommon presentation of HL. Mechanisms involved usually include hepatic tumour infiltration, portal tract destruction or biliary tree obstruction, or the condition is secondary to chemotherapy. Very rare is idiopathic cholestasis, which is thought to be mediated by inflammatory cytokines that alter the functioning of the bile salt exporter proteins. This paraneoplastic syndrome improves after treatment of the lymphoma.
CONCLUSION: Unexplained cholestasis should be carefully assessed to exclude an underlying potentially treatable systemic disorder.
Massive and multi-organ intraabdominal hydatid disease: case report
Orlando Zamora Santana
Nelson Mandela Academic Hospital, Mthatha, E Cape, and Enriquez Academic Hospital, Havana, Cuba
Hydatid disease is endemic in the Middle East as well as other parts of the world such as India, Africa, South America, New Zealand, Australia, Turkey and southern Europe. Hydatid cysts can occur in any organ, but infestation most commonly occurs in the liver, followed by the lung.
A 25-year-old man presented with a 3-year history of vague abdominal pain and progressive swelling of the abdomen. Clinical examination revealed non-tender firm masses in the abdomen. The liver was palpable, reaching about 10 cm below the costal margin. Rectal examination revealed globular masses in the pouch of Douglas.
We present the investigations done and our surgical findings and results.
It is important to emphasise that this disease should be suspected in patients with cystic lesions affecting any organ, especially in endemic areas of the world.
The spectrum of the operative management of acute appendicitis at a district hospital
Muhammed Zaki Shaik; Sandie R Thomson
Nelson R Mandela School of Medicine and Addington Hospital, Durban
BACKGROUND: In the era of the active adoption of laparoscopy, the spectrum of operative options employed in the management of suspected acute appendicitis in the state sector has not been well studied. We utilised a highly accurate prospective operative database to document and analyse current practice.
METHODS: Data from the first 2 years were extracted and analysed from the Addington Hospital operative electronic database. Demographics, hospital stay, operative time, conversion rate, primary surgeon (registrar versus consultant), mortality and relaparotomy were extracted for the patients according to the surgical management (Lanz incision appendectomy, laparoscopic appendicectomy and laparotomy for complicated appendicitis). Statistical analysis was done using a two-sample t-test.
RESULTS: There were a total of 322 operations for appendicitis from 2009 to 2010.
In the laparotomy group, 3 patients had a right hemicolectomy. The rest were appendectomies with peritoneal toilet. Fifteen patients required relaparotomies, and 5 patients died. The age difference between the Lanz group and laparoscopic group was significant. Of the diagnostic laparoscopies for right iliac fossa pain, 63% (46/73) were diagnostic for appendicitis. The rest were diagnostic for pelvic inflammatory disease (PID). Eighteen operations were done by registrars. Five of the laparoscopic approaches were converted to laparotomy.
CONCLUSION: Advanced-stage appendicitis managed by laparotomy remains common, with associated morbidity and mortality. It results in double the hospital stay and an increased operating time when compared with the other two operative methods, for which hospital stay and operative times are similar. The utility of laparoscopy in differentiating acute appendicitis from PID is supported and is reflected in the increased female/male ratio in this treatment group.
Case report: the cystic spleen - a diagnostic dilemma
Mohamed Feroz Suliman; Nazeer A I Chopdat; Sunil Philip; Reid Ally
Chris Hani Baragwanath Hospital, Johannesburg, and African Institute of Digestive Diseases, Johannesburg
BACKGROUND: In October 2010 a 45-year-old woman was referred to our hospital with a history of left upper quadrant pain and increasing swelling over the past 6 months. She denied any weight loss, night sweats or dyspeptic symptoms. She had a loss of appetite, intermittent nausea and vomiting but no diarrhoea. She had no previous medical, surgical or travel history. She denied any recent trauma, but on re-evaluation after obtaining her histology results we learned that she had been involved in a bomb explosion a few months previously while working in a laboratory. On physical examination she was found to be generally in good health. There was a mass in the left upper quadrant, with an asymmetrical abdomen.
SPECIAL INVESTIGATIONS AND MANAGEMENT: An ultrasound scan revealed a large splenic cyst, and a computed tomography scan of the abdomen a 10x15x11 cm cystic lesion within the spleen.
Routine laboratory tests including hydatid serology were negative. The patient was taken to theatre for splenectomy. The rest of the abdomen was normal. Histological examination revealed a 10x15x11 cm pseudocyst lined with fibrin and filled with fibrinous material. The remainder of the spleen measured 5x5x8 cm and contained smaller pseudocysts with fibrin. No granulomatous inflammation, neoplasia or echinococcus infection was identified.
DISCUSSION: Pseudocysts of the spleen are classified as secondary cysts, which account for 70 -80% of non-parasitic splenic cysts. They have thick collagenous walls with shaggy haemorrhagic centres containing brown/greenish-brown fluid. The risk of rupture increases with a size greater than 5 cm.
CONCLUSION: This case suggests that traumatic splenic injury should always be considered as a differential diagnosis in patients with large splenic cysts.


text:
Pertamina—Indonesia's state-owned oil and gas corporation—will have a new headquarters in Jakarta in 2020. One that looks like a smooth spaceship about to take off and generates electricity thanks to its design, created by American architects Skidmore, Owings & Merrill.
According to the firm:
The world's first supertall tower for which energy is the primary driver of design, Pertamina Energy Tower exposes the sustainable strategies at the core of its design in its simple profile yet sophisticated architectural expression. Gently tapering towards a rounded top, the tower opens up at the crown, revealing a 'wind funnel' that will take advantage of the prevailing winds and increased wind speeds at the upper floors to generate energy.
They claim that the skyscraper has been "precisely calibrated for Jakarta's proximity to the equator" and that its "curved facade will mitigate solar heat gain throughout the year," which will also reduce the energy and water demand. They also calculate that the building will generate 25 percent of the energy.
The building will also have an exterior campus with an auditorium, gardens and sheltered walkways covered with solar panels.


text:
The Hazardous Realm
The Hazardous Realm
Board index
The forum is now in read-only mode! It's only kept around for informative purposes and to prevent deadlinks!
Use e-mail to contact me instead. Any announcements would be made on my twitter account and any discussions would use some public platform instead.
Delete all board cookies
Are you sure you want to delete all cookies set by this board?
Board index
Delete all board cookies
• All times are UTC + 1 hour
Powered by
© 2000, 2002, 2005, 2007 phpBB Group