text:
A legacy of care
Check out how we help our community
Check out the yearly report
Check out our achievements
Hear directly from our patients
Help our community
Find where you need to go
Get in the know
Plan a visit
Send a card or a gift to a patient
Helping ease kids' nerves & worries
Private room care
Caring for newborns to teens
Helping children manage diabetes
See All Classes & Events »
Free class for first time parents
Helping siblings learn the adjustment
Teaching car seat safety
Resources for protecting our kids
Teaching kids healthy habits
Teaching kids about fire
Informed kids are safer kids
Education leading to prevention
Beyond the hospital walls
Health information for parents
Health information for kids
Health information for teens
Resources for providers
An assortment of educational resources
Info to keep kids safe & healthy
Backpacks come in all sizes, colors, fabrics, and shapes and help kids of all ages express their own personal sense of style. And when used properly, they're incredibly handy.
Many packs feature multiple compartments that help students stay organized while they tote their books and papers from home to school and back again. Compared with shoulder bags, messenger bags, or purses, backpacks are better because the strongest muscles in the body — the back and the abdominal muscles — support the weight of the packs.
When worn correctly, the weight in a backpack is evenly distributed across the body, and shoulder and neck injuries are less common than if someone carried a briefcase or purse.
As practical as backpacks are, though, they can strain muscles and joints and may cause back pain if they're too heavy or are used incorrectly. Here's how to help kids find the right backpack.
Although many factors can lead to back pain — increased participation in sports or exercise, poor posture while sitting, and long periods of inactivity — some kids have backaches because they're lugging around their entire locker's worth of books, school supplies, and assorted personal items all day long. But most doctors and physical therapists recommend that kids carry no more than 10% to 15% of their body weight in their packs.
To know how heavy backpacks can affect a kid's body, it helps to understand how the back works. The spine is made of 33 bones called vertebrae, and between the vertebrae are discs that act as natural shock absorbers.
When a heavy weight, such as a backpack filled with books, is incorrectly placed on the shoulders, the weight's force can pull a child backward. To compensate, a child may bend forward at the hips or arch the back, which can cause the spine to compress unnaturally. The heavy weight might cause some kids to develop shoulder, neck, and back pain.
Kids who wear their backpacks over just one shoulder — as many do, because they think it looks better or just feels easier — may end up leaning to one side to offset the extra weight. They might develop lower and upper back pain and strain their shoulders and neck.
Improper backpack use can also lead to poor posture. Girls and younger kids may be especially at risk for backpack-related injuries because they're smaller and may carry loads that are heavier in proportion to their body weight.
Also, backpacks with tight, narrow straps that dig into the shoulders can interfere with circulation and nerves. These types of straps can contribute to tingling, numbness, and weakness in the arms and hands.
And bulky or heavy backpacks don't just cause back injuries. Other safety issues to consider:
Despite their potential problems, backpacks are an excellent tool for kids when used properly. But before you buy that trendy new backpack your kid or teen has been begging you for, consider the backpack's construction.
The American Academy of Pediatrics (AAP) recommends that parents look for the following when choosing the right backpack:
Although packs on wheels (which look like small, overhead luggage bags) may be good options for students who have to lug around really heavy loads, they're extremely difficult to pull up stairs and to roll through snow. Check with the school before buying a rolling pack; many schools don't allow them because they can pose a tripping hazard in the hallways.
To help kids prevent injury when using a backpack:
A lot of the responsibility for packing lightly — and safely — rests with kids:
Involving other parents and your child's school in solving students' backpack burdens might help to lessen kids' loads. Some ways the school can get involved include:
You may need to adjust kids' backpacks and/or reduce how much they carry if they:
If your child has back pain or numbness or weakness in the arms or legs, talk to your doctor or physical therapist.
Reviewed by: Steven Dowshen, MD Date reviewed: August 2013


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This delightful wrap is filled with flavor, color and texture. Sweet crab and crunchy vegetables are folded into flour tortillas. A vinegar and oil drizzle adds some zip.
1. In a large mixing bowl, combine 1 cup peppers, lettuce, cilantro and onion with seafood seasoning, oil and vinegar.
2. Lightly fluff crab meat into salad mix so as to not break up the lumps of meat.
3. Fill tortillas or lavish shell with crab mixture and roll closed. Cut each in half and stand on ends to display on plate. Sprinkle remaining diced peppers over plate as a garnish.

subset: commoncrawl


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New York Times The Complete Front Pages 1851-2009 (Hardcover) Book
Price: $60.00
- Standard Shipping: 12/16, 12 pm ET
- 1-2 Business Days: 12/20, 12 pm ET
- Next Business Day: 12/23, 12 pm ET
To Order by Phone Call 1-800-933-6249
The book and three accompanying DVDs contain new front pages through May 2009. The nearly 55,000 pages in the book and DVDs date back to 1851 and provide the reader an unprecedented opportunity to experience the news as it was being reported.
Essays by Jill Abramson, Richard Bernstein, Ethan Bronner, Roger Cohen, Gail Collins, Helene Cooper, Thomas L. Friedman, William Grimes, Caryn James, Gina Kolata, Paul Krugman, David Leonhardt, Steve Lohr, Frank Rich, Carla Anne Robbins, Gene Roberts, William Safire, Serge Schmemann, Sam Tanenhaus, and John Noble Wilford.
DVD-ROMs run on a PC (Windows 2000/XP or later) or Mac (OSX 10.4.8 or later) with Adobe 8.0 or later. Free download available on the DVD-Roms.
With the publishing of this stunning volume of the most momentous front pages of the past 150 years, accompanied by DVDs with every single Times front page ever published, a sprawling snapshot of human civilization as Americans saw it—is suddenly at our fingertips. —Ted Anthony, The Associated Press
[A] satisfyingly hefty volume…reminding you of how the experience of reading the newspaper is at once public and intimate, of the enduring, essential, all-important power of the printed word. —Francine Prose, O: The Oprah Magazine
Worth buying a coffeetable for. —Dwight Garner, The New York Times


text:
The world's most trusted source in collecting
(07-24-2011 03:05 AM)pbean Wrote: sweet hits ..... congrats bud
(07-24-2011 03:12 AM)sconnienation3 Wrote: Now that's some great blaster luck! Way to go, Mik.
(07-24-2011 03:33 AM)ripkenfan72 Wrote: Those are sweet hits Mik!!! Congrats My hubby would likey, LOL !
(07-24-2011 03:40 AM)deuce6000 Wrote: Nice! I bought a couple myself only got the game day guaranteed hit.
(07-24-2011 03:57 AM)gangstippie Wrote: Not a fan of the cowboys either, but well done on the hits!


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Wankel engine
Already around 1636, a German called Pappenheim sketched a rotary pump, which was used about 150 years later in Watt's steam engines for the first time in practice. Unfortunately the basic difficulties could not be solved at this time: The sections could not be sealed, the efficiency of these rotary engines/pumps was by far worse than in lifting piston engines. Many engineers tried in vain to solve these problems and it didn't seem possible that once an efficient rotary engine will be developped.
Felix Wankel (1902 - 1988) brought finally the turn. The German autodidact (he never completed a study) was occupied since 1924 with the rotary engines. He finally succeeded in solving to most difficult seal problems and he could also answer the question of the best shape. The German firm NSU supported Wankel a lot and 1967 the fist car using a Wankel engine, the NSU Ro 80, was produced (See biography Wankel).
Development The wankel engine was developed in the 70's by many companies, e.g. by General Motors, Daimler Benz, Peugeot and Mazda. They built altogether over one million wankel engine-operated cars.
Top � 2000 by ThinkQuest team C006011 |


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Digicel supports adopted school on Middle Caicos |
Tuesday, 21 December 2010 11:37 | |||
It is not often that the 27 students and eight staff members of the Doris Robinson Primary School on Middle Caicos receive such a special visit. On Thursday, Dec. 9, Digicel brought smiles to the faces of the students when staff members arrived with presents and goodies just in time for the school's annual Christmas concert. "Christmas is a special time of the year," said Ava-Dayne Kerr, Digicel's head of marketing. "Our children especially look forward to Christmas and the joy it brings in the form of gift giving and other festivities. As we reflect on the year and the season, Digicel wants to ensure that Christmas is always bright for the students of our adopted school, Doris Robinson Primary." Principal Keisha Mills expressed her appreciation to Digicel, noting the telecommunication company's continued involvement in the development of the school and its educational programme. "Digicel has always been there for Doris Robinson, and this year we want to let them know that we really appreciate their efforts and the Christmas cheer they have brought to our children," Mills said. Digicel adopted the only primary school on the island of Middle Caicos in 2007. They last visited the school in September to celebrate the new school year, providing each student with necessary supplies such as book bags, pencils and lunch bags. Middle Caicos is also apart of Digicel's Community Christmas campaign, where your text could win $30,000 for the Doris Robinson Community Park. Digicel has selected 12 community projects that span all the major islands in the Turks and Caicos Islands, and one will receive the prize of $30,000. Customers are encouraged to log on to the Digicel TCI Facebook page at www.facebook.com/digiceltci to learn more about the projects that are eligible for votes. The project which receives the most votes will walk away with the $30,000. Votes should be sent to short code 5050. Each vote costs 50 cents.
Related Articles
Latest Local News
Tourist Board expands adding two new staff members The Turks and Caicos Tourist Board announced this week it welcomed two new staff members to further More... |
Cruise terminal to open April 8 Beginning Monday, April 8, thousands of cruise ship passengers will again begin to enjoy the More... |
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text:
You're watching...
Link between feelings of loneliness and dementia?
Dr. Ablow weighs in on new study
Dec 13, 2012
You're watching...
Dr. Ablow weighs in on new study
Dec 13, 2012
Also in this playlist...
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There's a fascinating new study out on dementia and who is more likely to develop memory loss.
A Dutch study finds that older adults who feel lonely regardless of how many friends and family surround them.
Are more likely to experience memory problems and other symptoms of dementia.
Let's bring in psychiatrist doctor -- -- a member of the Fox News medical -- team.
We have to distinguish first of all between being alone and feelings of loneliness these -- people who said they felt lonely.
And they are what 64%.
More likely to develop dementia according to this study.
You know you got to take a fine tooth comb to this study.
This study does say after looking at a couple thousand people in the Netherlands over 65 who didn't have full blown dementia by any means when the study started.
That there's a 64% higher risk for those who say I feel lonely at the beginning of the study even.
If they're living with their families the feeling of loneliness seem to be associated with them later years later developing dementia.
The trouble is the participants in the state that the people we structured this admit we don't know whether these feelings were an early sign of dementia.
So we don't know whether loneliness causes dementia or is early dementia.
Defined by loneliness right -- feelings of loneliness because people who are experiencing dementia might be embarrassed at forgetting names or forgetting birthdays that sort of thing they might limit their social contacts.
And start feeling lonely as a result.
Or or they might just feel lonely they may they may be a little depressed for instance and say you know people don't seem to like me I feel quite isolated.
But is that depression is that dementia is it really that being lonely -- feeling lonely is what causes dementia this study doesn't establish that.
But it does -- at the possibility.
That feeling lonely could deprive people of well being and even memory and even.
Be associated with dementia that argues for of tools like for instance Skype.
Can Skype help these people can online forums help them.
We should certainly learn from this to be much more involved if we can be with our loved ones because those who feel lonely may -- at an increased risk for demand.
Should I have seen it in my own family and it is the saddest thing when a person who is otherwise perfectly healthy simply doesn't have the mind that they use to.
Some quick tips on how all people can prevent help prevent.
Dementia if possible.
Well look at I think number one think about it Skype's a pretty easy technology.
You can reach out to loved ones and your family via Skype it is.
And driven it does engage people secondly pats I think -- -- way under utilized nineteen people's lives transformed by a dog or cat.
Thirdly there's so much expertise in older folks right now people trying to start businesses in the rest.
Reach out to somebody and say look you know what we can't even pay you but if you will -- come -- and advise us on our start -- we'd love to see you there and hour week that's a new life for some of these people.
Great advice doctor -- tableau thanks very much.
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December 06, 2013
Job Offer: ACOnet/VIX
The ACOnet & Vienna Internet eXchange team is looking for a software engineer, with focus on maintenance and further development of our administrative tools (customer database, network and system monitoring, portal applications)
November 28, 2013
RIPE Atlas
Please find a new article, contributed by Daniel Karrenberg, on RIPE Labs: RIPE Atlas Fun - Map a RIPE Atlas Anchor
October 22, 2013
TERENA Networking Conference 2014
ACOnet supports the active Austrian attendance at the "TERENA Networking Conference 2014" with the theme "Networking With The World".
August 20, 2013
New issue of the GÉANT CONNECT magazine available!
Highlight: "Faster Science! Europes New Terabit Network"
July 23, 2013
next layer - New Internet Upstream Provider
With next layer, ACOnet has a second Internet Upstream Provider besides Level3. Benefits are redundancy and a better accessibility of german content because of next layers presence at SWISS-IX and DE-CIX.


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Contact: Huw Thomas, Managing Director
Nishi Shinbashi 2-7-4, CJ Bldg. 7F, Minato-ku, Tokyo 105-0003
Phone: +81-3-5579-9290
Fax: +81-3-5579-9291
Email: huw.thomas@ intralink-jp.com
Web: http://www.intralink.biz
Intralink has successfully been developing and implementing strategies for Japan, China, Taiwan and Korea for over 20 years. Through our Surrogate Sales Program™, we provide companies with a low risk, cost effective and practical means to target these markets, generate new and incremental revenues, and establish a permanent presence through a local subsidiary, acquisition or partnership.
In addition to our Surrogate Sales Program™, we provide a range of pre- and post-market entry services, including opportunity assessments, partner searches, supplier benchmarks, investment coordination, local representation and commercial audits. We also work with clients to source capital from strategic and financial investors in Asia, and to buy, sell and license intellectual property.
Our clients are venture-backed start-ups, small and medium-sized enterprises, and multinational corporations operating in the automotive, chemicals, clean energy, consumer electronics, healthcare, retail, semiconductor, telecommunications and other sectors. Through our international team of locally-employed, bilingual project managers based in Tokyo, Shanghai, Taipei and Seoul, we offer a transparent and hands-on approach, extensive in-country contacts, and over 20 years of experience.
Contact: Yunoshin Mitsumata, Integrated Language and Business Advisor
29th fl., Osaka Ekimae Dai 3 bldg., 1-1-3 Umeda, Kita-ku, Osaka City, Japan 530-0001
Phone: +81-6-6455-7770
Fax: +81-6-6455-7720
Email: info@ willway-go.jp
Web: http://www.willway-go.jp/english/index.html
Will Way, Inc. (established in 1984 in Osaka, Japan) is a global business support center specializing in language related and international business services.
Will Way, Inc. can provide high quality and professional services (for more than one hundred languages) as follows:
1. Translation, proofreading, rewriting, editing, recording, etc.
2. Interpretation (in Japanese locations as well as international locations), bilingual personnel services, market studies and surveys, etc.
3. Various business assistance, support, and consulting services upon your request, etc.
4. Japanese, Korean, Chinese and other language training for management and staff members at the affiliated Will Way, Inc. Foreign Language School (since 1984).
5. As your CONCIERGE, we can make arrangements to make sure you have a comfortable time when you visit Japan and other Asian countries as well.
Will Way, Inc. can provide native speaking, bilingual interpreters and translators, to assist you in your business endeavors during your visits to Japan and other Asian countries, such as Thailand, Vietnam, China, Korea, Indonesia, Malaysia, Cambodia, Myanmar, and so on.
We look forward to meeting you and contributing to your successful global business, not only here in Japan, but in other Asian countries as well.


text: Your customers are more autonomous than ever. But technological and economic challenges continue to influence how your contact center addresses their needs. You need to deliver a positive experience without sacrificing profitability—which requires balancing the needs of your customers with the realities of your business. Avaya has previously outlined what today's consumers think about contact centers in our chapters from the Contact Center Consumer Preference Study. This eBook builds on those insights and elevates that conversation.


text: Stuff NoveltiesBy Ben Wojdyla PO Edit141L Rodem M-1: Japanese Wheelchair Of The FutureA wheelchair? On Jalopnik? Yes, because not only do we all get old and still have a need for some sweet wheels, but the Rodem M-1 has a cleaner front end than anything currently in the Acura lineup. Read… 9/02/09 4:00pm 9/02/09 4:00pmHoveround-Bound Obese Woman Takes Trip To BK Drive-Thru


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The free conference: Empowering Yourself:Updates on BRCA
November 16 from 1-4:30 PM,at the Omni Severin Hotel, Indianpaolis
Click here to view Empower Brochure
The St.Vincent Hospital Cancer Genetics Team includes board-certified and specially trained genetic counselors who assess family cancer risk and provide clinically relevant information in a supportive environment. Our genetic counselors work within a multi-disciplinary cancer care team. Additionally, they provide genetics consultation and collaboration for smaller St.Vincent Health community hospitals to allow patients to remain within their community and receive local care.
Everyone has a risk of developing cancer, which increases with age. Most individuals who develop cancer do not have a family history. If you have a family member with cancer, your risk for cancer may be increased. It is very important to be familiar with your family and personal health history.
Cancer may be caused by abnormal gene changes known as mutations. Mutations accumulate over time, leading to sporadic cancer. Sometimes environmental factors influence the accumulation of mutations. In a small percentage of families, a gene mutation can be passed on from generation to generation. Inherited mutations may predispose those who are carriers to develop particular types of cancer. Not everyone with an inherited mutation will develop cancer, although the risks are increased.
The Cancer Genetics Risk Assessment Program at St.Vincent Cancer Care offers genetic counseling and, in some cases, genetic testing to assess your risk for hereditary cancer. This process is intended to answer your questions and concerns about cancer risks and provide information regarding the risk to you and your close relatives.
If you or a close relative has had:
Contact Us
More than 75 people, ages 2 to 90, contributed to the Cancer Center's first mosaic. The Women of Hope, who raise money for cancer patients at St.Vincent, funded this mosaic and will support more mosaics to be created for the inpatient and outpatient cancer treatment areas. Artist-in-Resident Joani Rothenberg oversees the creations.About the Cancer Center mosaic…


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Really very good location, just one step from the busy Gediminas str. Good facilities, tasty breakfast, beautiful rooms. Staff is helpful but could be more friendly with guests. Would recommend to everybody.
- Also Known As:
- Ratonda Centrum Hotel
- Ratonda Centrum Vilnius
- Official Description (provided by the hotel):
- Welcome to "Ratonda Centrum Hotels" – Welcome home!A cozy, four-star, family-run luxury hotel Ratonda Centrum Hotels, which is situated in the heart of Vilnius' next to Gedimino Avenue, will help you to relax and make you feel as if you were at home. We offer you extremely clean and cozy rooms with comfortable furniture. Beautifully decorated walls with works of art create a stunning atmosphere in our hotel. After a sweet sleep, a rich breakfast buffet awaits you in the hotel restaurant. You are welcome to enjoy sauna and fitness room which can be used free of charge in the mornings. To meet your business needs, Ratonda Centrum Hotels has two conference halls with modern equipment.Special occasions, dinners, private celebrations and official receptions can also be held in our restaurant – "Liberta", which can seat up to 63 people.We wish you a pleasant stay! ... more less
- Reservation Options:
- TripAdvisor is proud to partner with Booking.com, Expedia, Hotels.com, Priceline, Travelocity, Olotels, Asiatravel.com Holdings, Otel, Fareportal and Tingo so you can book your Ratonda Centrum Hotels reservations with confidence. We help millions of travellers each month to find the perfect hotel for both holiday and business trips, always with the best discounts and special offers.


text:
Please enter your travel dates.
Standard Room, 2 Queen Beds - Book Now Save 25 Percent
Standard Room, 1 King Bed - Book Now Save 25 Percent
Efficiency, Standard Room, 2 Queen Beds - Book Now Save 25 Percent
Standard Room, 1 King Bed with Sofabed - Book Now Save 25 Percent
Logan motel with a complimentary breakfast
Situated in the city center, this motel is close to Willow Park, Logan Utah Temple, and Utah State University. Local attractions also include Logan Canyon.
Property Features
In addition to wireless Internet access (surcharge), Travelodge Logan UT provides laundry facilities, a computer station, and free parking.
Room Amenities
Guestrooms have complimentary wireless Internet access, air conditioning, and hair dryers; rooms also include electronic/magnetic keys and wake-up calls.
Hotel Amenities
- General
A complimentary breakfast is offered. A computer station is located on site and high-speed wireless Internet access is available for a surcharge. This Logan motel also offers tour/ticket assistance, laundry facilities, and self parking. Complimentary parking is available on site.
- Laundry facilities
- Free breakfast
- Tours/ticket assistance
- Wireless Internet access - surcharge
- Computer station
- Free RV, bus, truck parking
- 24-hour front desk
- Air-conditioned public areas
- Number of floors - 2
- Business services
- Free parking
- Self parking
- Internet
Available in all rooms: Free Wi-Fi
Available in some public areas: Wireless Internet access - surcharge
- Parking
Free parking, Self parking, Free RV, bus, truck parking
- Room Amenities
- Air conditioning
- Wake-up calls
- Hair dryer
- Electronic/magnetic keys
- Free Wi-Fi
- Dining
Guests are offered a complimentary continental breakfast.
- Recreation
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
Policies & Fees
- Payment types
Accepted at this hotel: American Express, Carte Blanche, Discover, JCB International, MasterCard, Visa
- Pets
Pets allowed
- General
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- Fees
- The following fees and deposits are charged by the property at time of service, check-in, or check-out.
- Pet fee: USD 10 per pet, per night
The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.


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Home > Where We Work > Middle East and North Africa > North Africa > Egypt
2013 UNHCR country operations profile - Egypt
Working environment
The context
Egypt continues to be both a transit country, as well as one that receives refugees. While it is signatory to the 1951 Refugee Convention and its 1967 Protocol, domestic asylum procedures have yet to be developed. Meanwhile, UNHCR continues to carry out registration and refugee status determination processes (RSD).
In 2011-2012, UNHCR saw an increase in the registration of new asylum-seekers in Egypt, especially from Sudan and South Sudan. Accelerated RSD procedures were put in place for Sudanese asylum-seekers from Darfur, and the Office began individual RSD interviews for asylum-seekers from South Kordofan and Blue Nile State.
The deteriorating situation in the Syrian Arab Republic also increased the number of Syrians approaching UNHCR for registration. To date, close to 5,000 Syrians have been registered, although many more are reported to have arrived in Egypt.
More than 1,700 people of concern who fled the conflict in Libya in 2011 and are awaiting durable solutions remain at Saloum, at the Egypt-Libya border. UNHCR is providing them with food and essential services, as well as carrying out registration, conducting RSD and making referrals for resettlement. In early 2012, UNHCR was authorized by the Egyptian Government to set up a camp within the port area of Saloum where adequate shelter and basic services could be provided.
The needs
The detention of those moving irregularly, including asylum-seekers, has increased, with access to unregistered asylum-seekers remaining very limited. This increase is adding to the workload of UNHCR staff conducting protection assessment interviews, and putting a strain on financial resources for the provision of legal aid.
The irregular movement of people into Israel continued in 2012, with a new pattern of victims escaping traffickers, reaching Cairo and seeking asylum. Since January 2012, UNHCR has registered some 70 victims of trafficking and provided them with specialized protection and assistance. Should this trend continue, additional human and financial resources will be needed to address the problem.
In 2013, UNHCR will reduce the number of people receiving financial assistance due to budgetary limitations. This may add to the protection risks of people of concern who have to resort to other means of providing for their families.
UNHCR 2013 planning figures for Egypt | |||||
Total | 56,700 | 56,700 | 77,890 | 77,890 | |
Refugees | Iraq | 8,000 | 8,000 | 8,170 | 8,170 |
Somalia | 7,500 | 7,500 | 8,080 | 8,080 | |
Sudan | 11,500 | 11,500 | 14,000 | 14,000 | |
Various | 2,400 | 2,400 | 3,140 | 3,140 | |
Asylum-seekers | Somalia | 1,500 | 1,500 | 1,700 | 1,700 |
Sudan | 12,500 | 12,500 | 10,500 | 10,500 | |
Syrian Arab Rep. | 10,000 | 10,000 | 28,000 | 28,000 | |
Various | 3,300 | 3,300 | 4,300 | 4,300 |
Main objectives and targets for 2013
Favourable protection environment
Access to legal assistance and remedies is improved.
Some 200 people of concern receive legal assistance.
Around 400 government officials are trained to raise awareness on legal issues.
The public attitude towards persons of concern is improved.
Some 20 interviews with the media are conducted to raise awareness of the plight of the displaced.
A training session on UNHCR's work in Egypt and refugee issues is provided for media representatives.
Fair protection processes and documentation
The quality of registration and profiling is improved or maintained.
Some 6,000 individuals are registered with a minimum set of required data.
Access to and quality of RSD procedures is improved.
UNHCR RSD procedure is implemented smoothly; staffing capacity is strengthened to process the increase in cases.
Civil registration and civil-status documentation programmes are strengthened.
Some 550 children are registered and issued documentation under regular birth registration procedures.
Security from violence and exploitation
The risk of sexual and gender-based violence (SGBV) is reduced and the quality of the response to it is improved.
Victim/survivor referral mechanisms are established and sustained.
Some 30 survivors or victims' families receive legal assistance.
Safe houses are arranged.
Around 120 people are counselled.
The protection of children is strengthened.
Some 300 unaccompanied and separated minors benefit from alternate-care arrangements.
Around 200 adolescents participate in targeted programmes.
Some 120 Best Interest Determination interviews are conducted.
A UNHCR child-protection focal point is appointed.
Basic needs and essential services
The population of concern has optimal access to reproductive health and HIV services.
Voluntary counselling and testing are provided free of charge.
Access to free maternal and new-born services is assured.
Some 100 persons receive treatment for opportunistic infections and 25 receive anti-retroviral therapy.
The health of the population of concern improves or remains stable.
Access to primary health care facilities is ensured.
Some 1,200 people are referred to specialist medical services.
Access to essential drugs is provided.
Optimal access to education is provided for the population of concern.
Some 5,000 children are enrolled in primary education.
Around 3,000 students are enrolled in secondary education.
Some 350 teachers are trained.
Around 880 children attend pre-school day care.
Durable solutions
The potential for voluntary return is realized.
Some 1,200 people receive cash grants to assist with return.
Near 1,200 people are provided with safe and dignified returnee transport.
The potential for resettlement is realized.
Some 200 cases, including women and girls at risk, are identified for resettlement.
Near 2,000 resettlement submissions are made.
Strategy and activities in 2013
Advocacy for more protection space and access to basic social services for refugees remain priorities, along with the search for durable solutions. As Cairo is a pilot city for UNHCR's policy on refugee protection and solutions in urban areas, refugees will benefit from new strategies for health care and education. In 2013, UNHCR will focus on self-reliance, social services, psychosocial support for vulnerable refugees and community mobilization. It will also deploy mobile registration teams in Alexandria. In addition, UNHCR will work on voluntary repatriation and resettlement to maximize opportunities for durable solutions.
In collaboration with its partners, UNHCR will continue its work to reduce the risk of SGBV and improve the quality of its response. In 2011 and 2012, inter-agency coordination was strengthened and the intake and assessment form was revised.
The referral network that provides SGBV survivors and victims of trafficking with safe houses, health and legal services, livelihoods and psychosocial and financial support, was expanded.
UNHCR expects to remain in Saloum to assist those of concern pending their resettlement or the implementation of other durable solutions in 2013.
The protection space in Egypt remains limited. Prospects for voluntary repatriation remain uncertain for most refugees, while resettlement opportunities are a durable solution for only a minority.
For most people of concern in Saloum, however, resettlement continues to be the only solution. UNHCR will work with IOM on voluntary return programmes for rejected asylum-seekers.
The promotion of self-reliance in Egypt's urban refugee situation is hampered by the lack of a legal asylum framework, high unemployment and limited opportunities for refugees in the informal sector.
Organization and implementation
In 2013, UNHCR will work closely with the Refugee Affairs Department of the Ministry of Foreign Affairs and the Ministry of the Interior. Partnerships with international and national NGOs will continue alongside efforts to diversify the range of local partners, especially with respect to the livelihoods/self-reliance sector. UNHCR will expand cooperation with the main universities in Cairo, other UN agencies, the League of Arab States and the Arab Parliament.
Financial information
The budget for Egypt has gone down from USD 24.7 million in 2012 to USD 23.4 million in 2013.
Source: UNHCR Global Appeal 2013 Update
UNHCR contact information
The UNHCR Representation in Egypt | |||||||||||||||
Style of Address | The UNHCR Regional Representative in Egypt | ||||||||||||||
Street Address | UNHCR 17th Mekka El Mokrama Street 3rd proximity , 7th District . Behind 6th of October Club . 6 October City - Egypt |
Mailing Address | UNHCR 17th Mekka El Mokrama Street 3rd proximity , 7th District . Behind 6th of October Club . 6 October City - Egypt |
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Andrew Zimmern's Hometown
Andrew Zimmern's Hometown
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Brian Burke writes: So, The Boston Globe, which has been continuously wringing its editorial hands over the loss of Republican moderates on Capitol Hill for more than a decade, has endorsed one of the most liberal senatorial candidates this year over one of the most moderate Republican senators. Why am I not surprised?
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In (some) defense of Doug Schoen
For those who missed it last week, Doug Schoen released a fascinating poll consisting of in-person interviews of n=200 Occupy Wall Street protesters. The topline report can be found here and is worth reading in its entirety. It provides a glimpse into some of the real lunatic fringe elements that are part of (but not the whole of) the Occupy Wall Street protests. That "part | Read More »


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Related Topics
Nasogastric Intubation and Feeding (Encyclopedia of Nursing & Allied Health)
Nasogastric intubation refers to the process of placing a soft plastic nasogastric (NG) tube through a patient's nostril, past the pharynx and down the esophagus into a patient's stomach.
Nasogastric tubes are inserted to deliver substances directly into the stomach, remove substances from the stomach or as a means of testing stomach function or contents.
The most common purpose for inserting a nasogastric tube is to deliver tube feedings to a patient when they are unable to eat. Patients who may need a NG tube for feedings include: premature babies, patients in a coma, patients who have had neck or facial surgery or patients on mechanical ventilation. Other substances that are delivered through a NG tube may include ice water to stop bleeding in the stomach or medications to neutralize swallowed poisons.
Another purpose for inserting a nasogastric tube is to remove substances from the stomach. A NG tube is used to empty the stomach when accidental poisoning or drug overdose has occurred. A NG tube is used to remove air that accumulates in the stomach during cardiopulmonary resuscitation (CPR). It is used to remove stomach contents after major trauma or surgery to prevent aspiration of the stomach contents. Placing a NG helps prevent nausea and vomiting by removing stomach contents and preventing distention of the stomach when a patient has a bleeding ulcer, bowel obstruction or other gastrointestinal diseases.
A NG tube may be inserted to take samples of stomach contents for laboratory studies and to test for pressure or motor activity of the gastrointestinal tract.
Do not use force when inserting a NG tube. If resistance occurs, rotate and retract the tube slightly and try again. Forcing the tube can cause traumatic injury to the tissue of the nose, throat or esophagus.
Always check the tube positioning before giving feedings. If the tube is out of place the patient may aspirate the feeding solution into the lungs.
Keep the patient in an upright or semi-upright sitting position when delivering a tube feeding to enhance peristalsis and avoid regurgitation of the feeding.
Check patients who are receiving continuous feedings via a pump or gravity hourly or according to the medical settings policy, to assure that the tube is in position, the formula is flowing at the correct rate and the patient is comfortable with no signs of distention or distress.
Cap or clamp off the NG tube when not in use to prevent backflow of stomach contents or accumulation of air in the stomach.
If a patient has severe sinus conditions, nasal obstruction or has had facial surgery, it may be necessary to place a oral-gastric tube to avoid further nasal trauma.
If the amount of gastric aspirate is large prior to a bolus or intermittent feeding, notify the physician and follow the protocol of the medical setting for re-instilling the gastric aspirate. The feeding size may need to be decreased if the patient is not digesting it.
NG tube placement is meant to be a short-term solution for feeding problems. Patients that require long term tube feeding should have surgical placement of a gastrostomy tube or gastrostomy button. Long-term NG tube usage can cause nasal erosion, sinusitis, esophagitis, gastric ulceration, esophageal-tracheal fistula formation, oral infections and respiratory infections.
To insert a nasogastric tube, have the patient tilt his head slightly back and gently ease the lubricated tubing into the nares. As the tube rounds the bend into the throat, have the patient tilt his head forward into a neutral upright position, hold his breath and swallow. Gently rotate the tubing 180 degrees to redirect the curve of the tube. Ease the tubing down the throat past the closed epiglottis. Gravity and swallowing will help move the tube down the esophagus as you gently continue to advance the tube. The patient can assist by swallowing and can even take sips of water to help move the tubing down into the stomach. Advance the tubing until you reach the marker tape that you applied when measuring the distance to the patient's stomach. Secure the tubing with tape and check the tubing for placement. If the patient gags during the procedure, stop advancing the tube and allow the patient to rest. If the tubing comes out of the mouth, retract the tubing and try again. If the patient is unconscious, advance the tube between respirations to avoid placing the tube into the trachea. If the patient becomes cyanotic, coughs or displays any signs of respiratory distress, remove the tubing, allow the patient to rest and begin again.
Once the NG tube is inserted, there are several methods for checking tube placement. Ask the patient to talk. If the patient cannot make sound, the tube has passed through the vocal cords and into the trachea. Remove the tube and start again. If the patient can talk, use a flashlight to look into the patient's mouth to view the tubing. It should appear straight in the back of the throat with no coiling into the mouth. Next, connect a 30 or 60cc catheter tip syringe to the end of the NG tube and aspirate to see if stomach contents return into the tubing. Stomach aspirate is often clear or yellow appearing but this depends upon what is in the patient's stomach. Stomach aspirate has a pH of 1-4 and an effective way to establish that the tube is in the stomach is to check the pH of the aspirate. Methods for checking tube placement, however, vary according to the medical setting. Follow the medical setting policy for checking tube placement. Another, more traditional method for checking tube placement is to draw 10-20 cc of air into the syringe, place the stethoscope over the patient's stomach and quickly inject the bolus of air into the stomach. A whooshing sound should be audible through the stethoscope over the stomach if the tube is in the stomach. If the tube is in the esophagus or trachea, the air sounds will be absent or muffled. The most accurate way to check for tube placement is an x ray of the abdomen. The NG tube is radiographic and will show up clearly on the x ray. A chest x ray is rarely done for NG tube placement because of the cost, but if performed for other purposes the radiologist will usually note the positioning of the NG tube on the report.
Position the patient in bed with the head of the bed elevated 45-90 degrees and place a towel across the chest up to the patient's neck. Explain the nasal intubation procedure to the patient. Let them know that by holding their breath as the tube is passed through the pharynx, they will close off the airway and that if they swallow when instructed, it will help move the tubing down the esophagus into the stomach. Have the patient blow their nose to clear out the nasal passages and remove dentures if they have them. Question the patient about whether they have had sinus problems, nasal problems such as nosebleeds or nasal surgery in the past. Consult with the physician if the patient has a history of nasal problems. Select a nostril to use for intubation. Assemble the equipment needed, including a nasogastric tube, flash light, emesis basin, tissues, 30cc-60cc catheter tip syringe and irrigation set, a glass of water, water-soluble lubricant, clear plastic tape, a transparent dressing, stethoscope and gloves. Obtain a suction apparatus and connection tubing if the NG tube is to be used for suctioning the stomach. Prepare a piece of 1-inch tape that is cut horizontally half way through the piece of tape to make two tails. The uncut end will be placed along the patient's nose and the tails wrapped around the tube in opposite directions to secure the tube to the nose after insertion. Develop a hand signal with the patient so that they can ask to stop the procedure to let them rest if they are in distress during the procedure.
NG tubes are available in a variety of types, lengths and sizes. Large-bore tubes (some with a second lumen) are used for suctioning stomach contents. Small-bore tubing is used for feedings. Select the tube appropriate to the patient's size and the purpose for which the tube is being inserted. Wash the hands and put on gloves. Remove the tube from the packaging and uncoil it. Examine the tubing for flaws. Run some water through the tubing to check for leaks. To find the distance to the patient's stomach, use the tube to measure from the tip of the patient's nose back to the ear and then down to the tip of the sternum. Mark this place on the tube using a small piece of tape. Moisten the tip and first few inches of the tubing with water-soluble lubricant and lay it back into the packaging.
After correct positioning of the NG tube has been established, secure the NG tube to the nose with a second piece of plastic tape or use a transparent dressing to hold the tubing to the nose. The intent is to secure the tube so that it will not slip in or out, the method of securing the tube may vary according to the size of the patient, their type of skin and the amount of perspiration on the nose. Securing the other end of the NG tube to the patient's gown with a looped rubber band and safety pin can prevent accidental pulling on the NG tube as the patient moves around. The end of the NG tube should be plugged or clamped when not connected to suction or in use for feedings. Ongoing care of the patient with a NG tube includes encouraging good mouth care and cleansing the nares routinely. Change the tape position daily and examine the tissue around the nose and under the tape for signs of irritation or breakdown. Keep the head of the bed elevated 30 degrees at all times to decrease gastric reflux. Place the head of the bed 30-45 degrees during tube feedings and for 30-60 minutes after intermittent tube feedings if the patient can tolerate this position.
When a NG tube is used to administer tube feedings, they may be given by gravity or by pump. Tube feedings may also be given either intermittently or continuously. The physician will calculate the patient's nutritional needs within a 24-hour period and order the solution, frequency and rate of flow. Tube feedings are supplemented liquid nutrition and may be prepared by the dietary department in a medical setting or provided in prepared cans of formula (such as Ensure) that are manufactured for this purpose. There are a large number of formulas to select from according to the patient's nutritional needs. Be certain that the formula used for tube feeding exactly matches the physician's orders.
Intermittent tube feedings may be given using a large catheter tip syringe or a feeding bag. Check the position of the NG tube according to the policy of the medical center. Aspirate the stomach contents for residual formula from the last feeding. If the residual exceeds 100 cc for an adult, hold the feeding and notify the physician. Re-instill the gastric aspirate according to the policy of the medical center or the physician's order. Review the physician's order and select the appropriate type and amount of feeding. Be sure that the patient remains in an upright position during the feeding. Shake prepared formulas before administering them. Formulas that have been refrigerated should be allowed to warm up to room temperature before administering them. To give the feeding using a syringe, remove the barrel from the syringe. Open the end of the NG tube and connect it to the end of the syringe. Pour the feeding into the wide end of the syringe and hold or secure the syringe to the bed or an IV pole just above the patient's head so that it will flow in slowly by gravity over 15-30 minutes. If more feeding is needed than can be held in the syringe, watch the syringe and refill the syringe until the feeding is complete. When the feeding is complete, rinse the tube with 30 cc of water. Disconnect and recap the end of the NG tube and rinse the syringe according to the medical setting's policy. To give an intermittent feeding using a feeding bag, pour the correct feeding amount into the bag and through the tubing connected to the bag down to the tip of the tubing. Clamp the tubing using the roller clamp apparatus. Hang the bag on an IV pole just above the patient's head. Open the NG tube and connect it to the feeding bag tubing. Open the feeding bag roller clamp apparatus and adjust the flow rate to run the feeding in over the prescribed amount of time (usually 15-30 minutes). When the feeding is complete, purge the line by putting 30 cc of water into the bag and allowing it to flow in wide open. Clamp and disconnect the feeding bag tubing. Recap the NG tube. Rinse and reuse the feeding bag according to the medical center's policy. Feeding bags and syringes are usually replaced every 24 hours to prevent bacterial contamination.
Continuous tube feedings are given using a feeding bag with connected tubing and an automatic food pump to deliver the feeding at a specific rate of flow. Patients receiving continuous tube feedings should be kept in an upright position of 30-45 degrees to prevent reflux of formula. The feeding bag is filled with formula solution for no more than four hours and the pump is set at the flow rate that the physician has ordered. Check the NG tube for correct placement every four hours and aspirate the NG tube to check for formula residual. If the residual is1.5 times greater than the amount administered each hour, notify the physician. Re-instill the residual by gravity using a syringe and flush the line with 30-60 cc of water. Refill the formula bag for the next four hours. Observe the patient hourly to be sure that the patient is in no distress, the patient's abdomen is not distended, the formula is flowing at the correct rate and that the tubing connections are secure. Refill the bag as necessary or every four hours. The feeding bag and tubing should be changed according to the medical setting's policy, usually every 24 hours to prevent bacterial contamination.
The complications of nasogastric intubation may include:
- aspiration of the stomach contents leading to asphyxia, abscess formation or aspiration pneumonia;
- trauma injury including perforation of the nasal, pharyngeal, esophageal or gastric tissue
- pulmonary hemorrhage, empyema, pneumothorax, pleural effusion or pneumonitis from a malpositioned tube
- nosebleeds
- secondary infection in the sinus, throat, esophagus or stomach
- development of a tracheal-esophageal fistula
- erosion and/or necrosis of nasal, pharyngeal, esophageal or gastric tissue
The complications of nasogastric tube feedings may include:
- obstruction of the tube
- perforation of the tube
- tube migration out of correct position
- regurgitation and aspiration of the feeding
- diarrhea
- nausea and vomiting
- abdominal distention, cramping and discomfort from too much feeding or a rate of feeding that is too rapid
- any of the complications listed above in the complications of nasogastric intubation
Empyema collection of pus in the lung cavity.
Fistula passageway or connecting duct that is abnormal and connects body cavities or tissues that should not be connected. Fistulas develop as the result of injury, disease or congenital deformity.
Gastrostomy button soft plastic apparatus with a button closure that is surgically inserted and sutured onto the surface of the abdomen. The gastrostomy button is placed in a surgical opening that leads from the stomach to the surface of the abdomen and is used for long term tube feedings in patients who cannot eat to prevent malnutrition.
Gastrostomy tube soft plastic tube that is inserted and sutured into a surgical opening that leads from the stomach to the surface of the abdomen. A gastrostomy tube is used for long term tube feedings in patients who cannot eat to prevent malnutrition.
Peristalsisuscular contractions of the gastrointestinal tract that move food, fluids and refuse in a wave-like motion through the system.
Reflux backward flow of food or fluid from the stomach into the esophagus.
Regurgitation vigorous reversed flow of the stomach contents up the esophagus and out of the mouth.
The use of a nasogastric tube for feedings can effectively prevent malnutrition in the patient who is unable to eat. A nasogastric tube is also an effective temporary measure for decompression and removal of stomach contents and free air in a variety of gastrointestinal illnesses, major trauma, or surgery.
Health care team roles
Nasogastric intubation is usually performed by a licensed nurse or physician in the medical setting. Paramedics or other emergency personnel may receive special training to insert NG tubes as appropriate in the field. Patients' families may be trained to insert or change nasogastric tubes in the home setting if a patient is discharged with a NG tube in place. It is unusual, however, to continue NG tube feedings in the home setting. Most patients who require long-term tube feedings will have a gastrostomy tube or gastrostomy button placed for feedings.
Tube feedings are usually administered by a licensed nurse in the medical setting. Non-licensed personnel may receive special training to start, stop or check tube feedings under the direction of a licensed nurse in some medical settings. Patients and patients' families may be taught by a licensed nurse to administer tube feedings in the home. Patients receiving tube feedings in the home should be monitored by visiting nurses or undergo frequent medical check-ups to assess the their responses to the feedings and the their ongoing nutritional needs.
Elliott, Noel R.N., B.S.N., C.R.N.A. "Care of the Patient Requiring a Nasogastric Tube." Nursewise Online, 1998. <http://www.nursewise.com/courses/ng_hour.htm>.
"Enteral Feeding." Chapter 20. Nutritional Problems. In Lippincott Manual of Nursing Practice. Books at Ovid Online. 2001. <http://pco.ovid.com/lrppco/>.
"Enteral Nutrition." Adult Guidelines for Parenteral and Enteral Nutrition. University of California Davis Online. February 1998. <http://wellness.ucdavis.edu/diet_exercise/nutrition/parente... >.
Hendrickson, Gail R.N., B.S. "Stomach Tube Insertion." Health Answers.com, May 2000. <http://www.healthanswers.com>.
Knies, Robert C. R.N., M.S.N., C.E.N. "Confirming Safe Placement of Nasogastric Tubes." Emergency Nursing World Online, 2001. <http://www.enw.org/Research-NGT.htm>.
"Nasal Gastric Bolus Feeding." Patient Education Program. Children's Hospital Medical Center Cincinnati Online. August 1998. <http://www.cincinnatichildrens.org/family/pep/homecare/2110/>.
"Nasogastric Feeding Tube Insertion." Patient Education Program. Children's Hospital Medical Center Cincinnati Online. August 1998. <http://www.cincinnatichildrens.org/family/pep/homecare/2010/>.
"Tube Feeding with Gravity Feeding Set." Patient Education Program. Children's Hospital Medical Center Cincinnati Online. September 1998. <http://www.cincinnatichildrens.org/family/pep/homecare/2006>.
Mary Elizabeth Martelli, R.N., B.S.
Source: Encyclopedia of Nursing & Allied Health, ©2002 Gale Cengage. All Rights Reserved. Full copyright.


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"Two-nineteen Orchid, Apartment thirty-two."
"I gathered, Sergeant Keys," came the reply, dryly.
The black car -- police light cycling atop -- pulled up to a curb behind two more officially styled vehicles of the same order. Out of the driver's side stepped a man in his late twenties; broadly built, dark-skinned, and bearing an expression of well-tempered annoyance. From the other front door came a woman approximately twenty years his senior, shorter and thinner in stature, with hair that curled and greyed smoothly out of its former orange. Her own face was as disinterested as her words a moment before.
As the two walked up to the apartment complex's primary entrance, they flashed ID to a pair of uniformed officers standing on either side of the door. The men both stood aside after a quick glance, their conversation only resuming as the door closed behind their superiors.
The Inspector paid no mind to the 'Out of Order' sign taped to a small elevator, instead moving up the stairs jauntily. On the third floor, they were met with the sight of two doors, one of which was open, had yellow tape across half-way down, and had camera clicks emanating from within.
"Thirty-two, you say?" She did not look to see her sergeant's expression, but smiled when he quipped back "It may have been thirty-one, ma'am."
"There's hope for you yet, Keys." The small woman ducked beneath the police tape, rather than lifting it. Her partner was less fortunate with his own height. While he moved into the room, the Inspector spoke up to the uniformed officer photographing the scene.
"Jones. Where is this weirdness you hinted at?"
The balding man being asked didn't take his eye from the camera's screen, but answered, "There's some right here, as a matter of fact. Look at this."
She did, and couldn't help but grimace. "Jesus. That explains the screaming." She crouched for a closer look, and pulled on a glove from her pocket. Before reaching out, she looked back to the photographer. "You got this, Jones?"
"Yeah, Liz."
The Inspector scowled at the name before picking the alien object off the floor. Her Sergeant moved closer, and she stood and turned to afford him a clearer view.
"Ma'am," he began, "how does something like that... happen?"
"I've not seen a cut like it before," she answered. "It almost looks like a sort of torture, except...."
"Too clean."
"Correct. He'd have been struggling if someone had done something like that to him. And what can cut bone that cleanly anyway? It almost looks machined, for fuck's sake. I saw his hand; that cut was just as clean."
"Will the pieces match up, d'you think?"
"The lab will know, but... it actually looks plausible, now I'm staring at the thing." She smiled grimly. "I don't think they'll be stitching it back on."
Her Sergeant's expression was pensive as he looked her in the eye. "You think he was going to do it, then?"
"Certainly gonna do something; he chloroformed her. You don't just ask someone if they have any sugar after that."
"But someone stopped him, and cut half a finger off -- down the middle, no less -- before he could manage anything."
"I don't imagine he did it to himself, Keys."
"Nor did he likely smack the rock into the back of his own head, ma'am. We should bag that and check what type it is, as well." He paused. "Why is this trail of blood next to where the finger ended up? Did someone toss it afterwords?"
"A frightening thought. Look at that wall though."
The Sergeant did as instructed, observing a splatter of blood, the left side of the stain with a strangely abrupt end, compared to the right.
"What do you make of it?"
"I don't particularly, ma'am. The head wound and the finger are the only places he bled from, the nurse told me. And the woman didn't have a scratch on her. You don't suppose it's the other fellow?"
"Quite possibly. Another for the lab. Glad he helped us finger this bastard, at least."
Sergeant Keys did his best to ignore the pun while the Inspector bagged the partial digit she'd been viewing. Before she could proceed to the wall where her partner now stood, a man with ten years on her entered the room.
"Sir," the Inspector addressed him. "What's merited your visit? In the area?"
"Wrap it up, Liz. We have people from the capital coming in. They'll want everything neatly bagged."
Everyone in the room was surprised, but only the Inspector had the rank or inclination to express as much. Annoyance with her given name was forgotten. "They're taking it from us, sir?"
"Yes," came her superior's answer, before leaving the room without anything more than a once-over.
Two minutes later, some distance away, Fenton Avery's alarm clock went off. He looked at the time, observed two hours had passed since he last saw it, and cursed under his breath. Half an hour after, he walked into a small cafe, showered and dressed, but with bags under brown eyes. He could only hope it would be a quiet work day.


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In Seattle, a Northwest Passage
He arrived unsure of what to expect—but the prolific author quickly embraced Seattle's energizing diversity
- By Charles Johnson
- Photographs by Brian Smale
- Smithsonian magazine, September 2008, Subscribe
I was hired in 1976 to teach at the University of Washington, and so made the cross-country drive to Seattle from Long Island, where I'd been a doctoral student in philosophy at the State University of New York at Stony Brook. But before leaving for a part of the country completely unknown to me (I'd never been west of the Mississippi), I mentioned to my friend and mentor, the novelist John Gardner, that my wife, newborn son and I were moving to the Pacific Northwest. I remember he paused, pushed his vanilla-colored Prince Valiant hair back from his eyes and looked as if a pleasant image had flickered suddenly through his mind. Then he said, "If my daughter ever married a black man, the first thing I'd do is ask her to move to Seattle."
Now I knew how fiercely Gardner loved his children, but at the time I was unable to unlock his meaning. The first day I set foot in this city, however, I began to glimpse what he meant. It was peopled with every sort of American I could imagine: Native Americans, whites who sprang from old Scandinavian and German stock, Chinese and Japanese, Senegalese and Eritrean, Hindu and Sikh and Jewish, gay and lesbian, and blacks whose families settled in the territory in the late 19th century. It was a liberal city remarkably similar in texture and temperament to San Francisco (both are built on seven hills, have steep streets and have burned to the ground).
Former UW president William Gerberding once referred to the Northwest as "this little civilized corner of the world," and I think he was right. The "spirit of place" (to borrow a phrase from D. H. Lawrence) is civility, or at least the desire to appear civil in public, which is saying a great deal. The people—and especially artists—in this region tend to be highly independent and tolerant. My former student and native Northwesterner David Guterson, author of the best-selling novel Snow Falling on Cedars, recently told me that the people who first journeyed this far west—so far that if they kept going they'd fall into the Pacific Ocean—came mainly to escape other people. Their descendants are respectful of the individual and of different cultural backgrounds and at the same time protect their privacy. They acknowledge tradition but don't feel bound by it. As physically far removed as they are from cultural centers in New York, Boston, Washington, D.C. and Los Angeles (the distance from those places is both physical and psychic), they are not inclined to pay much attention to fashions or the opinions of others and instead pursue their own singular visions. I'm thinking of people like Bruce Lee, Jimi Hendrix, Kurt Cobain, Ray Charles in the late 1940s; playwright August Wilson; artists such as Jacob Lawrence and George Tsutakawa; and writers such as Sherman Alexie, Octavia Butler, Timothy Egan, Theodore Roethke and his student David Wagoner (serial killer Ted Bundy once took one of his poetry workshops). Jonathan Raban, an immigrant from England, captures the ambience of this book-hungry city perfectly:
"It was something in the disposition of the landscape, the shifting lights and colours of the city. Something. It was hard to nail it, but this something was a mysterious gift that Seattle made to every immigrant who cared to see it. Wherever you came from, Seattle was queerly like home....It was an extraordinarily soft and pliant city. If you went to New York, or to Los Angeles, or even to Guntersville [Alabama], you had to fit yourself to a place whose demands were hard and explicit. You had to learn the school rules. Yet people who came to Seattle could somehow recast it in the image of home, arranging the city around themselves like so many pillows on a bed. One day you'd wake up to find things so snug and familiar that you could easily believe that you'd been born here."
In other words, this is an ideal environment for nurturing innovation, individualism and the creative spirit. (Those words are probably somewhere in the mission statement for Microsoft, which in 1997 sent me for two weeks to Thailand to write about "The Asian Sense of Beauty" and whose campus is just a 25-minute drive from my front door.) Here we find poetry in the lavish scenery right outside our windows, which dwarfs, predates and no doubt will long outlive everything we write about it. The mountains rise up to 14,000 feet above the sea. There are magnificent, rain-drenched forests, treeless desert lands, glacial lakes, some 3,000 kinds of native plants and hundreds of islands in Puget Sound: an enveloping landscape as plentiful and prolific on its enormous canvas as I suppose we as artists would like to be on our smaller ones. Thus, it has always struck me as fitting that Sea-Tac was among the first airports in America to set aside a room specifically for meditation. (After traveling through Puget Sound or visiting the waterfront in Pioneer Square, you need to sit quietly for a while and savor being so delightfully ambushed by such beauty.)
The Pacific Northwest's geographic diversity, its breathtaking scale and our Lilliputian niche in the shadow of such colossi as Beacon Rock on the Columbia River or majestic Mount Rainier humble a person's ego in the healthiest way. It reminds me of my place as one among uncountable creatures in a vast commonwealth of beings that includes the Canada lynx, bobcat, white-tailed ptarmigan and quail. It never fails to deflate my sense of self-importance. It tips me easily toward a feeling of wonder and awe at this overly rich and inherently mysterious world in which I so fortunately find myself.
If you're standing, say, on Orcas Island, you can see whales cavorting in viridian waves, and the air out there on the islands is so clear, so clean, that each breath you draw feels like some sort of blessing. This sort of Northwest experience helps me take the long view on life's ephemeral problems. Need I add that this opportunity to step away from the hectic pace and cares of city life whenever one wishes is a stimulus for art, philosophy and spiritual contemplation? And all those inward activities are enriched by the misty, meditative mood invoked by the Northwest's most talked about feature—rain—and the wet evening air that causes portions of the geography to gleam and hazes other parts, sfumato, from November through February, in an atmosphere that is a perfect externalization of the brooding inner climate of the creative imagination. As a child growing up in Illinois, I shoveled snow. Here, you might say, we shovel rain, but with weather like this, it's easy to stay inside, reading and writing, until spring.
Being a transplant like Raban and a Buddhist practitioner means that even after living here for more than half my life, I don't take the gift of this beauty—nor the room to stretch out spirit and body—for granted. I don't mean that metaphorically. I taught kung fu for ten years at Phinney Neighborhood Center, sharing that space with a yoga class, and our students at one time included a scientist, an architect, UW professors and a Zen abbot. My wife, Joan, born and raised on Chicago's South Side in a sometimes violent housing project called Altgeld Gardens, and I happily raised our children here. They can truly call this place—accurately described as a "city of neighborhoods"—home. On Capitol Hill two years ago, our daughter, Elisheba, a conceptual artist, opened Faire Gallery/Café, which features jazz performances and the occasional play or open-mic poetry night as well as art shows and comedy performances by young local talent. Faire is where I hang out these days, conducting my classes and keeping appointments in a vibrant atmosphere—straights and gays, students and goths—that recalls the freewheeling creative vitality of Berkeley in the late 1960s.
For Seattle is, whatever else, a place where the young, single, iconoclastic and open-minded seem to thrive. Remembering Gardner's words from three decades ago, I imagine he would give that same advice today. The Rev. Samuel McKinney, once pastor of Mount Zion Baptist, the largest black church in the region, was a Morehouse College classmate of Martin Luther King Jr. and invited him to Seattle in 1961. On March 12, 2007, King County (where I live) changed its official logo from an imperial crown to an image of the great civil rights leader; MLK joins Chief Sealth (Seattle), who represents the city, and George Washington, avatar on the state's seal.
Were he alive today, King might not describe the Pacific Northwest as the Promised Land, but I believe he would be pleased by how Seattle's citizens—however imperfect we may be—strive to realize his dream of a "beloved community" in a city poised at the edge of the nation's western end.
Charles Johnson recently collaborated on Mine Eyes Have Seen: Bearing Witness to the Civil Rights Struggle.
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I too live in Seattle, and have lived in a diversity of places around the world. Indeed, the city of Chief Sealth is a place of grace and vibrancy. At the same time, I refrain from putting it on a pedestal or icon-icising it as is so easy to do in our "celebrity" obsessed world. I do not believe this is what Charles is doing, rather I am offering a check to what may be a tendency of our young and exhuberant culture - call me old-fashioned. Seattle is lovely and comfortable to be sure. Like most places in this world; if we choose it to be / and to see.
Posted by Gardenia on October 22,2011 | 02:01 PM
I have lived in Washington for 80 years, in Seattle for 65 years, and on the water in West Seattle for 32 years. I can remember as a 8 year old driving from Everett to Seattle (abut 30 miles). We would leave the Totem Pole in South Everett on Hiway 99 and the next landmark would be the trees at Washelli Cemetery. Take a look today. My Oh My. Not so sure I like what I see.
William M. Button
Posted by William M. Button on January 31,2010 | 03:25 PM
I really look forward to coming to Seattle for the first time in the spring. I'm grateful that I have the opportunity to read Charles Johnson's work and benefit from his philosophical approach,
Posted by Judith Samuel on January 17,2009 | 10:16 PM
I, too must say, beautifully written Mr. Johnson! I have lived here coming on 8 years, transplant from Hawaii, and I couldn't think of a better place to call h"ohm". My partner just moved here from California and I hope he too, will look to this as his second home. Oh, and Thank your daughter for introducing me to "Nutella", delicious!
Posted by Latoya S. on December 11,2008 | 02:24 PM
I lived in the Tacoma area two years ago for about 6 months. As a native Southern Californian, Washington was a huge change from what I was used to. I went to Seattle every chance I could get and it has become a second home to me. Mr. Johnson's article has restired the longing I feel for Seattle, and I pray I can return soon
Posted by Em G. on November 1,2008 | 07:37 PM
I fly from the southern US every three or four years or so. Now I know why I cry all the way home. Mt. Rainer is, to me, like a close sister and Puget Sound is the rest of my family.
Posted by Dottie Springer on October 28,2008 | 02:16 PM
beautifully written, it beckons me to visit once again.jeannie, dallas, tx
Posted by jeannie houston on September 22,2008 | 07:39 AM
Reading Middle Passage right now--this article is the second piece of Johnson's writing I've come across. I've lived in Seattle all my life and have heard everything that is stated in this article from other sources over the years; hearing Johnson's impression of Seattle--my Illinois--is interesting while reading MP. And I went to the Phinney Neighborhood Center. Whuddayaknow! Great article.
Posted by Jan on September 16,2008 | 07:37 PM
Learning something new from SMITHSONIAN is always a joy and of course, it happens all the time. Thank you Mr. Johnson for sending me to the dictionary to look up "veridian". David Bursein Ellington CT
Posted by David Burstein on September 15,2008 | 11:32 AM
Seattle is home and will always be. I had the opportunity to live all over the Northwest. I primarily grew up in Seattle's historic neighbornhood Columbia City, prior to that I lived in the Central District. In my childhood years I lived in Bellingham, Capital Hill, Renton/Skyway, and Ballard. I also lived the U-district for 5 years. In all these places I had different experiences culturally and mentally, but the trees always kept me breathing clean fresh air, and I love that fresh feeling everytime I step outside. Excellently writtien article Mr.Johnson!
Posted by Jessica J. on September 12,2008 | 07:07 PM
This is an amazing place. Being native to the NW I know Dr. Johnsons words do justice to the presence of grace here. Beautifully written. This is not a perfect place however and many who come here will not fluorish. The area and it's residents demand high levels of personal responsibility, independence, and purpose. As the lure of it's utopian description draws more and more people to Seattle all ills are blamed on the newcomers and they are less and less welcome. For we do not live in a simple Utopia. Tolerance, diversity, respect, civility, and independence all require effort and the will to maintain that standard. Those unable to bear that burden must think twice, and then again, before making the trek.
Posted by Beatta W. on September 12,2008 | 07:00 PM
Thanks! Prof.Johnson for reminding me why I fell in love with this area. I came here in 1979, and was immediately HOME. Home is a hard place to find for most African Americans. With all of the traffic, people etc. I sometimes regret coming here, but the sheer beauty of this place and its people, always bring me home again.
Posted by B.Alston on September 12,2008 | 01:17 PM
My family as well has been in Washington and Seattle for generations. My Aunt Jessie McFall was actually the first white child born in the Washington Territory. I have a strong sense of pride and a deep love for Seattle and although you should not tell the world how amazing it is to live here you have also captured this city so perfectly to the point of bringing me to tears. The rain, the love of books, and the multiple races, creeds, and cultures...upon them, upon all of it this city was built....thank you! I continue to tell everyone how brillant this article is and encourage them to read it.
Posted by Kara F. on September 9,2008 | 01:46 AM
I hate to burst your bubble Edward H. but the planet is full of "humans with baggage, issues, and biases." You will need to buy your own private island and cut off all contact with the outside world you if you wish to insulate yourself from that. Admittedly, I have had days where that looked an attractive option myself.
Posted by Carla H. on September 9,2008 | 11:24 AM


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Wednesday What's New: Organic Fertilizers Toxic to Soil? |
Written by Heleigh Bostwick Wednesday, 23 October 2013 | |||
Organic fertilizers are good, but theres always the possibility that too much of a good thing is not so good. A recent study conducted by a team of researchers from the Autonomous University of Barcelona (UAB) Centre for Ecological Research and Forestry Applications (CREAF) concludes that organic fertilizers like composted sewage sludge and animal waste might be toxic to soil organisms when applied in excess. Not only might excessive amounts of these fertilizers be detrimental to invertebrates and soils microorganisms such as earthworms, annelids, they could also be dangerous for the plants themselves and should be monitored so they can be used at appropriate levels for common crops such as red clover, field mustard, and perennial ryegrass, the three that were studied by the researchers. The research group was able to determine the safe dose of applied organic fertilizers such as dehydrated sewage sludge, two kinds of composted mud, two kinds of heat-dried mud, and one sample of heat-dried pig waste. The researchers found that the main source of toxicity was instability of organic fertilizers, which, as they rapidly decompose generate ammonia as a byproduct and th main source of the toxic effects observed in the soil organisms. The main takeaway according to the researchers is that eco-toxicological criteria should also be included in legislation in order to prevent the environmental impact caused by the use of organic residues. |


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Trang waterfall reopens after tragedy
- Published: 17 Mar 2013 at 17.18
- Online news:
TRANG - Sai Rung (Rainbow) waterfall, one of the province's popular tourist attractions, has reopened for the first time since 2007 when it was hit by mountain torrents and mudslides during the Songkran holiday that killed 38 revellers.
Photo by Methee Muangkaew
Trang governor Teerayut Eimtrakul presided over the opening ceremony of the waterfall that included a religious ritual in Banthat Wildlife Sanctuary in tambon Na Choom Hed on Saturday.
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I'll never forget where I learned to drink like a Cossack. It was on a river cruise. In Ukraine.
I'm a longtime fan of river voyages. They slice right through the heartland of a country or even a continent, with unique cultures waiting nearby on the river's bank. ( Na konya, I learned, is a Cossack toast, meaning "on to the horse." Would you learn that on a sea cruise? Probably not.)
So I'm not surprised that river cruises are now exploding in popularity. They've become the fastest-growing part of the cruise industry. In fact, in 2013 alone, some 14 new river ships are scheduled to debut.
Why so popular? Folks are looking for new travel experiences. River cruises fill the bill. Adds Christine Duffy, president and CEO of the Cruise Lines International Association, "Today's river cruise industry is distinguished by innovative companies that are investing in exciting new ships and succeeding in reaching more diverse guests, including younger travelers, families, and avid cruisers looking for an entirely different experience."
And the most popular continent for river cruising? Europe, by far, with its Danube, Rhine and Volga Rivers. Other continents also have their fair share of celebrated river cruises: Africa's Nile, Asia's Yangtze and North America's Mississippi.
But there are other intriguing river voyages out there, lurking under the radar.
So, river-cruise devotees, here's a cheat sheet on some of the lesser-known river trips, one per continent.
Where: Chobe River, on the border of Botswana and Namibia.
Lowdown: Animals and zoo expert Jack Hanna called it "a must" trip.
Highlights: See hippos, elephants, wildebeest and more from the ship's deck (or even while lying in bed in your cabin) on this four-night river safari in Chobe National Park, home to one of Africa's largest concentrations of animals. Within a short stretch of the river, there's a huge amount of game and tour options. So, while there's not a lot of actual cruising — some have called the ship a "floating hotel" — you've got a front-row seat for nonstop wildlife viewing, whether in the river or on the banks. Itinerary also includes visits to villages, game viewing by smaller boat and vehicle, as well as fishing on the river.
Ship: The elegant 28-passenger MS Zambezi Queen features 14 staterooms, each with a private balcony,
Details: The cruise runs year-round and comes bundled as part of 16- or 19-day Africa land programs. Costs: from $8,995 to $13,995. Pricey, but if you're thinking about an African safari anyway, the trip deserves attention.
More info: AmaWaterway: www.amawaterways.com/ships/zambezi-queen or 800-626-0126.
Where: Irrawaddy River in Myanmar (formerly Burma).
Lowdown: An itinerary — a time machine, actually — for sitting back in a deck chair and watching the essence of old Burma unfold. It's so exotic you can't help but feel you're a long way from home. The 1,300-mile river is a lifeline of the country — all the major Burmese kingdoms set their capitals along its banks. When Rudyard Kipling wrote the poem The Road to Mandalay over a century ago, he was talking about this river.


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From the News Edge: Due to weather conditions, the Cadiz Christmas Parade has been cancelled ---- Firefighters were called out around 10:20am to the report of a house fire at 12745 Antioch Church Road...............................................................WINTER STORM WARNING IN EFFECT UNTIL 9:00PM FRIDAY FOR TRIGG, CHRISTIAN, TODD, CALLOWAY, AND MUHLENBERG COUNTY ---- WINTER STORM WARNING IN EFFECT UNTIL 6:00PM FRIDAY FOR CALDWELL, LYON, HOPKINS, GRAVES, MARSHALL, LIVINGSTON, AND CRITTENDEN COUNTY ---- ICE STORM WARNING IN EFFECT FOR STEWART AND MONTGOMGERY COUNTY, TENNESSEE, UNTIL MIDNIGHT FRIDAY NIGHT.......................................................ALL CAMPUSES OF HOPKINSVILLE COMMUNITY COLLEGE ARE CLOSED ---- AUSTIN PEAY STATE UNIVERSITY IS CLOSING AT 1:30PM ---- MURRAY STATE UNIVERSITY MAIN CAMPUS CLOSED AS OF 10:30AM.........................................................Due to inclement weather moving into the area, Land Between The Lakes has closed all major access roads to the National Recreation Area, including Woodlands Trace National Scenic Byway......................................................The Hopkinsville Christmas Parade has been postponed until December 14th at 10:00am ---- Christmas in Elkton and the Elkton Christmas Parade have been postponed until Saturday, December 14, at the same times as previously scheduled ---- City of Trenton has announced that their Christmas activities that were scheduled for Saturday have been cancelled ---- City of Guthrie has cancelled their Christmas Parade..................................................For a complete look at closings and cancellations, click on the "Closings and Delays" icon on our homepage...................................................................ANOTHER WINTRY MIX OF PRECIPITATION IS FORECAST MAINLY LATE SATURDAY NIGHT INTO SUNDAY. SOME ICE AND SNOW ACCUMULATION WILL BE POSSIBLE
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The CMA Music Festival had a perfect start yesterday - great weather, great crowds and great music! Bill Booth started off his day interviewing Lee Greenwood (you can listen to it on the Toyota of Hopkinsville audio rack on the front page of our website along with other interviews Bill held throughout the day). Bill interviewed Amber Hayes (and presented her with some Trigg County Country Ham!), and was the MC on the Transitions Stage with guests John Wolfe, Ash Bowers, Tim Dugger and Flynnville Train. The day ended at LP Field with concerts by Tracy Lawerence, Luke Bryan, Taylor Swift (with surprise guests Tim McGraw and Keith Urban), Eric Church, Miranda Lambert, and Zac Brown Band (with surprise guests Kenny Rogers and Kid Rock). The festival will last thru the weekend and every day is packed with fantastic country music on every corner!
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An ode to the muse, to the Goddess, to pure energy. Each one of these works captures an exquisite perfection of the feminine essence. A delectable palette of her ever-expansive nature, a prompting for us to find her in every woman. Each of these works illuminate the infinite faces of the Goddess... a crystalline magnificence.
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(AP) -- It's only two weeks into the season and already Romeo Crennel is answering questions about whether he can handle the Chiefs' head coaching duties along with being defensive coordinator.
Crennel was elevated from defensive coordinator to interim coach when Todd Haley was fired last year, and took over the job on a full-time basis this season.
But rather than hire a new coach to coordinate the defense, Crennel has chosen to handle both jobs himself.
The results haven't been good so far. Kansas City was routed by Atlanta and Buffalo, and now heads to New Orleans for a Sunday showdown between winless teams.
Crennel says he's not considering whether to give up the coordinator job.
(Copyright ©2012 by The Associated Press. All Rights Reserved.)


text: Three members of the ECU faculty were recognized by the Alumni Association at University Awards Day on Wednesday, April 25. Alumni Association Awards for Outstanding Teaching: Patricia "Patch" A. Clark Associate Professor, School of Theatre and Dance, College of Fine Arts and Communication "Patch" Clark is the coordinator of the Theatre Education program in the School of Theatre and Dance at East Carolina University. She has appeared in numerous ECU/Loessin Playhouse and ECU/Loessin Summer Theatre productions including Grease, My Fair Lady, Inherit the Wind, A Doll's House, Misalliance, Our Town, The Sound of Music, Oklahoma, A View from the Bridge, Crazy for You, Yerma, Grapes of Wrath, The Time of Your Life, and Footloose. She directed the Off-Broadway premiere production of Katmandu at the John Houseman Studio Theatre in July of 2001 and serves as the director for ECU's Storybook Theatre for children. She is the author of Intergenerational Arts in the Nursing Home (Greenwood Press, 1991) and co-author of Seniors on Stage (Praeger Press, 1985.) Clark receive an M.F.A. in Theatre Arts – Performance and B.F.A. in Theatre Education from Virginia Commonwealth University, and an A.A. in Theatre Arts from Webster College. She has been at ECU since 1997. Dr. Subodh K. Dutta Teaching Instructor, Department of Chemistry, Thomas Harriot College of Arts and Sciences Prior to joining East Carolina in 2006, Dr. Dutta was a postdoctoral research scientist from 2002-2006 and a postdoctoral research fellow from 2000-2002 at Western Michigan University. He spent the previous year as a postdoctoral fellow at the University of Notre Dame and was a postdoctoral fellow at Colorado State University from 1998-1999. Dr. Dutta received his Ph.D. from the Indian Association for the Cultivation of Science in Calcutta, India, in 1996. Dr. Dutta's teaching philosophy in his own words: "Each student arrives in the classroom expecting to learn the subject at hand, yet each contributes to a diverse array of backgrounds, skill levels, and learning needs. In order to meet each student's expectations, I reach out to my students with enthusiastic real-world examples and stories. I create an environment where students not only enjoy the subject and earn [a] good grade, but also understand the importance of chemistry in improving the quality of their lives." Robert L. Jones '58 Teaching Award: Dr. Alan C. Taylor Assistant Professor, Department of Child Development and Family Relations, College of Human Ecology Dr. Taylor received has Ph.D. in family and child development and graduate certificate in gerontology from Virginia Tech University. He has been teaching at ECU since 2008. Dr. Taylor is a certified family life educator through the National Council on Family Relations. His primary teaching responsibilities are with the Family and Community Services program, and he also teaches in the CDFR master's program. His research interests include grandparent-grandchild relationships, grandfather involvement, family life education, and family aging issues/intergenerational relationship issues. Dr. Taylor connects with his students through storytelling, scenarios, case studies, and personal experiences, and extends the classroom environment by sending students into the community to volunteer and complete service-learning activities.


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At seven weeks, your baby enters a very busy stage. Between now and 20 weeks, he will grow rapidly. Body parts that formed in the first few weeks of life, such as the heart and brain, will become more specialised and complicated. He now has an appendix and a pancreas, which will eventually produce the hormone insulin to aid in digestion. Tooth buds, palate and tongue are forming, while his ears continue to develop and eyelids are starting to cover his eyes. Your baby's skin is paper thin, and veins are clearly visible.
You're in the throes of the first trimester, when many women complain of common pregnancy aches and pains. Keeping food down may be next to impossible, thanks to morning sickness. This is believed to be caused in part by the pregnancy hormones surging through your body.
You may also need to wee a lot more often than usual. Your growing uterus (womb), where your baby is developing, is pressing on your bladder, and hormones are affecting the balance of fluid in your body. Although they're a nuisance now, the sickness and the constant trips to the loo will diminish as your pregnancy continues.
It's a great idea to keep fit while you're expecting. There are plenty of types of exercise you can safely enjoy. Check out our fitness section to learn more about staying in shape, and in good health, during pregnancy.
Note: Every baby develops differently. This page is designed to give a general idea of how a fetus grows in the uterus.
See your previous stage: 6 weeks pregnant
See your next stage: 8 weeks pregnant
This article was written using the following sources:Hadlock FP, Yogesh PS, Kanon DJ, Lindsey JV. 1992. Fetal crown-rump length: Re-evaluation of relation to menstrual age (5-18 weeks) with high-resolution real-time US. Radiology 182(2):501-5
Hill M. 2009. Development week by week. University of New South Wales Embryology. embryology.med.unsw.edu.au [Accessed August 2009]
Medline. 2009. Fetal development. Medline Plus Medical Encyclopedia. www.nlm.nih.gov [Accessed August 2009]
Visembryo. 2006. Pregnancy timeline. The Visible Embryo. www.visembryo.com [Accessed August 2009]


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Every mariner has heard of Grundens, the company that outfits commercial fishermen with their foul-weather gear, but now that they've started a recreational line called Gage some interesting new boating goodies are popping up. Case in point: the Shackleton, a duffel bag from Gage which might just be the ultimate in boating bags. When I checked one out I was so uber-impressed, I just had to spread the word.
Why the Shackleton impressed me can be summed up in one word: Tough. Wait a sec – make that two words, because it's also imperative to know that this bag is waterproof. Ummm… okay, I need a third word: big. The Shackleton holds a whopping 105 liters, which I found was plenty of room for a spare set of clothing, my handheld electronics, a tacklebox, and lunch, with some room left over.
How are you going to haul that much gear without breaking your back? This duffel has a pair of padded backpack straps, which hide away in a zippered compartment when you don't need them. Now grab those straps, step on the bag, and pull with all of your might – they're just as tough as the rest of the duffel, which is made from 500 denier PVC tarpaulin with welded seams.
Down-sides? The only one I have to offer is price. With a MSRP of $97, this bag is anything but cheap. Of course, as usual, you get what you pay for. And in this case, what you get can be summed up in one… ummm, I mean three words: tough, waterproof, and big. Check it out at www.grundens.com, or watch Grunden's video showing off the Shackleton.