text:
Urologist Often Determines Use of Hormone Therapy for
Prostate Cancer
Which urologist a patient with prostate cancer chooses may be more important in determining whether he receives hormone therapy than other factors such as his age or type of tumor, a new study reports.
"The urologist seems to play a role that is at least as important, if not more important, than tumor grade and patient characteristics," says lead researcher Dr. Vahakn B. Shahinian of the University of Texas Medical Branch in Galveston.
The findings suggest that a patient could go to two urologists and receive different opinions about whether to have the treatment, called androgen deprivation therapy because it blocks androgen hormones such as testosterone.
"This scenario is cause for concern because patients might be getting therapy that may not be in their best interest," says Dr. Shahinian. Read more
NCI's Advocacy Summit Educates and Inspires
The dedication and enthusiasm of the advocacy community were palpable last week on the NIH campus. The occasion was the inaugural NCI advocacy summit, Listening and Learning Together: Building a Bridge of Trust, hosted by the NCI Director's Consumer Liaison Group (DCLG) and cosponsored by the NCI Office of Liaison Activities (OLA) and the Foundation for the NIH.
An idea that originated from the results of a survey of the advocacy community conducted in 2003, the summit was an exciting gathering of some 250 patient advocates from all across the country. Attendees represented local and national organizations, all dedicated to activities such as increasing awareness about specific cancers; raising money to support cancer research; and providing services to patients, survivors, and caregivers.
I had the privilege of speaking at the summit's opening plenary session and again at the closing ceremony. Talking with advocates is one of the most rewarding aspects of being part of NCI leadership. After all, these are dedicated people who log many hours as volunteers not only for their own organizations but also in various volunteer capacities for NCI and their local cancer centers. Their desire to learn as much as they can about NCI and cancer - all in an effort to more effectively promote their cause - always amazes me. Read more
Urologist Often Determines Use of Hormone Therapy for
Prostate Cancer
Which urologist a patient with prostate cancer chooses may be more important in determining whether he receives hormone therapy than other factors such as his age or type of tumor, a new study reports.
"The urologist seems to play a role that is at least as important, if not more important, than tumor grade and patient characteristics," says lead researcher Dr. Vahakn B. Shahinian of the University of Texas Medical Branch in Galveston.
The findings suggest that a patient could go to two urologists and receive different opinions about whether to have the treatment, called androgen deprivation therapy because it blocks androgen hormones such as testosterone.
"This scenario is cause for concern because patients might be getting therapy that may not be in their best interest," says Dr. Shahinian.
Approximately half of all prostate cancer patients receive the therapy over the course of their disease. When given with radiation, the therapy can extend the survival of patients with locally advanced disease.
But there are not clear data for urologists to follow about when androgen deprivation therapy should be used for other patients. The treatment is expensive and potentially toxic, with side effects such as an increased risk of fractures and loss of sexual function.
During the 1990s, there was a dramatic increase in the use of androgen deprivation therapy for prostate cancer, even in cases where its benefit was unproven or highly improbable. This in part led to the new study.
The researchers linked the Surveillance, Epidemiology, and End Results (SEER) and Medicare databases to identify 1,800 urologists who treated 61,000 men diagnosed with prostate cancer at age 65 years or older. The most recent data were from 1999.
The urologist was responsible for about 20 percent of the variation in the use of hormone therapy, versus 10 percent for tumor grade and stage, and 4 percent for patient characteristics, according to findings in the June 21 Journal of the National Cancer Institute (JNCI).
Dr. Shahinian and his colleagues have begun to try to identify the characteristics of urologists that cause them to select the treatment.
A limitation of the study was the lack of information about prostate-specific antigen (PSA) levels in participants. Rising PSA levels can be an indication for the therapy, so some patients might have received it based on evidence rather than physician judgment.
Nonetheless, the study shows that a powerful anticancer therapy is often selected based on a physician's intuition rather than on hard facts or evidence-based medicine, says Dr. Paul Schellhammer of Eastern Virginia Medical School, who wrote an editorial in JNCI.
Prostate cancer is an extraordinarily heterogeneous disease, and many cancers are diagnosed that will not affect the length or the quality of a man's life. "But hormone therapy represents a powerful remedy for patients who have progressive disease," Dr. Schellhammer adds.
The challenge for physicians, he suggests, is to offer androgen deprivation therapy to men with high-risk, potentially lethal prostate cancer early in their course of treatment and to withhold it from men with low-risk disease, thereby avoiding unnecessary risks.
Clinical trials are under way to clarify the picture of how and when the therapy should be used. Dr. Schellhammer predicts that a day will come when the treatment's use is guided by physicians but based on evidence rather than directed by physicians, as it is today.
By Edward R. Winstead
NCI's Advocacy Summit Educates and Inspires
The dedication and enthusiasm of the advocacy community were palpable last week on the NIH campus. The occasion was the inaugural NCI advocacy summit, Listening and Learning Together: Building a Bridge of Trust, hosted by the NCI Director's Consumer Liaison Group (DCLG) and cosponsored by the NCI Office of Liaison Activities (OLA) and the Foundation for the NIH.
An idea that originated from the results of a survey of the advocacy community conducted in 2003, the summit was an exciting gathering of some 250 patient advocates from all across the country. Attendees represented local and national organizations, all dedicated to activities such as increasing awareness about specific cancers; raising money to support cancer research; and providing services to patients, survivors, and caregivers.
I had the privilege of speaking at the summit's opening plenary session and again at the closing ceremony. Talking with advocates is one of the most rewarding aspects of being part of NCI leadership. After all, these are dedicated people who log many hours as volunteers not only for their own organizations but also in various volunteer capacities for NCI and their local cancer centers. Their desire to learn as much as they can about NCI and cancer - all in an effort to more effectively promote their cause - always amazes me.
And that's what much of this summit was about: communication, education, and trust. There were breakout sessions focused on best practices, as well as NCI outreach and educational opportunities. Virgil Simons from Prostate Net, for example, discussed the success of his organization's partnership in 2004 with MGM Studios to promote prostate cancer screening in barbershops nationwide, using the movie BarberShop 2 as the campaign's hook.
At a town hall meeting, DCLG members had the opportunity to hear directly from summit attendees about the most pressing issues and concerns in their communities. A recurring theme was finding effective ways for individual organizations to raise funds.
The hit of the meeting, however, was the poster picnic. The picnic allowed both advocates and NCI staff to gather informally during lunch to share best practices, or learn about new tools and resources. The picnic was a rare opportunity for NCI staff involved in a broad array of programs and initiatives to get "face time" with advocates. Staff from NCI's The Cancer Genome Atlas project, for instance, talked about the rationale behind this important initiative and what they hope to achieve.
At the closing ceremony, I had an important message for summit attendees: They are our voice when it matters most. Advocates are the strong voice of cancer patients here at NCI and in all government forums - and the need for that voice is as great now as it has ever been.
For those who couldn't attend the summit, you can watch it on the NIH Web site. In addition, there is an abundance of information for advocates on the newly revamped OLA Web site, as well as the sister sites for NCI's DCLG and Consumer Advocates in Research and Related Activities program.
It's often said that everybody has been touched by cancer in some way. This summit is the embodiment of that statement. It was truly inspirational, and I am honored to have been a part of it.
Dr. John E. Niederhuber
A New "Target" for Chemotherapy?
Although not typically considered a "targeted therapy" along the lines of drugs like trastuzumab (Herceptin) or gefitinib (Iressa), most chemotherapy does have a general target: rapidly dividing cells. This description applies well to cancer cells but, unfortunately, also describes some healthy cells, such as those in the bone marrow or gut, which also draw chemotherapy's wrath.
But chemotherapy drugs also have another target: endothelial cells that form the lining of newly formed blood vessels, such as those whose creation is orchestrated by tumors to fuel their growth. There is a considerable body of evidence that even very low, nontoxic doses of chemotherapy drugs, when delivered frequently for a prolonged period of time, can retard tumor blood vessel growth (or angiogenesis) by destroying endothelial cells.
Treatment approaches along these lines are now being tested in clinical trials, and they've been coined metronomic chemotherapy.
"The definition of metronomic chemotherapy varies, but generally it refers to repetitive, low doses of chemotherapy drugs designed to minimize toxicity and target the endothelium or tumor stroma as opposed to targeting the tumor," says Dr. Harold J. Burstein of the Dana-Farber Cancer Institute, who has led several early-stage trials of metronomic chemotherapy in women with breast cancer.
"It's definitely an interesting approach that opens up the possibility of using chemotherapy differently than we have traditionally considered," says Dr. Burstein.
The metronomic approach was initially proposed and tested in animal models by Dr. Timothy Browder in Dr. Judah Folkman's lab at Harvard Medical School. In the studies, standard maximum-tolerated dose (MTD) chemotherapy regimens caused cell death of endothelial cells in the blood vessels feeding to the tumor first, followed by tumor cells. But the long breaks needed between the MTD regimens allowed the damaged blood vessels, and thus the tumor, to recover.
But significantly lower doses given more frequently on a prolonged schedule proved to be far more effective, including complete tumor regressions, even in mice that were resistant to the same drug when used in a standard MTD regimen.
Since then, several research groups have confirmed these findings. And studies conducted in cell lines and animal models have also suggested that combining metronomic chemotherapy with targeted anti-angiogenesis agents is more effective than metronomic chemotherapy alone.
"I think the preclinical data together with the clinical trial results seen so far make a strong argument for testing metronomic chemotherapy more aggressively in larger trials, including trials where it's combined with different targeted agents," argues Dr. Robert Kerbel, of Sunnybrook Health Sciences Centre in Toronto, who has led many preclinical studies of metronomic chemotherapy.
A true metronomic regimen of frequent, low-dose chemotherapy over a longer period has yet to be tested in any phase III trials in the United States. A number of phase I and II trials have been conducted, however, yielding some provocative, if not altogether convincing, results.
Dr. Burstein presented data last December from a phase II clinical trial comparing a common metronomic regimen - a daily low dose of oral cyclophosphamide and a low dose of methotrexate twice a week - with or without the targeted anti-angiogenesis drug bevacizumab. The combination approach was superior to metronomic chemotherapy alone in delaying disease progression, but was not necessarily an improvement upon the results typically seen in similar patient populations treated with a standard MTD regimen.
Concerns about the toxic effects of conventional cancer treatments on pediatric patients also has prompted pediatric oncology researchers to investigate metronomic-like approaches to treatment. Some promising early results have been reported.
Based on the available clinical evidence, says Dr. Burstein, it's unclear in what setting metronomic chemotherapy might prove most useful.
"Those who are enthusiastic about it think it can be used anywhere," he says. "I think it's most likely to be used to treat more indolent, less threatening tumors because it may not work fast enough for those…with more aggressive disease."
Researchers like Dr. Kerbel, meanwhile, are making some headway on better understanding the nuts and bolts of metronomic chemotherapy, such as how to determine the lowest dose that can provide a potent benefit - the so-called optimal biological dose - and identifying biological markers that demonstrate whether the approach is having an anti-angiogenic effect.
Then there's this question: Can chemotherapy be delivered more frequently, even daily, at significantly higher doses than those used in most metronomic regimens but less than in MTD regimens? The toxicity might be greater than a "traditional" metronomic regimen, but so might the effectiveness, including in comparison with standard MTD regimens.
That's exactly what was shown in a phase III clinical trial presented earlier this month at the ASCO annual meeting. In women with locally advanced or inflammatory breast cancer, a presurgical (or neoadjuvant), metronomic-like regimen - using higher doses of cyclophosphamide, given daily; doxorubicin; and growth factor support to ensure the continued production of white blood cells - was superior to a standard MTD regimen at eliminating evidence of invasive cancer at the time of surgery. This outcome, explains Dr. Robert Livingston, a co-investigator on the Southwest Oncology Group-led trial, generally has been found to predict superior long-term outcome in patients.
The idea, according to Dr. Livingston, is to try to expose tumor cells to minimum concentrations of chemotherapy drugs for as long as possible.
"I think it's fair to call the regimen we have developed a hybrid," he says. "It can destroy tumor cells and, at the same time, the continuous exposure, particularly to cyclophosphamide, is having an anti-angiogenic effect."
By Carmen Phillips
Fertility Preservation Guidelines Issued by ASCO
Fertility preservation options should be addressed by oncologists and physicians as part of standard care for cancer patients who are in their reproductive years, according to guidelines developed by the American Society of Clinical Oncology (ASCO) and published in the June 20 Journal of Clinical Oncology.
"As part of education and informed consent before cancer therapy, oncologists should address the possibility of infertility with patients treated during their reproductive years and be prepared to discuss possible fertility preservation options or refer appropriate and interested patients to reproductive specialists," the authors noted. "Clinician judgment should be employed in the timing of raising this issue, but discussion at the earliest possible opportunity is encouraged."
ASCO convened an expert panel on the issue in light of evidence that many oncologists either do not discuss the possibility of treatment-related infertility "or do so suboptimally." The panel reviewed medical literature and databases spanning 1997 to 2005, and found evidence that fertility preservation is of great importance to many patients and properly addressing the issue "was a positive factor in patients coping emotionally with cancer."
Sperm and embryo cryopreservation are considered standard practice and are widely available, the guidelines state. Other available fertility preservation methods - such as ovarian tissue preservation - "should be considered investigational and be performed in centers with the necessary expertise."
The expert panel, noting the "paucity" of large, randomized trials of fertility methods, "encourages additional well-designed studies evaluating methods of fertility preservation in people with cancer to help answer these questions."
Loss of Gene Function Indicated in Familial Juvenile Polyposis
People with a genetic disorder called familial juvenile polyposis (FJP) are predisposed to development of both noncancerous gastrointestinal polyps and gastrointestinal cancer. The human tumor-suppressor gene SMAD4 is thought to contribute to tumorigenesis in patients with this disorder. A new study from the NCI Center for Cancer Research's Laboratory of Cell Regulation and Carcinogenesis published in the June 22 Nature implicates loss of the SMAD4 protein-dependent signaling in T cells as a cause of tumor formation in patients with FJP.
The investigators developed mouse models with the Smad4 gene deleted either in T cells or in epithelial cells. Mice lacking the Smad4 protein in their T cells developed gastrointestinal abnormalities like those found in FJP, including a thickening of the mucosal surface and the infiltration of plasma cells (antibody-producing immune cells) into the inner layer of the intestines. Mice lacking Smad4 protein expression in epithelial cells did not develop gastrointestinal abnormalities. Epithelial cancers were found in 94 to 100 percent of mice from model lines lacking the Smad4 gene in their T cells, but not in mice from model lines lacking Smad4 in their epithelial cells.
Further in vitro studies suggested that loss of Smad4-dependent signaling in mouse T cells led to an increased production of certain cytokines, substances produced by the immune system that cause an increase in the number of plasma cells and stromal (connective tissue) cells. Altogether, state the investigators, their data "implicate defects in SMAD4-mediated signaling in T cells in the pathogenesis of FJP…Therapeutic strategies that target the activation and function of T cells may represent an effective form of preventive therapy that will potentially delay or obviate the need for aggressive surgical intervention."
Reducing Risk of HPV Infection in Young Women
Researchers, reporting in the June 22 New England Journal of Medicine on a small prospective study designed to test the impact of condom use by partners of women new to sexual intercourse, found a 70 percent risk reduction for HPV infection. The effect was found in women whose partners used condoms 100 percent of the time 8 months prior to the study, compared with those using condoms less than 5 percent of the time. Fourteen women in that group developed cervical squamous intraepithelial lesions, compared with none in the 100 percent condom-use group. Lead author Dr. Rachel L. Winer and colleagues, of the University of Washington, conclude that "the association was strong and increased with the increasing frequency of condom use, suggesting a causal, protective effect."
Gene Suppresses Non-Small-Cell Lung Cancer Tumors
Scientists have identified several dozen tumor suppressor genes (such as p53 in many tumor types and BRCA1/BRCA2 in breast cancer) which, when active, block the proliferation of cells. Results in the June 21 JNCI suggest that a recently discovered DnaJ-like heat shock protein known as HLJ1 (also known as DNAJB4) belongs on the list due to its inhibitory effects on the development of non-small-cell lung cancer (NSCLC).
Dr. Meng-Feng Tsai, of the National Taiwan University Hospital in Taipei, Taiwan, and colleagues previously identified HLJ1 as a member of the heat shock protein 40 family that helps cells survive stresses such as chemotherapy. The current study was designed to demonstrate the impact of HLJ1 on NSCLC, using multiple and converging lines of evidence from cellular, genetic, and clinical tests.
The researchers restored HLJ1 expression to NSCLC cells in vitro and found that cell proliferation, anchorage-independent growth, tumorigenesis, cell motility, and invasion were all inhibited. With microarray and downstream pathway analysis, they identified a novel and plausible tumor suppressor mechanism. They also looked at the biopsied tissue of 71 Chinese NSCLC patients, 55 of whom had lower HLJ1 expression within the tumor than in surrounding tissue. These patients were followed, and the group with higher HLJ1 expression in their tumors had 53 percent less risk of recurrence and 62 percent better survival.
In an accompanying editorial, Drs. Adriana Albini and Ulrich Pfeffer, of the National Cancer Research Institute in Genoa, Italy, noted "Tumor suppressor genes for NSCLC are eagerly sought for both our understanding of lung cancer biology and the need of a prognostic marker."
FDA Approves First Drug Treatment for Late-Stage Cervical Cancer
Topotecan hydrochloride (Hycamtin) was approved by the Food and Drug Administration (FDA) for use in combination with cisplatin for Stage IVB, recurrent, or persistent cancer of the cervix. This chemotherapy treatment improved survival in clinical trials by about 50 percent over cisplatin alone, from 6.5 to 9.4 months, and "is a potentially life-prolonging option for thousands of women," said Acting FDA Commissioner Dr. Andrew von Eschenbach.
The drug's side effects are serious, however, including a drop in white blood cells and platelets. The approval also stipulates that a patient's physician must determine that surgery or radiation therapy is not likely to be effective. Produced by GlaxoSmithKline, the drug is already approved for ovarian and small-cell lung cancers.
Quick-Trials for Novel Cancer Therapies: Exploratory Grants
This is a renewal of PAR-04-155 and will use the R21 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3485. Inquiries: Dr. Roy Wu - firstname.lastname@example.com
Cancer Research Network
This is a renewal of RFA-CA-02-507 and will use the U19 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3489. Inquiries: Dr. Martin L. Brown - email@example.com
Bioengineering Research Partnerships
This is a renewal of PAR-04-023 and will use the R01 award mechanism. For more information, see http://cri.nci.nih.gov/4abst.cfm?initiativeparfa_id=3488. Inquiries: Dr. Houston Baker - firstname.lastname@example.com
Adjuvant Therapy for Kidney Cancer
Name of the Trial
Principal Investigators
Why This Trial Is Important
In this trial, patients who have tumors that can be surgically removed and who are at high risk for recurrence will be given sunitinib (Sutent), sorafenib (Nexavar), or a placebo as postoperative (adjuvant) therapy. Patients given the placebo will receive the current standard of care for their condition, which is no adjuvant therapy.
Sunitinib and sorafenib are targeted therapies that block cell proliferation and angiogenesis. Angiogenesis is important for the growth and spread of malignant kidney tumors, and blocking it may help prevent the growth of cancer cells that remain after surgery.
"Both sunitinib and sorafenib were approved recently by the FDA to treat metastatic kidney cancer," said Dr. Haas. "If either of these agents helps improve disease-free survival following complete surgical removal of the tumors in patients who are at high risk for recurrence, it will lead to a change in clinical practice."
Who Can Join This Trial
Study Site and Contact Information
An archive of "Featured Clinical Trial" columns is available at http://cancer.gov/clinicaltrials/ft-all-featured-trials.
U.S. Surgeon General Releases Report on the Effects of Secondhand Smoke
U.S. Surgeon General Dr. Richard H. Carmona issued a comprehensive scientific report today that concludes there is no risk-free level of exposure to secondhand smoke. This finding is a major public health concern since nearly half of all nonsmoking Americans are still regularly exposed to secondhand smoke.
According to the report, nonsmokers exposed to secondhand smoke at home or work have a 25 to 30 percent increased risk of developing heart disease and a 20 to 30 percent increased risk for lung cancer. The report, The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General, finds that even brief secondhand smoke exposure can cause immediate harm to people's health. The report notes that the only way to fully protect nonsmokers from the dangerous chemicals in secondhand smoke is to eliminate smoking indoors.
"The good news is that, unlike some public health hazards, secondhand smoke exposure is easily prevented," Dr. Carmona said. "Smoke-free indoor environments are proven, simple approaches that prevent exposure and harm." The Surgeon General noted that levels of cotinine - a biological marker for secondhand smoke exposure - measured in nonsmokers have fallen by 70 percent since the late 1980s, and the proportion of nonsmokers with detectable cotinine levels has been halved from 88 percent 1988 to 1991 to 43 percent 2001 to 2002.
Dr. Carmona emphasized, however, that sustained efforts are required to protect the more than 126 million Americans who continue to be regularly exposed to secondhand smoke in the home, at work, and in other enclosed spaces, including automobiles.
Healing Garden Grows at Massey Cancer Center
The new healing garden at Virginia Commonwealth University's (VCU's) Massey Cancer Center offers patients, family members, and medical staff a chance to be around nature and to escape, if for only a little while, the stress and stimulation of a clinical environment.
"The garden was created to nourish and to inspire those who use it," says Becky Massey, a member of the cancer center's advisory board who came up with the idea of the garden and led the fund-raising.
Last month, the garden, which features curved pathways and raised planters, opened as part of an addition that includes a state-of-the-art research facility.
"The garden offers another aspect of healing that goes along with medicine but is different from medicine," says Ms. Massey. "These are the benefits of nature that come from plants and wonderful light and the trickling of water."
The restorative power of gardens is an ancient idea that has recently come into vogue. Last year, new gardens designed to promote health and well being opened at Massachusetts General Hospital, at the Fred Hutchinson Cancer Research Center, and at the NIH Clinical Center.
The Massey Healing Garden, in Richmond, Va., is growing shade trees, perennials, evergreens, shrubs, vines, and groundcovers. Water sculptures and a tranquil pool add to the atmosphere.
Views from the garden are framed by bronze screens that borrow design elements such as birds and reeds from the nearby Egyptian Building, which was the original medical school built in 1845.
Though at street level, the garden is actually built on the roof of an underground parking garage. The planters are at different heights to accommodate the roof's piping and the garden's irrigation system.
Situated between new laboratories and a clinical center, the garden is a symbolic link between research and treatment. The connection is appropriate given the role of plants in developing some cancer medicines.
The garden has plants with anticancer properties, including the yew tree, which was the original source of the drug paclitaxel; Madagascar periwinkle, which is used to make the drug vinblastine; and autumn crocus, which makes a substance tested against leukemia.
But most of the plants come from everyday life, and the healing aspect is intended to come from this very familiarity.
"The focus is on life rather than illness," says Ms. Massey, adding that plants with strong scents are absent because some cancer treatments increase sensitivity to them.
In nice weather, support groups have met in the garden because the setting is much more relaxing than a conference room.
Another use might be as a waiting room. Several oncology nurses recently came up with the idea of giving patients electronic buzzers like those used at restaurants. Administrators are exploring this possibility.
In the meantime, for a sick patient, a stressed relative, or a tired nurse, the garden will be a temporary "place of peace" in the midst of dealing with illness and pain, Ms. Massey wrote recently in the Richmond Times-Dispatch.
"Perhaps it will mean the difference between a bad day and a hopeful day," she wrote.


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There is an art form to making great fresh pasta. There is also a great art form to making great gnocchi.
The difference lies in that fact that because gnocchi can be mostly potato, which with the advent of microwaves can be cooked in minutes, the path to making gnocchi on a weeknight just, got easier.
First, for those unfamiliar, gnocchi is closely related to the Tuscan word nocco or knuckle. It is a small dumpling made from potatoes, flour, semolina, or a combination of these ingredients. The dumplings do sort of look like a person's knuckle.
Now here is the recipe (from Epicurious).
Like I said above, use the microwave for your potatoes. Then if you don't have a ricer or food mill, go ahead and use a potato masher. It will take you working the dough to the proper consistency and then making it into the right shapes.
After you drop into the boiling salted water, your options from there are endless. Sauce, pesto, olive oil and good Italian cheese, anything can be had with these little pillows of flavor.
It'll enhance your repertoire in the kitchen, while impressing your friends and family thinking you slaved all day or went to a school to learn this.
(Photo by: cyclonebill via Creative Commons).

subset: commoncrawl


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"Forever Dusty" @ Harwich Junior Theatre
When: Fri Sep 13th
7:30 pm - 9:30 pm
Where: 105 Division Street | West Harwich
Harwich Junior Theatre will present a smashing new musical based on the life and music of the legendary soul singer Dusty Springfield beginning Thursday, September 5 and running through October 13. "Forever Dusty" features songs such as "Son of a Preacher Man," " You Don't Have to Say You Love Me," "The Look of Love," and many more.
It tells the dramatic, revealing story of how a shy Irish Catholic school girl from West London transformed herself into worldwide superstar Dusty Springfield.
Performances are Thursday, Fridays, Saturdays at 7:30 PM and Sundays at 4PM. (excluding Sept.26-29). Tickets are $25 for adults and $15 for under 21. The HJT box office is at 508-432-2002 and online at www.hjtcapecod.org. HJT is at 105 Division Street, West Harwich (1 block south of Route 28 on the Harwich/Dennis line).
"Forever Dusty," book by Kirsten Holly Smith and Jonathan Vankin, opened off Broardway in New York City in November of 2012, starring Ms. Smith as Dusty Springfield. HJT's production stars Elin Hersch in that role, with Heidi Crawley as Claire. The ensemble includes Anne Vohs, Suzette Hutchinson, Ed Coppolla, and Jon Cornet in various roles.
Ms. Hersch has performed everywhere from the sidewalks of Chicago to Carnegie Hall, including in the Cotuit Center for the Arts' recent productions of Dirty Rotten Scoundrels (Jolene) and Cabaret (Fraulein Kost). The production will be directed by Robert Wilder, HJT's resident musical director, and choreographed by Suzette Hutchinson, who is on the faculty at HJT.
See more events with tags: musical harwich harwich junior theatre dusty springfield forever dusty


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Seafood Gumbo
Salt Pork – One package diced fine (about 4-6 ounces)
Okra – Three cups sliced
Onion – One large processed medium fine
Celery – Three stalks sliced thin
Green Bell Pepper – One large processed medium fine
Flour – 1/3 cup
Bacon grease – 1/3 cup
Tomatoes – Two cups processed medium fine
Oysters – Two dozen small (two small jars)
Chicken Stock – Six cups
Thyme – ½ teaspoon ground (double for leaves)
Marjoram – 1/8 teaspoon ground (double for leaves)
Basil – 1/8 teaspoon ground (double for leaves)
Oregano – 1/8 teaspoon ground (double for leaves)
Rosemary – 1/8 teaspoon ground (double for leaves)
Salt – 1 ½ teaspoons
Black Pepper – ½ teaspoon fresh ground
Cayenne (Red) Pepper – 1/8 teaspoon ground
Garlic – Two cloves pressed or diced fine
Parsley Leaves – Two tablespoons chopped fine
Bay Leaf – One large
Tabasco Sauce – Two dashes
Worcestershire Sauce – One teaspoon
Crab Meat – ½ pound
Shrimp – One pound 25-30 count (after peeling)
Fish Fillet – 1 ¼ pounds of white fish (cod, halibut) cut in ½" cubes
Cream – One cup
File – To taste
Cooked Rice
Fry salt pork until very crisp. Set aside in small bowl. Sauté the okra in the drippings for three to four minutes. Add the onion, celery and bell pepper and cook until tender (about five minutes). Drain well and set aside in a small bowl. Make a golden brown roux with the flour and bacon grease over medium heat, stirring constantly. Add back the onion/celery/pepper/okra to the roux and stir well. Add the tomatoes and stir well; cooking for two minutes. Add half of the chicken stock and stir well. Mix in all of the seasonings and stir until smooth. Add the rest of the chicken stock and stir well. Cover and simmer for one hour. Add the salt pork, crab, shrimp and fish cubes. Cook over medium heat for 10 minutes. Add the oysters and cook until the edges curl. Add the cream, stir well and remove from the heat – do not boil. Serve over rice, adding file to taste if desired.
Serve with a wine such as 2004 Domaine de la Pepiere Muscadet Sur Lie Cuvee Eden Vieilles Vignes. We had this combination last night – fantastic.


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Beaded Stretch Lace Sheath with Tank Bodice Style 642636D
DB Studio
This item is available online only. *
Traditional but exceptional, you are spectacular in this dress.
A form fitting gown that contours to your natural silhouette.
customers bought with this dress
Beaded Stretch Lace Sheath with Tank Bodice Style 642636D 5 5
Very Disappointed! I am 5'7 approximately 125 pounds. I ordered a size 4 in this dress. Firstly, the dresses length was suppose to be 57 1/4 inches; that was INCORRECT. The dress was 51 inches overall! When I put the dress on, it rested above my ankles. There is not much fabric on the dress to take it out at the bottom in order for it to be long enough. And lastly, the fabric is completely see through, and very, very thin. I have a small chest, therefore require padded bras, and this dress definitely does not allow you to wear a bra at all, nevertheless a full slip. March 4, 2013
Not as advertised I purchased this dress from David's Bridal on-line because I thought it was going to be perfect for my beach wedding and with a short engagement, I thought that the stretch lace material would let me avoid a trip to the alterations department. When it arrived in the mail I tried it on and was immediately disappointed. The top half of the dress fit wonderfully, but the bottom hem hit right at my ankle. I am only 5'6" so the advertised length should have reached the floor on me. I took the dress to the David's Bridal store here in town and it measured at 52" in length rather than the advertised 56 7/8". I called customer service (when I FINALLY found the phone number) They were kind, and over-nighted me the same dress.. also too short. I returned them both and ended up with something from in-store, which I love even more. I am not a complainer I just dont want someone to be in the same situation with a short time frame and have to rush to find a dress within a month of their wedding. As far as I know, David's Bridal was looking into the situation to see if it was a bad batch of dresses or a misprint on-line. Hope this helps! October 15, 2012
Disappointing Had my eye on this dress for a while and finally decided to order it when it went on sale, looking for a simple but stylish lace dress for my beach wedding. Very disappointed. The material was flimsy, the beading looked cheap, and the fit was very odd. The dress hit right at the top of my ankles and barely covered my chest! The dress could be lovely on someone very petite, but did not work on my five-foot-six, hourglass frame. David's has much, much nicer dresses! October 9, 2012
super fast delivery, and an AMAZING dress I'm so grateful I found this dress! I was getting married abroad, in a court house so I wasn't looking for anything out of ordinary. I wanted to save a nice, ball gown dress for a church wedding next year. My departure was set for Monday, and I went on David'd Bridal website on Tuesday night (that is when I ordered it). As soon as I saw this dress, I started measuring myself to see if I match any of the sizes. In some parts I seemed to be too big, and some - too small. But I picked size 2 because it fits me most of the times. (I'm 5'2', about 100lbs, 36A-34B)). My biggest fear was that the dress wouldn't get to me on time. I was hoping to receive it by Saturday the latest but it landed at my door on Thursday evening!! I was shocked! As soon as I put the dress on ......... I was speechless. It fit PERFECTLY in every spot. Gorgeous!! The previous reviewer said it is for a small cup person - it is very true. I'm so happy it fit me! I love lace, and I think this dress looks even more wonderful in person. August 15, 2012
1-4 of 5
*Color & Style representation may vary by monitor. Not responsible for typographical or pictorial errors. Product availability varies by store and online. Some in-store purchases require special order and markdown styles cannot be special ordered. Contact your local store for details.


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By Maurielle LueFox 2 NewsDETROIT (WJBK) -- The Wayne County Election Commission confirms that a recall petition for Detroit Mayor Dave Bing has been approved. Just 43,000 signatures are needed to call a special election as early as mid-February.The petition was approved last month on the grounds that Bing reduced hours that police precincts are open to the public.John Cromer, a Detroit businessman and community activist, says he received an elusive text message invitation to a meeting to rally support for the recall effort."We had a couple community leaders, a couple clergy, as well as state representation from the House of Representatives that was part of this meeting."Cromer says some of the city's prominent movers and shakers, including religious leaders and state Rep. John Olumba, came to the meeting. Some, Cromer says, are friends of the mayor."But when I arrived to the meeting, I was socked by some of the faces that I saw. Some of these faces were actually supporters of the mayor who were actually part of his installation, who I actually saw at his office or in his conference room."Cromer says in this private meeting leaders announced they'd already acquired a few thousand signatures, but he was kicked out shortly after for suggested this effort would be too expensive for the taxpayers."I was politely asked to leave after I certainly did not agree with this approach. I think that a recall at this juncture would be... the wrong message. It would certainly cost our taxpayers money if we were to have a special election."A special election would cost Detroiters at least half a million dollars, but that would only happen if all 43,000 signatures are collected in the next three and a half months.So what does Mayor Bing say about this? I was told by his office they will have no comment for this story.I also reached out to state Rep. Olumba. So far my calls have not been returned.
WTTG FOX 5 & myfoxdc5151 Wisconsin Ave. NWWashington, DC 20016Main Number: (202) 244-5151Newsroom: (202) firstname.lastname@example.com


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GREY'S ANATOMY - "Going Going Gone" - The doctors of Seattle Grace are faced with the aftermath of last season's plane crash. As they try to move on with their lives, they must learn to adapt to the changes, cope with their losses and move forward with their relationships and careers.
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I think this DVD is a useful product for many couples expecting a new baby. It also opens up acupuncture to a wider audience and is good value at £11.99. It can be recommended to patients once they have been shown the correct pressure and point location by a qualified acupuncturist
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WASHINGTON, DC - This is the transcription of the live interview with Rep. Bobby Scott (D-3rd District) from 13News Daybreak as sequestration nears midnight deadline. He will visit the Hampton Avenue Center Head Start program in Newport News and read to students as a part of Read Across America Day. Rep. Scott will also meet with administrators to discuss the impact sequestration will have on Head Start programs in Virginia and across the nation.
Q: What does your gut tell you about the chances for a deal before the deadline?
A: You can't cut $1.2 trillion out of the budget without any revenues to help offset the damage. The number's too big, across-the-board cuts are mindless and will be painful, but you can't come up with an alternative and that's why you haven't seen any alternatives. Nobody's come up with another way to cut $1.2 trillion in non-defense discretionary, we're already at the lowest point we've been, percentage of GPD, since before Medicare. So you just can't cut that kind of money out of the budget any intelligent kinda way.
Q: So you're saying is there's no intelligent way for them to reach an agreement.
A:The intelligent way to do it would be to come to $1.2 trillion with a significant amount of revenues. To put this in perspective, we cut taxes $3.9 trillion just a couple weeks ago. We need $1.2 trillion to totally offset the sequester. So what we're doing is trying to pay off the tax cuts we passed just a few weeks ago. Now people have gotten the idea that tax cuts don't have anything to do with the budget. I think we're finally realizing that if you cut taxes, you have to pay for it some kind of way.
Q:The Republicans argue that money needs to be cut from social programs?
A: That's the alternative. Cuts right now don't got into Medicare benefits or Social Security at all. You could reduce the cuts in defense and non-defense discretionary spending by cutting Medicare and Social Security. All of this discussion, remember, is to pay for the tax cuts.
Q: Paraphrasing some comments on our Facebook page, why don't members of Congress get off their backsides, come together and do something?
A: One of the things that people have been encouraging us to do is compromise. That's what got us in trouble in the first place- one side wanted about $3.5 trillion in tax cuts that were not going to be paid for then but would be paid for later. The other side wanted $4.5 trillion in tax cuts and we compromised at $3.9 trillion when we couldn't afford the $3.5 trillion. What we need to do is force people to make the choices and articulate the choices. I don't know how many people would have supported tax cuts if they knew this is where we were going to be just a couple of weeks later.
There's nothing going on today that wasn't absolutely predictable on Jan. 1 when we voted for $3.9 trillion in tax cuts. The alarm should have gone off on New Year's Eve before we voted for those tax cuts.
Don't miss our special report on this important issue tonight at 7:00 pm. Submit your questions on our Facebook page or on Twitter with the hashtag #hrsequester. More coverage here


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FINAL SALE Organza Split Front Gown with Floral Print Inset Style T3268
David's Bridal Collection
Final sale. This item cannot be exchanged or returned.
This item is available online only. *
Effortlessly romantic, this strapless organza gown is nothing short of breathtaking.
Train that extends one and a third yards (about 4 feet) from the waist.
A popular neckline for brides seeking a stylish and versatile look (offering unlimited jewelry and accessory options).
A delicate, sheer fabric, often layered or worn over another fabric because of its transparent quality.
A delicate, sheer fabric, often layered or worn over another fabric because of its transparent quality.
A dress with a fitted bodice that gradually flares from the waist. A-line styles are flattering for all women.
Tight decorative gathers which create flattering pleats in the fabric.
customers bought with this dress
FINAL SALE Organza Split Front Gown with Floral Print Inset Style T3268 68 69
Could never have found a better dress. I got so many compliments on this dress. The colors are not as bright as they are in this picture. But just bright enough that the dress isn't plain. I used this dress for an outdoor wedding and it was perfect. Because of the way the fabric is kinda ruched, you could not tell that I could barely get it zipped because I was 10 weeks pregnant by my wedding day. lol. October 10, 2013
Gorgeous! This is the best wedding dress I've ever seen by far...I got the pink one first, and I really loved how it fit me, I think it's perfect for women with curves. I went with the blue in the end because it was better contrast against my pale skin, and I could not have been happier! Everyone loved my dress and raved about it, and the pictures couldn't have turned out better. Get this dress, you won't be disappointed! September 10, 2013
LOVE! Beautiful! It's a little different from the pictures, but is most definitely an amazing dress! July 18, 2013
love my dress This is the most gorgeous dress that I have ever seen and I am so excited to be wearing it on my wedding day. It is comfortable and 100% perfect. July 7, 2013
1-4 of 69
*Color & Style representation may vary by monitor. Not responsible for typographical or pictorial errors. Product availability varies by store and online. Some in-store purchases require special order and markdown styles cannot be special ordered. Contact your local store for details.


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As metro Detroit braces for yet another round of dangerously cold temperatures, some people are concerned about heating their homes. Many families in Michigan are also behind on their utility bills. The Heat and Warmth Fund (THAW) expects to assist people in 25,000 Michigan households this winter."The customers we serve are survivors. I mean these are people that are at any measure trying to protect their home and family," says THAW CEO Susan Sherer. She says the first thing people need to do if they're facing tough times is get help early. Do not wait until you get a shutoff notice. Call your utility company as soon as possible to set up a payment plan or to get referred to an organization like THAW. Sherer says 1.2 million people across Michigan are eligible for assistance, and man will face trouble in the coming months"In 30 days when bills come in $75 or $100 more, that is money a house on a very limited, tight income cannot afford," Sherer says. And for those who can help please donate. Federal funding to Michigan has been cut by $150 million dollars over the last four years.If you'd like to help out, the annual radiothon for THAW will take place Friday Feb. 7 from 5 a.m. to 7 p.m. on WWJ. The goal is to raise $750,000 this year, and every dollar that's donated will be matched by DTE Energy.
Aggressive wasps have forced an entire neighborhood in Detroit to come to a standstill.
KTBC FOX 7119 East 10th StreetAustin, TX 78701Phone: (512) 476-7777Fax: (512) 495-7001


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Crime Stoppers and three unions in southeastern Michigan held a press conference Wednesday afternoon to announce a partnership to help the fight against prescription drug abuse and the heroin epidemic.
The United Auto Workers, Michigan Regional Council of Carpenters, and Laborers' Local 499 have donated a total of $10,000 to assist Crime Stoppers and local law enforcement in a new prevention effort to attack this problem.
Prescription drug abuse and heroin use has the particular quality of changing the face of entire neighborhoods and cities. Crime has increased in areas where drug abuse has risen and an increase in overdose deaths are also attributed to this problem. Thankfully, a united response from the union leaders and their membership can make a powerful change. Local leaders, as well as the community, welcome this initiative.
"For over 20 years now, we have worked vigorously to make a difference in all seven counties that we serve," said John Broad, president of Crime Stoppers of Michigan. "I am excited that these unions have partnered with Crime Stoppers to assist in the prevention effort, and people in the community are starting to understand what we do and how we do it, and are working together to build safer communities. Monroe County Prosecutor William Paul Nichols indicated that this initiative was one of many steps that arose from the first ever prescription drug abuse and heroin summit held at the Monroe County Community College on Dec. 3, 2013."
How can you help? Crime Stoppers of Michigan offers a cash reward of up to $1,000 for information that leads to an arrest regarding prescription drug abuse or heroin. Anyone who has information regarding the crime should call Crime Stoppers of Michigan at 1-800-SPEAK-UP. All calls and cash rewards are completely anonymous.
Copyright 2014 Toledo News Now. All rights reserved.
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R L Winston Boron II t Fly RodsWinston has long been committed to providing anglers who prefer more traditional actions with the finest rods they can own. The Boron IIt series is proof that advanced boron technology can be used to create exceptional fly rods that feature a medium fast-action. These rods are butter smooth with great touch and feel. Unlike a conventional graphite medium-action rod, however they are capable of generating higher line speeds. This results in a more powerful and lively rod that fishes wonderfully and can handle the wind. If you love a medium-action, or are a devotee of Winstons previous medium-action rods, you need to cast a Boron IIt. You will be amazed.
FREE GROUND SHIPPING IN THE CONTINENTAL UNITED STATESLittle River Outfitters is a fly shop and mail order company located in Townsend, Tennessee, a gateway to Great Smoky Mountains National Park. We have been family owned since 1994.


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EA: 'Far Too Many' Games Released During the Holiday SeasonFollowing a glutted holiday gaming market that lead to some disappointing sales for new Electronic Arts franchises, the publisher has admitted that its strategy of releasing many of its larger titles during the same season was a mistake.
"The one big thing we learned was, we came out with a bunch of new IP, actually with a bunch of new games at the same time," said EA Redwood Shores general manager Glen Schofield to GamesIndustry.
"I think that we traditionally thought that people only buy games at Christmas or around holiday time," he continued. "And now we're looking back and going, 'You know what, GTA launched in May; Resident Evil comes out in March.'"
Weak sales of new IP such as Dead Space and Mirror's Edge contributed to third quarter losses of $641 million at EA. The publisher quickly moved to cut 11% of its workforce in response.
"I think the industry has finally gone, 'Wow, we could probably just come out just like the movies do,'" concluded Schofield. "Movies launch on Christmas day, they launch blockbusters during the summer, and we're now learning that we could probably launch a game at any time, and if it's a good game it will be well received."
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text: Cat attacks woman in the snow Tuesday, December 17, 2013 6 a.m. by Justin Maybe the cat wasn't in the holiday spirit. Or maybe the cat didn't appreciate the way this woman kicked snow in his face. Either way, from now on I'd leave this ninja cat be. *Author:User:MaxoCategory:Cats {{GFDL-self}}


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Join GayCities, the fun way to discover the worldSee where your friends and people like you are going and what they say about places and events worldwide.
Gay San Francisco: City by the Bay
San Francisco is a port of call for the alternative, the adventurous, the creative and the aspirational. The "City by the Bay" is known as the gay capital of the US, where 700K locals welcome nearly 17 million visitors every year. Culture is San Francisco's trademark, from the people to the politics... More
2014 Annual Falcon Studios Group VIP Party
Saturday Sep 20, 2014 - 8:00pm-1:00am
Falcon Studios, Raging Stallion Studios and Hot House Entertainment encourage fans and media to download their free tickets today for the hottest party of the y...
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Behind The Harness: The Extraordinary History Of The Folsom Street Fair
T h i s S u n d a y , F o l s o m S t r e e t i n S a n F r a n c i s c o b e t w e e n 8 t h a n d 1 3 t h s t r e e t s w i l l c l o s e d o w n t o c a r t r a f f i c a n d w e l c o m e o v e r 4 0 0 , 0 0 0 p e o p l e t o t h e l a r g e s t k i n k a n d l e a t h e r e v e n t o f i t s k i n d . I f y o u ' v e n e v e r a t t e n d e d a F o l s o m S t r e e t F a i r , y o u ' v e s u r e l y s e e n p h o t o s . B u t h o w d i d w e g e t h e r e ? T o d i g i n t o t h e h i s t o r y o f t h e F o l s o m S t r e e t F a i r i s t o w a l k t... More
Jump to: Gay Bars - Restaurants - Gay Friendly Hotels - Shops & Boutiques - Gyms & Spas - Tours and Things To Do - See all »
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DantesCoveMusic is going to Folsom Street FairEvent in San Francisco
DantesCoveMusic is going to Folsom Street Fair Artists' StageEvent in San Francisco
DantesCoveMusic is going to Folsom Street Fair Beer BoothEvent in San Francisco
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2014 San Francisco Fringe Festival
San Francisco Fringe Festival is coming!
For 2014, we celebrate...
Friday Sep 5, 2014
SWAN QUEEN: The Dragsical - Opening Night with hostess MuthaChucka!
Opening Night is Friends & Family Night - (Black & White attire p...
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A friendly neighborhood bar in the heart of the Castro


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The Best Breastfeeding Diet: What Should You Eat?
Nutrients You Need
Now that you're no longer pregnant, are you wondering why you should keep up with a diet filled with fresh fruits and vegetables, plenty of fluids, and a prenatal vitamin? Will it really make a difference to your child's well-being?
"As long as you're the sole source of nutrition for your baby, what you eat now is as critical as it ever was," says Elizabeth Somer, RD, and author of several books including Nutrition for a Healthy Pregnancy and Nutrition for Women. A woman "needs to be restocking her body at the same time she's breastfeeding, since many of the vitamins and minerals in her body have been depleted during the pregnancy," Somer explains.
As during pregnancy, you're giving nutrients to your baby first, and you get what's left over. You need to be extra mindful of your nutrition so that you keep up your own energy levels; you're caring for a newborn now!
Some of the important nutrients you were taking in during pregnancy are still essential for you now, especially calcium, folic acid, and omega-3 fatty acids (particularly DHA).
This fatty acid is a necessary component for optimal eye, brain, and heart development in babies. It is also the most abundantly found omega-3 fatty acid in breast milk. So, how can nursing mothers get more DHA in their diets? Somer notes that fatty fish such as salmon and herring are chock full of this fatty acid. Moms can also look for foods fortified with DHA, such as certain brands of eggs, cereals, and breads, and supplements that provide the necessary amounts of DHA for nursing mothers.
While it is recommended to take in 300 mg of DHA daily, a 2006 study done by the Society for Women's Health Research showed that on average, breastfeeding women in America are only taking in 60 to 80 mg a day—less than one-third of what they need.
Calcium with Vitamin D
During pregnancy you may have been mindful of drinking enough milk and eating the recommended servings of cheese and yogurt throughout the day. Now that you're a mom, there is no need to decrease your calcium intake. The March of Dimes website states, "the amount of calcium you need each day remains the same before, during, and after pregnancy."
Again, most women are not getting the recommended daily servings of calcium, which according to Somer is 1,000 mg for a woman 20 years or older. A serving could be three glasses of milk, three cups of yogurt, or three glasses of vitamin-D fortified soy milk or orange juice.
Vitamin is fat soluable and is found in certain foods, historically though, it has been obtained by adequate sun exposure. Today, vitamin D deficiency is much more common than it once was. Decreasing exposure to sunlight due to all the risks of too much sun exposure, in addition to more people living in urban areas, has led to the recommendation of fortifying certain foods with vitamin D to ensure adequate intake. (Vitamin D is an important partner to calcium; it helps calcium to be absorbed properly and efficiently.)
Interesting to note: Vitamin D is actually considered a hormone. "It got its name as a vitamin in the early 1900′s by researchers and it has stuck since then," points out Beth M. Iovinelli, RN, BSN, IBCLC.
Folic Acid
Mention folic acid and most women think of prenatal vitamins, having learned of folate's importance in the diet during pregnancy. When breastfeeding, folic acid is still as important as ever, Somer says. "Your baby depends on every bite of asparagus you take for her folic acid." Other sources of folate include leafy green vegetables such as spinach, broccoli, cabbage, and Brussels sprouts.
Staying adequately hydrated is crucial to breastfeeding mothers. "Nursing moms should aim to drink a glass of water before breastfeeding," says pediatrician Dr. James Sears, MD. According to Dr. Sears, water is a nursing mom's best friend. Since you've already grown accustomed to drinking more water than usual and avoiding caffeine during pregnancy, it's good to maintain that regimen. The National Institute of Health reports, "Eight 8-ounce servings (64 ounces) of fluid such as water, milk, juice, or soup is a good goal."
"Caffeine-containing beverages can have a diuretic effect, causing you to lose valuable minerals and fluids," Dr. Sears says, and the caffeine you drink goes directly through your milk and into your baby's system. Having a baby up all night because she's jacked up on caffeine is not a pretty sight.
If you get bored with the taste of plain water and don't want to load up on calorie-laden juices, why not try flavored water? Make sure it is not high in calories or sugar and that it doesn't contain chemicals.
While you know that it's best to maintain a proper diet during breastfeeding, you may not have the time to prepare healthy meals now that your baby is here. Somer offers these tips for busy nursing moms on getting the valuable nutrition that they—and their babies—need. Try the following four food tips:
Keep the Kitchen Stocked
Not sure what to have on hand for when you're hungry but don't have time or energy to spend on elaborate snacks? Try stocking up on the following:
"With these items you can easily put together a healthy snack. You don't even need to cook to eat healthy—you can nibble on peanut butter, baby carrots, and a glass of milk," says Somer.
While you may have heard that nursing mothers should not ingest peanuts due to the allergen factor, keep this in mind: Canadian researcher, Dr. Peter Vadas, who in 2001 found that the peanut protein can be passed through breast milk, says that women should only be on the alert if they are already at risk for peanut allergies. Those would be women who have a family member with the allergy already—such as a parent or sibling, or a strong family background of other allergic diseases such as eczema, asthma, or hay fever.
Take Food With You
"You wouldn't dream of leaving the house without your diaper bag, so don't leave home without your stock of little yogurts, baby carrots, string cheese, and a water bottle," Somer says. She advises that nursing mothers get hungrier than other moms, so it's wise to be prepared with healthy snacks instead of pigging out at the food court or local convenience store. Remember that you need approximately 500 more calories per day than a non-nursing mom, but those calories still need to come from healthy sources.
"The key is to plan ahead," adds Dr. Sears, who also recommends making your own trail mix with raw nuts and dried fruits, or grabbing some pre-sliced apple wedges. "Keep a case of bottled water in your garage and grab a bottle when you go on errands."
Understand the Food-Colic Connection
Is your baby excessively fussy after nursing? Dr. Sears says that some foods can be upsetting to babies as soon as two hours after you eat them. He cites cow milk products, spicy foods, and gassy foods such as broccoli, onions, cabbage, and green peppers as some foods to watch out for. He suggests nursing moms "eliminate foods that are suspect for 10 to 14 days to see if baby's symptoms disappear or diminish and challenge the results after the troublesome symptoms subside by reintroducing the suspicious food. If symptoms reappear within 24 hours, eliminate this food while breastfeeding."
Some substitutions for dairy milk could be soy, rice, oat, almond, hazelnut, or walnut milk.
Know What's Safe and What's Not
Nursing women should avoid undercooked foods or those that may contain bacteria, such as Listeria, due to poor cooking standards—but otherwise there are really no big no-nos once you're breastfeeding. Even sushi is OK if it's prepared up to healthy standards. (Watch for high mercury levels found in the raw tuna sashimi.)
Alcohol should be avoided as it can affect the milk-ejection reflex. According to a study published in The Journal of Clinical Endocrinology and Metabolism, alcohol disrupts the release of both lactation hormones, so infants ingest less milk from the breast following the mother's intake of alcohol. If you're going to have a drink, make sure that it is not right before a feeding or you may end up with an unhappy baby.
Breastfeeding has challenges of its own for every mother, but if you eat a properly balanced nursing diet and stay well hydrated, you should be well on your way to a successful nursing experience.


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By Morgan Glennon, Hollywood Staff
What's a dystopian novel without a post-apocalyptic world? The world of Panem is a dog-eat-dog place, but some of the Districts do a little better for themselves than others. In case you needed a refresher, Panem is split up into 12 districts (we don't talk about district 13) and a glittering and wealthy capital city.
Taking a page from The Colbert Report, this ongoing "Better Know a District" series will take a look at the districts that make up the brutal world of The Hunger Games.


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FRANKFURT (Reuters) - German chipmaker Infineon
As part of the settlement, Atmel will pay Infineon an undisclosed sum, Infineon sad in a statement on Friday.
Infineon initiated proceedings against Atmel in April 2011, filing a complaint against the company in the U.S. District Court for the District of Delaware. The patents in the suit and countersuit are related to microcontrollers.
(Reporting by Maria Sheahan; Editing by Christoph Steitz)


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Log In Register
Browse TRC database
Look for links that offer information and lesson plans to enhance your teaching experience. Each link is tagged with a suggested grade level. Explore items tagged TRC Materials Available for sites related to resources available for free loan from the Teaching Resource Center.
Take your students to nineteenth-century Texas, Antarctica, the American West, and elsewhere without leaving your classroom! Visit the Amon Carter's online teaching resources for images, information on artworks and artists, discussion questions, and classroom activities for all grade levels tied to state and national standards.
Explains how artists of varying media promote self-discovery and self-expression. A study guide for parents is included.
Copyright 2014 Amon Carter Museum of American Art. All rights reserved.


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- Tour Schedule
- Tour Diary
, Bangalore, Karnataka, India, 560082
, Bad Antogast, Germany
, St. Mathieu-du-Parc, Quebec, Canada
Sri Sri inaugurates North American Ayurveda Conference6 July 2014, North Carolina, United States
Sri Sri inaugurated the North American International Ayurveda and Yoga Conference at the Art of Living Ashram in Boone on 4th July 2014. It was hosted by AAPNA (Association of Ayurvedic Professional of North America) where doctors and professors from Harvard, Yale and other leading universities also participated. Many expressed that the western world has been deprived of the benefits of Ayurveda due to prejudice against eastern philosophy and sciences.
Speaking Compassion1 July 2014, San Francisco, United States
Sri Sri Ravi Shankar with Dr. James Doty, Founder Director of CCARE (Center for Compassion and Altruism Research and Education) in Stanford on July 1.
The Center for Compassion & Altruism Research & Education (CCARE) at Stanford University hosted a dialogue on the topic of compassion.
Honor from the California Legislature Assembly30 June 2014, San Francisco, United States
Sri Sri Ravi Shankar received a Certificate of Recognition from the California Legislature Assembly on June 30, recognizing the efforts towards building a stress-free world by promoting love, peace and harmony through yoga and meditation.
The previous night, the reigning Miss Jamaica-Universe Kerrie Baylis, who has done the Art of Living Happiness Program, met Sri Sri and offered a traditional Jamaican hat in San Francisco. She is also the brand ambassador for the Shankara range of products.
On a tour of the United States of America, Sri Sri is in the Bay Area for a few days. He conducted a special Shakti Kriya and also interacted with participants of the Happiness program.
The Intersection of Capitalism and Happiness24 June 2014, Washington DC, United States
Arthur Brooks, president of the American Enterprise Institute (AEI), hosted Sri Sri Ravi Shankar to continue a conversation about human flourishing that began when AEI invited His Holiness the Dalai Lama. According to Sri Sri, human flourishing is based on much more than material wealth.
"Drive behind a bicycle", replied Sri Sri when asked to advise the American population, of which only one third consider themselves happy. He argued that stress shrouds happiness and that one should focus on boosting energy levels or reducing demand.
Denying the conflict between compassion and capitalism, Sri Sri applauded the values of capitalism and hard work, but also emphasized that capitalism without compassion cannot make a just society. "Whether capitalism, communism, socialism or whatever 'ism' it is," Sri Sri responded, "no 'ism' will work without humanism."
Using India as an example, Sri Sri exalted the values of pluralism, arguing that a slow, messy democracy is better than a faster dictatorship. Social media plays a great role in building a free society, but he warned against its misuse. Sri Sri discussed how spiritualizing politics can reduce governmental corruption. Sri Sri also offered his panacea on how to counter terrorism and religious extremism that is on the rise in many parts of the world. He asserted that it was all about "uniting people of all religions and sects within a religion to come to an understanding that we're all part of one universal human family.
Later in the program, Brooks summarized three lessons from the discussion: while capitalism is a beautiful blessing, humanism should come first; the secret to happiness is inside us; and one's purpose should be directed by serving others and working hard to foster common brotherhood.
Guru Sri Sri Ravi Shankar Drops by the American Enterprise Institute
Sri Sri's optimistic about the new Indian government
Human flourishing: A conversation with Sri Sri Ravi Shankar
Reformers Have a Bigger Role Than Rulers13 June 2014, Maharashtra, India
"Seva (service) to Rashtra (nation) means seva to Bhagavan (the Divine). The duty of a swayamsevak is to create Josh-Hosh and devotion to the nation," said Sri Sri at the RSSconvocation ceremony held on June 12 at the RSS Smriti Mandir, Reshimbagh Maidan, Nagpur. Sri Sri praised the RSS for giving society, both, reformers and rulers. He said, "We are all reformers and reformers have a greater role to play as compared to the rulers." He stressed on imbibing discipline in life. Government can be imposed from outside but discipline comes from within, he said, adding that discipline was necessary for both reformers and rulers.
Sri Sri travelled to Pune the next day where he inaugurated the new kitchen at The Art of Living Ashram in Markal. At the satsang that followed, Sri Sri urged the gathering to participate in service. He said, "There is a big transformation in the country. Now we need the same type of transformation in Maharashtra."
Giving Blood Donation a Boost4 June 2014, Margoa, Goa, India
Sri Sri Ravi Shankar launched the 'Save Life India' project, a special blood donation initiative today.
The over 2000-strong audience pledged to support blood donation and work towards community welfare in the event entitled, 'My India, My Vision.'
After the event, Sri Sri tweeted: "Today, India requires 4 crore units of blood and only 40 lakh units are actually available.
You can donate blood online on www.savelifeindia.org . I congratulate all the volunteers of Goa for taking up such a noble project."
The website - www.savelifeindia.org - hosts a database of individuals, who have expressed their willingness to donate their blood in case of emergency in the towns/cities around their place.
On another note, Sri Sri Ravi Shankar said that he would like an India that would be free from slums, corruption, violence and injustice. "India is torn up by religion and caste differences. I would like to have an India free from injustices, corruption, and violence, where farmers and the youth are happy," he said.
Use media for good10 May 2014, India
"Journalists must uplift the society by highlighting all the good things that are happening in society," said Sri Sri Ravi Shankar at the launch of 'The First Witness' magazine. "They (journalists) have to inspire people to take action," shared Sri Sri, continuing, "Let us use social media, use the magazines, use media for the betterment of the society, not to abuse people."
Dilip Cherian, a communications consultant and political campaign advisor and Major Dalbir Singh, President of Foundation for Policy & Governance and Senior Advisor (South Asia) were among the other dignitaries present.
The President of Yuva, Rajiv Ranjan, is the founder of 'The First Witness'.
The Happiness tour of Bahrain7 May 2014, Bahrain, United Arab Emirates
An evening of music and wisdom was held on May 5 at the National Indoor Stadium in Riffa, where Sri Sri was welcomed in the traditional Arabic style. It began with the showcasing of the rich Arabic culture and traditions and was followed by Sri Sri's words of wisdom and soulful meditation.
The next day, Sri Sri attended the Civilisations in Service to Humanity Conference at the Gulf Hotel, where he was received by His Majesty King Hamad and other dignitaries.
Later that evening, businessmen, public figures, and senior officials gathered at the Crown Plaza Hotel's Bahrain Conference Centre to hear Sri Sri speak at the Happiness and Business seminar. Sri Sri spoke to the corporate community about the importance of business ethics, clarity of mind, and spirituality, which leads to the creation of a stress-free society.
Corporate Culture & Inspiration4 May 2014, Rome, Italy
"Happiness is that when one is enthusiastic from inside. The combination of awareness & enthusiasm is most needed in life or in any setup".
Sri Sri was the keynote speaker at the Maruti Suzuki Convention to inspire the crowd on 'The Way of Life' on May 4. He underlined the importance of a cordial and stress-free atmosphere at work places. Few ways in which this can be attained, he said, is by the involvement of employees in social projects, sharing of meals, enhanced communication, occasional gatherings and meditation.
Earlier during his Vatican visit, Sri Sri discussed with the Global Freedom Network Association how one could fight against human trafficking. Several dignitaries from the GFN board were present.
At another public program, more than 600 people were inspired by Sri Sri's words: "A change is needed. We need to be in touch with our inner strength through meditation. Never lose your smile come what may. Just remember the difficult time you had in the past and that you got rid of it".
Sri Sri spreads waves of happiness in Itanagar12 April 2014, Arunachal Pradesh, India
A resounding and emphatic response to his call for spreading a wave of happiness and peace in Arunachal Pradesh marked the 2-day visit of Sri Sri Ravi Shankar to Itanagar. "Arunachal Pradesh should be epicenter of peace and happiness. The happiness should spread from Arunachal Pradesh to rest of the country," he said while addressing a large gathering at the Art of Living Campus located at Jollang Road on Saturday. Nearly 2000 people, including many who have travelled all the way from far-off places such as Aalo, Basar, Changlang, Tirap, Pasighat, Seppa, Tezu, attended the event.
He also called upon the people of Arunachal Pradesh to preserve the tradition and culture of the various tribes of the state. He highlighted the similarity of culture and tradition of indigenous tribes all over the world with that of Arunachal Pradesh. While emphasizing the need for reform in some of traditional practices, he called upon people to retain their originality and preserve their own culture.
Sri Sri emphasized on the responsibility of each resident to be a messenger of peace and harmony and to work as a volunteer for a better Arunachal and better India.
During his two-day stay in the capital, Sri Sri interacted with hundreds of people not only from different districts of Arunachal, but also from neighboring places in Assam. Several dignitaries and bureaucrats also called on him and discussed with him the ways of realizing the shared vision of a peaceful and prosperous Arunachal Pradesh. Sri Sri also called on the Governor of Arunachal Pradesh Lt. Gen. (Retd.) Nirbhay Singh at the Raj Bhavan on Friday.


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Fixed Income Summit
Pensions & Investments' Fixed Income Summit series was a big success with more than 200 attendees who came to learn how to find returns in today's low interest-rate environment.
Click below to view video interviews with some of the conference speakers to gain additional insights. And please join us for the Fixed Income Summit webinar on June 12, 2013 at 2:00 PM ET for a brief recap of the conference.
The video you requested cannot be found. Please click here to go back to the main video page.


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First of all, sorry the pics are so big, blogger is not allowing me to upload the pics, so I have to post this all in html.. and I'm not in the mood to look up resizing codes.
Anyways... this is a pic of my "raw ground beef patties" AKA uncooked veggie burgers.
I've been asked several times to elaborate on the method.. I'm sorry to say, I still haven't written down a recipe, but I promise, the next time I make them I will. And I make them two times a week at least.
The pic here is to give you an idea of the texture the pattie needs to be before grilling. They key to this texture is chilling it overnight or for a minimum of 3 hours.
I use Lipton Onion Soup Mix in these. If you don't want to do that, then I suggest some veggie bouillon cube and dried onion flakes. If you won't want to do that, then saute 1 small onion with soy sauce or salt and use that.
Some of the TVP in the above pic was caramel colored, so that's why you see some dark flecks.
Here's a rough recipe:
1 batch Okara from making soymilk, you can subsitute this with 1.5 cups of pureed white beans, soybeans being the best since they contain fat. Warm the bean puree.. the okara I use is piping hot from making soymilk. You can do this in the microwave
6 oz tomato paste
Lipton Onion Soup Mix (1 pouch)
TVP (enough to make the mixture come together)
Hot soymilk or water to bring the mixture together if needed.
Black Pepper
Garlic Powder
A couple TBS oil if desired
Add: any flavorings you wish. I like to add fresh herbs, condiments, spices or whatever suits my fancy. For instance, I have added fresh basil fresh garlic and a bit of live oil for a pizza like burger. I have added horseradish and caraway for reuben like patties, I add dijon or yellow mustard and browning liquid (Gravy Master) for a traditional type "hamburger" pattie.
It is very important to let the mixture chill. (I can't say this enough).. Grill on an oiled grill or grill pan over medium heat (I use my cast iron grill pan on 5 on my electric stove) covered for 5 minutes on the first side, flip and grill for 5 mins uncovered.
You can also add fresh garlic,parsely, basil, miso and roll into small balls for meatballs. brown them in a skillet, then bake at 400 for 25 mins or so. Also, if you make the meatballs, add oil.
Ok, onto cheese. I made some Cashew Cheese.. in fact, I made quite a bit. I took a lot from the Native Foods Cookbook recipe, but left out a few things and added more flavor. This made 5 8oz domes. 3 are in the freezer, as I'll use them to top pizzas and other baked goods.
Here's a summary of what I used.
3 cups piping hot, freshly made soy/rice milk (literally as soon as it was done)
3 tbsp Agar Powder (yes, it's a lot.. but it works)
-bring these two to a boil for a minute or two, whisking. Let it cool down for 5 minutes or so.
Pour into a blender and add:
2 cups cashews
1 tbsp prepared mustard (I like dijon)
3 tbsp miso
1 tbsp onion powder
1 tbsp garlic powder
1/2-3/4 cup lemon juice
1 tsp kosher salt (taste before adding, because some miso is very salty, start by adding 1/4 tsp kosher salt... if using table salt, add much less and taste)
Blend for several minutes... pour into 8 oz containers. I kept the last 8 oz in the blender and added around 1/4 capful of liquid smoke for a "smoked" provolone type cheese..
As you can see, this set up nicely. I grated some for my breakfast pizza, which I made on one of my homemade tortillas. I added marinara and veggies and around 1/4 cup of the "cheese".


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First time at the Oaks so that's why we have these crazy hats on, shaped like cheese hats and painted pink in honor of Bright Pink, which is a great charity.
This is our twenty-first Derby. 1988: Winning Colors baby! Hey, a big thumbs-up for the addition inside Churchill Downs. It's fantastic. Lots more restrooms, lots more cover, easier to bet. The big screen out here is amazing. We're having a great time. It's been one of the best in years.
California Chrome, Samraat & Wicked Strong
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Hope you had a great Star Wars Day yesterday, and May the forth be with you.
To celebrate, College Humor grabbed a few friends for this funny skit.
YouTube Description:We partnered with Lucasfilm and YouTube on a trip back to Tatooine's favorite hive of scum and villainy. Featuring in order Chris Daughtry, Ben Folds, Liz Phair, Reggie Watts, Mark McGrath, Jordin Sparks, Rick Springfield, Weird Al, Lisa Loeb, and mc chris.
Which was your favorite character?
Bonus 'audition' footage HERE.


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Mesh Stripe Dress
Style # 209646
AVAILABILITY: Unavailable for immediate shipment.
Daring and sexy, this bebe bodycon dress features sheer striped mesh over nude lining. Try it with a pair of embellished heels and a clutch for a let's-all-night-long look.
- 92% nylon, 8% spandex
- Center back to hem: 25" (64 cm)
- Fully lined
- Imported
- Model is 5'9" and is wearing a US size S
Rated 4 out of 5�by 1 reviewer.
Rated 4 out of 5�by petite Great quality I love the dress. I just wish it's a tad bit longer on the hem that's all. LOVE Bebe! March 19, 2013
1-1 of 1


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hunt continues for an accused killer. Toledo Police and U.S. Marshals are
searching for Marquis Walker, who they say shot and killed his ex-girlfriend
last month.
Jones, 23, was loved by many people. Those people have spent the last month
praying for an arrest, and now they have made flyers, hoping to help facilitate
justice for Jordan.
isn't a night that goes by that I don't cry myself to sleep thinking about her
and what she went through in those last moments of her life," said Blanca
Romero. "It is time to give this family rest and closure from our grief, of the
life that you took away when you kicked the door in to that apartment."
say Walker showed up to his ex-girlfriend Jones' home at the Tamaron
Apartments, shot her multiple times and took off.
police are offering a $1,000 reward for information that leads them to Walker.
man – the person, because I have a hard time calling him a man – but the
person, the individual who is responsible, Marquis Walker, for her not being
here with us is out walking the streets," Romero said.
Walker is 5' 8" tall,
weighs about 160 pounds and has black hair and brown eyes. Anyone with
information about his whereabouts is asked to call Crimestopper at
friends and family are holding a candlelight vigil for her this Sunday at 5:30
p.m. at the Tamaron Apartments. Anyone looking to show support may attend.
Mobile users, click on the
"Video" button in the app to watch this story. Download our app here.
Copyright 2013 Toledo News Now. All rights reserved.
715 South Jefferson Street
Jackson, Mississippi 39201
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10 Super Bowls of Chili
The biggest Sunday in football is around the corner. Score the MVP (most valuable party) award by serving up a killer pot of chili to your cheering section.
By Samantha Zabell
Back Next
Kate Mathis
Two-Bean Harvest Chili
A 35-minute fix, this vegetarian chili has some unexpected additions: collard greens and carrots.


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Borget was born out of a passion we share for Web and the possibilities it holds for shaping ideas and making them a reality. With limited resources and expertise we started off in year 2005-06 (officially registered in Nov 2007) and have had the fortune to dabble in the domains of web communities, e-commerce, network security, web design, hardware/ software reselling, software development, social media solutions, start up turnkey solutions, etc. We have had the privilege to work with and gain insight from clients in the aviation, automobile, education, retail & distribution, manufacturing, finance, human resources, construction and many other industries. These experiences have helped us understand the human, computer and web interactions and helped shape our vision for the web based product/ solution we are developing today at Borget Solutions.
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