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TORONTO — In 1994, Dr. Alvin Pettle began to learn to disentangle himself from ego – no small feat for anyone, let alone a popular, in-demand physician.
He's part Jewish mystic, part gynecologist, and all soul.
Alvie, as he's known to his many friends and patients, has a deep love and respect for women, and his life and career reflect that.
His personal journey shifted in 1994 when he began yearning for something more. At the time, he was chief of obstetrics and gynecology at Etobicoke General Hospital in Toronto, where he had delivered more than 10,000 babies.
But one day, he suddenly walked out of the busy office he ran with his wife, Carol, a nurse, saying, "I need to go for a walk."
He didn't come back for six months.
Carol and Alvin headed to Sherwood Forest, a Toronto park that has become a place of healing during certain times of their lives, "We just sat there. And I listened to the deepest part of my soul," he said.
Listening would be the key to his future. "When the student is ready, the teachers appear," he said, quoting the Buddhist proverb. And they did, in the form of people and every book he could get his hands on.
Pettle said he felt a sense of renewal after his awakening, and he knew it was time to break away from traditional medicine and move into a more holistic approach.
"I could sense being told, 'Now I'm going to show you how to really take care of women, and they will tell you what they need.'"
The fact that menopausal women were taking horse's urine through hormone replacement therapy (HRT) didn't make sense to him at all.
So the Canadian pioneer began to introduce bio-identical hormones to help women enter menopause. "Bio-ids" are made from botanical plants such as soy beans and yams. The human body can't convert soy or yams directly into natural hormones, so the natural plants are pharmaceutically processed in a transdermal cream.
His medical knowledge and his passion to understand hormones allowed him to help women in ways he hadn't been able to at the hospital. Now he's spends more time talking to his patients.
"Now I ask questions I never dreamed of asking before, like, 'Have you ever been abused?'" he said. "This is important information to gather for the well-being of my patients."
Pettle started to write prescriptions and figure things out. "I realized that some allopathic doctors are stubborn, educated by drug companies. Oh, God bless the drug companies, they do a lot of good, but they don't do [plant-based] hormones."
In the '90s, Pettle, as well as others in the medical community, said that "women must stop swallowing synthetic estrogen and stop taking synthetic hormones."
That was a risky move for the renegade doctor who was told to watch his back.
He recalled that fellow doctors contacted him, asking, "Alvie, what's wrong with you?"
To which he replied, "I'm trying to help women. We need to re-think this."
A young professor wrote him a note, asking, "How could you prescribe bio-identical progesterone to a woman without a uterus?"
Pettle replied, "You forgot she has breasts and organs that receive progesterone as well."
Although he doesn't take credit for it, Pettle's paradigm shift led to a sea change in the thinking of the medical community in which he was working. That took courage.
He has co-written two books with Lorna Vanderhaeghe, A Smart Woman's Guide to Hormones and Sexy Hormones. He's currently writing a book called What Women Have Taught Me.
"Women have taught me a lot, not the least of which is that it's time to turn our society from a patriarchal one to a matriarchal one," he said.
"Under our patriarchal society, there's too much testosterone. None of us would be here if weren't for women. It's time we begin looking into each other's eyes with a mutual respect.
"When people have respect for each other, magic happens."
At 66, Pettle said he feels better than he did at 35. Ever the philosopher, he muses, "Life is about seeking the truth in everything we do, and following your heart for the answers."
Pettle followed his heart all the way, as he puts it, from "self-destructing, moving too fast in the world of 24/7 medicine" to finding his place and peace among the women he clearly loves.


text:
A communication breakdown.
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text:
I have heard the azan, the Muslim call to prayer, under the scorching sun and the early morning cover of darkness: at the edge of the baking savanna of Sumberwaru in East Java, green mangoes fat on bowed branches; at the lunar feet of the Anti-Atlas mountains outside Tafraoute in southern Morocco, the trembling voice of the muezzin competing with low thunder from the horizon and the tinny sound of Salif Keita from my travel speaker; watching the sun sink behind the Pidgeon Rocks of Beirut, Cyprus just off in the unknowable blue distance; over the PA system of an airless Dhaka shopping mall, the smells of new plastic sandals and sour milk mixing in the fluorescently lit stairwells; curling through stone windows into the Loge of the Empress in the Hagia Sophia, the great calligraphic panes bearing the name of Allah hanging over mosaics of the Virgin Mary like the tags of rival gangs in a subway underpass; and, most quietly, among the demolished neighborhoods of the Kashgar that once was, snow falling silently in the dusty streets, mustachioed men proffering glass goblets of pomegranate juice so thick and so tart. But I now most often hear the azan on the fifth floor of my modest brick hospital in New York City just after a child has come into the world, when he is still slick and grimacing on his mother's chest wrapped loosely in a cotton blanket.
On an evening like any other, I emerge from a triage room, my palms wet with hand sanitizer. I recognize Rokeya from behind by her long, black pony tail shot through with strands of silver, now falling over the back of a wheelchair in which a nurse is conveying her to a labor room. The nurse's leisurely pace is at odds with the fury of Rokeya's pain so evident in her blanched knuckles and rigid arms. I have been on the floor for 12 hours and had stepped into triage for a quiet moment, steadying myself among the sterile specula and IV starter kits for a further 12 hours over night. Pressing my hand to the Purell dispenser on the way out the door is merely a tic I'm unable to break.
I feel a tiny righting of the course of my day at the sight of this woman, a relief after hours of triaging strangers. As a shift worker, I never know whose birth I'll be attending when I wake up in the morning; when it happens that fate matches me with someone that I know and have cared for there is a locking together of puzzle pieces and a claim that I lay to her in birth: I know her, I say, I'll take her.
By the time I enter her room, Rokeya is sitting upright on the bed wearing the standard-issue, blue-flecked hospital gown and a shocked expression, flanked by two silent women that I guess are her mother- and sister-in-law. This labor is nothing like her last, nineteen years earlier. Then she was twenty years old, in the blur of the first year of marriage, occupying a room on the first floor of her in-laws' home on what was then the outskirts of Dhaka before a fleet of new concrete buildings swallowed the surrounding area whole. Then she was just a bride, still skinny, for whom life had proceeded largely as expected, who knew some material comfort as the daughter of a secretary to the Assistant Superintendent of Police of the Bangladesh Civil Service. Her marriage had been arranged without displeasure to Anwar, a round-faced youth hoping one day to pass the BCS examination himself and work alongside his father-in-law.
In those days, Rokeya was concerned with learning how to be a wife, having given up her study of medicine after her first year. Whereas she had observed their preparation in her girlhood, she now took responsibility for her family's iftar meals during the month of Ramadan, laying out dish upon dish of dried dates, ghugni and muri, jackfruit, jilapi. Rinsing blood from the cavity of a sinewy chicken's body, she sometimes thought of the four cadavers weighed down with bricks in a secluded tank of beetroot-red formalin at the medical college; she had barely worked to hide her disgust as caustic fumes from the embalming fluid filled the laboratory and had waited as briefly as she thought respectable before accepting her mother's suggestion of marriage instead of year two of the MBBS.
Piping thin batter into a pan of frying oil at dusk, Rokeya knew nothing of the recurrent miscarriages that were to come after the quick conception and birth of her daughter, or of the secret meetings with an elderly woman neighbor to discuss redressing whichever of Rokeya's past misdeeds must have brought this misfortune on her family. She knew nothing of what it would mean to lose a husband after only four years of marriage, to have his name unacknowledged in a brief news report of the bus crash that would take his life, among a dozen others, on the proto-highway that cut through her neighborhood in an eruption of cracks like a dry riverbed.
She could not have foreseen her penetrating grief at the loss of that man she still only half-knew, her years of widowhood as a returnee to her parents' house with her little girl, her eventual emigration to the United States to live with an aunt whose teeth were blackened with rot at their bases, or her remarriage at age thirty-seven to the bachelor proprietor of a 99-cent store on Church Avenue. She had never imagined our meeting in a windowless, antiseptic room of my prenatal clinic with barely enough space to fit the two of us, an exam table and a sink. Nineteen years earlier, she could not have known that the English she had so dutifully studied as a girl would be the language of our meetings, or that the first hands on her second-born's head would be mine.
Before I entered midwifery, during my training as a nurse, I was taught never to sit on a woman's bed during labor; it was deemed too intimate a posture between strangers. I often remember such admonitions from my favorite nursing instructor Moira, a warm and formidable Irish woman in her sixties, straight-backed and clad in pressed white shirts, intent on impressing upon us a respectability no longer guaranteed us by the profession alone. A nurse never sits! she chastened us students as we waited in the hall outside the simulation lab. Or, crooning over a medical mannequin: Now we'll be administering digoxin, which we will never refer to as what? An anti-arrhythmic, yes, because it is properly called what? A cardiac glycoside, correct. That is what will set you apart… But Moira never taught us how to greet a laboring woman. I have learned by trial and error to stop asking a woman in pain how she is feeling, to avoid that temptation of the workaday greeting. I sit by her side, I call her by her name, I tell her how glad I am to see her, and I mean it. We are intimates, she and I, though we may be strangers.
On this evening, I lower myself onto the empty space beside Rokeya's bent knees, the mattress crackling quietly beneath my weight, the air full of her moaning. She does not address me. "I am in pain–" she says to the room in general, "– too much pain — not like before — not like last time –"
Her female relatives sit gravely at either side of her bed, their sure palms resting on her arms, as still as geckos high on the wall. These women are not the typical family members who stare alternately at the electronic fetal monitors and at their smart phones; they know something about labor and, I sense, about pain more broadly: that it requires the full attention of those in attendance, that it demands a steadiness that betrays no doubt, no impatience, and no fatigue. When everyone else in the room is poorly equipped for birth, frozen in a corner or skittishly scanning their social media, I know that the night will be long and that I will collapse into a narcotically deep sleep long after daybreak. But for Rokeya I provide only the most basic of assurances: that I will do everything in my power to ensure that she and her baby will live, leaving the rest to her own efforts and the comforts of those who truly know her.
Hers is the progression of the unanesthetized body: sweat forms at her hairline and then at her upper lip; a contraction comes and she presses her fingertips into the muscles above her pubic bone; she sticks her chin out before vomiting into a pink, plastic basin that the nurse has placed by her side; she says that she just cannot and we tell her that she already is. She pushes just six times to move the child's head out of her body — why do I gingerly dab a whorl of his wet hair just then? One more endless push and his body emerges in a rush of fluid into my hands. I hold him suspended for only a moment before placing him on Rokeya's chest, the pulsating, dusky coil of his umbilical cord still connecting him to the inside of her uterus. Her cries turn to weeping and she clutches this wet, squalling creature, his eyes black and open, his ten fingers splayed in taught fans like the petioles of two palm branches.
Her mother- and sister-in-law wipe drops of sweat from their cheeks and adjust the dupattas they have let fall from their heads during the work of supporting her. I take in their faces now for the first time and notice a split-second of bewilderment come over the mother-in-law. Her eyes scan the room, seeking some object unknown to me: I am not it, neither is the nurse who is occupied with injecting oxytocin into Rokeya's thigh to prevent bleeding.
Allah, she mumbles, seemingly in spite of herself. Allah — and I remember what she is looking for: a man to whisper the azan to the baby, the first words it will hear in this world, on this side of the birth divide. Finding no man, avoiding her daughter's gaze, she leans over her grandchild's head:
Allahu akbar, she says in a small voice into the newborn's right ear, and then again, more steadily, Allahu akbar. She slowly turns the baby's head to reveal his left ear — Allahu akbar — as I see the sister-in-law dialing a number on her phone. She has called Rokeya's husband, still detained at the 99-cent store on Church Avenue. It seems he has been expecting this call and he wastes no time by greeting the callers; the phone is positioned over the baby's right ear and from the pinhole speaker comes the improbable, quivering voice of this man who thought he might never be a father. The room comes to a hush, the regular chatter about the baby's activities and, worse, the nurses' business with women in the adjacent labor rooms, silenced. His thin intonations fill the labor room:
Hayya 'alas-salah — Hurry to prayer
Hayya 'alal-falah — Hurry to success
We hold onto this woman, a new mother again after so long, I at her feet, her mother- and sister-in-law at either arm. The newborn is placid, pacified, evincing life only through his pink skin, intensely concerned brow, and the occasional involuntary twitch of his limbs: his first alpha sleep on earth. The mother-in-law turns the baby's head once more for the recitation of the iqama, which the father begins remotely and without hesitation:
Qad qama tis-salah — Prayer has begun
Allahu akbar!
I encourage the afterbirth with gentle traction on the umbilical cord, twisting the purple body of the placenta like a cheesecloth as it comes into view, gathering its membranes together to prevent their tearing, catching it all in a metal kidney basin between Rokeya's thighs. Her bleeding stops, she needs no stitches. I look up and observe her as she murmurs in Bangla to her son, barely ten minutes old and already awash in words and words. Whole volumes are written recording our last words, our dying words, but what of these first words from the birth bed? Would there exist other such volumes if only Great Men had given birth? Is it not enough that I once knew an old midwife whose husband had died in Vietnam and who whispered into the ear of each new baby: Be well and may you never know war!
I am reminded of the words of 16th century poet Kabir, so withering in his criticism of the faddish distractions of religious practice and of the muezzin's ostentatious cries heavenward to grab God's attention:
Surely the Holy One is not deaf, he writes.
He hears the delicate anklets that ring on the feet of an insect as it walks.
Had he himself witnessed that thing most unassumingly holy, that sanctity that needs no naming and no exegesis? Had he himself heard the tiny, tin bell of birth?


text:
By Kris Rodriguez
Public Affairs Specialist
(Nov. 13, 2008)--The UTSA Institute for Cyber Security (ICS) welcomes Professor Eugene Spafford, world-renowned cyber security expert, for a presentation "Information Security: Some Past Successes, Some Future Challenges" at 4 p.m., Tuesday, Nov. 18 in Biotechnology, Sciences and Engineering Building Room 2.102 on the 1604 Campus.
At the event, the UTSA Institute for Cyber Security also will officially launch a new ICS Internet security incubator designed to develop and assist in commercializing promising technologies that address major cyber security and privacy issues.
Spafford is executive director of the Purdue University Center for Education and Research in Information Assurance and Security (CERIAS). Since 1987, he has served as a professor of computer science at Purdue, along with courtesy titles as professor of philosophy, communication, and electrical and computer engineering. In 2007, Spafford began serving as executive director of the advisory board for the UTSA Institute for Cyber Security.
One of the most senior and recognized leaders in the field of computing, Spafford has an ongoing record of accomplishment as a senior adviser and consultant on issues of security and intelligence, education, cybercrime and computing policy for a number of major companies, law enforcement organizations, and academic and government agencies, including Microsoft, Intel, Unisys, Air Force, National Security Agency, General Accounting Office, FBI, National Science Foundation, Department of Justice, Department of Energy, and two U.S. presidents.
With nearly three decades of experience as a researcher and instructor, Spafford has worked in software engineering, reliable distributed computing, host and network security, digital forensics, computing policy and computing curriculum design. He is responsible for a number of firsts in several of these areas.
"One thing I learned from establishing and running CERIAS is that the more people dedicated to enhancing the practice of computer security, the better," said Spafford. "I am honored to be involved with the Institute for Cyber Security at UTSA -- it is a welcome addition to the academic community. ICS has strong institutional and local support, world-class leadership, and enthusiastic community support -- all critical elements for long-term success. I am particularly impressed with the launch of the ICS incubator, which has already begun working with some very interesting young companies in the application security space."
Spafford serves on a number of advisory and editorial boards, and has been honored numerous times for his writing, research and teaching on issues of security and ethics. This includes receiving nearly every major award in the field of cyber security and every award Purdue gives for excellence in teaching and educational development.
He received his doctoral degree in informational and computer science and his master's degree in information and computer science from the Georgia Institute of Technology. Spafford earn a bachelor of arts degree in mathematics and computer science at the State University College at Brockport, N.Y.


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Young wins NL stolen base crown
NEW YORK -- Since he joined the team on June 18 after being traded from the Rockies, Eric Young Jr. has helped stabilize the top of the Mets' lineup. Manager Terry Collins said Young has given the team the type of leadoff hitter it lost when Jose Reyes departed following the 2011 season. In return, the Mets gave Young a chance to play every day after being a part-time player in Colorado.
While he went through some rough patches at the plate, Young immediately injected speed into New York's lineup and became a force on the basepaths. Sunday's accomplishment proved that. With two stolen bases in the Mets' 3-2 win over the Brewers, Young finished the season with 46 steals to win the National League stolen base title.
"You always pride yourself on what your craft is," Young said. "To be recognized as one of the best in your league -- a tremendous honor."
Young singled in the first inning and then stole second and third base to give him two more steals than the Brewers' Jean Segura. Segura, battling a hamstring issue, wasn't in Milwaukee's starting lineup. Young scored on David Wright's sacrifice fly to give the Mets a 1-0 lead.
After the game, Young said he was going to steal the first chance he had.
"I don't think it was a surprise to anybody in the stadium," Young said. "Just glad I got a good jump."
Young is only the second Mets player to earn the NL stolen-base title after Reyes won it in 2005, 2006 and 2007.
Through 57 games with the Rockies, Young stole just eight bases. But in 91 with the Mets, he's swiped 38. Young, who stole 87 bases playing for Class A Asheville in 2006, had never stolen more than 27 in a Major League season.
"Obviously, coming into this situation with the Mets, I didn't know what to expect," Young said. "To be in this position on the last day, I'm thankful."
Collins has always made it clear that when Young's on base, he has the green light to run. That's his game, and the Mets have wanted him to grab the opportunity. Collins said he told Young after Sunday's game that if he had played every day with the Rockies, he would've won the title by 15.
While acknowledging Young has improvements to make in Spring Training to become more of a dynamic offensive player, Collins has lauded how much Young has meant to the Mets' lineup since coming over from Colorado. His stolen-base title affirms Collins' confidence in consistently writing Young's name at the top of the lineup.
"That's a great honor for him," Collins said. "Just really, really excited for him. He certainly deserved it."


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Baltimore, MD - July 3, 2012. Researchers from the University of Maryland School of Maryland report promising results from using adult stem cells from bone marrow in mice to help create tissue cells of other organs, such as the heart, brain and pancreas - a scientific step they hope may lead to potential new ways to replace cells lost in diseases such as diabetes, Parkinson's or Alzheimer's. The research in collaboration with the University of Paris Descartes is published online in the June 29, 2012 edition of Comptes Rendus Biologies, a publication of the French Academy of Sciences.
"Finding stem cells capable of restoring function to different damaged organs would be the Holy Grail of tissue engineering," says lead author David Trisler, PhD, assistant professor of neurology at the University of Maryland School of Medicine.
He adds, "This research takes us another step in that process by identifying the potential of these adult bone marrow cells, or a subset of them known as CD34+ bone marrow cells, to be 'multipotent,' meaning they could transform and function as the normal cells in several different organs."
University of Maryland researchers previously developed a special culturing system to collect a select sample of these adult stem cells in bone marrow, which normally makes red and white blood cells and immune cells. In this project, the team followed a widely recognized study model, used to prove the multipotency of embryonic stem cells, to prove that these bone marrow stem cells could make more than just blood cells. The investigators also found that the CD34+ cells had a limited lifespan and did not produce teratomas, tumors that sometimes form with the use of embryonic stem cells and adult stem cells cultivated from other methods that require some genetic manipulation.
"When taken at an early stage, we found that the CD34+ cells exhibited similar multipotent capabilities as embryonic stem cells, which have been shown to be the most flexible and versatile. Because these CD34+ cells already exist in normal bone marrow, they offer a vast source for potential cell replacement therapy, particularly because they come from a person's own body, eliminating the need to suppress the immune system, which is sometimes required when using adults stem cells derived from other sources," explains Paul Fishman, MD, PhD, professor of neurology at the University of Maryland School of Medicine.
The researchers say that proving the potential of these adult bone marrow stem cells opens new possibilities for scientific exploration, but that more research will be needed to see how this science can be translated to humans.
"The results of this international collaboration show the important role that University of Maryland School of Medicine researchers play in advancing scientific understanding, investigating new avenues for the development of potentially life-changing treatments," says E. Albert Reece, M.D., Ph.D., M.B.A., vice president for medical affairs at the University of Maryland and the John Z. and Akiko K. Bowers Distinguished Professor and dean of the University of Maryland School of Medicine.
This project builds on three decades of collaboration between the American and French researchers, particularly Dr. Bernard Pessac of the University of Paris Descartes and Dr. Trisler at the University of Maryland. Researchers from the Multiple Sclerosis Center of Excellence at the Baltimore Veterans Administration Medical Center also contributed to the study.
About the University of Maryland School of Medicine
Established in 1807, the University of Maryland School of Medicine is the first public medical school in the United States, and the first to institute a residency training program. The School of Medicine was the founding school of the University of Maryland and today is an integral part of the 11-campus University System of Maryland. On the University of Maryland's Baltimore campus, the School of Medicine serves as the anchor for a large academic health center which aims to provide the best medical education, conduct the most innovative biomedical research and provide the best patient care and community service to Maryland and beyond. www.medschool.umaryland.edu


text:
LAWRENCE, Mass., Oct. 5, 2012 /PRNewswire/ -- NxStage® Medical, Inc. (Nasdaq: NXTM), a leading manufacturer of innovative dialysis products, today commented on a review article published on October 4 in the Clinical Journal of the American Society of Nephrology (CJASN) in which leading nephrologists advocate for broadened access to home hemodialysis based on its proven benefits and successful use by thousands of patients. Within the paper, "How to Overcome Barriers and Establish a Successful Home HD Program," the authors also recognize the contribution of the NxStage System One™, the world's first and only truly portable hemodialysis machine, in making home hemodialysis a viable option for patients as a result of its simplicity and clinical efficacy.
(Logo: http://photos.prnewswire.com/prnh/20110503/MM94799LOGO )
The CJASN paper states that home hemodialysis has been successfully used by thousands of patients and, importantly, that it should be an available therapy option to everyone on, or initiating, dialysis. It summarizes the key benefits of the therapy, including potential for improved dialysis quality, improved quality of life, increased patient independence and employment potential, and a potential cost savings compared to traditional in-center dialysis. Access barriers identified by the authors include, among others, lack of patient awareness and inadequate payment to providers for home hemodialysis training.
"More frequent home hemodialysis is a life-changing therapy, and all patients deserve access to its benefits," said Joe Turk, President, North America, NxStage Medical, Inc. "This report not only underscores the clinical and quality of life benefits provided by home hemodialysis, but also offers clear direction to improve access. As the authors state, inadequate Medicare payment for home hemodialysis training is a significant barrier to this therapy that must be addressed. NxStage, along with others in the dialysis community, urge the Centers for Medicare and Medicaid Services (CMS) to correct this inequity and give all patients fair and appropriate access to the therapy."
The paper is available to view online on the Clinical Journal of the American Society of Nephrology's website.
About the NxStage System One
The NxStage System One is the first and only truly portable hemodialysis system cleared for home use by the U.S. Food & Drug Administration (FDA). Its simplicity and revolutionary size (just over a foot tall) are intended to allow convenient use in patients' homes and give patients the freedom to travel with their therapy. When combined with the NxStage Pureflow SL Dialysis Preparation System, patients are able to further simplify, using ordinary tap water to create dialysis fluid on demand. Unlike conventional hemodialysis systems, the System One requires no special infrastructure to operate. Under the guidance of their physician, patients can use the NxStage System One, with their trained partners, where, how and when it best meets their needs, at home or on vacation. http://www.nxstage.com/.
About NxStage Medical
NxStage Medical, Inc. (Nasdaq:NXTM) is a medical device company, headquartered in Lawrence, Massachusetts, USA, that develops, manufactures and markets innovative systems for the treatment of end-stage renal disease, or ESRD, and acute kidney failure. NxStage is leading the development of the home hemodialysis market in the US with the only portable hemodialysis machine, the System One, cleared for home use by the FDA. For more information on NxStage and its products, please visit the company's website at http://www.nxstage.com/.
Forward-Looking Statements
This release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this release that are not clearly historical in nature are forward-looking, and the words "anticipate," "believe," "expect," "estimate," "plan," and similar expressions are generally intended to identify forward-looking statements. Actual results may differ materially from those indicated by these forward-looking statements as a result of various important factors including those that are discussed in NxStage's filings with the Securities and Exchange Commission, including the Quarterly Report on Form 10-Q for the quarter ended June 30, 2012. NxStage is under no obligation to (and expressly disclaims any such obligation to) update or alter its forward-looking statements, whether as a result of new information, future events or otherwise.
Kristen K. Sheppard, Esq.
VP, Investor Relations
SOURCE NxStage Medical, Inc.


text:
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Take Control of Your Health Today!
Get the #1 Celiac Disease Reference For Patients and Health Professionals
by Cleo J. Libonati, RN, BSN. 302 Pages. Paperback.
Recognizing Celiac Disease will help you understand gluten, celiac disease, its symptoms and the nutrient deficiencies that cause them so you can get well and stay healthy!
If you have celiac disease or gluten sensitivity you must be your own health advocate – you need this book!
Learn how gluten causes health problems in your body!
Discover whether your ongoing symptoms are related to gluten sensitivity or celiac disease! Your doctor does not have this information!
Find out which nutrient deficiencies are making you sick and which foods you need to eat to correct them!
Be informed so you can work with your doctor!
What You Will Find Inside "Recognizing Celiac Disease":
"Recognizing Celiac Disease should be on the shelf of every family affected by celiac disease as well as the health professionals caring for them." ~Gastroenterology Nursing Magazine
"Recognizing Celiac Disease is an excellent addition to the literature on this increasingly prevalent condition. I was especially impressed by the comprehensive section on the health manifestations of celiac disease." ~Joy Bauer Joy Bauer Nutrition, Resident Nutrition Expert, NBC's Today Show
"This is must reading for any health professional who deals with this disease, and for individuals who suffer from it." ~Afaf I. Meleis, PhD, DrPS (hon), FAAN. Dean of Nursing, University of Pennsylvania
"A very thorough review of the literature! A useful resource." ~Peter Green, MD
Professor of Clinical Medicine, College of Physicians and Surgeons
Medical Director, Celiac Disease Center, Columbia University
"This work delivers an overview of celiac disease with a concise picture of the pathogenesis, clinical manifestations, diagnostic tools and treatment of celiac disease. Most of all, it expands on the nutritional deficiencies and complications of this disease, emphasizing the dietary management of these patients. This work will serve as an excellent reference to physicians, medical students, dietitians, patients and the general public as well." ~Kenneth Falchuk, MD, Associate Clinical Professor, Harvard Medical School, Senior Gastroenterologist, Beth Israel Deaconess Medical Center
"The work successfully communicates the disease process, scope and multisystem nature of celiac disease as well as addressing treatment of nutritional deficiencies, associated disorders and the many complications of the condition." ~Stefano Guandalini, M.D, Professor of Pediatrics, University of Chicago, Chief of Pediatric Gastroenterology, Hepatology and Nutrition, University of Chicago Children's Hospital, Medical Director, University of Chicago Celiac Disease Center
"Cleo Libonati paves the way for you to achieve vibrant health with "Recognizing Celiac Disease." No one needs to suffer anymore because this comprehensive, one-of-a-kind resource can literally change your life within days. It will always occupy a space in my book shelf and I think both physicians and consumers can benefit from the sage advice within." ~Suzy Cohen, RPh, Author of The 24-Hour Pharmacist and Drug Muggers
Having been dx with CD for one year, I reached saturation – almost overload point a few months ago. Then I read the summary of "Recognizing Celiac Disease" and felt it might encompass everything I had referenced across numerous articles and books – and more. I love being able to look in the index and go to detailed information in my struggle to ensure my nutritional requirements and deficiencies are being met and addressed. If I won the lottery, my first step would be to send a copy of this book to every family practice and GI physician in Texas! Short of that, I plan to buy a copy at the GIG National Conference in TX in June for my local FP clinic! ~Reta McCallum, TX
Cleo: Your book is fantastic. I was diagnosed with Celiac disease 2 years ago. I purchased books and did quite a bit of on line research about Celiac disease after my diagnosis. I was somewhat knowledgeable about Celiac Disease when I purchased your book. I found your book to contain a wealth of informaton about Celiac that is not available in any other book. It may sound strange, but your book helped me to understand my life a bit better. I now understand what was going on inside my body when I exhibited various symptoms over the years, prior to diagnosis. Knowing what was going on and realizing that I was not weak or lazy or just plain nuts has made me feel better about who I am. Thanks for that. Thanks so much for your wonderful book. ~Deb C.Via Internet
I loved your book! I thought it was very comprehensive and detailed. The resources all in one place are amazing! Thank you! ~Michelle M.Chicago, IL
I have used it to emphasize the many nutritional deficiencies that may occur with Celiac Disease, and the GI docs I work with are now routinely testing for Vitamin and mineral deficiencies. We found our first zinc deficient pt recently!The explanation of the disease in the first section of the text has also been useful in helping members of our support group understand the disease. ~Sincerely,
Patricia C., PA-C, Virginia Beach, VA
Recognizing Celiac Disease is a great resource guide that I use to help my customers identify their symptomology and what may be a related cause. It is easy to understand, informative, and very user friendly. I would recommend to anyone, including those who use it on a professional level. ~Paul Kelty, Philadelphia, PA
Hello Cleo, What I loved most about your book is addressing the needs for micronutrients. Secondly, when I showed a dear friend with sarcoidosis the simple statement in your book that "sarcoidosis responds to a GF diet" she believed it and the research behind it and tried it ~ and subsequently feels much better. Be assured that you made a big difference in this woman's life! Thirdly, your material on hyperparathyroidism is likewise helpful and I have showed it to several of our group members with this additional diagnosis and they have since added Vit D to their regimen (under their dr's approval) with an increase in well-being. Warmly, Cheryl Hutchinson, RNChair, Gettysburg Gluten-Free Group, firstname.lastname@example.com
Thank you. My husband and I both have CD and your book is by far the best one we have found in print on CD. We love the format with the concise, current overview in the beginning and the detailed charts that make up most of the book. We refer to it on a regular basis as we research questions for ourselves, friends, family and others. We shared your book with the head of the pathology dept. at our local hospital, our CD support group members at our last meeting (and encouraged them all to purchase their own copies) and even with our dentist. I wish there were a way to get your book to all of our local doctors since none of them are informed about CD and few people are diagnosed in our area. My doctor had never dx'd a case of CD before mine (I was on my deathbed 6 years ago), and our pediatrician has never dx'd a case! I have proposed that our support group purchase books for all of our local gastroenterologists, providing you are not planning to publish an updated version in the near future. If there is any way you recommend that our support group, or we personally, can promote your book please let us know. Thank you again! ~Suzanne LudlamFairfax, VT
Hi Cleo –
I read through Recognizing Celiac to confirm what was happening with my daughter's symptoms. When she was having a variety of strange symptoms, joint pain, skin problems, diarrhea, weight loss and yellowing teeth no one was putting it together and guessing celiac. Now we are having relatives with some similar symptoms so I am showing them your book and encouraging them to be tested for Celiac. I passed the book on to our local pediatricians because I had been told by them"She does not look like a Celiac". She was diagnosed 2 years ago and is feeling great because she follows a gluten-free diet all the time. Thanks for educating folks and letting them read about all the possible complications/ symptoms of untreated Celiac. ~Mary M.Monterey, MA
I especially enjoy the table which lists the dietary sources of specific nutrients (both animal and plant specific). I use it to help patients see where deficiencies may exist if the diet is not well-rounded. Vegetarians find it extremely beneficial to their individual understanding… I keep several pages tagged always for reference. ~Linda H., RD, LNBozeman, MT
Recognizing Celiac Disease is helping thousands of patients, health professionals and families across the United States and around the world. It will help you too!


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amarouka gave 2 props on Apr 17 at 4:32 am


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In the summer of 2011 Facebook czar Mark Zuckerberg and former Googler Lars Rasmussen, who had joined the company about a year earlier, had a conversation about building a third "pillar" of Facebook.
Facebook's Timeline is a snapshot of a person's life: Who they are, what they do, who their friends are, what they like. Newsfeed is a look into the latest happenings in each user's social network. Graph Search, introduced this week during a private unveiling at the company's headquarters, is a third pillar, Zuckerberg says. It is an advanced search that lets users type in what they're looking for and return results based on their distinctive social surroundings.
Building such a search system is no trivial task. Facebook has 1 billion active users each month who have shared more than 240 billion photos. The social network is a complex web of more than 1 trillion connections of thousands of different types. "Every day, people share billions of pieces of new content, and Graph Search needs those indexed within seconds of their creation," Rasmussen describes. So how did they do it?
FIRST LOOK: Facebook Graph Search
PRESIDENTIAL INAUGURATION: There's an app for that
Facebook is fairly mum about its internal operations, although it does give some hints on the company's engineering Facebook page. Database experts, and even those who track Facebook closely don't even know for sure exactly how Facebook built Graph Search, but combining both structured and unstructured data into a unified search tool, which also takes into account the individual privacy settings of each user is undoubtedly a massive technical challenge.
"Searching a database on this scale is massively complex, with the key problem being how to search the entire database without degrading the performance of Facebook itself," says Matt Aslett, a data expert at the 451 Group. "Add in the fact that Facebook is doing a graph search - which not only searches all the data but the relationships between the data - and it is very hard to do efficiently."
Graph Search, Aslett believes, is likely based off of Facebook's internally-developed Tao database, a cached layer on top of Facebook's thousands of sharded MySQL databases, according to a blog post a Facebook engineer wrote last fall describing challenges related to working with cached content.
To create Graph Search, the engineers likely used some combination of open source tools that are available on the market, combined with internally-developed code written specifically for Facebook's extremely unique use case, predicts Jeffrey Kelly, big data expert at The Wikibon Project. Tools like Apache Lucene Solr and Cassandra- used by Netflix to index its movie library in Amazon Web Service's cloud. "FB doesn't use straight off the shelf software and hardware," he says. They can't, they either customize open source technology or develops it in-house.
"None of us had built anything remotely like this before," Rasmussen says in describing the "Under the hood" details of Graph Search beta. No one had built something like Graph Search before because it's a completely new type of search tool, one designed specifically for use by a social network.
Traditional search tools would not do the trick, Rasmussen says. "Using traditional information-retrieval systems to mix keyword and structured queries is fairly well understood," he writes. But Graph Search needs to be able to return results that are more than just a single connection away, he says. And then there's the whole privacy angle. Engineers were able to design a system that combs through the data, but users have in many cases created explicit restrictions on who can see that information. Graph Search needs to ensure that it only creates results that have been shared with the searcher. The more complex the search query, the bigger the challenge is to ensure that whoever is searching does not see something they're not supposed to.
WATCH THAT CARRY-ON: 25 of the wackiest things found by the TSA on travelers
Initial prototypes included simple graphical user interfaces that users could click through to "build up structured, database-like queries. But they all seemed too complex and not quite up for the full scope of Zuck's challenge to us," Rasmussen writes. Advancements led to a second-generation prototype that was a "naive, exponential-time 'parser' written in JavaScript that could mimic the experience we were looking for as long as the searcher input no more than a few tokens."
And that's basically where Graph Search is today. Facebook officials have stressed that Graph Search is still very young. It's only open to select users - there's already a waiting list you can request to be on - and Graph Search only searches people, photos, places and interests. It's not yet available on mobile devices, nor in languages other than English. It's also not searching timeline posts and comments - by far the biggest dataset for Graph Search, Facebook says.
Facebook is betting big on Graph Search though, even calling it the third pillar of the social network. In an article about Graph Search that came out the same hour Facebook announced the tool, Wired reporter Steven Levy notes that in Graph Search, the Facebook logo is replaced with an F - the search toolbar actually kicked Facebook's name off its own network. A patent Facebook received in November 2012 could be Facebook's signal that it has bet heavily on Graph Search as being a major initiative for the company.
Levy writes that Graph Search is "fundamentally different from web search." Because of the trove of data Facebook has about users, "we can answer a set of questions that no one else can really answer," Zuckerberg told Wired. Levy, the Wired author, notes that "nobody has feared this day more than Google, which suddenly faces a competitor able to index tons of data that Google's own search engine can't access."
APPLE INNOVATION: 15 of the boldest designs by Apple
Facebook engineering manager Kari Lee explains in a video announcing Graph Search: "In web search it's very often the case that if you do a search for apple and I do search for apple, that we'll basically get the same results," she says. "On Facebook, when you do the same searches, you get completely different results because of the depth of personalization we do."
This could allow Facebook, using Graph Search, to eat other social networks for lunch. Zuckerbeg notes his newfound ability with Graph Search to find engineers at Google who are Facebook friends with Facebook employees - a direct swipe at professional networking site LinkedIn. Online dating sites? With Graph Search, users can search for single friends of friends in a specific geographic area, digging right into the wheel-house of popular dating sites like Match.com or eHarmony.
So has Facebook revolutionized search? Time will tell, says Susan Etlinger, a data expert at the Altimeter group. Graph Search does have its limitations though, she points out. While Facebook has data that Google doesn't, that statement is true the other way around too. Graph Search, for one, is inherently limited by the social network of the searcher, and Facebook's users. Facebook doesn't allow users younger than the age of 13 to create an account, she adds. "Google has a much larger base dataset," she notes. "Basically anyone with an Internet connection."
Still, Eltinger believes Graph Search could be a game changer for the search and social networking industry by personalizing search. "There just hasn't been a platform that's been this truly personal in nature," she says. "Graph Search results are related directly to your friends, interests and connections. That's a powerful tool."
Network World staff writer Brandon Butler covers cloud computing and social collaboration. He can be reached at email@example.com and found on Twitter at @BButlerNWW.
Read more about lans and routers in Network World's LANs & Routers section.


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ROCHESTER — The Rochester School Board's ad hoc committee, tasked with determining whether the district should start school at a later time, is moving forward with distributing a survey for local parents and guardians to fill out on the subject.
The group was formed by a motion from board member Dan Harkinson, who requested the committee set forth a final recommendation to the board, either to keep school times as they are currently, or to move them forward.
The committee has determined if they were to vote in favor of a recommendation for a time change, the schedule for students in Grades 6-12 would be moved from 7:30 a.m. to 8 a.m. while elementary school students would have to start at 9 a.m., because of a shift in bus scheduling.
If a later start times were approved, they would most likely go into effect at the start of the 2014 school year.
Harkinson, who serves as chairman of the committee, noted at a recent meeting approximately one-third of previously surveyed students said they wished to start school at the 8 a.m. mark, while 40 percent of students noted they were comfortable keeping the start times as they currently are.
Tuesday evening, the ad hoc group met to discuss tweaks and final edits to a districtwide survey for parents and guardians to weigh in on the hot topic with questions addressing what kind of impact a time change would have on them and whether a 2:45 p.m. or 2:15 p.m. release time would be most preferable at the middle and high school levels.
Officials say they are aiming to release the survey in early February with a closing date set for mid-March. The survey will be made available through the student information system Infinite Campus and in hard copy format.
Assistant Superintendent Mary Moriarty told Foster's it is likely the surveying period will end on March 20, with the next ad hoc meeting scheduled for March 26 at 5 p.m. in the regular school board meeting room in the Rochester Community Center.
During this week's meeting, Rochester resident Doris Gates asked the committee to consider how a change in times could affect parents' and guardians' wallets as some adjust their before- and after-school day care needs. Harkinson said participants will be asked in the survey to gauge whether the time shift would negatively or positively affect their households, and he assumed they would take into consideration any added costs for day care expenses in that question.
The committee said the survey will also include a written introduction that states a proposal to change start times would come at no additional cost to the taxpayers.
Moriarty noted all of the local elementary schools have day care options available to families and through her investigation, a shifting of the bus schedules by 30 minutes would cost the same as it does currently. She pointed out if the district were to select a different start time for each school so the bus schedules no longer aligned — an option not being considered by the district — the price tag would be $610,000.
Spaulding High School Assistant Principal Ryan Kaplan informed the committee he had also consulted with the athletic department as well as the Career and Technical Education (CTE) program and both groups say the time shift would be significant for their operations, but manageable.
Kaplan said Athletic Director Kevin Hebert reported 500 out of 1,500 Spaulding High students play sports, and the most significant effects would be felt by the golf teams, whose players would miss 30 minutes of class time when dismissed for an away match. In the CTE program, where students from the Tri-City region attend the Richard W. Creteau Regional Technology Center at the Spaulding campus, the shift would also be "workable," Kaplan said.
After the meeting, student representative Meghan Haskell, a Wakefield freshman at Spaulding High, said she was hopeful the committee would eventually recommend later start times. She said most of her Wakefield peers need to wake up around 4 a.m. to catch a bus to Rochester and a change in times could help.
"I'm hoping for the schedule to change, even if it's just a half an hour, because I'm more concerned for the Wakefield-ers…," she said. "They're so tired that they're falling asleep (at school)."
Haskell added many of her friends have been on board with the idea, though some were hesitant when they heard a false rumor Wakefield would drop their tuition agreement with the Rochester district, should the change take place. Wakefield School Board member Vivian Macedo, who also sits on the ad hoc committee, addressed that issue Tuesday night and informed the group that would not happen.


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It is based on an iconic Japanese animated series called 'Mach GoGoGo' which made its original run in the 1960's, chronicling the ambitions of a young race car driver as he chases racing glory with his state-of-the-art car named 'Mach 5' which was created by his father.
According to Wikipedia:
" Along with 'Astro Boy', 'Space Ace' & 'Gigantor', 'Speed Racer' was one of the earliest anime to ever become popular outside of Japan, specifically the United States. With fast paced storylines, manga-like attributes, and distinct Japanese animation, it developed a substantial fanbase starting with its debut with the U.S.in 1968 and with Melbourne in 1969 (1). The series may seem outdated when compared to the sleeker, faster-paced anime produced today, but Speed Racer still contributes to the early foundation of Japanese animation. It is also the most steadfast anime in the racing genre, though other manga/anime series arose in the genre as well such as 'Initial D' and 'Wangan Midnight'."
Whoa. Anyway, the Hollywood version is almost finished with a scheduled 9th May 2008 release. Fans, hang on to your racing boots, it ain't that far away. Here are a bunch of exclusive photos released all over the net:
And here's the trailer:
Looks overly colorful to me and way too cartoon-ish. But it's the Warchowski Brothers we are talking about here. They can't suck, can they? (note: 'Matrix Revolutions'. Oh God.)


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A Calendar of Events letting you know what, where and when is happening throughout the Chopin Year:
- Events: concerts, exhibitions, shows and many others
- Reports
- Interviews
- Kordegarda CHOPIN 2010
On Tamka Street in Warsaw the most modern biographical museum in Europe was constructed.
In 2010, a large-scale investment project was completed envisaging the transformation of Fryderyk Chopin's birthplace into an attractive and functional museum and tourist centre.
At 43 Tamka Street in Warsaw, the Chopin Centre was opened; it faces the Ostrogski Castle, the Fryderyk Chopin Museum's seat.
At the time of Fryderyk Chopin's birth, Żelazowa Wola belonged to the parish of Brochów, where, in Saint Roch's Church, the composer was baptised and where first his parents and later his sister Ludwika got married.
In the summer of 1828, Fryderyk Chopin spent his holidays at Konstanty Pruszak's, his schoolmate, home at the Palace in Sanniki, Poland. In his letter to his friend, Tytus Woyciechowski, Chopin wrote: "(...) I was in Sanniki at the Pruszaks', I spent the whole summer there (…) I reworked the last Rondo C major for two pianos and practiced it today".
In 2010, renovation of the Holy Cross Church together with the adjoining Congregation House (pl. Dom Zgromadzenia) came to an end.
The Visitationist Church in Warsaw, where young Fryderyk Chopin performed on organ, underwent massive external renovation in relation to the 200th anniversary of birth of the composer.
The multimedia project "Chopin Benches" (pl. "Ławeczki Chopina") realised in 2009 by the authorities of Warsaw constitute one of the most interesting initiatives of the Jubilee Year promoting the capital of Poland as the home city of the composer.
In 2010, the Capital City of Warsaw successfully completed the revitalisation of the Bohdan Wodiczko Square.
In 2009, the Capital City of Warsaw successfully completed the massive modernisation of the bridge adjacent to the Fryderyk Chopin Museum.
Polish towns and cities have launched construction and renovation works in their concert halls. The large-scale renovations will produce attractive, modern spaces fit to suit different musical and teaching purposes.


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Climate change will continue to increase the frequency and severity of extreme weather events.[1] The United Nation's Intergovernmental Panel on Climate Change defines extreme weather as events, such as droughts or floods, that have historically occurred on average only once in 100 years and vary from "the norm" in severity or duration. Recent examples in California include the drought that ran from 2011-2015, the wettest year on record in 2016 in the northern Sierra Nevada mountains, and historic wildfires that continue to increase in frequency, size, and devastation.[2, 3] Climate change is anticipated to increase and exacerbate these and other hazards, impacting all phases of emergency management and hazard mitigation. Building resilience is critical to confront these hazards.
Emergency management encompasses preparedness, disaster response, recovery, and longer-term resilience planning. Planning across this spectrum is critical for emergency management, including working to identify hazards and emergency response priorities for longer-term resilience to climate change impacts, as well as seeking mitigation through avoidance of hazards by new projects and reduction of risk in developed areas. Coordination between federal, state, and local agencies and jurisdictions is necessary to achieve resilience across the state, and various planning requirements in California help facilitate that coordination. As California confronts mounting climate change impacts, local governments are now required to include in their Local Hazard Mitigation Plans (LHMPs) a climate change vulnerability assessment, measures to address vulnerabilities, and a comprehensive hazard mitigation and emergency response strategy, as explained in OPR's General Plan Guidelines, Safety Element. Further information on climate adaptation planning is covered on the Land Use and Community Development page. The safety element of the general plan plays an important role in ensuring consistency with the Local Hazard Mitigation Plan (LHMP) and the State's Hazard Mitigation Plan (SHMP). The general plan and LHMP both provide a local vehicle for implementation of the SHMP, including the provisions dealing with climate change.
Featured State Resources
California Access and Functional Needs Web Map
Governor's Office of Emergency Services Office of Access and Functional NeedsNo two disasters are ever the same; yet, virtually all incidents disproportionately affect individuals with access and functional needs (AFN). ...
State Hazard Mitigation Plan
Governor's Office of Emergency ServicesThe Governor's Office of Emergency Services (Cal OES) leads state disaster preparation, response, and recovery. Cal OES works directly with ...


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Los Angeles: Why Is Tacos El Gavilan So Darn Popular?
For a small, Los Angeles-based Mexican chain, Tacos El Gavilan sure has fans. What other mini taco empire can claim devotees that make their own commercials for the restaurant, just because they want to? With more than 17,000 Facebook fans and only four locations, El Gavilan is pulling in four times as many taco-addicted enthusiasts per door than El Chato has in total. That's some serious reach.
But what if all of these hundreds of Twitter followers and thousands of Facebook fans are wrong? Or, at least, misguided? What if - and I'll probably have to swap faces with someone after this sentence just to protect myself - what if Tacos El Gavilan just isn't that great?
Sure, it's good. Well-fried corn tortillas with a heap of meat is likely to be pretty good by default. But when word reaches the LA Taco Bureau's brittle, failing IKEA desk that Tacos El Gavilan is the best joint in town, there better be more than just hype in each bite. Sadly, that's not the case.
It's best to stick to the carne asada, at least as far as the Central Avenue location just south of downtown is concerned. The dinky walk-up window serves lots of other protein options under their plastic awning, including carnitas, chorizo, al pastor, buche and cabeza, but you're likely to find yourself increasingly frustrated the further down the list you travel. Instead, if you lean heavily on the excellent salsa bar, you may be able to salvage some tweet-worthy tacos from an otherwise unassuming plate. A multitude of salsas, including a smoky chipotle and a fiery roja, certainly liven up the party quick. The spicy, pickled jalapenos still have some snap to them, too.
In descending order, the chorizo is next on the list as a fair but underseasoned entry. The warm mound of deep-hued pork certainly had the look of a champion, but without any deep notes of red peppers and garlic and salt and cumin, it's nothing more than a mound of swine in search of a good time. And while I'm normally a fan of buche, the offal bites had all of the funkiness and none of the flavor. Instead, the bites were chewy, with the long-boiled feeling that can sometimes strip away taste and leave nothing but rubber behind.
Clicking around Tacos El Gavilan's various internet destinations, you may start to realize that maybe ordering the tacos at all is a mistake.
Cheese mulitas are a popular option, as are the oversized quesadillas, stuffed from end to end with your choice of meat and a few pounds of shredded cheese. Post after post delights in the free cup of beans with every purchase, too. Perhaps the ownership should consider a name change to Mulitas El Gavilan?
Tacos El Gavilan
1900 S. Central Ave., Los Angeles, CA 90011
All products linked here have been independently selected by our editors. We may earn a commission on purchases, as described in our affiliate policy.


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For anyone thinking of serving in city government, 2009 is a good year to give it a try. This year's election will feature three options.
First, the mayor's seat expires this year. Doug Erskin's two-year term is up in November. Erskin was elected in November 2007 after defeating long-time mayor Russ Sutherland.
The regular four-year terms expire for three council members. Keith Pennington was appointed to council in 1997 and has been elected to office since then. Tracy Schell was elected to a full four-year term in 2005. Greg Braun was appointed to council in February 2008 to fill vacancy.
Jason Cook was appointed to council in October 2008 to fill a vacancy. He will seek election to complete that office—a commitment of two years.
Candidates must be registered voters of the City of Morenci for at least one year prior to the election. Nominating petitions must be signed by at least 25 qualified electors, with a filing deadline on May 12.
If a large number of candidates file for office, the field will be narrowed at the Aug. 4 primary election. The annual general election is scheduled Nov. 3.


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DES MOINES, Iowa, Oct. 28 (UPI) -- The Des Moines (Iowa) Register Sunday endorsed Mitt Romney for president, backing a Republican nominee for the first time in 40 years.
The newspaper's editorial board said it decided Romney was better equipped than President Barack Obama to deal with the economy and a sometimes-stubborn Congress.
"Which candidate could forge the compromises in Congress to achieve these goals?" the editorial said. "When the question is framed in those terms, Mitt Romney emerges the stronger candidate."
The Register endorsed Obama in 2008 and said it still considered the president "superbly qualified." But the editors said they leaned toward Romney because of his successes in the business world, the Salt Lake City Olympics and as the conservative governor of the liberal state of Massachusetts.
"The Register's editorial board, as it should, had a vigorous debate over this endorsement," the newspaper said. "Our discussion repeatedly circled back to the nation's single most important challenge: pulling the economy out of the doldrums."
The last time the Register endorsed a Republican was 1972, when it went for Richard Nixon.


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Steamboat Landing LLC
RV Park and Marina
P.O. Box 300
Lewes, DE 19958
ph 302-645-6500
fax 302-645-2639
Steamboat Landing RV Park
Steamboat Landing Campground is open from May 1st thru October 15th. Located on the Broadkill River, within 20 minutes by boat to the
Delaware Bay and Atlantic Ocean. Go saltwater fishing, crabbing, clamming,
waterskiing, directly from the RV Park. Two boat ramps so there is no
waiting. Large grass lots with room for your camper, boat and car.
Sites, 2 Cabins that sleep 4 people,
and a 70 slip marina.
RV Park Conveniences
We have a General Store with groceries, bait and ice, fishing tackle,
crabbing equip., R.V. supplies, and SCREEN HOUSES. Laundromat, Playground,
Bathhouse, Pavilion with Saturday night activities, basketball and
volleyball courts, 70 slip Marina, 120 foot
crabbing dock, and Swimming Pool.
Our Cabins sleep 4 people and include: air conditioning, a refrigerator,
microwave, fire ring, BBQ grill, picnic table and with bathhroom. Check in
is 3:00 pm, Check out is at 11:00 am. Deposit required. No smoking, No pets, Linen and
utensils not included.
SWIMMING POOL opens Memorial Day thru Labor Day, weekends only Memorial Day
until mid June. Pool is closed on Tuesday. Pool closes for
season on Labor Day Monday.
We are providing this information online as a convenience to our existing
and future guests. Please verify that the information is current by checking
in with the campground general store upon your first visit.
We try our best to keep the information on this site current.
Contact Information
During the season we can be contacted at the General Store, at the phone
number listed below, during regular hours of operation.
Hours of operation during peak summer months.
Monday 8 am to 11:30 am 1 pm to 5 pm
Tuesday 8 am to 11:30 am 4 pm to 5 pm
Wednesday 8 am to 11:30 am 4 pm to 5 pm
Thursday 8 am to 11:30 am 1 pm to 5 pm
Friday 8 am to 9 pm
Saturday 7 am to 7 pm
Sunday 7 am to 5 pm
Postal address
P.O. Box 300, Lewes, DE 19958
GPS Address -
13849 Steamboat Landing road, Milton De, 19968
Located one mile east on Steamboat Landing Road off of Route 1 (Coastal


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Lawmakers face challenge in reining in school transfer law
Proposal targets transfers at better schools in same struggling district
Reining in a wide-open Missouri school transfer law could involve first trying to get students into a better school located in their struggling school district if there is space.
Missouri's current law requires districts without state accreditation to pay tuition and provide transportation for students to transfer to an accredited school in the same county or a bordering one. Lawmakers would control out-of-district transfers by redirecting students first from struggling schools to high-performing ones in the same district.
"What we've seen with the transfer situation is that there's not a lot of winners in that," said Senate Education Committee Chairman David Pearce, R-Warrensburg. "You have kids that are on a bus for an hour in the morning and an hour in the evening or the parents have to arrange for transportation. You're reducing community support. You're reducing neighborhood schools. It's not investing in the local community."
The transfer law has led to financial problems for unaccredited districts and prompted concerns about nearby schools' ability to control the number of incoming students. Its focus on entire school districts means students can transfer at their current school systems' expense regardless of how well an individual school is performing.
Senators recently approved legislation that directs state education officials to accredit individual schools in addition to entire school districts. Students who attend an unaccredited school would be allowed to transfer to an accredited one. The option of transferring out of a school district would remain only for students who attend an unaccredited school within an unaccredited district and who cannot move to a higher-performing school within their home school system.
The option of transferring within a district would depend upon space is available at a school.
The Senate legislation also would allow students to attend a non-religious private school located within their home district, with the unaccredited district paying some tuition. Supporters hope that could lead to the creation of new schools in communities with unaccredited school systems.
Missouri currently has three unaccredited school districts: Kansas City, Normandy and Riverview Gardens. Some schools in those districts have performed better than others. For example, several Normandy schools and about 60 percent of Kansas City's schools have scored in the provisional or accredited range.
At the start of the current school year, more than 2,600 students were expected to transfer from the unaccredited Normandy and Riverview Gardens districts in St. Louis County. Education officials say more than 500 of the students are not currently attending schools in the other districts. Explanations for that include students returning to their home districts, never leaving in the first place or simply dropping out of school.
Democratic Sen. Maria Chappelle-Nadal, whose district includes the Normandy and Riverview districts, said the goal is to preserve unaccredited school districts while offering resources to students. She said many families through their actions have indicated they want to stay closer to home.
"We just want to give options within the (school district) boundaries. This is what the families want," said Chappelle-Nadal, D-University City.
A House committee last week reviewed separate legislation that also would require students to move first to a better school in their home system before allowing them to transfer to another district if there is not space. One measure would allow tuition reimbursement for a non-religious private school if there is no space at a nearby accredited public school.
"I think neighborhood schools, if they're accredited, are the best option," said Republican Rep. Rick Stream, of Kirkwood, who is sponsoring one of the House measures.
But that does not mean the option should need to be the first choice for parents, said Kate Casas, state director for the advocacy group Children's Education Council of Missouri. She said a "hierarchy of choices" muddies the process.
"I don't like the hierarchy. I think it creates unnecessary complications for parents," Casas said.


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Less than two weeks after Fairfax County animal control officers removed 31 dogs from Fox Mill resident Bach Ly's custody, all of the pets have found new homes.
Responding to a citizen report that Ly, 52, could be mistreating her pets, Fairfax County Police visited the house on Pinecrest Drive on Thursday, Dec. 22.
Upon inspection, officers found 31 dogs, including Bichon Frise, Chihuahua and Shih Tzu dogs, in unhealthy conditions, said Lt. Richard Perez, Farifax County Police.
After Ly voluntarily released the dogs, animal control officers placed the pets — which were healthy enough to be adopted — at the county's animal shelter.
Because of the unsanitary conditions inside the home due in part to the dogs, the Fairfax County Department of Health was also called, said Perez.
"An inspector determined the house was unsanitary because there was dog feces and urine throughout the house," said Kimberly Cordero, spokeswoman, Fairfax County Department of Health. The health department inspector also acted as a member of the county's hoarding task force, Cordero said.
IN ADDITION to cleaning up the dog waste, Ly was asked to clean the house and remove the collected items she had piled up before the county returned the next day.
"We found it was a hoarding situation of items including clothing and food and there were cockroaches throughout the house," said Cordero. "We worked with the family and said they had to clean it up more over the holiday."
When inspectors returned Dec. 27, the house had been "significantly cleaned up," she said.
"I would say this was not an extreme case," said John Yetman, Fairfax County Hoarding Task Force chairman. "However, there were a lot of possessions in the house that blocked walkways through the house."
While the house was not condemned because it had running hot water and heat, the hoarding task force is scheduled to conduct a follow up inspection this week and an additional inspection in the near future, Yetman said.
Hoarding is defined as the excessive storage of items in and around a home to the extent that all available space from floor to ceiling may be occupied, according to the Fairfax County Hoarding Task Force. Hoarders keep an extreme, disproportionate collection of items such as newspapers, magazines, empty containers, old clothing, paper, trash, rotting food and sometimes animals, said Yetman, who is also an environmental health specialist for the Fairfax County Health Department's environmental health division.
The hoarding task force was created in 1998 to combine the resources of county agencies to provide a coordinated response to residential hoarding when it threatens life, safety and property. Those agencies include the health department — the primary agency involved because of health and safety issues — the county fire and rescue department, department of family services and when animals are involved, animal control.
When animal hoarders begin "collecting" animals they are not aware that what they are doing is unusual. They think they are taking care of the animals and then things get out of control," Yetman said.
"A LOT OF people who are classic hoarders, they lose the ability to make good decisions," said Cordero.
That was the case this summer, when 492 cats — 221 of them dead — were found in two homes belonging to Mount Vernon resident Ruth Knueven, 82. Until the discovery of her cats, animal hoarding in Fairfax County had not been widely reported in the press.
Each month, approximately five to seven cases of hoarding are found, Yetman said.
"Just because someone is a hoarder," he said, "doesn't mean that other aspects of their lives are not normal."
In hoarding cases, two laws are enforced by the health department. One concerns the building code and physical function of a house and the second deals with the health and safety of a living situation. Violations of these laws are misdemeanors and can result in a $1,000 to $2,500 fine and jail time from six months to one year.
Because Ly's house was still livable and she was able to quickly remedy a number of the violations, further legal action would not be taken, Yetman said. But, Ly was served with a petition as an unfit owner to the 31 dogs and has been asked to appear in Fairfax County civil court, according to Perez.
"In the Mount Vernon case, you couldn't even walk into the house without a bio suit," said Cordero about Knueven's cat hoarding. "With this [Ly's] house, yeah it was pretty smelly but you didn't need a bio suit to go in there."


text:
$ cnpm install sharyn
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