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Print Recipe
Be the hero of your next family gathering by whipping up this five-tiered saffron-tinted pavlova in the shape of a pineapple.
Soak the saffron in the hot water and set aside. Preheat oven to 150°C, fan forced. Place 3 racks evenly in the oven.
Mark out six circles on baking paper using a pencil and cake tins as a guide (I used the following decreasing sizes - 20cm, 18cm, 16cm, 12cm and 10cm). Turn paper pencil side down.
For the meringue:
Rub a little vinegar around the mixing bowl and on the whisk using a paper towel.
Separate eggs and place the whites in the mixing bowl with salt and cream of tartar. Reserve 4 yolks for custard.
Start to slowly beat the whites to a soft peak, increasing speed as you go. Once soft peaks have been reached add the sugar 1 tablespoon at a time until mixture is thick and glossy and no sugar grains remain. Don't overbeat.
Fold in ½ to 1 tablespoon of saffron and vinegar.
Spoon into a piping bag with large round nozzle. Pipe out circles on the marked-out baking paper, leaving space for a border. Make a border of round blobs using an upswept motion to create a peak to look like pineapple skin. Repeat for all the circles. Bake at 120°C for 1-1 ½ hours. Switch off oven when done and leave meringue to cool and harden.
For the roasted pineapple:
Peel, remove core and slice pineapple into 1cm slices. Place pan over moderate heat.
Place pan over moderate heat.
Sprinkle sugar over, add sliced pineapple, juice and rum. Add water as needed to stop burning. Turn and rotate slices carefully whilst the pineapple is cooking. When caramelised, turn off heat and take pineapple rings out to cool.
For the lemon mascarpone cream:
Soak gelatin leaves for 10 minutes. Heat cream and sugar. Remove from heat and stir in gelatin leaves until dissolved. Cool. Mix mascarpone with zest and juice until just smooth. Fold in gelatin mixture. Chill in a tray.
Chantilly cream:
Beat cream with other ingredients until just stiff peaks. Chill.
Citrus mint syrup:
Boil together water, sugar, juice and peel. Move from heat and add mint leaves and apple balls (see below). Infuse 20 minutes. Remove the apple balls and set aside. Use a stick blender to puree mint mixture. Strain into a jug and chill. If too thin, boil down to a thicker syrup.
Lemon apple balls:
Peel the apples and use a melon baller to make round ball of apple.
Drop balls into the hot citrus syrup at the same time as adding the mint leaves and leave to infuse.
Remove the balls before pureeing the mint citrus syrup.
Mint sugar:
Pound ingredients in a mortar and pestle until you have a green sugar.
Pulled sugar:
Boil sugar and water. Add lemon juice and colour once boiling. Boil to 148°C. Use heatproof gloves and pour the sugar onto a silicon mat. As it is cooling, lift the edges of the sugar and bring toward the middle of the pile. When it starts to cool, and become firm enough to lift, pick it up and start pulling the sugar about 20 times or until satiny. Pull off long pieces for the pineapple top and set aside in a non-humid place to harden. Join pieces at the base to form the pineapple top either with toffee or using a blow torch to melt it a little (be very careful!).
To assemble:
Starting with the biggest meringue, spread a layer of lemon mascarpone on top followed by a layer of whipped cream. Arrange pineapple halves along the outer edge and any broken pieces in the middle. Drizzle over a spoon of mint citrus syrup. Sprinkle mint sugar around the edge.
Continue to stack and layer with smaller meringue circles as you reach the top.
Layer mascarpone and a whole pineapple ring only on the top. Place the pulled sugar crown in the middle of the ring and stack the apple balls around it (they also help to support it).
Chill the pavlova to prevent it collapsing!
Decorate with additional fresh mint if desired.
Present on a footed cake stand to lots of hungry pavlova eaters
Nutritional analysis per serving (34 servings)
Note: The information shown is Edamam's estimate based on available ingredients and preparation. It should not be considered a substitute for a professional nutritionist's advice.
*This recipe has not been edited or tested by the Bake Off Food Department.
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By Matt Wickstrom
LAS VEGAS, Nv. (April 16, 2018) – Chris Stapleton walked away from Sunday's ACM Awards with a trio of honors including Male Vocalist of the Year and Album of the Year for his work as an artist and producer on From A Room: Volume 1.
The awards continue a triumphant 2018 for Stapleton, who recently won Best Country Album (From A Room: Volume 1), Best Country Song ("Broken Halos") and Best Country Solo Performance ("Either Way") at the 60th Grammy Awards.
Despite the recognition Stapleton was not in attendance, instead tending to his wife and family following the birth of twins.
Stapleton will return to his native Kentucky on July 14 for Louisville's Forecastle Festival and Oct. 27 for a sold out show at Lexington's Rupp Arena. For more information, including a full list of tour dates, visit chrisstapleton.com/tour.

subset: commoncrawl


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9 Postcards € 7,50 (excluding shipping costs)
A set of 9 postcards with an overview of the paintings. To order please e-mail Ilse
Publication Swan song € 8,00 (excluding shipping costs)
A printed catalogue of the exhibition Swan song. To order please e-mail Ilse
Paintings on board
The series Children of paradise and Man animal are for sale. For more information please contact Ilse
Individual session / h. € 75,00
There is the possibility to visit Ilse for an individual studio session. See more …..
Assignment, portraits
If you are interested in a painting of yourself or a dear one, please contact Ilse for more information.


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Photographing Architecture and the Everyday at Legatirriff HousePosted: June 3, 2013 Filed under: Uncategorized | Tags: architectural photography, architecture, art, collaboration, conservation, everyday, home, Northern Ireland, oak, photography 11 Comments
This is Legatirriff House, in rural County Antrim. It's the house I grew up in, and the setting of my first built work – the oak-framed sunroom to its rear, which I designed while still training to be an architect (more on the project here). I spent an enjoyable afternoon at the house last week with my photographer-friend Aly McLoughlin-Harte who was snapping some sun-drenched shots of the project for me.
Aly is not an 'official' architectural photographer. She's an artist who, in her own words, 'does scribbles and takes pictures'. Her 'scribbles' are delightful, expressive, vibrant vignettes in charcoal or oil block (of architecture among other things). And her 'pictures' include weddings, christenings, family occasions, new babies, pregnancies and all things 'life lived'. She can be booked or contacted about commissions via her website. Philosophically, Aly is all about celebrating the everyday in her art – capturing those transient moments, well-worn objects and habitual routines that we sometimes take for granted in the busy lives we lead. This might include a photograph of her toddler drenched from jumping in puddles, a sketch of a snow-topped wintery letterbox, a photo of a bride kissing her granny's cheek on her wedding day, or the faded old signpost from her late father's petrol station, lovingly restored and hanging as a feature light in her kitchen at home.
Maybe Aly doesn't seem the obvious choice to photograph a piece of architecture. Architectural photography is so often clean, stripped down, stark and unblemished by signs of life and the everyday to the point of being sterile (except for the occasional colour-coordinated bunch of flowers or carefully-choreographed child on a window seat). But Aly's art and photos, whatever the subject matter, have a warmth and vitality and that to me seem much more appropriate for photographing a well-loved and lived-in home. And I don't know about you, but I think she did a beautiful job of capturing the character of the house and its gardens, and the personality of my parents who live there (but were away at the time and therefore unavailable to feature as 'props' in the photos!).
I have to admit that the 'self-hating architect' in me (see previous post) did rear its head from time to time, in my conflicting internal dialogue between the part of me that thinks that since architecture is for living in, photographs of it should reflect that life in all its messiness, and the part of me that I caught red-handed from time to time scooting laundry out of view (in the utility room, of all places!), or removing torches from a shelf because they just weren't that pretty. I'm a sucker for an uncluttered photo, just as much as the next architect!
I drew consolation from the fact that Aly, lover of the everyday, was doing this too – removing a rug here, asking me to move a car forward-and-backward-and-forward-again there. After some deliberation, I've come to think of it a little like fixing your hair in the mirror, checking you have no lipstick on your teeth, or sucking in your tummy just that wee bit for the camera – you want to look your best, and not be left cringing to discover your eyes closed and sweat patches under your armpits in the photos of that wedding you made such an effort to get dressed up for! And that's just what we were doing for the sunroom…simply straightening its tie and helping it to put on its best smile for the camera.
Well, Aly and I got together on Friday morning and whittled her 250-odd photos down to a few favourites, which wasn't easy at all…and these are they, warm and full of life in all its finery. We hope you like them!
[Visit Aly's website if you would like to see/buy her work, read her blog or commission/hire her. Likewise Noel Sweeney at Plotscape for the incredible landsape design, which I'll blog about when it has matured a little.]
11 Comments on "Photographing Architecture and the Everyday at Legatirriff House"
Great write up Shannon!love the shot with the plants over the oak roof detail!
You finally did in then…started a blog?! Good fox you! Its ace!
Amazing what you two girls have achieved since you were young girls at Friends School Lisburn so proud of you both
Love it, all of it, the only thing which trumps these gorgeous photos was getting the chance to spend a lovely evening surrounded by oak, by the fire, sipping wine 🙂
Beautiful photos and beautiful architecture.
Always love Aly's work – she has an amazing eye for capturing just what you hoped she would 🙂
Well captured & documented…
Wow Aisling – your parent are so lucky! What a beautiful job. I would love to see the rest of the cottage as well. Perhaps we will have to come for a visit.
oops – should read "parents"


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Hillsboro Road, East Dulwich SE22 8QE
A delightful, light and airy 3 bedroom house which is ideally located for the Dulwich Village schools, North and East Dulwich Charter schools, and transport links to London Bridge station from North Dulwich and East Dulwich stations.
Set back from the road, this lovely 3 bedroom property offers a wonderful large reception room leading out into the terrace and garden, a fully fitted, modern kitchen and a downstairs cloakroom. Upstairs are 2 large double bedrooms together with a single room and the family bathroom. The property is ideally located for all the village schools and the shops, restaurants and cafes of both Dulwich Village and Lordship lane which are easily accessible by foot. Moments away from the new East Dulwich Charter School which recently opened in East Dulwich Grove. Ideally located for public transport from either North Dulwich or East Dulwich, giving speedy connections to London Bridge and the City.
Tenant Fees-
A deposit of 5 weeks' rent will be required.


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Due $137 million over the next five years, quarterback Jimmy Garappolo has been handed the keys to the car that is the San Francisco 49ers' franchise for at least the foreseeable future. And, as such, general manager John Lynch & Co. prioritized Garappolo and his offense early in the draft.
Our top-ranked offensive tackle in the class, Notre Dame's Mike McGlinchey adds instant value as a Week 1 starter at right tackle as he earned a career-high 90.6 overall grade in 2017, and was fifth in the class in run-block success percentage at 94.9.
Former Washington wide receiver Dante Pettis, San Francisco's second-round pick and our 100th-ranked overall player, is a skilled route-runner with reliable hands that can develop into quite the security blanket for Garappolo. He dropped just seven of his 169 catchable targets in his Huskies career and adds even more value with his special teams prowess as a returner.
In addition to Pettis, San Francisco added another receiver in Middle Tennessee State's Richie James, a smaller pass-catcher with slot receiver potential, in the seventh round. James earned 89.6-plus overall grades in each of his first two collegiate seasons, but he earned just 70.4 overall grade in his injury-plagued 2017 campaign.
Defensively, Lynch made key additions at off-ball linebacker and safety with his two third-round picks, selecting former BYU linebacker Fred Warner and Southern Mississippi's Tarvarius Moore.
The 6-foot-3, 236-pound Warner adds great size and versatility to the 49ers' defense. He held his own covering slot receivers on 41.7 percent of his defensive snaps a season ago, and his run defense followed suit. He also earned 81.2-plus overall grades in each of the past three seasons.
Our third-ranked safety, Moore earned a career-high 87.0 overall grade in 2017, performing well in both man and zone coverage in the process.
Of the four defenders Lynch added on Day 3, former Kansas State cornerback D.J. Reed stands out as potential contributor in Year 1. The 5-foot-9, 188-pound Reed's game should translate well over to the NFL as he earned 86.1-plus overall grades in each of the past two seasons, capping his Kansas State career off with an 89.5 overall grade and a 55.5 passer rating when targeted.
For more on the 49ers draft as well, check out PFF Data Scientist George Chahrouri's take from earlier this offseason.
Subscribe to our PFF YouTube channel for more content including other draft recaps for all 32 teams and much, much more.


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The Big Sky Conference men's basketball championship tournament kicked off in Boise, Idaho on Wednesday morning. Updates of each game can be found here throughout the rest of the week.
No. 9 Sacramento State 72, No. 8 Northern Arizona 60
A late-night shoot around loosened the Sacramento State Hornets up for an early-morning 3-point barrage in the Big Sky Tournament.
Sac State practiced late Tuesday night, after the last of the women's quarterfinal games wrapped up. It must have done something, as barely 10 hours later, the No. 9 seed Hornets made 12-of-20 3s — 8-of-9 in the first half — to cruise to a comfortable 72-60 win over No. 8 Northern Arizona Wednesday morning in Boise.
"We were just trying to have a lot of fun out there," Sac State All-Big Sky senior point guard Marcus Graves said. "We're a really close team and we have a lot of fun, and that really carries over into our game. So we just tried to have fun out there and be aggressive."
Sac State will play No. 1 Montana in the quarterfinals on Thursday.
Graves scored 27 points and Izayah Mauriohooho-Le'afa added 17 for the Hornets, with the two guards combining to shoot 11-for-18 from deep. They added a combined seven steals.
"They're a different ball club when [Mauriohooho-Le'afa] is making 3s," NAU coach Jack Murphy said. "When he's not making 3s, they're not as good. When he's making 3s, they can beat anybody in the league."
After a big first-half run, Sac State held a double-digit lead for the entire second half to eliminate the Lumberjacks. Bernie Andre had a double-double with 19 points and 12 rebounds for Northern Arizona, which came in as a trendy dark-horse pick after playing Montana to the buzzer and then beating No. 2 seed Northern Colorado in the last week of the regular season.
The Lumberjacks jumped out to a quick lead, making their first two 3-pointers, thanks to an offensive adjustment that took the Hornets a couple possessions to figure out.
"In the on-ball, they were hitting the roll man, but instead of trying to score, he was throwing it out," Sac State coach Brian Katz said. "That was an adjustment, they hadn't done it before. … It took us a couple minutes to figure it out."
Once Sac State found its footing, though, it became apparent that the Lumberjacks would have to shoot the lights out to hang.
Mauriohooho-Le'afa scored eight points, including two 3s, in a 10-0 Hornets run over 1:49 that gave Sac State a seven-point lead at the first media timeout. The rest of the half was just NAU trying to keep up.
After Mauriohooho-Le'afa — a 28-percent 3-point shooter this season — made four 3-pointers in the first nine minutes, Graves inherited the momentum and turned into a fireball from deep.
He made his first 3-pointer with 8:07 left in the half and added two more in the last three minutes of the period, including a deep one with six seconds before halftime to appropriately cap Sac State's shooting exhibition.
Mauriohooho-Le'afa and Graves combined to shoot 7-of-7 from 3 in the first 20 minutes, and Sac State as a whole was 8-for-9. The Hornets led 42-27 at the break.
"If we shot like that all year…" Katz said, letting the thought trail off. "That's been our Achilles heel, so to speak. I could kind of see it coming. We've shot the ball better the last month. A little bit of it was confidence."
The second half was mostly a formality . Northern Arizona went to a press and cut the lead to 10 with under nine minutes left, but Graves answered by draining an NBA-range 3 from the top of the key with the shot clock winding down to push the lead back to 13.
Calm and expressionless the whole game, the senior held his follow-through for a second after that one before slapping his leg in excitement.
"He made some clutch ones at the end of the shot clock that were backbreakers," Murphy said. "We had a little bit of momentum. Our defense was much better in the second half than it was in the first … but he had backbreaking 3s."
The one worry for Sacramento State was apparent leg injuries suffered by Graves and Mauriohooho-Le'afa late in the game. Graves missed all of last season because of back surgery.
Graves returned to the game after limping off and looked fine, while Mauriohooho-Le'afa did not come back in the game after he came up grabbing the back of his left leg with a few minutes left.
Sac State takes on the Griz at noon on Thursday. Montana swept the Hornets during the regular season.
No. 7 Southern Utah 94, No. 10 Idaho State 80
Southern Utah turned up the defense late in the second half to pull away from Idaho State in a 94-80 win that only became comfortable late.
Big man Andre Adams scored 23 points with eight rebounds for the No. 7 Thunderbirds.
No. 10 Idaho State went scoreless for a 4:47 stretch late in the game as SUU went on a 10-0 run to stretch a six-point lead to 16.
By the time Gary Chivichyan snapped the scoreless streak with a 3-pointer, it was garbage time, with the Thunderbirds up double digits and under a minute left.
"I thought our closeouts were fantastic, where they couldn't get a good look at the rim," Southern Utah coach Todd Simon said. "We were really flying around, funneling it in to [Adams] in the middle of the zone. That [stretch] was a testament to these guys flying around and closing out on shooters."
Southern Utah will play No. 2 Northern Colorado in the quarterfinals Thursday.
Idaho State shot out to a 15-4 lead after starting 3-for-4 from long-distance, but hot shooting and a defensive switch helped Southern Utah turn around its slow start.
Simon went to a zone, which helped slow down the Bengals — they shot just 5-for-19 from deep the rest of the way.
"I really just think we settled down," Simon said. "I thought the zone was very good for us, especially in that second half. … We do a good job with our length of getting out to shooters, so I thought that was a huge turning point in the game for us."
The Thunderbirds, meanwhile, started playing inside-out through Adams and making their triples. Brandon Better, who scored 17 points in just 17 minutes, singlehandedly erased the Bengal lead by hitting three 3s in a minute and a half to tie the game at 20-20 with 10:20 left in the first half.
Idaho State finished 11-for-15 from deep in the game, with Better going 5-for-6 on his own.
"The key for us is we didn't want to hunt [3s]," Simon said. "We wanted to get them out of the inside-out game, or ball reversal. So we saw a healthy dose of corner 3s or things that usually come off some kind of action. I think that a testament to these guys … 21 assists in 29 field goals is all them. That was a great way to share the ball."
After Better's skein, the rest of the first half settled into a high-energy, back-and-forth game.
Harrison Butler's steal and dunk for Southern Utah with three seconds left in the half cut Idaho State's slim lead to 41-40 at the break.
In the second half, Southern Utah's shooting continued to be the difference.
The Thunderbirds took the lead for good on a Jacob Calloway 3 with 14:48 to go, and extended it out from there by relying on Adams and Butler inside.
Idaho State's best comeback chance probably came when Brandon Boyd got a steal and layup to cut the deficit to four with 6:41 to go, but Bengal big man Kelvin Jones fouled out during a scramble for the ball on the next possession.
On his way to the bench, Jones picked up a technical as well, which ended up giving Southern Utah a four-point possession, and an eight-point lead, after all the free throws.
"I think it had an affect on the game," Idaho State coach Bill Evans said. "Sometimes in the heat of the battle, we do things that we shouldn't do, lose our composure a little bit. That's what he did. It's unfortunate, but there's a lot of plays that make up a game. It's not one plays or two plays, it's a combination of a bunch of plays."
A Chier Maker layup cut it back down to six, but that just keyed the late defensive run by Southern Utah — the Bengals wouldn't score again until Chivichyan's late 3 with the game decided.
Alonzo Walker led Idaho State with 17 points.


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NA beers have suddenly become of interest in my household again, and as generalization, I think they're just not good. Luckily, it doesn't matter what I think.
Dave Eryn at BS Brewing has a great review of NA beers, and while I differ from her on Kaliber, I agree that O'Douls Amber is about as close as you're going to get to a decent beer sans alcohol. Still, it's not great, but there might be a way to improve on it.
My wife is as big a hop head as I am, and one thing consistently missing from NA beers is discernible hoppiness. Buckler at least gets the slight skunk of a green bottle correct, but that's a pretty lame distinction. So here's what I tried.
Hop reduction
Bert Grant used to carry an eye dropper of hop oil with him to add to tame beers. Hop oil is extracted using alcohol, something we're trying to avoid, so why not create a hop tea? I've got a lot of hops, so boiling an ounce of Summits seemed like a good use. I boiled the hops in a small stock pot for about 5 minutes, then strained off the cones and continued to boil the tea for another 10 minutes to reduce the volume. The resulting brownish sludge didn't look too great, but it smelled nice. A reckless sip and I was startled at how bitter it was. Better be careful.
A small addition to a pint of beer definitely made the beer more bitter. Sadly, it was impossible to get the right mixture of the reduction to get the desired hoppiness without making it too bitter. Maybe a hop variety with a lower alpha acid percentage would be better, but this just didn't work.
Hop Oil
This stuff contains alcohol. To get the hop oil, you have to use alcohol to extract the oils from the glands. But, as it turns out, you only use 2 drops per 12 oz bottle, something that is well within a safe consumption level. I tried two drops in a bottle of Widmer Drop Top, and the beer suddenly became much more to my liking. For the first couple sips. Then it was time to re-drop. I think I used a total of 5 drops over the course of the beer. This is promising though.
Michelle tried it in an O'Douls and the flavor is markedly improved. It's almost drinkable. The body is now the missing link. I wonder if there's a way to add unfermentables to bolster that….
In the mean time, it looks like tonic & lime is the preferred alternative.


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|Vol 22, No 1 (2014): Bulletin of Dnipropetrovsk University. Series Chemistry
|Simultaneous determination of two active components of pharmaceutical preparations by sequential injection method using heteropoly complexes
|Abstract PDF
|Mohammed Khair E. A. Al-Shwaiyat, Tatyana A. Denisenko, Sergey V. Zaruba, Andriy B. Vishnikin, Ludmila P. Tsiganok, Vasil Andruch, Yaroslav R. Bazel
|Vol 22, No 1 (2014): Bulletin of Dnipropetrovsk University. Series Chemistry
|Microextraction separation, preconcentration and spectrophotometric determination of sodium dodecyl sulfate as an ion associate with quinaldine red
|Vasylyna M. Lavra
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Billy White Stripe Tee - Final Sale
$32.00 $22.40
Build the perfect everyday outfit for anything on the agenda with this crew neck staple, which will always keep them cool yet cozy. The simple multi-color stripes allow this shirt to be easy paired with colored bottoms or simple black bottoms! Slightly stretchy fabric will make dressing and undressing a real breeze.
- 95% cotton, 5% elastane
- crew neck
- short sleeves


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Trash Maidz arrives to your house the day before trash day and take your trash cans to the curb. We then return the same day as trash day and put them back in their original location
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BACKGROUND: Protective ventilation implementation requires the calculation of predicted body weight (PBW), determined by a formula based on gender and height. Consequently, height inaccuracy may be a limiting factor to correctly set tidal volumes. The objective of this study was to evaluate the accuracy of different methods in measuring heights in mechanically ventilated patients.
METHODS: Before cardiac surgery, actual height was measured with a height gauge while subjects were standing upright (reference method); the height was also estimated by alternative methods based on lower leg and forearm measurements. After cardiac surgery, upon ICU admission, a subject's height was visually estimated by a clinician and then measured with a tape measure while the subject was supine and undergoing mechanical ventilation.
RESULTS: One hundred subjects (75 men, 25 women) were prospectively included. Mean PBW was 61.0 ± 9.7 kg, and mean actual weight was 30.3% higher. In comparison with the reference method, estimating the height visually and using the tape measure were less accurate than both lower leg and forearm measurements. Errors above 10% in calculating the PBW were present in 25 and 40 subjects when the tape measure or visual estimation of height was used in the formula, respectively. With lower leg and forearm measurements, 15 subjects had errors above 10% (P < .001).
CONCLUSIONS: Our results demonstrate that significant variability exists between the different methods used to measure height in bedridden patients on mechanical ventilation. Alternative methods based on lower leg and forearm measurements are potentially interesting solutions to facilitate the accurate application of protective ventilation.
- protective mechanical ventilation
- tidal volume
- predicted body weight
- height
- ventilator-induced lung injury
- acute lung injury
- measure
In patients with ARDS, ventilation with high tidal volumes (VT) increases mortality, and protective ventilation with lower VT is now widely recommended.1–4 Several studies suggest that prophylactic protective ventilation should be used in most mechanically ventilated critically ill patients to avoid acquired ARDS5–7 and to improve outcome.6,8
It is well established that a patient's lung volume is well correlated to height,9 and this important physiologic value cannot be overlooked in mechanically ventilated patients. Indeed, protective ventilation implementation requires the calculation of predicted body weight (PBW) based on gender and height.1 Consequently, height inaccuracy may be a limiting factor to adequately reduce the VT. In this regard, it should be emphasized that PBW rather than actual body weight must be used to calculate the prescribed VT.8,10 The use of actual body weight can lead to large errors in VT settings,11 especially in women and obese patients.8,12 Visual estimation of the patient's height is frequently used in mechanically ventilated patients.13,14 However, visual estimation of height and, even more so, of PBW can be inaccurate.15–18 In addition, despite strong evidence and recommendations, protective mechanical ventilation is not optimally implemented19–23; unavailability of the height may be an additional barrier.11
Considering the central role of the physiologic value of the patient's height and its impact on mechanical ventilation settings, we conducted this study to evaluate the accuracy of usual measurements of height in mechanically ventilated patients and to assess alternative measurements.
Current knowledge
Implementation of a lung-protective ventilation strategy requires the calculation of predicted body weight, determined from a formula based on gender and height. Any error in the measurement of height can lead to inappropriately set tidal volumes and failure to provide lung protection.
What this paper contributes to our knowledge
A significant variability exists between the different methods of measuring height in bedridden mechanically ventilated patients. Alternative methods of determining height based on lower leg and forearm measurements are potential solutions to facilitate the accurate application of protective ventilation.
From July 2010 to December 2011, we conducted a prospective study to evaluate height measurement accuracy in patients requiring cardiac surgery at the Institut Universitaire de Cardiologie et de Pneumologie de Québec. Study approval was obtained from the local ethics committee, and informed consent was obtained from all subjects before surgery.
The research coordinator screened patients before the surgery. The exclusion criteria were the inability of the patient to stand up for initial measurement, including emergent surgeries, and patients already on mechanical ventilation before surgery.
Study Measurements
The reference method used for comparisons was the subject's actual height, measured with a height gauge while the subject was standing up. We also measured the lower leg length to calculate the height using the Chumlea method.24–26 We measured the lower leg length with a special caliper while the subject was sitting with knees bent at a 90° angle. The length from the top of the knee (patella) to the bottom of the heel was measured. The subject's height was calculated using previously described equations.26 In addition, we measured the subject's forearm with a tape measure between the olecranon process of the elbow and the midpoint of the prominent styloid process of the radius. We then calculated the height based on a previously described chart.27 Each measurement was performed only once for each subject, and two different investigators were involved in these measurements (Fig. 1).
Within the first minutes after arriving at the ICU, other data were recorded while subjects were on mechanical ventilation. First, each subject's height was visually estimated by a nurse or a respiratory therapist and then subsequently measured by a nurse with a tape measure while the subject was supine in bed. Nurses and respiratory therapists were not aware of the subject's preoperative height (see Fig. 1). The PBW was calculated using the previously validated equations.1
Statistical Analysis
Data are presented as means ± SD. Categorical variables are presented as counts. Agreement between results was expressed by the Bland-Altman method,28 and all data are presented using Bland-Altman plots. Estimated bias (average of the differences between the reference height [gauge] and the different measuring methods) and 95% CI (bias ± 1.96 × SD) were calculated. For errors of measurement, we calculated the mean of absolute difference between the reference and the different measuring methods. A generalized linear mixed model was performed using the normality or the binary model according to the data distribution. A compound symmetric structure was used to consider the dependence among measurements. Posteriori comparisons were performed using the Tukey technique. Relationships between the reference and the other methods of measurement were analyzed using Pearson correlation coefficients. All reported P values were declared significant at .05. Data were analyzed using a statistical package (SAS 9.3, SAS Institute, Cary, North Carolina).
One hundred subjects (75 men, 25 women) with a mean age of 66.0 ± 9.3 y were studied. A total of 500 measurements of subjects' heights were obtained (5 measurements per subject). The mean actual weight was 79.5 ± 17.6 kg; the mean PBW was 61.0 ± 9.7 kg. The median (interquartile) height measured by height gauge before surgery was 167 cm (159–174 cm). Data on height obtained with the different measuring methods and errors in comparison with the reference measure are shown in Table 1.
Differences Between Actual Height, Tape Measure Method, and Visual Estimation
The results obtained using a tape measure and visual estimation were well correlated with the reference (height gauge) (Fig. 2). Compared with the reference, bias with the tape measure was −3.7 ± 5.0 cm (95% CI −13.5 to 6.2), and bias with visual estimation was −4.0 ± 7.0 cm (95% CI −17.7 to 9.7) (Fig. 3). Maximum errors with tape measure and visual estimation were 19.0 and 20.5 cm, respectively.
Error of visual estimation was inversely correlated to the subject's height (r = 0.52, P < .001). (See the supplementary materials at http://www.rcjournal.com.) Mean error of visual estimation was significantly greater with shorter subjects (those with a median height of ≤ 167 cm: 7.3 ± 6.7 vs 0.4 ± 5.5 cm, P < .001).
Alternative Methods: Height Derived From Lower Leg (Chumlea Method) and Forearm Length
Height derived from the lower leg and forearm correlated well with height gauge (Fig. 2). Compared with the reference, bias with the lower leg was −2.4 ± 3.9 cm (95% CI −10.0 to 5.2), and bias with the forearm was −1.3 ± 5.0 cm (95% CI −10.8 to 8.6) (Fig. 3). Maximum errors with the lower leg and forearm methods were 11.9 and 20.0 cm, respectively.
Potential Impact on Protective Mechanical Ventilation
The mean actual body weight was 30.3% higher than the PBW, and differences in the calculation of VT with actual body weight versus PBW were of similar amplitude. The errors for PBW were higher when the calculation of PBW was based on visually estimated heights and lower when the Chumlea method was used (Table 2). PBW errors of > 10% were present for 15% of the subjects when using the lower leg or forearm method, 25% when using a tape measure, and 40% when relying on visual estimation (Table 2). As expected, the error in VT settings was marked when actual weight, rather than PBW, was used (Table 3). We compared the impact of the errors for shorter and taller subjects based on the median height of the subjects (ie, 167 cm). The actual weight was higher than the PBW, from +21% (in subjects > 167 cm) to +35% (in subjects ≤ 167 cm) (Table 3). In comparison with the VT set with PBW, based on the reference height, maximal overestimation of VT settings in short subjects changed from 396 mL with an actual weight to 82 and 73 mL with the lower leg and forearm methods, respectively (See the supplementary materials at http://www.rcjournal.com.). Among shorter subjects (≤ 167 cm), the proportion of women was 45.1% (23/51), whereas among taller subjects (> 167 cm), the proportion of women was only 4.1% (2/49, P < .001) (Table 3). Of those measuring less than the median height, 92% were women.
Predicted rather than actual body weight should be used to determine the VT required for mechanically ventilated patients.1,8,10 However, the patient's height is required to calculate PBW.1 We compared different direct and alternative methods to measure height in 100 bedridden mechanically ventilated subjects. We showed that significant differences exist between these methods (tape measure, visual estimation, and lower leg and forearm length) and the reference standard (gauge measurement). We found that visual estimation of height was an inaccurate method with large potential errors. The alternative methods, which were based on lower leg and forearm length, were close to the reference method and were at least as efficient as the tape measure method. This study represents the largest evaluation of different methods to assess height in bedridden subjects and demonstrates the potential impact on protective ventilation implementation.
Despite the paucity of data, several studies suggest that height is not being used to set the VT11,14 or that height is unknown because as many as 40% of ARDS patients had no height listed in their medical records,29 and consequently, visual estimation of height or weight is frequently being used.13,14,30 In surgical units, patients are frequently measured preoperatively. In a recent study, heights measured before surgery were available for 3,763 patients and were missing for only 6 patients (0.16%).8 Although little data are available, it is likely that the tape measure method is also frequently used for medical bedridden patients when height is not known. In a survey of 20 ICUs in the United Kingdom, 15 measured patients with tape, and 5 estimated heights.13 Our results show that visual estimation and the tape measure method while subjects are supine are not accurate, with maximum errors being ∼20 cm. These errors were associated with large errors in VT settings. Our results are in agreement with previous data that showed inaccuracy of visual estimations in different populations.15–18,31,32 To our knowledge, there is no study evaluating accuracy of the tape measure method in bedridden patients in comparison with the reference method with a height gauge when patients are standing upright.
Several methods have been described to obtain a patient's height indirectly, among which lower leg measurement (knee-heel length, Chumlea method),24–26 forearm measurement (from elbow to wrist), and demispan (distance from the middle of the sternal notch to the tip of the middle finger in the coronal plane) are the most frequently evaluated.27,33 These alternative methods are potentially useful for bedridden patients or mobility-impaired patients.24 For these patients, the tape measure method may be difficult to use (the subject's position in bed or the use of a short tape measure is a potential source of error) and may not be accurate, as we describe in this study. The use of a flexible tape measure to measure the lower leg is a potentially interesting solution.34
The Chumlea method, which allows height estimation based on knee-heel length, has been validated in large cohorts.24–26,35 In elderly patients, who represent the majority of mechanically ventilated subjects, this method was accurate in determining height.25,26 Our study evaluated 2 indirect methods (based on lower leg and forearm measurements), and we showed that these methods were well correlated with the reference method and were at least as accurate in bedridden subjects as using tape measure. Maximum errors were equivalent (with forearm measurement) or lower (with lower leg measurement) in comparison with a tape measure.
Potential Impact on Implementation of Protective Ventilation
In this study, VT was much higher when actual body weight rather than PBW was considered, which is in line with previous reports.11 It is now recommended to set VT based on PBW rather than actual body weight.1,8,10 However, errors in the measurement or estimate of a patient's height are responsible for errors when calculating PBW and, consequently, VT settings. It is likely that visual estimation is frequently used in mechanically ventilated patients. In the present study, the error in height estimation was greater in short subjects. Importantly, in this subgroup of shorter subjects, almost all were women. Consequently, the impact on VT setting was greater in this subgroup. Patients of shorter height were less likely to receive protective ventilation in previous studies.36,37
The tape measure method was also associated with potentially high errors in VT settings. Overestimation of VT reached almost 150 mL when the tape measure method was used to calculate PBW rather than the reference height. With alternative methods (lower leg and forearm measurements), maximum errors in VT were limited to between 73 and 87 mL. In addition, because of the formula for the PBW calculation, an error in height measurement or estimation leads to higher errors in VT settings in women compared with men. (See the supplementary materials at http://www.rcjournal.com.) Our data help explain, in part, why women frequently receive higher VT compared with men.7,8,11,12,30,36
These data highlight the importance of height in effectively reducing VT, which may be difficult when accurate height measurements are not available. Consequently, finding an accurate and easy method to obtain height measurements in bedridden patients is of great importance.
Our study has several limitations. The Chumlea method (based on lower leg measurement) was not recorded directly in bedridden subjects, but preoperatively in seated subjects with knees bent at a 90° angle, which limits the chance of errors. The results may therefore not be directly transposable to the situation of mechanically ventilated supine subjects. The present study is to be considered as a first step in assessing this method as a potential alternative method of measurement. In a subsequent study, we evaluated a modified Chumlea method using lower leg measurement in bedridden subjects. Preliminary evaluation of this new method showed promising results, with very close correlation with the reference method.38 In the present study, we did not test the reproducibility of the measurements with different investigators, and this will need to be performed in subsequent studies.
One must remember that the Chumlea stature prediction equations have been made specifically for defined populations25 and that specific equations have been developed and should be used for differing populations.39,40
VT may not be the optimum value to consider in mechanically ventilated patients. Indeed, some authors advocate the use of other physiologic surrogates, such as transpulmonary pressure or lung volumes, instead of VT per PBW, given the variable effect of a unique value of VT in a large population of subjects.41
Clinical Relevance
Protective mechanical ventilation is insufficiently implemented19–23 due to several identified barriers; it is likely that difficulty in accurately measuring a subject's height and the lack of availability of derived formulas to calculate PBW are additional barriers. We described in this study several potential indirect methods that are at least as accurate as the tape measure method in bedridden subjects and that are more achievable. The data presented here also point out the inaccuracy of the visual estimation method, which can lead to large errors in VT settings. Visual estimation of height should definitively be avoided, as well as the use of actual body weight to determine VT.10
The optimum VT to prevent5,42 or treat4 ARDS in mechanically ventilated patients is still not clearly defined. It is well accepted, however, that high VT increases mortality in ARDS patients 1,4 and is associated with poor outcome in patients without ARDS.5,6 To this end, implementation of low VT strategies requires patients' heights to calculate PBW and to choose VT based on PBW rather than on actual body weight. The formulas used in the present study have been implemented in a free smartphone application (iAnthropometer ICU) that may facilitate implementation of protective ventilation.43
Use of reliable methods to measure height is also desirable to homogenize practices in the clinical field and for research purposes. In a meta-analysis, Eichacker et al4 showed that among the 5 randomized controlled trials evaluating different VT values in ARDS subjects, 4 different methods were used to determine weight: actual weight, dry weight, ideal body weight, and PBW. These various surrogates of weight were acceptable when the rates of obesity (body mass index > 30 kg/m2) were ∼10%, but today, these rates now approach nearly 40% in many countries,44 and consequently, actual body weight cannot be used to set the ventilator because of the risk of delivering high VT.8 In daily practice, the alternative methods that we describe may be more accurate than visual estimation and easier to apply in comparison with the tape measure method.
We showed that the method used to obtain a patient's height during mechanical ventilation might not be accurate and may have an impact on VT settings. A VT set according to actual body weight leads to large errors and should not be used; PBW requiring the patient's height should be used instead. The use of height measured with a tape measure, as well as visual estimation of height, can also lead to large errors in VT settings. When reference height is not available in patients undergoing mechanical ventilation, alternative methods to obtain patients' heights based on lower leg and forearm measurements could be useful to facilitate the application of protective mechanical ventilation to prevent5 or treat1,2 ARDS. Knowledge and accurate application of a subject's height are low-cost therapeutic interventions based on basic physiology, as lung size is closely related to height.9 This simple yet under-recognized fact should not be overlooked, especially if one considers that the only proven treatment of ARDS relies on the application of appropriate ventilatory settings.1,2
We thank Dr Jed Lipes for manuscript revisions and English editing.
- Correspondence: François Lellouche MD PhD, Unité de Soins Intensifs de Chirurgie Cardiaque, Groupe de Recherche en Santé Respiratoire, Centre de Recherche, l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Chemin Sainte-Foy, Ville de Québec, Québec G1V 4G5, Canada. E-mail: francois.lellouche{at}criucpq.ulaval.ca.
Supplementary material related to this paper is available at http://www.rcjournal.com.
The authors have disclosed no conflicts of interest.
See the Related Editorial on Page 1155
- Copyright © 2014 by Daedalus Enterprises


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Netanyahu has been the face of Israel, but election tests voters' taste for more of 'King Bibi'
In a razor-tight race to govern Israel, voters are facing a clear question — is Benjamin Netanyahu's time up? Or will the 69-year-old prime minister be anointed for an unprecedented fifth term?
At a Tel Aviv campaign stop in a crowded market, supporters gushed over his 13-year leadership.
"He's our father, our saviour, the king of the world. Who else can speak with Putin, with China? Only him," said one man, kissing a photo of Netanyahu. "Here, see. He's the king!"
Israel's election is all about "Bibi," as Israelis call him; a referendum on the most widely recognized political face of Israel.
"He's made it so," said Reuven Hazan, a political science professor at Hebrew University. "He's saying, 'I'm the only one who can play at this level internationally.'"
But no path to governing comes without a coalition of parties in the Knesset, Israel's national legislature, and Netanyahu is working hard now to shore up his base. Fourteen main parties are competing for 120 seats.
Last Friday, he warned that splintering right-wing support between many parties could wound his party Likud, and lead to a "weak" leftist government.
"Is that what you want?" Netanyahu challenged voters.
Then Saturday night, in a local TV interview, Netanyahu vowed to extend Israeli sovereignty over Jewish settlements in the occupied West Bank, where hundreds of thousands of settlers now live.
"Who says we won't do it?" he said to the television host, "We are on the way and we are discussing it."
"You are asking whether we are moving on to the next stage. The answer is yes — we will move to the next stage. I am going to extend sovereignty."
'We're scared to be hopeful for the future'
The controversy over West Bank settlements is seen by many as a major obstacle to a peace plan. "Canada does not recognize permanent Israeli control over territories occupied in 1967," states government policy.
A spokesperson for Mahmoud Abbas, the Palestinian leader, said Sunday, "any measures and any announcements will not change the facts. Settlements are illegal and they will be removed."
"I think we've gotten to a point where we're scared to be hopeful for the future of Israel," said Ethan Haas, 18, a first-time voter in Tel Aviv.
Haas is enrolled in a gap year education program — Mechinat Bina — which teaches Jewish culture to young people about to go into their compulsory military service.
"Regarding the Palestinians, people don't talk about peace anymore. They talk about how to calm things down for now, and that sucks."
Yuval Shayo, also 18, said: "I want to see the hate cease on all fronts between those different divisions In Israel that don't talk to each other."
"I want there to be an atmosphere where we can hear each other out. And the current prime minister does not foster that kind of atmosphere."
Challenge from political newcomer
Netanyahu is being fiercely challenged by a new centrist political party, Blue and White, lead by Benny Gantz, 59, a former general and military chief of staff. Though he is a political newcomer, Gantz has mounted the most serious opposition to Netanyahu.
"I'm not going to say do or don't vote for anybody," said Robert Wolf, a resident of Mishmeret, in central Israel.
"I will say, I would love to see a change, a change of attitude, a change of action; we have to change something because it's not working."
He can say that with heart-stopping surety.
Wolf nearly died two weeks ago, along with his family, when a rocket fired from Gaza slammed through the roof of his home. Wolf's son roused him from sleep, at the sound of the siren. He got out.
"I hear this, like a whoosh, and then, a mighty explosion took place and my whole home was in the air," he told CBC News.
"For about 25 seconds, I thought that's it, I've lost my family. I ran into the mess and found my wife on the floor, blood all over the place."
She survived, with shrapnel injuries. His whole family did, in "a night of miracles," Wolf said.
"Why were we hit? Because we are Israelis, because we are Jews, because this is our homeland. And there's a lot of people don't want us here. And it was our turn. We got it."
Palestinians aren't hopeful
The rocket attack forced Netanyahu to cut short his visit with U.S. President Donald Trump to return home. The Israeli Defence Force retaliated, sending rockets into Hamas targets in Gaza.
Few young Palestinians believe neither a renewed mandate for Netanyahu nor a leadership change will improve prospects for peace between Hamas and Israel.
"I can't see any good future with any Israel government old or new. I can't imagine," said Mahmoud Salman, 28, who works selling kitchen equipment in Gaza City for about $ 15 a day.
He said he "kills the pressure" he's feeling by writing and recording rap songs.
He came to Gaza at age three and he's never been outside. One of his lyrics says: "Give me a visa with no return."
At a dusty lot, a group of young men play volleyball. Mahmoud El Najjar, 23, is a Phys Ed grad, but can't find a job.
"Life here is so difficult because of what happens inside and outside. It's not just outside forces that are making life difficult, it's also difficult because of internal forces. But God willing, we hope it will change."
On the eve of the vote Tuesday, polls project 'King Bibi' and his party could pull fewer seats but be asked to form a government anyway, building a coalition of right-wing parties.
But Israeli election results are notoriously complicated and filled with their fair share of surprises.


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An Australian man has spent two and a half months behind bars in Bali for allegedly stealing a pair of $425 Gucci sunglasses at Bali airport, claiming he did it unconsciously because he was a nervous flyer, The Courier Mail reported.
Thomas William Harman, a 31-year-old from Perth, is now on trial in Denpasar District Court on stealing charges which carry a maximum five years in jail.
Harman was at Bali's international airport, about to fly home after a five-day holiday with a friend, when the Gucci sunglass incident occurred, landing him behind bars in Kerobokan jail.
The court has heard that Harman was at a duty free shop inside the international departure terminal in Bali on July 30 this year.
The Prosecution alleges that Harman tried on a pair of Gucci glasses, valued at 4.5 million Rupiah or $425 and then left the shop with them without paying.
Prosecutor Made Ayu Citra Maya Sari told the court it was alleged that Harman then took off his black t-shirt and changed into a black singlet and slipped the glasses into his backpack.
He is being tried under the Indonesian Criminal Code.
Harman does not deny taking the glasses but says it was an unconscious reaction to being nervous about flying and his upcoming flight home.
His lawyer, Erwin Siregar, told the court that Harman had no intention to steal the glasses.
"He said that every time he flies he feels nervous. That's why he took the glasses unconsciously," Mr Siregar said.
"After the incident, he apologised and said that he felt remorse as he did it unconsciously. He also tried to pay for the glasses. However the shop manager refused as the manager said that company regulations must be followed and they should proceed with the legal process," he said.
The shop manager has testified that Harman offered an apology but they are following company policy.
So far the shop's manager, the sales manager and three security staff have given evidence.
Mr Siregar said the case was simple and should not have been in court but the company was enforcing its regulations.
He said for this reason they had chosen not to fight the charges or to make a defence opening statement, known as an excepsi.
Read full article, here
Source: couriermail.com.au / Cindy Wockner and Komang Erviani


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VUE Audiotechnik is debuting a new compact subwoofer at Prolight + Sound.
The hs-20 sub features a pair of custom-engineered, high-powered long excursion 10-inch transducers and Active Compliance Management (ACM) technology.
The ACM-optimised DSP and dual channel high efficiency amplifiers are capable of maximum output without the need of cooling fans.
VUE Audiotechnik's CEO, Ken Berger, says: "The hs-20 clearly shows that the performance advantages of ACM technology actually increase as the physical size of the enclosure decreases."
"While both the hs-28 and hs-25 easily outpace any subwoofer near their size, listening to the hs-20 while looking at its compact frame clearly demonstrates the ability of ACM to dramatically change the performance benchmark for compact subwoofers from this point forward."


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Online extras from FWW issue #277 Video: A Deeper Look at Pull Saws You probably know that Japanese saws cut on the pull stroke. But there's more to them. In…
Chris Gochnour explains how he installs side-hung drawers, from routing the dadoes in the case sides to making the runners to using spacers for a perfect fit
Philip Morley, Libby Schrum, and Kris Burns give their insights into how they designed a modern lounge chair, including the critical details they included and the personal details they added to the iconic Mid-Century style
Chris Gochnour's sideboard combines usefulness, strength, and beauty in a contemporary case piece
We take a look at the Bosch GKF12V-25N 12V MAX EC, DeWalt DCW600B 20V MAX XR, Makita XTRO1Z 18V LXT, Ridgid R86044B, Ryobi P601 18V ONE+
It may be noisy. It may be dusty. But in a pro shop like Chris Becksvoort's, where time is money, it's hard to beat the belt sander for producing great results quickly.
Craig Thibodeau demonstrates how to get a durable, beautiful edge and a flawless fit
How to use riven stock, wet/dry joinery, and natural hickory bark
How the nonprofit GreenWood helped bring woodturning skills and bicycle-powered lathes into Honduras, sparking the creation of some 600 mallets that will be sold by Lee Valley. It's just one…
Curtis Buchanan builds his "democratic chair" with the bare minimum of inexpensive tools and materials with surfaces directly from the drawknife, embellished with a bit of milk paint
Template routing is easier and more accurate when you do the initial trimming on the bandsaw using this guide pin.
LED book light makes an inexpensive accessory for a trim router
A piece of MDF and two inexpensive tool-storage magnets, clamped in a vise, holds blades tightly while filing.
Digital angle cube resting on top of a handplane that spans the width of a board can be an effective way to judge milling progress.
The magnetic base of a dial indicator serves as a movable, lockable stop to make crosscutting safer.
Works great on any cast-iron surface, including bandsaw, router table, and tablesaw.
A file can be a substitute for paring with a chisel. Flat side of a half-round file makes the surfaces smooth and helps joint slide together.
Ben Strano takes a close look at Rockler's clever stow-and-go router table
Castle 100 pocket-hole machine
Joiner's Work by Peter Follansbee
Tim Rousseau takes a look at this unique featherboard designed to help resaw at the bandsaw
Anissa Kapsales tests some ingenious dust ports that promise to make dust collection a little easier
© 2020 The Taunton Press, Inc. All rights reserved.
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Vice President Mike Pence challenged the 2017 graduates of Grove City College to lead with courage in the face of criticism and seeming setbacks and congratulated them for earning degrees at an institution which refuses federal funding.
Founded in 1876, Grove City College had to take its fight to refuse all federal funding to the U.S. Supreme Court in the 1980s. Pence recounted this history, telling the graduates, "The diploma that you will receive today was minted in an institution of principle and independence and you can be proud of it for the rest of your lives."
"People follow people they respect so first and foremost you must aspire to be men and women of character," said Pence.
TUNE IN! I'm at @GroveCtyCollege delivering the 2017 Commencement address. Congrats, grads! #GCCGrad2017 https://t.co/BEUBwtGRPP pic.twitter.com/HmhQIuA1ib
— Vice President Mike Pence (@VP) May 20, 2017
He called the crowd to servant leadership: leadership grounded in faith and freedom, not selfish ambition, that "must the the animating force of the career that lies before you."
"If you aspire to lead, you'll need courage," he added after referring to a quote from C.S. Lewis, "Courage was not one of the virtues it was actually a form of every virtue at the testing point."
"Leadership brings both honor and opposition," he continued. "Anyone who dreams big will encounter those who think small, anyone who dares to step forward will find those who'd rather stay put. And anyone who thinks they can will always hear from those who are sure they can't."
Pence told the graduates that for an example of courage they should look no further than his friend, the 45th President of the United States of America, Donald Trump.
The vice president quoted the commencement message President Trump gave last Saturday at Liberty University. "Nothing worth doing ever came easy," he said, quoting Trump. "Following your convictions means you must be willing to face criticism from those who lack the courage to do what's right."
Adding his own advice, Pence urged, "Don't fear criticism. Have the humility to listen to it, learn from it and most importantly, push through it. Persistence is the key. Never quit on your dreams. Dreams may be deferred by they must never be abandoned."
Pence recounted some of his life story and setbacks, particularly that he actually ran twice for the U.S. Congress and was not successful in those first attempts. He encouraged the graduates to trust the dream in their hearts and "never let it go."
"That dream came back around," said Pence, and he was eventually successful and able to serve in Congress, then serve as governor of Indiana and now has the privilege as serving as vice president of the United States.
"Hold on to your calling. Never let it go," he encouraged.
Pence quoted former President Calvin Coolidge:
Nothing in this world can take the place of persistence. talent will not. Nothing is more common than unsuccessful people with talent. Genius will not. Unrewarded genius is almost a proverb. Education will not. Well the world is full of educated derelicts. Persistence and determination alone are omnipotent.
He then added his own words, "And so persistence men and women. Hold on to your dreams and drive forward."
Vice President Pence declared that the graduates have been "called to lead, fearlessly. Be men and women of integrity with a servant's heart. Expect opposition and persevere. And lastly, have faith."
He quoted Jeremiah 29:11 from the Bible, as he often does, that God has a plan for them, to give them "hope and a future."
"Have faith that He that brought you this far will never leave you and never forsake you because He never will," said Pence. The Vice President said if the graduates "if you hold fast to Him, to the faith that deepened in this special place and to all that you learned from this extraordinary faculty, I know in my heart of hearts, you will not only persevere, but you will prevail."
.@GroveCtyCollege Class of 2017 – this is your day – the future is yours. Congratulations. #GCCGrad2017 pic.twitter.com/QiGPFEbYti
— Vice President Mike Pence (@VP) May 20, 2017
He concluded with, "The future is yours, go get it" and "God bless you and may God bless the United States of America."
Follow Michelle Moons on Twitter @MichelleDiana


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Glamorizing a photograph is something that has become a basic expectation in today's portraiture game. In the digital era in which we work, to deliver anything less would be more of snapshot than a portrait. But while the "Editing" of an image is a modern day expectation, RCMedia provides different degrees of Glamorizing.
Basic Glam: $5 This is the least noticeable of the three, but is what RCMedia does at no additional cost as part of our Portrait Photo Sessions. It removes basic skin blemishes including most temporary blemishes (pimples, rash, etc), lighting issues and is more of a basic tweaking than anything specific. This level of editing is usually not noticeable.
Intermediate Glam: $10 The next level of Glam is where the photo tends to look as if the subject is wearing makeup. It covers more obvious skin blemishes perhaps and leans in the direction of a professional modeling image. This level of Glam is the most common for family and office level portraiture and is what we do to turn an ordinary photograph into something that is more of something special.
Heavy Glam: $25 This is the magazine level of Glam, where the image becomes highly polished and maximizes as many tricks as possible to improve the image perfection. These are the images one requests for marketing in business or for entertainment business applications. It can cover up most imperfections and can take years off the subject.


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Lunar and Planetary Laboratory of the University of Arizona invites applications for a post-doc position to work with Dr. Tommi Koskinen on the escape and evolution of (exo)planetary atmospheres. The successful candidate will work on models of exoplanet upper atmospheres, developing new models for radiative transfer, photochemistry and dynamics of escaping atmospheres. These models will be used to interpret currently available observations exoplanet upper atmospheres and to choose the best targets/observables for future searches. Some examples of ongoing efforts include the interpretation of ultraviolet transit data, including the detection of heavy atoms and ions, as well as the recent observations of the hydrogen Balmer line, metastable helium and high resolution lines of sodium. The successful candidate will also have the opportunity to participate in the preparation for the NASA Colorado Ultraviolet Transit Experiment (CUTE) mission.
The Lunar and Planetary Laboratory and the University of Arizona offer a world-class research program in astronomy, physics and planetary sciences, including research into atmospheres ranging from exoplanets to the planets, dwarf planets, satellites and comets in the solar system. The successful candidate will be able to foster collaborations with many talented researchers at the university.
Candidates should have a PhD in planetary science, exoplanets or a related field and experience in numerical modeling. A background in modeling atmospheres and/or exospheres/magnetospheres is an advantage. Candidates should email professor Koskinen (firstname.lastname@example.com) for more information and/or apply to Job Posting P20683 at www.uacareers.com. Applications should include a cover letter, CV, a brief statement of research plans and contact details for two referees.
Outstanding UA benefits include health, dental, vision, and life insurance; paid vacation, sick leave, and holidays; UA/ASU/NAU tuition reduction for the employee and qualified family members; access to UA recreation and cultural activities; and more!
© 2019 American Astronomical Society


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- Bookshelf Online: Notifications coming to Bookshelf Online - May 21, 2018
- Bookshelf Online: Update your language more easily in Bookshelf Online - May 21, 2018
- Bookshelf 4.1 for Android Release Notes - February 5, 2018
- Bookshelf 4.1 for iOS Release Notes - February 5, 2018
- Bookshelf Online: Flashcards are coming to Bookshelf Online - 12/21/2017
- Bookshelf Mobile 4.0 Release Notes - November 13, 2017
- Bookshelf Online Fall 2017 Refresh - November 6th, 2017
- Bookshelf Online: Text me a link - October 13, 2017
- Bookshelf Online: Improvement to Sharing Notes and Highlights - July 31, 2017
- Bookshelf 7.6 (Windows) Release Notes
- View All Articles
Wikipedia Look up in Bookshelf OnlineVitalSource is excited to announce that we have integrated Wikipedia search into the student reader. As a platform dedicated to student-centric learning, we strive to add new useful study tools to assist students in their comprehension of course materials better.
Why Wikipedia?
At VitalSource we are constantly in touch with our users to gain feedback on how we can improve the student learning experience. Recently we asked the question, "When you have a question while reading, what do you do most often?" 80% of students surveyed answered that they searched the internet. When we followed that question up with which site they were using, Wikipedia was one of the top three sites that students turned to when they did this internet search. To better facilitate this student study habit, we added a "Look up in Wikipedia" to Bookshelf.
When is this feature available?
Wikipedia Lookup is currently available on bookshelf.vitalsource.com, and we will be rolling Wikipedia Lookup out to school specific platforms beginning on February 3rd.
How do I use this feature?


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Yes, it is possible to verify adsense account without PIN. Adsense is the best adnetwork because if you earn 10$ from adsense then you only earn 1$ from other but its not easy to get a verified adsense account specially if you belong to country like India.I have seen many people are unable to receive Address Verification PIN from adsence after waiting 2-3 months,but there is another way to verify adsense account without PIN through your PAN card just go here
and upload a scanned copy of your PAN card .If scanned copy is not available then you can take the picture of your PAN card using good quality mobile camera.After uploading your image adsense will verify your address within few hours.
Update: Google Adsense is not accepting these documents to verify your address or identity .You can use this method to extend the deadline to submit your PIN by an additional three months.So do not submit your document till all three PINs sent by Google does not reach to your address.


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Best Sleeper Chair IKEA Designs
As seating and bed, IKEA has the best designs of convertible chairs. They have been very popular especially for small homes and apartments. From chair to bed and otherwise, it depends on your needs and purposes. The height does really matter. You have got to check the size, mattress and fabric too. The comfort level is determined by these elements too. Well, here are several models of convertible sleeper chair furniture designs from IKEA.
BALKARP sleeper sofa – This is an armless model that costs only $89.00. I really like the black color for distinctive touch to interior decor. Simple but comfortable, this sleeper chair IKEA is just wonderful.
NYHAMN, SANDBACKEN, FLOTTEBO, LYCKSELE, YPPERLIG, SOLSTA, DJURSBO, FRIHETEN, BRÅTHULT and more series are on sale at IKEA. Sleeper chair IKEA is all about comfort and multi-functionality. As seating, bed and storage, IKEA sleeper chair designs are amazing convertible furniture. Just browse and read for more reviews about sleeper chair IKEA!
ERSKA sleeper sofa – Easy to keep clean only by using a damp cloth, this model is awesome in look with skiftebo orange color polyester fabric. However, you should not wash, bleach, iron, tumble dry and dry-clean. Just vacuum to get rid of any attached debris and dust. The cost is only $399.00.
VALLENTUNA sleeper sectional – To fill your corner space and maximize it, this model can do greatly. Day and night, the furniture designs are yours to combine using planning tool. From $360.00 to $1.385.00, these sleeper chairs will give substantial enhancements to your interiors like guest room.
FLEKKE daybed – This is an wonderful solution for small spaces. Comfortable and functional with easy to pull out storage drawers, the series suits kids' bedroom at best. There are also other series like HEMNES, BRIMNES, FYRESDAL and TARVA. Wood or metal, designs are all exceptional from IKEA.
Comfortable and multi-functional! Sleeper chair IKEA will save your space and money for the ultimate styles. Corner sofa beds and chair beds, storage comes as completion to create the better rooms. Bedroom, guest bedroom and even living room can have the remarkable sleeper bed.
Eye-catching distinctive furniture model that convertible makes a multi-functional design. Bring it home and enjoy by spending cost approximately $229.00.best sleeper chair ikea designs


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Our commitment: Give high quality products to meet your needs. We believe you deserve quality food at a fair price, prepared as you order it, from fresh, hand prepared ingredients - even (or especially) when you are at a festival or event. We make virtually everything that we sell from scratch (the various bread products that we use are one of the few exceptions). We don't leave things sitting in warmer pans all day. We don't buy pre-prepared foods and pass them off to you at a huge markup. We sell nothing that we are not proud of.
What we do is take the time to prepare all our foods ourselves - from our Shrimply Delicious cocktail (and other) sauces, salsa, & condiments, the fudge brownies and cheesecakes that we make by hand, and our Hot-Diggity-Dog gourmet sausages that we grind, spice, and stuff ourselves by hand - so while they may not be perfection in appearance, they taste great and we know exactly what goes into them - right on down to the pickles we make ourselves and chop for our relishes.
When we do buy something, like the all beef hot dogs and polish dogs that we serve, we always buy the very highest quality. For example, you can tell that our hot dogs are high quality not only by the taste, but because they don't "plump when you cook them" - that's because they're not filled with cereal and starch fillers which swell when cooked, they're filled with quality meat - think about it... have you ever seen a steak, or a chicken breast (or any other cut of quality meat for that matter) get larger when you cooked it? (Ah, yes... where but in America can marketing firms take an essentially negative thing like "our hot dogs have cereal & fillers in them" and turn it into a sales gimmick ("They plump when you cook 'em"") to get the public to buy their products???).


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Tee Zone: Fairway wood
As a part of our Zone Your Game: The Tee Zone series, TG Elite Teaching Professional Gareth Johnston takes the instruction to next level in his quest to get you ripping your fairway woods off the tee in this golf video tip.
The key to nailing this shot is a shallow angle of attack and a great way to do this is to try and strike the ball and tee peg together!
If you come into the ball too steep, you're likely to hit the ground first. Conversely, if you try and hit the ball with an upward blow, the topped shot comes into the equation. Give this a try and you'll rip your 3-wood every time!


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Midland a bright spot in the state
By Cathy Nelson Price
He's called Midland "a pocket of uniqueness" in referring to the city's one-two punch of amenities and growth potential. Still, even as he's been giving his series of "State of the City" presentations to various audiences, Midland Mayor Bruce Johnson is all too aware that the town is not immune to the economic realities that beset other Michigan areas.
City Manager Jon Lynch is equally aware, as he and city staff put together the proposed city budget for the coming fiscal year. It's a year that will see both a reduced tax revenue stream and the initial phase of a big payout to satisfy the MCV tax settlement. Even for ever-optimistic and proactive Midlanders, that's a tall order.
Especially since, as Lynch noted, "The expectations in the community are certainly very high. And that's appropriate. Midland is pretty widely regarded across the state of Michigan as creating a very high standard in the public service arena."
That standard won't be easy to maintain. "Our costs are growing faster than our revenue," Johnson said. "Jon and his team will be presenting some tax increases and some spending cuts. We have to get a budget together that's balanced, and uses both of those. You can't cut your way to success. And you can't just raise taxes."
The key players in the decision-making process are the ones Lynch calls "our bosses," meaning the citizens of Midland. As with every public policy or economic decision the city makes, public input is sought and considered. "We have to work with the community to understand what the needs are, as well as to go through the process and share what the challenges are," Johnson said.
That's not a tough sell. "It's fairly well known that in this community, public participation is not something that you have to work hard to encourage," Lynch said. "People want to be engaged and involved. Anytime you're in a community where you have Fortune 500 companies and their executives living and working, there's a natural expectation that you're going to go about your business in a very proactive and efficient way."
That doesn't mean steamrolling over a vocal opposition. "Generally, people want outcomes to be organized around consensus," Lynch pointed out. "It's not very often in this community, whether it's a local unit of government, nonprofit organization or some other board that's functioning in this area, that you see very close, split decisions.
"Decision-making here isn't usually organized around, 'Well, if I can get one more vote than the other side, then we're going to proceed.' Usually, folks work really hard to articulate the rationale behind their consent and support for an idea, or their reluctance to support an idea. And that's appropriate in the context of public policy."
Arriving at public policy consensus can get a little testy when finances are in disarray. Compared to other cities in Michigan, Midland is still in the glow of health even as it faces a budget crunch. "Midland is a good example of success in the state. There are other areas in the state that are showing similar success; we're not alone," Johnson said.
But, he added, the goals that the city has set for itself - economic sustainability, outstanding quality of life amenities and services, and effective stewardship of community resources - require constant effort. "People who live here recognize that is isn't just happenstance.
"My own personal opinion is that Midland is well positioned for future growth," Johnson said. "I think in some ways, Michigan hurts Midland. Because of all the (economic) challenges associated with the state, some people look at investing in the different areas throughout Michigan and are reticent. But when they have an opportunity to look at Midland, they know that it's a good place to invest. We're seeing that.
"We have profit, nonprofit, city and public groups that work well together," Johnson added. "Let's be realistic. If you had a fabulous city staff organization, but had a terrible business environment, no matter how successful the staff could be, it's only one component in that community. We're fortunate that we have an excellent city staff, one that's well recognized at local and state levels at working with the community and solving problems.
"But we also have a business community that promotes economic development, whether it's Midland Tomorrow, the Midland Chamber of Commerce or the ongoing recruitment and retention efforts of Dow Chemical, Dow Corning and Hemlock Semiconductor.
"And we have the foundation component of the city, and we work well with them. Based on their feedback, we're confident they'll continue supporting the community as well as the region."
Perhaps the short term will be more of a financial struggle than Midlanders are used to, but their mayor thinks they'll come out on top. "We have this collaborative effort and various resources to help," he said. "Those are competitive advantages."


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Splashy, Colorful Fun for a Family of 5
Freng got to work and transformed the home's 1980s interiors into splashy, functional and fun spaces that reflect her love of color and salvaged materials. "Sometimes when you walk into someone's home, there's a real disconnect between the house and those living in it," she says. "I'm happy to say that every room in this house has our stamp on it. It's not perfect, but it's ours."
Houzz at a Glance
Who lives here: Mindi Freng and her family of 5
Location: Grand Rapids, Michigan
Size: 3,500 square feet
That's interesting: The dining table is made from a reclaimed bowling lane.
A 12-foot artificial tree — a Craigslist find — is just the right scale for the living room. Sheer curtains and windows along an entire wall let in plenty of natural light. Hopper windows let in fresh air. Accent walls in a chocolate brown and bright blue celebrate Freng's love of color. "It's a cheerful room, and the colors are pretty atypical for Michigan," says Freng. "But I don't really care. I'm not one to play by the rules."
Brown paint: Craft Paper, Sherwin-Williams; blue paint: Caribbean Blue Water, Benjamin Moore; floors: oak, original to the house
Freng learned a lot about how bowling alleys were made in the process of converting the piece into a dining table. "It weighs a ton, so as my husband always says, it's never leaving this house," she says. Plumbing pipes make up the table legs, throwing an industrial touch to the piece. Mismatched chairs surround the table, all picked up from vintage shops and flea markets in the area.
An accent wall in Benjamin Moore's Peacock Blue enlivens the space and makes a warm, happy background to the organic wood chunks.
The designer glams up the dining area's chandelier for the holidays with glass ornaments and feathers.
"I painted my grandma's buffet a bold orange and filled the buffet top with pillars, branches and other holiday accessories," Freng says.
The family room has wall-to-wall carpeting. "We have young kids, and they spend quite a bit of time there. It just made sense to have something soft underfoot," says Freng.
Built-in shelves separate the dining room from the family room and let light in from the back of the house.
The kitchen shows Freng's love of walnut. She had her construction team wrap the structural beams in reclaimed walnut (previously used as flooring), giving the space movement and interest.
"In case you can't tell, I love walnut. I also feel like it works with the midcentury architecture of the house," she says. A skylight bathes the space with light.
AFTER: She matched the back concrete countertops with the shelving unit's Branchport Brown stain. The island countertop is also concrete but looks a lot like Ceasarstone or Cambria. Off-white cabinet doors, plus layered lighting from the skylight and recessed fixtures, keep the space feeling expansive and bright.
For the holidays, vintage finds and ornaments share the space with bottles and glasses on the bar's upper shelves. The more accessible level of the bar showcases more family-friendly fare, like sweets and holiday candy.
"We quickly realized how much work actually went into just a small remodeling project, so we hired a team for the rest of the house — and we're so happy we did," she says.
Their toddler's room pays homage to all things locomotive. Old traffic signs cover the walls, preloved rims support the bed frame and two repurposed filing cabinets with desktops make up a train table with storage underneath. Freng displays her son's cars on 2-by-4 wood strips that she cut in half, painted and mounted on the wall.
"This playroom was a last-minute project that I revealed on Christmas Day. I needed a space for my kids to be able to do whatever their imaginations dreamt up for them," says Freng.
The designer bought the siding and shingles from a Habitat for Humanity ReStore for a mere $11. She salvaged the carpet squares from a school project's toss pile. "We did the murals on the wall and left the ones on the white wall unfinished so that the kids could color, paint and fill in the work over time," she says.
An adjoining area houses a reading perch, a play kitchen and dollhouses.
One of Freng's favorite custom pieces is her daughter's window box, which Freng filled with playground balls and constructed with medium-density fiberboard and Plexiglas. "The balls can be changed out to whatever my daughter is into at the moment, so it will change with her tastes," says Freng.
A whiteboard from an office supply outlet gets lots of use when the kids are playing school. "It keeps them occupied for long stretches of time," she says.
Freng updated the kids' bathroom by refacing the cabinet doors and drawers. She painted the cabinet doors in Sherwin-Williams' Argyle, an on-trend green. "I'm really happy with how it turned out. We replaced the toilet and sink but kept the Formica countertops, which are low maintenance," she says.
It's taken years for her husband to trust her design and color choices, she says. "Part of overcoming fear, especially a fear of color, is the importance of actually moving forward and seeing something work. A successful project gives you — and anyone else involved — the confidence to move ahead," she says.
The entrance hints at the colorful fun inside the home by making an opening statement in Sherwin-Williams' Jalapeño.


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Don't You Dare
If you're thinking about it… Don't You Dare!
We must let you know…
Refilling liquor bottles is a violation of Federal Law under 26 U.S. Code § 5301, specifically in subsection c. All 50 US States also have a law that prohibits refilling liquor bottles, along with every country in the world that regulates the sale of liquor.
There are many reasons why law enforcement authorities do not want liquor bottles refilled. One reason is tax avoidance. Each bottle of liquor is taxed either by the bottle or by volume throughout the world. Reusing liquor bottles is tax fraud, which is an enforcement issue that is taken seriously by government officials everywhere.
The more crucial factor to be considered when liquor bottles are refilled or reused is consumer deception. As a consumer, you should know which liquor you are getting in your glass and which liquor you are paying for.
Unfortunately, some bars serving liquor have used a practice known as marrying bottles. To eliminate excess open bottles of the same liquor on display, the practice has been to pour leftover liquor into another bottle. It's a seemingly innocent process that can result in harm.
Marrying bottles increase the chance of cross contamination—even within the same brand of alcohol. The liquor could have come from different distillation batches. And if one batch should be recalled for a quality problem, the bottle code no longer reflects its true contents once bottles have been mixed.
Marrying bottles is illegal in all 50 States and by most Liquor Control Boards and laws throughout the world. Marrying bottles is only one step away from the more nefarious practice of refilling and reusing liquor bottles. Finally, a few bars are refilling liquor bottles with a profit motive in mind. These scoundrels take a premium brand liquor bottle (like Blue Shark Vodka) and refill it with a lesser grade liquor. So, as the consumer, you pay for top-shelf liquor. But that's not really what you're getting.


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Lowestoft snap up Mildenhall youngster Chambers-Shaw
PUBLISHED: 09:07 28 June 2018
Richard Marsham - RMG Photography Tel - 07798 758711
Lowestoft Town have added to their midfield options by signing Jake Chambers-Shaw from Mildenhall.
The 20-year-old made 35 appearances for Mildenhall last term in their first season in Ryman League North, scoring seven goals.
He has now stepped up a level to play for the Blues in the new Southern Central League and is delighted to be part of Jamie Godbold's new-look squad.
"It's a new opportunity for me," he told the club's official website. "I met Jamie and he was a big factor in the move, I think Lowestoft is a big club and I can't wait to get started."
Meanwhile the club also announced that Shaun Bammant has agreed to play for the club again next season.
The out-of-contract striker's future was up in the air at the end of last term but he has now joined other long-serving players Andrew Fisk and Adam Smith in pledging his future to the Blues.
"I'm so pleased that Bammo has decided to play his football for us next season," said Godbold. "He will be an integral part of the team."
If you value what this story gives you, please consider supporting the Norwich Evening News. Click the link in the orange box above for details.


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Greater partnership between the Netherlands and Indonesia
The next few years will see greater partnership between the Netherlands and Indonesia in sustainable trade and production, water management and law. This was announced by Ben Knapen, Minister for European Affairs and International Cooperation, on the first day of his working visit to Indonesia. The Netherlands will also continue to invest in its relationship with Indonesia, and over 50 million euros has been earmarked for this purpose in 2011.
'I have talked with my Indonesian counterparts about the new focus of Dutch development policy, and about how it can help to strengthen the broad relationship between our two countries,' said Mr Knapen. He emphasised that security and the legal order, food security, and water offer many opportunities for cooperation with Indonesia. 'We know each other well. The Netherlands and Indonesia are strategic partners: in both countries there are many businesses and organisations that are naturally drawn to each other. My ambition is to invest in the sectors where the Netherlands can provide genuine added value and where there are opportunities for Dutch companies.'
On the first day of his visit, Mr Knapen also discussed human rights and the fight against corruption. Since the beginning of the Reformasi era in 1998, Indonesia has achieved a great deal in the field of human rights. 'Like the fight against corruption, the position of minorities requires constant attention,' said Mr Knapen, 'even in a democracy.'
During the second part of his visit, which ends on 7 July, Mr Knapen will discuss the input of Dutch expertise in tackling Jakarta's flooding problem: due to ground subsidence, large parts of the capital are often flooded.