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Click here to view an animated version of this test.
An upper GI endoscopy is a test that uses a fiberoptic scope to examine the esophagus, throat, stomach, and upper part of the small intestines.
Reasons for Test
Upper GI endoscopy may be recommended if you have:
- Abdominal pain
- Severe heartburn
- Persistent nausea and vomiting
- Difficulty swallowing
- Blood in stool or vomit
- Abnormal x-ray or other examinations of the gastrointestinal tract
Conditions that can be diagnosed with upper GI endoscopy include:
- Ulcers
- Tumors
- Polyps
- Abnormal narrowing
- Inflammation
Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Bleeding
- Damage to the esophagus, stomach, or intestine, including perforation
- Infection
- Reduced breathing rate and/or depth
- Reaction to sedatives or anesthesia
Some factors that may increase the risk of complications include:
- Increasing age, especially age 60 and older
- Pregnancy
- Obesity
- Smoking, alcohol use disorder, or drug use
- Malnutrition
- Recent illness
- Diabetes
- Heart or lung problems
- Bleeding disorders
- Use of certain medications
What to Expect
Prior to test
Leading up to the test:
- Your doctor may instruct you to take antibiotics.
- Arrange for a ride home after the test. Also, arrange for help at home.
- The night before, eat a light meal. Do not eat or drink anything for 6-10 hours before the test.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
Description of the Test
To numb your throat, you may be given an anesthetic solution to gargle. Or, your throat may be sprayed with a numbing medication. You may be given a sedative through an IV. This is to help you relax during the test.
You may be asked to lie on your left side. You will have monitors tracking your breathing, heart rate, and blood oxygen levels. If sedation is used, you will be given supplemental oxygen to breathe through your nose.
A mouthpiece will be positioned to help keep your mouth open. During the test, a small suction tube will be used to clear saliva and fluids from your mouth. The endoscope will be lubricated and placed in your mouth. You will be asked to try to swallow it. Then, it will be carefully and slowly advanced down your throat. It will be passed through your esophagus and into your stomach and intestine.
While the endoscope is being advanced, your doctor will view the images on the screen. Air may be passed through the endoscope into your digestive tract. This will be done to smooth the normal folds in the tissues, allowing your doctor to view the tract more easily. Tiny tools may be passed through the endoscope in order to take biopsies or do other tests.
After Test
After the test, you will be observed for an hour. Then, you will be allowed to go home.
For the rest of the day:
- Do not drive or use machinery for the rest of the day.
- Do not make any life-changing decisions or sign legal documents.
- Avoid alcohol for the rest of the day.
How Long Will It Take?
About 10-15 minutes
Will It Hurt?
Yes, you will have discomfort during the test. Your throat will be sore. Also, you may feel bloated after the test.
This test gives your doctor information about the health of your digestive system. The results can help to explain your symptoms. You and your doctor will talk about the results and your treatment plan.
Call Your Doctor
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
- Signs of infection, including fever and chills
- Severe abdominal pain
- Hard, swollen abdomen
- Difficulty swallowing or breathing
- Any change or increase in your original symptoms
- Bloody or black tarry colored stools
- Nausea and/or vomiting
- Cough, shortness of breath, or chest pain
- Bleeding
If you think you have an emergency, call for emergency medical services right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Daus Mahnke, MD
- Update Date: 09/30/2013 -


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A year after going 2-1 to open the season at the Sperry (Okla.) Tournament, the Neosho baseball team topped that mark this season after escaping Dewey (Okla.) 10-9 in 12 innings of the championship game on Saturday en route to a 3-0 finish and the tournament championship.
A year after going 2-1 to open the season at the Sperry (Okla.) Tournament, the Neosho baseball team topped that mark this season after escaping Dewey (Okla.) 10-9 in 12 innings of the championship game on Saturday en route to a 3-0 finish and the tournament championship.
What better way to begin the season? The Wildcats (3-0) began their quest with a 27-0 no-hitter over Pawhuska (Okla.) in three innings, then toppled Sperry (Okla.) 15-3, and closed with a 10-9 thriller over Dewey in 12 innings.
Pitchers Jayce Parmley, Lane Brodie and Kris Finley combined to pitch the no-hitter against Pawhuska as they combined seven strikeouts and no walks.
At the plate the Wildcats went 20 for 31 as a team, as Brendan Craig pounded a home run and two triples to go along with four RBI and a run scored to lead the offense. Trey Turner had four hits, six RBI and scored four runs in the route. Tyler Johnson, Parmley and Nathan Bankston all had two hits for the Wildcats, while Finley, Wayde Hartman, Kody Kelly, Chris Paullus, Andy Lett and Nate Pool all had hits. The Wildcats had seven extra base hits, with Johnson recording a double and a triple, Bankston a triple and Lett a double.
Bankston also added four RBI and scored four runs.
It was much the same against Sperry, who entered the game 7-2 overall. The Wildcats climbed out to an 8-1 lead after two innings and were up 9-2 in the fifth before exploding for six runs to put it away.
Neosho had 17 hits in that one, with Kelly, Finley and Johnson each collected three apiece, while Turner, Craig, Parmley and Paullus adding two apiece. In all, the Wildcats blasted 11 of their 17 hits for extra bases, as Craig, Turner and Johnson each had a double and a triple, while Finley and Parmley had two doubles apiece and Kelley one.
Turner, meanwhile, started on the mound for the Wildcats and earned the victory as he scattered four hits and two runs with eight strikeouts and five walks over four innings. Hartman tossed the final inning and allowed a run on three hits with two strikeouts and a walk.
Saturday's showdown against Oklahoma Class 4 Dewey presented more of a challenge for the Wildcats. Dewey, who was 9-0 to start the year and ranked No. 1 in Class 4, watched as the Wildcats clawed back from an early 4-0 deficit, and later a 9-7 deficit in the bottom of the eighth inning to tie it with two runs of their own. The Wildcats later won it on a walk-off single by Nathan Bankston in the bottom of the 12th to secure the title.
"We expected to come down and have some success and compete," Wildcats coach Donny Pennington said. "(Friday) we just had a great day at the plate. Our approaches were great. Our pitching was very good. We played well, and I was very proud of the boys. They worked hard to get to this point."
Bankston finished with four hits to lead the Wildcats, including a two-run double in the fourth inning. Lett, Kelly and Johnson all had two hits apiece in the game. Johnson contributed two triples.
Parmley started on the mound and allowed six runs (two earned) over three innings with three strikeouts and one walk. Finley threw the next three innings in relief, before later re-entering the game in the ninth and tossing the final four scoreless with five strikeouts and a walk. In all, Parmley whirled seven scoreless innings, allowed six hits, five walks and struck out six.
The Wildcats are back in action on Thursday at the Chandler (Okla.) Tournament.

subset: commoncrawl


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Obama Wins, Swamps Electoral College!
President Barack Obama won re-election Tuesday night despite a fierce challenge from Republican Mitt Romney, prevailing in the face of a weak economy and high unemployment that encumbered his first term and crimped the middle class dreams of millions.
"This happened because of you. Thank you" Obama tweeted to supporters as he secured four more years in the White House.
The president sealed his victory in Ohio, Iowa, New Hampshire and Colorado, four of the nine battleground states where the two rivals and their allies spent nearly $1 billion on dueling television commercials.
Ultimately, the result of the brawl of an election campaign appeared likely to be the political status quo. Democrats won two more years of control of the Senate, and Republicans were on track to do likewise in the House.
Romney was in Massachusetts, his long and grueling bid for the presidency at an unsuccessful end.
The two rivals were close in the popular vote.
Romney had 45.2 million votes, or 49 percent. Obama had 45 million, also 49 percent, with 65 percent of precincts tallied.
But Obama's laser-like focus on battleground states gave him the majority in the electoral vote, where it mattered most. He had 284, or 14 more than needed for victory. Romney had 200.
Yet to be settled were battlegrounds in Florida, Virginia and Nevada.
Two Different Visions of Government
The election emerged as a choice between two very different visions of government - whether it occupies a major, front-row place in American lives or is in the background as a less-obtrusive facilitator for private enterprise and entrepreneurship.
The economy was rated the top issue by about 60 percent of voters surveyed as they left their polling places. But more said former President George W. Bush bore responsibility for current circumstances than Obama did after nearly four years in office.
About 4 in 10 said the economy is on the mend, but more than that said it was stagnant or getting worse more than four years after the near-collapse of 2008. The survey was conducted for The Associated Press and a group of television networks.
Democrats got off to a quick start in their bid to renew their Senate majority, capturing seats in Indiana and Massachusetts now in Republican hands.
In Maine, independent former Gov. Angus King was elected to succeed retiring GOP Sen. Olympia Snowe. He has not yet said which party he will side with, but Republicans attacked him in television advertising during the race, and Democrats rushed to his cause.
Polls were still open in much of the country as the two rivals began claiming the spoils of a brawl of an election in a year in which the struggling economy put a crimp in the middle class dreams of millions.
The president was in Chicago as he awaited the voters' verdict on his four years in office. He told reporters he had a concession speech as well as victory remarks prepared. He congratulated Romney on a spirited campaign. "I know his supporters are just as engaged, just as enthusiastic and working just as hard today" as Obama's own, he added.
Romney reciprocated, congratulating the man who he had campaigned against for more than a year.
Next: GOP Mood: Sour


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After a quick trip home for the weekend, I'm preparing for a busy week ahead, with four of my bills to be heard in committee. My two water bills passed out of the agriculture committee last week and will be heard on the senate floor for any debate and, hopefully, passage on through to the House chamber.
Every bill goes through hearings and debates in the assigned committees and again on the floor of both chambers of the legislature before ending up on the governor's desk, if all goes well, or in the killed bills' pile, if a bill fails to garner enough support for passage.
Not all bills are controversial or complicated, so a number of them pass relatively easily. Then, there are bills that stir passionate debate and possibly flaring tempers with dramatic votes. The senate floor calendar for this week includes the topics of civil unions and collective bargaining for firefighters, as well as a number of bills in committees dealing with other controversial issues.
I've been receiving lots of emails, and while I'm not able to respond to all of them, given limited time and staff, I am reading them. What I've received so far on proposed firearms legislation and the importance of the Second Amendment to my constituents continues to impress me with the thought and effort put into them. The vast majority, while acknowledging the recent tragedies, don't support additional gun control.
Many are anxious to know where I stand on this issue. In a nutshell, I am a strong supporter of the constitutional right to bear arms. I continue to educate myself on the various sides of the issues, including attending evening debates and forums. I represent eight counties in the rural, remote region of the state and this also significantly colors my views.
Some Republican-sponsored firearms bills have already been heard in committee, although not in the committee I sit on. None of these bills have successfully passed, given the Democratic majorities in both chambers, but, it's rumored that we'll see the Democratic bill package this week.
Returning to my own bills to be heard this week, I've got one that deals with updates to Colorado's probate code, another on improving access to legislative archives, and two bills before the education committee. The education bills have particular relevance to rural areas and expanding the use of technology.
One of the education bills makes it clear that school boards can allow electronic participation by board members as decided by the local board's policies. Executive sessions are excluded from this, and the bill language discourages overuse of this means of attendance, but the specifics are to be determined at the local level.
The other education bill aims to improve access to supplemental online coursework and to provide greater support for "blended learning", which is a combination of online work in a more traditional classroom setting with direct teacher interaction with the student. Adequate access to broadband is holding the rural areas of Colorado back in this emerging and important area of education, but a recent study also demonstrates that inadequate professional development and funding for blended learning is also a barrier we should address. This bill seeks to do that by helping students and their teachers make the most of opportunities in blended learning.
Ellen Roberts represents Senate District 6 in Colorado's General Assembly. The district encompasses Montezuma, Dolores, La Plata, Archuleta, Montrose, San Miguel, San Juan and Ouray counties. Contact Sen. Roberts by phone at (303) 866-4884, or email email@example.com.


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No rigid rules, labels or dogmas.... just REAL food, for your body, mind & soul!
Come take the RFR Mansion Tour!
Click here for each room's index!
We are rolling out the red carpet for you!
Welcome to
our "Special Central Secret Place in Cyber Space"!
Make Yourself at HOME!! : )
I assist Penni in running this site. If you need any assistance here at RFR, feel free to call on me! I count it a JOY and a priviledge to walk beside you on your raw journey to health and wellness!
Keep in touch!
Susan : )
Hi Courtney!
I'm so happy to welcome you to Raw Food Rehab! There is an orientation for you HERE that will help you find your way around our virtual holistic retreat.
It is also very important that new members read our Community Ground Rules before posting anything to our site. I hope that you will make yourself at home, and please shoot me a message or leave a comment on my page if you have any questions!
Penni Shelton
Founder & Director
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Portland drops road game to Haslett
The Lakewood boys basketball team was unable to slow down the Bulldogs of Mason Tuesday night as they fell by a score of 61-47.
Alex Potter led the Vikings with 18 points, while Colin O'Mara finished with nine and David Parks chipped in with six. Parks also grabbed six rebounds and dished out three assists.
Kalib McKinney finished with five assists for Lakewood as well.
The Vikings will travel to Stockbridge on Friday night to take on the Panthers.
Haslett 70, Portland 55
HASLETT — The Vikings scored 31 points in the first quarter Tuesday night, putting the Raiders in a hole that they were unable to dig out of.
Zach Gustafson led Portland with 13 points while Jacob Pohl finished with 10.
The Raiders (9-6) will be home on Friday night to take on Corunna in their annual WInterfest game.
Girls Basketball
Corunna 42, Ionia 37 (OT)
CORUNNA — The Lady Dawgs rebounded from an early 12-2 deficit, but were unable to hold on against the Lady Cavs.
Corunna outscored Ionia 9-4 in the extra period, earning every point from the free-throw line.
"We struggled out of the gate, but did a nice job to battle back," Bulldog coach Andy Barr said. "We were up two late, but missed the front end of a one-and-one. After a jump ball they were able to get down the floor and score to tie it up.
"I was proud of the way the girls battled back. We gave ourselves opportunities tonight, but just didn't capitalize."
Sarah Swartz led Ionia with 16 points, while Anna Riccius finished with 12. Taylor Bovee chipped in with six points and Joanna Miller finished with three.
Ionia (10-7) will return home on Friday to take on St. Johns.


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Tonneau Covers
A truck bed or 4x4 tonneau cover serves a multitude of purposes - from keeping your gear protected from the elements to locking up valuables. Aside from this, installation of a truck bed or tonneau cover gives your truck a finished look while reducing drag that can negatively impact fuel consumption.
We carry a large selection of both Hard and soft aftermarket tonneau covers that fold or roll.


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I would be remiss if I did not thank the Slippery Rock area community, including Harrisville and Forestville, for the generous support of the Feed My Sheep Food Cupboard. We are grateful to the many area churches, organizations and individuals that support us throughout the year. Meanwhile, holiday season food drives held by Slippery Rock School District students were really great.
The "Greeks" and other students of Slippery Rock University overwhelm us with their generosity, just when supplies are getting low in the spring.
Giant Eagle of Slippery Rock is our generous benefactor with donations of meat, canned goods, turkeys and baked goods.
Without all the contributors, large and small, regular and seasonal, we could not support the 250 families in our community who need help.
Some families need help every month due to insufficient income, and some families need help occasionally when a job is lost or an emergency occurs, but our volunteers are happy to have the resources to be able to help when it is needed.
We could not give this support were it not for the generosity of the Slippery Rock Community.


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Farmers, landowners and hunters who want to learn more about managing deer populations, mitigating crop damage and improving hunting can learn a thing or two about managing the state's natural resources at the 10th annual Delmarva Sportsmen's Classic slated for this weekend.
Farmers, landowners and hunters who want to learn more about managing deer populations, mitigating crop damage and improving hunting can learn a thing or two about managing the state's natural resources at the 10th annual Delmarva Sportsmen's Classic slated for this weekend.
Topics for Saturday's daylong seminar include building a successful quality deer management program, whitetail management trends, responsible hunting, buck scoring and managing and hunting in small woodlots, Delaware Department of Agriculture spokesman Dan Shortridge said.
In essence, the Sportsmen's Classic will have something lined up for everyone, said Charles P. West II, president of the Quality Deer Management Association's Delaware State Chapter, the primary sponsor.
"If you're a hunter and you want better deer, these techniques will be applicable to you," West said. "If you're a farmer and you need less deer, then some of these techniques will help you balance the deer herd.
"We don't think of deer as pests. I'm a farmer as well," said West, of Gumboro. "They're a resource that needs to be managed. That's what the QDMA is all about – teaching people to manage their herd and wildlife habitat on their properties."
The Department of Agriculture has supported QDMA's Sportsmen's Classic by helping with logistics, West said. Ducks Unlimited, the National Wild Turkey Federation, Delaware Wild Lands, Travis Taxidermy, the Mid-Del Charitable Foundation, Walls Irrigation and Hopkins Gun Shop are co-sponsors.
Speakers include Dr. Mark Conner of Chesapeake Farms in Chestertown, Md.; Dr. Grant Woods of GrowingDeer.tv; QDMA founder Joe Hamilton; Kip Adams, QDMA's education and outreach director; and Bill Jones, wildlife biologist with the Delaware Division of Fish & Wildlife, West said.
Vendors will also be on hand, and food will be available for purchase, with limited free venison samples provided by Mark's Meats, Shortridge said.
In addition, exhibitors will be on hand to talk to people about ways to manage their forestland and how to control invasive species and weeds on their properties, West said. People can also learn about conservation programs run by the state and the feds.
West said the Delaware Sportsmen's Classic had grown each year since its inception 10 years ago. As such, he expects more than 300 people to attend Saturday's affair at the Delaware State Fairgrounds in Harrington – provided the weather holds up.
"This is the first year we've had to charge," West said. "It has been free. It mainly helps with the cost of renting the building and for speakers' travel fees. The speakers that came in only asked for travel expenses; they are not asking for honorariums."
The event was usually held in early February because the speakers were easier to schedule and farmers were less busy this time of year, West said.
"It'll be fun and entering and it will also be education. There will be a lot of conversation between hunters, farmers and other landowners, which is also a way to learn."
WHAT Delmarva Sportsmen's Classic
WHEN 8 a.m. to 5 p.m., Saturday
WHERE Delaware State Fairgrounds, Dover Building, 18500 South DuPont Highway, Harrington
COST Admission is $5, with children ages 15 and younger admitted for free.
CONTACT Call (302) 542-6323; visit www.delawareqdma.org; email email@example.com


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Mainstay Inc., which provides services to families affected by domestic violence, will be opening a restaurant called Dandelion in the coming weeks at 127 Fifth Ave. W. in Hendersonville. Its lone employee will be Robyn Painter. Painter will supervise six Mainstay clients working as interns. Working in the restaurant will allow Mainstay clients to develop an employment history and help them to transition back into the working world.
What is your background in the culinary industry?
I received a bachelor's degree in health promotion and foods and nutrition from Appalachian State University. After graduating from ASU, I received an Associate's Degree in Culinary Arts from AB Tech. I did my culinary externship at Mountain Aire Country Club in Burnsville. I went on to work as a chef at several area restaurants, including Mary Mills Coxe Inn, Cafe Laurie's and the Biltmore Estate. I also worked as a nutritionist for Henderson County's Women, Infant and Children program and WCCA's Head Start program. Most recently I was the director of nutritional services at a local health care facility.
How did you first connect with Mainstay and Dandelion?
I've known several friends and family members who have done volunteer work at Mainstay. A member of Mainstay's board contacted me about possibly opening an eatery that would also serve as a training facility for Mainstay's work-ready clients. I met with the executive director, Tanya Blackford, and her team to consult about the project. I loved the idea of an on-the-job training program in a functional restaurant where I could share my love of food and inspire others to see the value of hard work and pursuing your passion, so I jumped right in. We have been working together for several months now, conceptualizing and planning the Dandelion.
What kind of food can people expect at Dandelion?
Fresh, local, seasonal foods will be the highlight of our menu. We are planning on sourcing as much food as possible from local farmers and artisans. We will serve breakfast and lunch and will have salads, sandwiches, soup, wraps and baked goods available for patrons who want something to grab and go. Our menu will change according to what is seasonally available. We will also offer catering services, both on and off site.
What will be your job responsibilities?
I will be responsible for creating the daily menu, ordering food and supplies and other day-to-day operations. The other piece of my job responsibilities will include working one-on-one with our interns to develop a training program that is specific to each individual and will optimize their time at the Dandelion — training them to have the skills and confidence to enter the work force.
Dandelion won't be just a restaurant, correct?
The Dandelion will be an environmentally conscious, locally sourced eatery that is committed to helping Mainstay clients obtain the tools they need to find and secure lasting employment. Mainstay's mission is building safe, self-sufficient families through services and shelter. Mainstay's case managers and I will work hand-in-hand with clients to provide on-the-job training to women whose lives' have been affected by domestic violence. Our goal is to ultimately increase the number of safe, self-sufficient families in our community.
How important is this service that Mainstay will provide?
Research shows that victims of domestic violence are more likely than other women to be unemployed, to suffer from health problems that can affect employability and job performance and to rely on government services. The need for this program emerged in response to the reality that our clients are often poorly prepared for the work force. Safe-sufficient families need a paycheck to cover living expenses on a regular basis. Mainstay's vision is to bridge the gap between crisis and opportunity by giving our clients the training and tools to start a career path that will lead to financial responsibility and self-sustainability.
Got a Minute with Robyn Painter
Mainstay Inc., which provides services to families affected by domestic violence, will be opening a restaurant called Dandelion in the coming weeks at 127 Fifth Ave. W. in Hendersonville. Its lone employee will be Robyn Painter. Painter will supervise six Mainstay clients working as interns. Working in the restaurant will allow Mainstay clients to develop an employment history and help them to transition back into the working world.


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RAYNHAM — Service workers at the Raynham Park simulcast betting facility, some with eyes welling up, said they were "devastated" to hear the news that the Massachusetts Gaming Commission gave the state's sole slot parlor license to a different location.
While continuing to pour drinks, sell tickets and cook food for the business's loyal longtime customers, the workers said that it was a surprise that the gambling commission didn't consider Raynham Park more favorably, with others left wondering about the future of their jobs.
"It's very devastating," said Sandy Ford, who has worked at Raynham Park for about 30 years. "A lot of us are veteran employees here. They are all devastated. Raynham Park deserves the license."
Ford, along with many other workers who declined to give their names, said that they were surprised that Raynham Park didn't get a favorable vote from any of the members of the state gambling commission. The Gaming Commission voted 3-2 Thursday to award the state's sole slot parlor license to Penn National's proposed facility in Plainville.
Many said they were confident that Raynham Park would get the license. The workers said they don't understand why the commission didn't consider park owner George Carney's dedication to the community or the loss of business at Raynham Park caused by a state ban on greyhound racing enacted in 2010.
Steve McGrath, a valet driver employed at Raynham Park for more than 10 years, heard the news on the radio and by word of mouth from other workers who watched the live internet broadcast of the state gambling commission's Thursday deliberations.
"We're disappointed of course," McGrath said "Many of the workers here are second- and third-generation working at the track. George Carney was always good for the employees. It's a sad day, of course, especially with the unemployment like it is."
Hundreds of employees lost their jobs at Raynham Park with the dog-racing ban, and members of the community rallied behind the cause of the slot parlor license to revitalize at Raynham Park, which has a long history contributing to the local economy. Carney purchased the facility in 1966, after beginning working there in 1942.
Last summer, town voters overwhelmingly approved the Raynham Park slot proposal, with 86.1 percent in favor of an agreement that would have provided $1.1 million in annual mitigation funds. Carney and developing partner Greenwood Racing, of Pennsylvania, wanted to build a $227 million slot casino at the Raynham Park site on Broadway.
Many of the longtime customers at Raynham Park, some who have visited the establishment for more than 60 years, said they were sad to hear the news about Raynham not getting the slot license.
"I was hoping they would get the slots," said John Abdallah, a Raynham Park patron since the 1950s, who regularly travels from Fall River to go there. "I guess they hit a roadblock with a potential full-sized casino in southeastern Mass. I don't think there is any question about whether Raynham would have done a good job. It has everything."
Bill Belushko of Stoughton said even though he isn't a fan of slots, he would have liked Raynham Park to get it to stay open.
"I'd like to see this place stay open," Belushko said. "It's too bad."
Mario Ferretti of Easton said that it was a mistake to take away the dog racing at the track.
"This is an ideal location, absolutely," said Ferretti, who has visited Raynham Park for more than 50 years. "It would have been good for the area."
Some area businesses in Raynham also chimed in, saying that they were imagining how the slot parlor would have affected them.
"I was thinking it would bring in some more people at night for coffee," said Mike Faria, a manager at a Honey Dew Donuts down the road. "But who knows. … I think George Carney will survive."
Tim Lenahan, a manager at the Great American Pub on Broadway, said that the owners of his restaurants strongly supported Carney and the Raynham slot proposal.
"It would have improved the business around here," Lenahan said. "It would have jumpstarted the economy since the dogs left. It's disappointing in our eyes, for sure."


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Lansing punches ticket to finals of 54th Annual Tonganoxie Invitational; Leavenworth will vie for third at Ralph Miller Classic and Pleasant Ridge's slide continues
For the second-straight game, the Lansing boys' basketball team found itself trailing in the second quarter.
Yet, for the second straight game, the Lions rallied to victory. Facing Holton in the semifinals of the 54th Annual Tonganoxie Invitational, Lansing rolled to a 51-40 win Friday.
"It was a game we definitely had to come out and be tough because they were a physical team," Lions coach Rod Briggs said. "We took a pretty good shot from them in the first half as they hit a lot of open shots. We had a really good end to the first half and an extended run through the beginning of the second half, which was really the difference the rest of the game."
Jump starting that comeback was Roy Clayter, who jumped in front of a pass and went coast to coast for a one-handed dunk early in the second quarter.
The Lions went on to finish the period on a 7-0 run to take a 25-24 halftime advantage.
The streak continued into the third quarter where Lansing extended its lead to 40-30. Holton fought back in the fourth, cutting the deficit down to four points, but never got closer than that.
"I've never played in this championship game in this tournament and it feels good to get there finally," Lion forward Clay Young said. "I think we're going to come out pretty strong and play like we're capable of, which we have in these last two games, and hopefully get a championship tomorrow."
Joe Schneider led Lansing in scoring with 18 points while Clayter had 12 and Donate Gibson had eight.
The Lions improved to 10-1 on the season and will play Blue Valley Southwest in the tournament's final at 6:30 p.m. tonight.
Pioneers' come up short in upset
A doomed second half ended Leavenworth's modest winning streak and took them out of contention in the Ralph Miller Classic Friday.
Facing state stalwart Emporia, the Spartans hit four 3-pointers in the third quarter to pull away. The deficit stretched in the fourth quarter to an 84-68 final score.
"We tried to take away their inside game by going zone in the second half, but that allowed them to kill us with outside shots," Leavenworth coach Larry Hogan said.
The Pioneers will play Shawnee Heights at 5:15 p.m. today for a chance to take third in the tournament. Emporia, now 8-1, will face Andover Central, 8-2, in the championship.
Coming in on a three-game winning streak, Leavenworth played even with the Spartans in the first half despite Emporia's control of the lane. It was tied at 14 at the end of the first quarter, and locked at 31 going into halftime.
When Hogan went to zone to stop them inside, Emporia's shooters locked in from beyond the arc, allowing Spartan guard Jackson Perez to score 30 on the night.
"I see why they were ranked so high," Hogan said.
Any comeback hopes were dashed when Leavenworth missed four driving lay-ups early in the fourth.
"They weren't exactly easy shots, but we needed to make them," Hogan said.
Trey Adkins had another big game with 18 points for Leavenworth. Grant Lang added 17 and Cameron Wiggins had six.
"They focused on Cameron, and we didn't do a good job at getting him the ball," Hogan said.
After the third-place game today against Shawnee Heights, Leavenworth, now 6-4, will resume regular season play at Hayden Tuesday.
Rams' slide hits seven
The Pleasant Ridge boys' basketball team sustained its seventh-straight loss Friday.
Facing Chapman in the second round of the Royal Valley Tournament, the Rams suffered a 53-19 defeat.
"It was the same old, same old," PR coach Sean Murphy said. "It was just bad from the start. We couldn't buy anything offensively. We are still looking for a spark."
Pleasant Ridge, 1-9, will face Wabaunsee today at 1:30 p.m.


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By a margin of 102 votes, Pottawatomie County voters on Tuesday rejected a proposed tariff increase on landline phone bills of 48 to 88 cents per month that would have funded improvements for the county's 911 services.
By a margin of 102 votes, Pottawatomie County voters on Tuesday rejected a proposed tariff increase on landline phone bills of 48 to 88 cents per month that would have funded improvements for the county's 911 services.
Unofficial results show 724 voters cast a ballot in the election, with 413 voters, or 57 percent, voting against the proposition, while 311, or 39.8 percent, voted in favor of the increase.
J.R. Kidney, who serves as chairman of the Pottawatomie County 911 trust authority, was disappointed in the election results.
"With next generation 911 coming…and the future of text 911, we were hoping to receive the increase," Kidney said, so funds could be used for increased training and to better serve the community.
Eligible to vote in the election were those with Shawnee phone numbers and living outside of the city limits, along with those in the county 911 service areas of Bethel Acres, Tecumseh, Maud, Tribbey, Pearson, Wanette, Earlsboro, and McLoud.
Voters were asked to increase the tariff for landline phone service from 10 to 15 percent of the basic phone service costs, with the fee ranging from 95 cents each month on the low side in Maud to the highest rate of $1.75 per month for customers in Tecumseh. Tariff amounts vary based on different phone service providers.
According to Tommy Arnold, director of the Pottawatomie County E-911 Center, the additional tariff was requested for operations of enhanced 911 services and equipment, and to increase capabilities at the 911 center in Tecumseh, such as having the ability for texting 911 services and upgrading to other next generation equipment.
With a 10 percent tariff, the Pottawatomie County E-911 system collected about $121,131.93 for the first six months of the fiscal year that started in July 2012, so based on those collections, the proposed tariff increase was expected to bring in about $120,000 in additional funding per year.
With the measure failing, Kidney said the board will have to go back and weigh out projects with the most priority. With the recent implementation to emergency medical dispatching, there were plans for emergency fire and police dispatching protocols, which requires extra training for dispatchers.
"Sometimes you have to put training on the back burner…we have to have equipment," Kidney said.
Kidney, who wondered if Tuesday's snowy weather affected those going to the polls, said he wasn't sure if the informal talks between the county and city of Shawnee about possibly merging 911 centers had any effect on the election.
Regardless, Kidney said he would like "to see a study and bring it back to a November election," if that is even possible.
As far as the 15 percent tariff, Kidney said that's the amount they were told they needed to be eligible to apply for grants, "so that could hurt us in the future."
Arnold, who didn't return a call for comment about the election results by Tuesday's press deadlines, has said that collected 911 tariff fees have been on the decline because of decreases in landline phones. He said they are losing about $30,000 each year with people switching to cell phone use.
The proposal for increased landline tariffs wouldn't have affected those with cell phones as those customers already pay a separate, flat fee of 50 cents per month for 911 services.
Kidney said with landlines being dropped daily, 911 officials from around the state may need to talk to their legislators about the possibility of increasing the cell phone flat tariff.
"We could greatly benefit if cell phones go up 25 cents," Kidney said.


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The Pratt Community College men's basketball team finally had a game that was almost a laugher, sweeping Garden City aside 69-45. Meanwhile the #10 ranked Lady Broncbusters took the measure of the Lady Beavers, 64-49.
The Pratt Community College men's basketball team finally had a game that was almost a laugher, sweeping Garden City aside 69-45. Meanwhile the #10 ranked Lady Broncbusters took the measure of the Lady Beavers, 64-49.
After a spate of games that were more likely than not to go down to the wire, the Beavers put together a solid team effort in dispatching Garden City rather easily— a team they had gone to overtime with earlier in the campaign.
Aaron Abrams kick-started the Beaver offense, drilling a 3 from the top of the key on the game's initial possession. Then Kazmere Boyd converted an 'and 1" and Abrams added another bucket making the score 8-0 before Garden City got untracked.
The 'Busters did get back in the game, though, tying up the score at 14 at the media time-out. It was the last portion of the first half where PCC began to pull away for good. Devin Callon got the ball rolling with a trifecta. Boyd got a dunk and Bryan Hellman cut backdoor for an open lay-up. DeShun Roberts got into the act with a bucket.
Then Aaron Abram took over the game, scoring the next 8 points for PCC, some of which were the result of offensive rebounds. Abram ended the game with a double-double, 20 points and 12 boards. "When Aaron rebounds, scoring comes to him," PCC head coach Jesse Shaw said, analyzing Abram's game. "He doesn't have to force the issue, he doesn't have to try to score. He just DOES score when he rebounds."
During the stretch, Pratt was also playing excellent defense in addition to scoring and playing well on the glass. The Beavers forced Garden into numerous tough shots and turnovers, and were able to come away with several steals as well. PCC had opened a double-digit lead, 31-21, at the break.
To open the second half, Pratt went on a 25-8 run to pretty much decide the match. Keyed by Sean Michaelson's back-to-back treys, the Beavers put quite a bit of daylight between them and the Broncbusters, leading 56-29 at the media time-out.
Reserves got a lot of the minutes down the stretch for PCC, as Coach Shaw was able to get pretty deep into his bench. The bench scored 30 points for PCC, so it wasn't like there was a drop-off even with the starters sitting. The contest ended 69-45 in favor of the Beavers.
"It feels good to put somebody away," Shaw mentioned. "We were able to get everyone into the game." Twelve different players put points up for PCC.
"Garden City is a good match-up for us," Shaw continued. "And the kids were playing hard for whatever reason."
Shaw felt that rebounding was a big key to the win. PCC out-boarded Garden 50-35. "Deon Taylor was huge on the boards tonight," Shaw said. "We didn't really make that many shots—just some big ones at key times. But even though we didn't shoot that well, we were able to do the things that you CAN do every night: play defense, rebound and take care of the basketball. We were able to make up for spotty shooting with defense and offensive boards."
Flynn 6; Taylor 3; Roberts 6; Aaron Abram 20; Callon 3; Stivrins 1; Hellman 2; Kazmere Boyd 10; Thomas 4; Michaelson 8; Abraham 6; Downs 1
The women's game went Garden City's way, 64-49—but the game was actually closer than the final score might indicate. "They (Garden) made a lot of free throws at the end to kind of pull away," stated PCC women's coach Stephanie Thompson, "but up until then the game had been pretty competitive."
For long stretches, the Lady Beavers showed they could play right with the #10 ranked Lady 'Busters. In the first five minutes, Garden got out to a 7-0 lead, mostly due to Pratt's cold shooting. The rest of the half, however, PCC kept the deficit right at 7, going into the intermission trailing 26-19.
Tatiana Grant drove the lane to open the second half and cut the lead to 5, but that was as close as Pratt would get. Garden again went on a five minute run, pushing their lead to 39-24 at the 14:42 mark. PCC hung in from that point on, though, closing the gap a little until late free throws eventually re-established the GCCC 15 point margin of victory, 64-49.
Shooting percentages were the deciding factor in the game. Pratt shot a dismal 18% in the opening stanza, and ended the game shooting only 25%. They also only connected on 1/10 from long range. "In the first half, I thought we had poor shot selection," Coach Thompson said. "Then in the second half, we couldn't even make the easy shots."
The Lady Beavers took care of the ball, matching Garden's 13 turnovers. They rebounded with the Broncs, Garden having a slight edge 42-41. It really just came down to, the rims had seemingly been tightened with a torque wrench prior to the game as far as the Beavers were concerned.
The game got a little chippy toward the end, with physical play and verbal jousting coming from both sides. "It was a physical basketball game," Thompson explained. "They (Garden) got a little mouthy, and our kids aren't going to back down."
"We battled," Thompson continued, "we just couldn't shoot. We held them defensively right where we needed to, we just couldn't get shots to fall."
Both the men's and women's teams now sport identical 14-12 overall (4-8 in the Jayhawk) records. The Beavers travel to Butler County on Saturday.
Tatiana Grant 12; Pendry 6; Hayli Smith 12; Strobel 2; Broadwater 8; Parks 8; Stein 1


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Magnum News
The Opening of Chim's "We Went Back" at ICP
January 29, 2013
David "Chim" Seymour's highly anticipated exhibition at ICP, "We Went Back," opened last week, and Chim's nephew, Ben Shneiderman, said a few words to commence the event:
Chim's Impact:
(Comments at the Opening of "We Went Back" at ICP by Ben Shneiderman on 1/16/2013)
I'm delighted to attend the opening of this new CHIM retrospective at ICP, which gives a deeper understanding of the life and work of my uncle David Seymour. I knew him as a warm loving uncle who brought me books on his visits to see my mother, who was his much loved older sister. His tragic death in 1956, when I was just 9, remains a vivid event in my life, in part because of the searing pain it brought to my parents and sister.
As I grew older and came to know CHIM's work by way of my mother's comments, I came to appreciate his contributions to the visual history of the 20th century and to shaping the emergence of modern photojournalism. My sister Helen Sarid and I appreciate CHIM's distinctive empathy for his subjects that is apparent in many of the pictures in this exhibit, especially those of the war orphans – after all, he was one of them.
My mother devoted herself to preserving and promoting CHIM's work, forming a warm partnership with Cornell Capa whose commitment to CHIM was nearly as strong as to his brother Robert. Just as CHIM and Robert Capa were partners, my mother and Cornell were partners. From their efforts, with many other devoted contributors, the Concerned Photography exhibit and then the ICP emerged as a leading force in photography and a major international cultural institution.
This remarkably fresh exhibit, diligently curated by Cynthia Young and her team, gives fresh insight to Chim's work and its impact. They worked tirelessly for more than a year to scan vintage prints, document them, and then trace how those images were disseminated in the print media. The Internet enabled Cynthia's team to track down publications and often to acquire copies for inclusion in the CHIM archives at ICP and in the exhibit. Cynthia tells the story clearly: "Chim was a keen observer of European political affairs, from the beginnings of the antifascist struggle to the rebuilding of countries ravaged by World War II …. Through his images of this period of radical upheaval, he emerges as a thoughtful reporter and a creator of elegant compositions of startling grace and beauty."
Indeed, many photographers were influenced by CHIM's work, and also by the gentle warmth and kindness that CHIM showed them. Elliott Erwitt named his son after David Seymour, Burt Glinn regularly told me how much CHIM's encouragement influenced him, and the Magnum photographers gather round photos of CHIM and the other founders annually for their group photo.
Over the years, CHIM's influence becomes stronger, as his iconic images are increasingly reprinted to tell contemporary stories. CHIM's Spanish Civil War image of the nursing mother looking upwards becomes a modern Madonna; CHIM's troubling portrait of Tereska scrawling a chalk image of her home reminds viewers of every war orphan; CHIM's reflective portrait of Berenson in the Borghese Gallery shows mature wisdom; and CHIM's perfect photo of a young Sophia Loren captures her allure. CHIM and his colleagues believed that photos could change the world, and occasionally they succeeded.
Please look through the exhibit carefully, and learn from Cynthia Young's wall text and catalog. Maybe they will inspire you in your work and life, as they already have for many photographers, to produce "elegant compositions of startling grace and beauty." That would make all this hard work worthwhile and it would be the best tribute to CHIM.


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Anyway, let's share some of the medical urban legends that you have heard.
Here is one of my favourites.
When my daughter was in grade 4, she came home one afternoon and said "Daddy, guess what I learned in school today. Your blood is blue, until it mixes with oxygen, and then it turns red."
"Who told you that?" I asked, trying to hide my shock.
"My teacher." she replied.
You can imagine my amazement and shock. Here was a person that children look up to, who is supposed to "teach" them, and provide them with facts, and this person was spreading misinformation.
So, I sat my daughter down, pulled out the medical books, and proved to her that human blood is not blue, and that it comes in two shades of red... bright red and dark red.
The next day she went to school, and in the middle of class, put up her hand. When the teacher called on her, she proudly announced "My dad said you are wrong, blood is not blue, it's red"
The teacher was a little red faced and apologetic at the next parent-teacher interview
That's my girl
The funny thing is, I recall hearing this same thing, and believing it when I was a youngster.
So, what medical stories have you heard that are generally accepted but are in fact, false?
Edited by Justa, 16 May 2007 - 07:04 PM.


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7:30 pm
Rick Steves' Europe "Berlin: Resilient, Reunited, and Reborn" Rick climbs the Reichstag's new glass dome, visits a modern-day caberet and tastes chocolate in the eastern sector.G
8:00 pm
Burt Wolf: Travels & Traditions "The History and Science of Shopping" Burt looks at the beginnings of shopping in 17th century London and the first department store in Paris. He travels to New York's Fifth Avenue and the Sotheby auctions.G
8:30 pm
Essential Pepin "Veg-In!" Ragout Of Asparagus; Zucchini And Tomato Gratin; Cauliflower Gratin; Artichoke Hearts Helen; Corn Tempura. D
9:00 pm
America's Test Kitchen from Cook's Illustrated "Simple & Satisfying Vegetable Mains" Man on the Street John "Doc" Willoughby ventures to New York City to learn about vegetarian cooking from Amanda Cohen at Dirt Candy. Back in the test kitchen, test cook Becky Hays shows host Christopher Kimball how to make a great Mushroom and Leek Galette with Gorgonzola at home. Next, equipment expert Adam Ried reviews his favorite vegetable cleavers in the Equipment Corner. D
9:30 pm
The Great American Seafood Cook-Off III America's finest chefs showcase their seafood-preparation skills in THE GREAT AMERICAN SEAFOOD COOK-OFF III. In 2010, 14 accomplished and up-and-coming chefs from throughout the United States gathered in New Orleans to compete in the Great American Seafood Cook-Off. The event emphasizes the importance of cooking with local, domestic seafood and encourages the use of products from sustainable fisheries. D
10:00 pm
Kimchi Chronicles "The Rice Chronicles" Rice, the bread and butter of the Korean table, is explored from Busan, Korea's second largest city, all the way to Seoul. Along the way, Marja and her dear friend, the actress Heather Graham, learn about instant rice, tteok (a pasta-like ingredient made of ground rice) and visit Bibigo, a new chain of contemporary restaurants serving fresh variations of bibimbap. Back in New York, Marja and Jean-Georges create their own version of bibimbap, along with sushi-like kimbap, kimchi fried rice and Jean-Georges' famous ginger fried rice. D
10:30 pm
Rick Steves' Europe "Berlin: Resilient, Reunited, and Reborn" Rick climbs the Reichstag's new glass dome, visits a modern-day caberet and tastes chocolate in the eastern sector.G
11:00 pm
Mathematics Illuminated "The Concepts of Chaos" The flapping of a butterfly's wings over Bermuda causes a rainstorm in Texas. Two sticks start side by side on the surface of a brook, only to follow divergent paths downstream. Both are examples of the phenomenon of chaos, characterized by a widely sensitive dependence of the future on slight changes in a system's initial conditions. D
11:30 pm
Mathematics Illuminated "Primes" The properties and patterns of prime numbers. D


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The Smyrna High School boys JV basketball team lost their first game of the season 74-66 at Dover Friday night dropping their season record to 7-1.
The Eagles led the whole game, and were up by 15 points going into the fourth quarter, but the Senators came back for the win.
Smyrna was led by Donte Ritchie with 18 points and 8 rebounds, and was assisted by Charlie Taylor with 13 points, Greg Duggans with 12 points, Jameir Sudler with 10 points, and Latrelle Lee with 9 points and 11 rebounds.
Dover went 29 for 38 at the foul line, while Smyrna made 13 of 22 free throws.
Next up for the Eagles is an away match today, Jan. 15, at Milford. The game starts at 5 p.m.


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A local newspaper editor has created a photo book chronicling the people and families of the Crescent Community and has launched a crowd funding campaign to fund publishing costs.
A local newspaper editor has created a photo book chronicling the people and families of the Crescent Community and has launched a crowd funding campaign to fund publishing costs.
"I was sorting through a crate of Faye Hargadine's papers," said Kiowa County Signal Editor Patrick Clement. "I found this old photo album. It was filled with photos from the Crescent Community and I thought it would make a great book."
The 80-page hardcover book includes restored photos from the Sloan, Adams and Hargadine families.
The Hargadine's were one of the early families that settled in the small community north of Mullinville that spilled over the Edwards County line. They established a general store and farmed the area in the late 1800s and early 1900s.
"The photo collection spans the 1930s and 1940s," said Clement. "By that time the community had become much smaller. Many families moved into Mullinville and around that time the school closed and most of the kids got bused to Mullinville. It was a really pivotal time not just for the people of Crescent, but for people in rural communities across the country."
The photographs are well composed, taken of family and friends (sometimes reluctantly) by an amateur photographer, likely a family member. In the 1930s personal photography was still in its infancy, and the photographs are surprisingly well composed.
"This was during the depression," he said. "The photos really say something about rural communities. These people had a hard life they were farmers and they made the best of it. If there is a story in these photos it is a story of families that loved each other and found happiness in the little things."
The collection also showcases fashion, automobiles, homes, hairstyles and the landscape of the era.
Clement will publish a limited amount of the books. He said that the Kiowa County Historical Society and the Big Well Museum have each pledged to purchase 50 copies of the book at cost.
"I just want the book to get made," he said. "This isn't a for profit venture. These photographs are a snapshot of rural Kansas life and this book will help preserve them."
Clement launched a successful Kickstarter.com campaign last month to raise the remaining $700 it will take to publish the book.
He offered copies of the book and a variety of other rewards including original photos and prints for supporters that pledge.
"I'm extatic that we reached our goal and then some," said Clement.
The campaign raised more than $800, with pledges for 14 sponsors.
Kickstarter.com is the most well known crowd-funding platform. Creators host campaigns for a variety of personal projects including books, films, and inventions.
Clement said that if any profits are made from the sale of the book, 30 percent would be donated back to local charities.
"Getting the book published is my number one concern," he said. "But if we turn a profit I will donate 15 percent to a charity of my choice and Faye [Hargadine] will get 15 percent to donate to a charity of her choice."
Clement said the book will be printed by Mennonite Press, the Hutchinson-based printer and would be for sale through the Kiowa County Museum, the Big Well and the Kickstarter campaign.
"I just think it is so neat," Clement added. "It's a slice of Americana that I think people outside of the area can enjoy and for locals it's a piece of their heritage."
You can also find photos and updates at www.facebook.com/smalltownkansas and view a selection of the photos at http://pinterest.com/patrickclement


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Shown in Heirloom Gold finish with Iced Tea crystal -
The Schonbek The Rose 1438 is a colored crystal flush mount available in Antique Silver, Black, Etruscan Gold, Heirloom Gold and Tourmaline finish.The colored crystal style is sure to complement any bedroom, entry, kitchen, hallway or bathroom.
The brightest star in the lighting galaxy, by far, is Schonbek Worldwide. Always on the cutting edge of lighting design, a Schonbek crystal chandelier, crystal wall sconces, or a crystal light makes a mere space into an aesthetic statement. It possesses all the qualities of a collectible: originality, craftsmanship, history. The prismatic luminosity of a Schonbek crystal chandelier, - trimmed with Swarovski crystal - creates an amazing, caressing quality of light, rendering every gesture significant, every gathering glorious. For the past decade, Schonbek Worldwide has completely redefined lighting with completely original and inspiring designs. Cutting edge designs from Schonbek's stunning Geometrix collection of high tech crystal pendant lights, sconces and chandeliers have brought the aesthetics of lighting to a new level. The introduction of new Strass Golden Teak crystal brings the entire family of earth tones to life in a way never seen before. Capitol Lighting is the only online showroom to offer the entire stock of a crystal chandelier, crystal wall sconces, or a crystal light by Schonbek.


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FIRESTORM/Option color body, decaled and trimmed
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Pimp it up and get pimped out! Get a cool, professional-looking pre-painted bodyshell for your Firestorm and be the envy of your friends! Check out these great new pre-painted and pre-cut bodyshells from HPI! HPI bodyshells are moulded from strong clear polycarbonate for durability and toughness!
HPI pre-painted bodyshells feature:
- Photorealistic, premium, pre-applied vinyl decals include window frames, headlights, grille, tail lights, roll bars, official logos and more - For a perfect finish with a lot of details
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Smyrna residents might get a break in 2013, as the Finance Committee is working on a budget with no tax increase.
The Finance Committee met Wednesday night to continue work on the fiscal year 2013 budget. While the budget is yet to be finalized, the committee is trying to find ways to add what the town needs without increasing property taxes for residents.
Moving the town forward
The Finance Committee has been working on a five-year capital budget; some of those projects are expected to start work in 2013. These projects are the police station expansion, utilities north of Duck Creek, water and sewer replacement to Commerce Street, electric upgrades to Green Meadows, and street work to Glenwood.
Mayor Pat Stombaugh said most of these projects have funding; therefore, the residents won't be impacted next year.
The budget also includes moving the grass cutting in-house, two new police cars, and much needed heavy equipment – three trucks and a backhoe.
The budget features three new full-time staff members and three new part-time positions. The full-time positions are for an assistant to the town manager, a warehouse clerk, and a municipal worker to be used for the in-house grass cutting. The part-time positions are for one part-time library clerk (a second part-time library clerk position also needs to be filled), and two public works employees to help with the grass cutting and whatever else they're needed for.
Paying for the projects
The lone capital project without funding is the Green Meadows electric upgrades. Stombaugh suggested paying for the $150,000 project and the $50,000 worth of needed utility upgrades to the town by taking roughly $200,000 out of the Rainy Day Fund. The heavy equipment costs about $519,000, but the committee wants to take money from a capital reserve fund.
Manager of Finances Gary Stulir also expects to see growth in the amount of money the town brings in through transfer taxes.
Stombaugh said these three factors – use of the capital reserve fund, Rainy Day Fund, and the increase of transfer taxes – will allow for a balanced budget and no increase in property taxes.
The committee said the Green Meadows project can be paid for from the Rainy Day Fund because that project has been backlogged. Stombaugh said after the meeting the electric utilities there have never been upgraded. Stulir added the residents deserve to have a reliable system.
"Green Meadows is a system reliability issue," Stulir said. "Residents pay for a service and the town feels we're obligated to provide a reliable system."
What's next?
The committee will meet again on Wednesday, Oct. 24 to continue cleaning up the budget. There will be a Special Smyrna Town Council meeting Monday, Oct. 29 at 6:30 p.m. to discuss, consider and possibly vote on the 2013 Capital Budget and the 2013 Operating Budget.
She said council will need to approve use of the capital reserve fund and rainy day fund prior to approving the actual budget.
Stombaugh is pleased with the budget thus far.
"I'm really pleased with the committee and staff," Stombaugh said. "Still it's because of what we've done over the last five years because cuts were made. We've really, really been restrictive and it got us to this point."
Email Jennifer Dailey at firstname.lastname@example.com


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Massachusetts might not be the natural habitat for any really exotic animals (no, squirrels and pigeons don't count), but that doesn't mean you can't have an animal adventure. We're talking kangaroos at Southwick's Zoo, gorillas at the Franklin Park Zoo, and penguins at the New England Aquarium. Lots and lots of penguins. If you're looking to check some more birds off your list, the Berkshires is one of the best bird watching locations in the country. Then there's horseback riding, with ranches for riding and learning all over the state. And if your kids like to get up close and personal with the animals, petting zoos at destinations like Smolak Farms and Lookout Farm will give them the warm and fuzzies. Just make sure they don't take anything home.
Plimoth Plantation, Plymouth
Franklin Park Zoo, Dorchester
Topsfield Fair, Topsfield
Bring the Kids: It's all here
Looking for fun things to do and see in Massachusetts?
Get some Bring the Kids ideas
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|Episode Description
|Friday, Sep 28, 2012 - 3:00 PM
"Wordball Games"
Right before the yearly Wordball Games, the neighborhood Olympics, Hector sprains his ankle. With Hector unable to compete, The Electric Company does not have enough players to participate against the four Pranksters! But when Manny also gets hurt, the numbers are even once again. Now the question is, can Marcus handle Hector's event the Word Obstacle course?. D
Mountain Time
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Titans drop Class 2A state semifinal battle with top-ranked St. Thomas More
To say El Paso-Gridley had a huge test in taking on top-ranked St. Thomas More Friday night would a massive understatement. Despite coming up short, the hope of ending their season with a victory is still on the minds of the Titans.
EPG lost 62-48 to the Sabers in the second Class 2A state semifinal contest at Redbird Arena. The Titans will take on Walther Lutheran tonight at 6:30 for third place.
St. Thomas More will meet Nashville for the title.
"They have everything you need to be in a state championship game," EPG head coach Kyle Bobbitt said of the Sabers. "Tori McCoy is a freshman but she doesn't play like a freshman. That gave us trouble."
McCoy gave the Titans a lot of trouble. Unlike Monday, where El Paso-Gridley was able to neutralize 6-foot-3 Sophie Reecher of Byron, it was not able to keep McCoy, a 6-4 freshman, in check.
St. Thomas More had a game plan to use its height and worked it well. McCoy finished the game with 24 points and 14 rebounds. She had 13 and 9 by halftime.
"Our game plan was to try to shove her under the basket, but she played a lot stronger than what I had seen," Bobbitt said of McCoy.
But it was more a combination of factors that did in the Titans. Besides the size of McCoy and sophomore Lexi Wallen (5-11), who finished with 20 points, the Sabers played defense with an aggressiveness that proved troublesome to EPG's Rebekah Ehresman.
"That No. 4, she's a tough little player," STM head coach Chris Mennig said of defending against Ehresman. "We just tried to come at her in different ways."
The most effective was the pressure applied by Randa Harshbarger. It was a battle of all-state guards.
"It was definitely a difficult task," Ehresman said of going against Harshbarger. "Randa's a great defender and it was hard to get around her. I couldn't do too much."
Ehresman finished with 9 points, 8 rebounds and had 7 turnovers.
Though it never led, El Paso-Gridley was still able to hang with the Sabers early. Chelsea Kessinger drained a pair of free throws with 53.2 seconds on the clock in the opening period to pull EPG to within one, at 15-14.
It was 18-14 after one quarter and 20-16 after Ehresman scored with 7:06 left in the first half.
But that was as close as EPG managed to get the rest of the way. Thanks to various reasons, including in no small part STM's defense, the Titans did not score again until 2:58 to go in the third period.
The Sabers held EPG scoreless for 12 minutes and 8 seconds. They also put up 26 straight points in building a 46-16 advantage.
"Our kids' defensive energy even surprised me a little bit, especially in that second quarter," Mennig said.
El Paso-Gridley's problems were compounded by turnovers and too many one-shot trips down the floor.
"In the second quarter, (we) kind of got into a little funk," Bobbitt said. "You saw from three minutes in the third quarter to the end of the game what our girls can do."
The Titans shot just 31.6 percent from the floor in the first half. They hit 43 percent in the second half.
Codee Schlipf, who had to deal with Wallen all night, finally got EPG back on track with a 3-pointer with 2:58 left in the third quarter. The Titans outscored the Sabers 10-6 in the final three minutes of the period.
El Paso-Gridley also outscored the Sabers 22-10 in the final frame. Although St. Thomas More went to the bench more frequently, there was always at least one starter on the floor until the final minute.
In fact, Mennig brought back starters Harshbarger, McCoy and Erica Wallen after an EPG timeout with 3:38 to go in the game.
"Our girls are able to bounce back," Bobbitt said. "We dream big, we're here for a reason but we still want that third-place trophy so we're going to lay it all on the line."
There is still determination among the Titans, who moved to 29-2.
"It stinks to lose, but we lost to a good team," Schlipf said. Schlipf finished with 14 points to lead the EPG offense.
"It hurts now losing, but it will be nice to end the season with a win," senior Jenna Souhrada said, who scored 11 points. "You have to look at it in a positive way."
Kessinger added 7 points, Mattie Buchanan threw in 5 and Michelle Bigger tallied 2 markers.


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The Cortez Journal encourages people to submit announcements about upcoming events for the Community Calendar. Send announcements to email@example.com. Items submitted at least two weeks in advance will have a better chance of getting published; items submitted several days before the event might not get published. For more information, call the Journal at 565-8527.
Annual Turkey Trot Fun Run/Walk
For Pets Sake Humane Society will hold its Ninth Annual Cortez Turkey Trot on Thanksgiving Day. Registration starts at 9 a.m. Thursday, Nov. 22 at the Parque de Vida Pavilion near the Cortez Recreation Center, 425 Roger Smith Avenue. The 1 mile fun run/walk starts at 10 a.m., regardless of the weather. This is probably For Pets Sakes most enjoyable event of the year! The entry fee is $20 and includes a cool serene green commemorative T-shirt. Costumes for all are encouraged! Prizes will be awarded for fastest people and pets, best and best-coordinated costumes, best pet trick, most unusual pet to cross the finish line, and lots of other categories. All proceeds benefit For Pets Sake Humane Society and their work for the dogs and cats of Montezuma and Dolores counties. For more information call 565-PETS (565-7387).
Thanksgiving Day Boot Camp Workout
DNR Fitness will offer a Thanksgiving Day workout Boot Camp style at 8:30 a.m. on Thanksgiving, Thursday, Nov. 22, outside at the Cortez Recreation Center. The $4 fee will be donated to the For Pets Sake Turkey Trot that begins at 10 a.m. DNR Fitness will be also do a Trot warm-up animal style, including downward dogs and bunny hops for those who are serious about trotting! Come join the fun and support For Pets Sake, and work it off before it happens! For more information, call Rayna at 560-3916.
28th Annual Holiday Craft Fair
Come by the Cortez Cultural Centers annual Holiday Craft Fair from 9 a.m. to 3 p.m. on Saturday, Nov. 24, at the Montezuma County Annex, 107 N. Chestnut St., Cortez. Enjoy handmade items, franchise products, and door prizes while supporting the Cortez Cultural Center. For more information, call the Center at 565-1151.
Surgeon presents Non-Operative Treatments for Arthritis
Cortez orthopedic surgeon Doug Bagge, MD, will present Non-Operative Treatments for Arthritis on Tuesday, Nov. 27 from 7 to 8:15 p.m. at the Southwest Memorial Hospital Annex conference room, 20 S. Market St. This free, informative lecture will cover osteoarthritis, injectable therapy, non-traditional treatments, and the benefits of physical therapy and exercise. Light refreshments will be served. No RSVP necessary. Call Susan Thomas at 564-2156 with questions.
FCBA presentation on beam/structural calculations from contractors
Four Corners Builders Association will offer a presentation at 7 p.m. on Tuesday, Nov. 27 to attend a presentation, Beam and Structural Member Calculations: Information Needed from the Contractor and Sample Calculations. The presenter will be Jeff Greve from ProBuild-Contractors Sales of Cortez. He will provide a summary of what is needed to get the correct finished product when ordering your beams and for your building structures. The public is invited to this free presentation at First National Bank, 2258 E. Main St., Cortez. For more information, call FCBA at 565-1771.
Dolores Rotary Club Bingo Night
The Dolores Rotary Club will continue their bingo season with a Bingo Night on Tuesday, Nov. 27, with all proceeds to benefit the Cortez Cultural Center. Bingo Night will be at the Dolores Community Center, 400 Riverside Avenue. A light supper and dessert will be served starting at 6:30 p.m. for $5, with bingo following at 7 p.m. Cards are $1 per game or $10 for the evening. All proceeds will benefit the Cortez Cultural Center. For more information, call Dave Sanford at 882-7428.
Veterans Christmas Bazaar
The American Legion, 320 N. Harrison St. in Cortez, invites all to the upcoming first-ever Veterans Christmas Bazaar on Sunday, Dec. 2 from 11 a.m. to 5 p.m. We are offering $20 table rentals for artists, crafters and vendors for the event; tables will be provided. The deadline to reserve a table is Wednesday, Nov. 28. The bazaar will also have food available for purchase. All table rental proceeds raised will go to the Disabled American Veterans (DAV) van fund to help transport veterans to and from medical appointments in the Four Corners area. For more information, or if interested in renting a table, contact Dale Wilson at 882-4531.
Where Do We Go Now? screens at Conscious Movie Night
The Center of Light presents Where Do We Go Now? at Conscious Movie Night, on Friday, Nov. 30, at 7 p.m. at the Sophia Peace Center, 19581 Road 31; in Dolores, turn left on 11th, go 1.8 miles, and look for the sign with a dove on the left. Set in a remote village where the church and the mosque stand side by side, this film follows the antics of the towns women to keep their men from starting a religious war. Women heartsick over sons, husbands and fathers lost to previous flare-ups unite to distract their men with clever ruses and the unexpected. The screening is free. Any donations will be given to United Religions Initiative whose purpose is to promote enduring, daily interfaith cooperation, to end religiously-motivated violence and to create cultures of peace, justice and healing for the Earth and all living beings. To RSVP or for more information, contact Deacon Bridget Wyatt at 882-2123 or at email@example.com.
Sights and Sounds of Christmas theme of Parade of Lights
The 23rd Annual Four Corners Board of Realtors Parade of Lights will be held Saturday, Dec. 1 at 6 p.m. The theme for this years Parade of Lights is Sights and Sounds of Christmas. This years Grand Marshal for the Parade is the Slavens family, in recognition of their longtime support and involvement in our community. There is no fee to enter a float in the parade, but an entry form must be submitted by Thursday, Nov. 29 to Terry McCabe at Century 21 West Slope Realty. Cash prizes are awarded for the best float in each of 3 categories. The Parade of Lights is held each year on the first Saturday in December, with all prizes supplied by the Four Corners Board of Realtors as their gift back to the community. For more information, call Terry McCabe at 799-4459.
Local author Nealson gives book reading
Local author Christina Nealson will read from her recently released Drive Me Wild: A Western Odyssey on Friday, Nov. 30 at 5 p.m., at Spruce Tree Coffeehouse, 318 E. Main St., Cortez. More information about the author and the book can be found at christinanealson.com, or call 565-6789.
Annual Dolores Community Center Christmas Bazaar
The Annual Dolores Community Center Christmas Bazaar will be held this year on Saturday, Dec. 1 at the Dolores Community Center, 400 Riverside Ave. from 8 a.m. to 4 p.m. The bazaar already has 40 vendors signed up to display various crafts such as Christmas wreaths, scarves, candles, homemade breads, pies and pumpkin rolls. There will also be handmade aprons, ornaments, quilts, afghans, leather items, toys, artwork and jewelry of all kinds. Come and do your special Christmas shopping. Refreshments are being provided by the Dolores Booster Club and all proceeds will go to the Dolores Community Center. Contact Ruby Gonzales for more information at 882-7717.
Catholic Daughters Christmas Bazaar
The Catholic Daughters Christmas Bazaar will be held on Saturday, Dec. 1 from 8 a.m. to 3 p.m., and Sunday, Dec. 2 from 11:30 a.m. to 3 p.m. at St. Margaret Mary Catholic Church Hall, 28 E. Montezuma Ave., Cortez. Breakfast burritos will be served on Saturday from 8 to 11 a.m. and Navajo tacos will be served from noon to 3 p.m. The Junior Catholic Daughters will serve soup for lunch on Sunday from 11:30 a.m. to 1:30 p.m. Craft items, gift baskets, baked goods, stocking stuffers, wreaths, Christmas items, and homemade gifts are some of the items that will be available for purchase. All proceeds benefit our organization, which in turn supports local, national and global charities. For more information, call Elva at 565-8741 or Lucy at 564-1468.
Science cartoon art show opening reception, dance
Sideshow Emporium & Gallery presents Adventures in a Blue World, a science cartoon show for all ages written and illustrated by Cathrine Fox, local educator and NOAA Teacher at Sea. The opening reception is Saturday, Dec. 1, from 6 to 11 p.m., with refreshments, dance music from DJ Cannonball, NOAA give-aways, and real scientists! The show will be up through December. Sideshow is at 411 Central in Dolores, call 739-4646 for more details.
Gospel musicians perform special service, Christmas music concert
Mountain View Baptist Church, corner of Hwy. 184 and CR 30.5 in Dolores, will host gospel musicians, George and Kathleen Abbas from Denver on Saturday, Dec. 1. They will sing special music for the morning service at 11 a.m. and then will present a Christmas music concert at 6 p.m. The Abbas music features a variety of vocal and instrumental renditions using piano, keyboards, trumpets and acoustic guitar. They have been traveling the continental U.S. full-time since 1987. For more information, call the church office at 882-7521 or Pastor Scott Hartle at 739-4496.
Mancos Valley Chorus Christmas concerts
Very soon the snow will be flying, and itll be time to celebrate the season with a Mancos Valley Chorus Christmas concert! This year, in addition to new songs, well bring back some of our favorite Christmas songs from the past ten years, including Sleigh Ride, Im Gonna Email Santa, and Prayer of the Children. Please join us for a Christmas Past concert on one of the following dates: Sunday, Dec. 2 at 3:30 p.m. at the Mancos United Methodist Church on 470 W. Grand Ave. in Mancos; Tuesday, Dec. 4 at 7 p.m. at the First United Methodist Church, 515 N. Park in Cortez; Friday, Dec. 7 at 7 p.m.; or Saturday, Dec. 8 at 3:30 p.m., both at Mancos United Methodist Church on 470 W. Grand Ave., Mancos. Hope to see you there! For questions call Carol at 882-0120 or visit www.mancosvalleychorus.org.
Series of Christian conversations
How You Can Be Part of a Christian Community With Integrity and Not Believe All Those Things You Thought You Had to Believe. On Tuesday, Dec. 3 at 6:30 p.m., this series of conversations will continue at St. Barnabas Episcopal Church, 110 W. North Street (corner of North and Elm). The topic for the evening is What/who is God for You? Everyone is welcomed. These gatherings are for folks who cant reconcile what they believe the church requires with their life experience; who dont want to check their minds at a church door; or who just dont want to live in a world they think the Christian church espouses but who might value being part of a community of faith. Questions are required. No answers are promised. Call 565-7865 for information.
For Pets Sake Holiday Bake Sale to benefit local pets
For Pets Sake Humane Society will hold a Holiday Bake Sale from 10 a.m. to 1 p.m. Saturday, Dec. 8 at the north entrance to City Market in Cortez. There will be lots of cookies, cakes, pies, breads, and homemade dog treats! Proceeds from the fundraiser will aid the population of Montezuma and Dolores counties. In addition to running a spay/neuter assistance programs, For Pets Sake provides foster homes for animals awaiting adoption and helps local people pay for emergency veterinary care for their pets.
Donations of baked goods from the groups members and supporters can be dropped off at City Market starting at 9:30 a.m. the morning of the sale. Baked goods can be dropped off from 9 a.m. to 3 p.m. on Friday, Dec. 7 at Let It Grow Nursery on Mildred across from the Colorado Welcome Center. For more information, contact Janet at 533-7402.
Dolores River Brewery Holiday Arts and Crafts Show
The Dolores River Brewery Holiday Arts and Crafts Show will be held from 10 a.m. to 3 p.m. on Saturday, Dec. 8, at the Brewery, 100 S. Fourth Street, Dolores. Local artists will have pottery, jewelry, photography, fiber arts, fine chocolates, handmade soaps and more for sale. There will also be live music, chair massages, refreshments and good cheer! For more information, contact Michele Martz at 562-4494.
Elks Christmas Bazaar
The Cortez Elks Lodge, 2100 N. Dolores Rd., will hold their 17th Annual Christmas Bazaar on Sunday, Dec. 9. The Bazaar begins at 10 a.m. and goes until 5 p.m. Entertainment will be at 2 p.m. with the arrival of Santa at 3 p.m. He will visit with all the children who attend. There will be door prizes at least every hour, and food will be available for purchase. For more information call Sally at 739-0616.


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5:00 pm
Fetch! With Ruff Ruffman "You Can't Teach An Orange Dog New Tricks" Ruff's cousin Bluff Ruffman is about to send a gaggle of mysterious animals to the doghouse. In a panic, Ruff sends Marco and Shreya to Disney's Animal Kingdom to learn how to take care for animals. As a backup plan, Ruff wants to know how to make the animals disappear, and sends Rubye to Las Vegas to learn some magic from Penn and Teller. D
5:30 pm
Nightly Business Report Tonight on Nightly Business Report, Federal Reserve Chairman Ben Bernanke gives his long-awaited press conference and gives the market a big hint as to the future of his stimulus program. NBR will ask Mark Zandi of Moody's Analytics what it means for the economy and Jim Paulsen of Wells Fargo what it means for the market and your investments. And, the American Medical Association classifies obesity as a disease - and it could have implications for doctors, patients, insurers and health care costs. D
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Nature "Invasion of the Giant Pythons" There are tens of thousands of Burmese pythons thriving in Florida's Everglades National Park - some released by pet owners and others set free by storms or other disasters. NATURE follows scientists and snake hunters as they study the growing crisis and work on strategies to protect the park, its native residents and surrounding habitats from the snakes.G
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NOVA "Extreme Cave Diving" Cave diver and environmental anthropologist Kenny Broad heads an interdisciplinary team of climatologists, paleontologists and anthropologists into underwater caves, or blue holes, formed during the last ice age. Broad is investigating the hidden history of Earth's climate as revealed by finds in this "alternate universe."G
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Cave People of the Himalaya Everest climber Pete Athans belays archaeologist Mark Aldenerfer down an 800-foot-cliff to a cave 700 feet down from the top. The two of them are on a mission in the world's highest mountains to find ancient mummies and uncover secrets hidden thousands of years in these cliff-top graves.G
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Wild Africa "Savannah" The newest of all the environments, savannah snakes its way across Africa hemmed in between forests and deserts. A mixture of open woodlands and vast grassy plains, savannah is home to a variety of big cats as well as the greatest herds of wild grazing mammals on Earth today. Part 2 of 6G
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Father arrested for picking up his kids from school
A Tennessee father was hauled off to jail after he insisted on taking his son home from school on time, rather than waiting for another half an hour under a recently implemented school rule.
Jim Howe, father of two children enrolled in South Cumberland Elementary in Crossville, Tennessee, arrived at the school on foot at dismissal time: 2:00 PM. But a new school policy states that students may only leave at 2:00 PM if their parents are picking them up in cars. Walkers must wait until 2:35 PM.
Howe maintained that the policy was meant to apply to students walking home by themselves, not students walking home with their parents.
"You don't need a reason as a parent to go get your children," he told school officials.
Avery Aytes, a sheriff deputy and school resource officer, was on hand to prevent Howes from leaving with his kids. The encounter between the two was captured on video by Howes's fiancee, Jennifer Long. When Howes insisted that the new policy was illegal, the officer threatened him with jail time.
Read more: http://www.country925.com/articles/national-news-104668/shock-video-father-arrested-for-picking-11845563/#ixzz2lFBMRFH0


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Combination Treatment With and Without Protease Inhibitors for Women Who Begin Therapy for HIV Infection During Pregnancy
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT00017719
Recruitment Status : Completed
First Posted : August 31, 2001
Last Update Posted : November 26, 2013
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
|Condition or disease
|HIV Infections Pregnancy
|Drug: Lamivudine Drug: Lamivudine/Zidovudine Drug: Nelfinavir mesylate Drug: Nevirapine Drug: Zidovudine
|Phase 3
The optimal treatment strategy for women who initiate antiretroviral therapy during pregnancy is not known. Although PI-based antiretroviral regimens are prescribed with increasing frequency among pregnant women, the efficacy and safety of this approach is unknown. Pregnant women are at increased risk for glucose intolerance and insulin resistance; PIs are associated with glucose intolerance. Physiologic differences between pregnant women and nonpregnant adults may alter the pharmacokinetics of antiretroviral regimens. Fetal safety considerations and effects on perinatal HIV transmission must also be considered when selecting an antiretroviral regimen for pregnant women. This trial will compare PI-based and PI-sparing antiretroviral regimens for women initiating antiretroviral therapy in pregnancy.
Women will be stratified on the basis of viral load (50,000 or less copies/ml or greater than 50,000 copies/ml) and gestational age at entry (20 or less weeks or greater than 20 weeks) and then randomized to one of two treatment groups. Group A will receive the PI nelfinavir (NFV) with zidovudine (ZDV) and lamivudine (d4T); Group B will receive nevirapine (NVP) with ZDV and d4T. Women will have clinic visits for physical and obstetrical examinations at 2, 4, 6, and 8 weeks after entry and then every 4 weeks until delivery. After delivery, infants in both groups may receive ZDV until they are 6 weeks old. Infants are evaluated for safety and to test the infant's blood for HIV-1 at birth and at Weeks 2, 8, 16, and 24.
Women will continue on assigned antiretroviral therapy postpartum and will have 11 postpartum clinic visits over a period of 2 years. Blood samples from women will be evaluated for safety and for virologic, pharmacokinetic, and metabolic studies. The first 12 women randomized to Group A will undergo a 4-hour pharmacokinetic profile at 32 to 36 weeks gestation and at 8 weeks postpartum to determine the timing of the nelfinavir trough. The first 20 women randomized to Group B will undergo an 8-hour pharmacokinetic profile at either 16 to 24 weeks or 32 to 36 weeks gestation and then again at 8 weeks postpartum to characterize pharmacokinetics of nevirapine at steady state in pregnancy and in the postpartum period.
|Study Type :
|Interventional (Clinical Trial)
|Enrollment :
|440 participants
|Intervention Model:
|Factorial Assignment
|None (Open Label)
|Primary Purpose:
|Official Title:
|Randomized Trial of Protease Inhibitor-Including vs. Protease Inhibitor-Sparing Regimens for Women Who Initiate Therapy of HIV Infection During Pregnancy
|Study Start Date :
|May 2002
|Actual Study Completion Date :
|March 2006
- Proportion of women in each treatment group who continue on original therapy with virologic suppression to less than 500 copies/ml at 34 weeks gestation (or the last viral load determination prior to delivery)
- proportion of women in each treatment group who continue on original therapy with virologic suppression to less than 500 copies/ml at 48 weeks postpartum
- Proportion of women in each treatment group who continue on original therapy with virologic suppression to less than 50 copies/ml at 34 weeks gestation (or the last viral load determination prior to delivery)
- proportion of women in each treatment group who continue on original therapy with virologic suppression to less than 50 copies/ml at 48 weeks postpartum, and to less than 500 and 50 copies/ml at 104 weeks postpartum
- study treatment adherence and health status by self-report, correlated with predose nelfinavir or nevirapine level at 34 weeks gestation and 8 weeks postpartum
- difference between postpartum and pregnancy 12-hour area under the concentration curve (AUC) for nevirapine
- time of trough levels in relation to the morning dose of nevirapine and nelfinavir at 34 weeks gestation and 8 weeks postpartum and correlation of trough levels with viral load
- incidence of HIV viral resistance by genotype among women in each treatment group at the time of virologic failure
- incidence of abnormal glucose tolerance, gestational diabetes, and abnormal lactate levels during pregnancy in each treatment group
- incidence of impaired glucose tolerance, diabetes, hyperinsulinemia, and elevated cholesterol and triglycerides at 8 weeks postpartum in each treatment group
- incidence of anemia, hypoglycemia, and abnormal liver function studies among infants born to women in each treatment group
- incidence of prematurity (less than 37 weeks), extreme prematurity (less than 32 weeks), low birth weight (less than 2.5 kg), and very low birth weight (less than 1.5 kg) among infants born to women in each treatment group
- perinatal HIV transmission among infants born to women in each treatment group
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|14 Years and older (Child, Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- HIV infected
- 10 to 30 weeks pregnant
- Plan to continue pregnancy
- CD4 count less than 250 cells/mm3 within 30 days of study entry
- HIV RNA load greater than 1,000 copies/ml within 30 days of study entry
- Antiretroviral naive (except ZDV for 8 weeks or less, including prior pregnancy)
- Willing to follow study requirements and plan to continue receiving anti-HIV treatment for at least 2 years after delivery
- Understand that NFV will not be supplied by the study (except for the first 12 women in Group A)
- Understand the study drug NVP will not be supplied after 1 year following delivery and is reasonably certain that she can obtain NVP by prescription for the second year of the study
- Access to a participating site
- Willing to have infant followed until 24 weeks old
- Parent or guardian willing to provide informed consent, if applicable
Exclusion Criteria:
- Alcohol or drug abuse
- Chemotherapy for an active cancer
- Require certain medications
- AIDS-related opportunistic infection and/or serious bacterial infection or unstable or serious medical condition within 14 days of study entry
- Chronic malabsorption or diarrhea
- Diabetes, unless it only occurs during pregnancy
- Major fetal problem or abnormality
- Abnormal amniotic fluid volume
- Plan to breastfeed
- Acute hepatitis within 90 days of study entry
- Skin problems such as psoriasis or eczema that require systemic treatment
- Any serious disease that, in the opinion of the study official, would compromise study participation
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00017719
Show 49 Study Locations
|Study Chair:
|Jane Hitti, MD, MPH
|Department of Obstetrics/Gynecology, University of Washington Medical Center
Publications of Results:
Other Publications:
|Responsible Party:
|National Institute of Allergy and Infectious Diseases (NIAID)
|ClinicalTrials.gov Identifier:
|NCT00017719 History of Changes
|Other Study ID Numbers:
10192 ( Registry Identifier: DAIDS ES )
|First Posted:
|August 31, 2001 Key Record Dates
|Last Update Posted:
|November 26, 2013
|Last Verified:
|November 2013
Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
Pregnancy Complications, Infectious
HIV Protease Inhibitors
Reverse Transcriptase Inhibitors
Anti-HIV Agents
Viral Load
Treatment Naive
Additional relevant MeSH terms:
Communicable Diseases
HIV Infections
Acquired Immunodeficiency Syndrome
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Slow Virus Diseases
Lamivudine, zidovudine drug combination
Protease Inhibitors
HIV Protease Inhibitors
Reverse Transcriptase Inhibitors
Nucleic Acid Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Retroviral Agents
Antiviral Agents
Anti-Infective Agents
Anti-HIV Agents
Cytochrome P-450 CYP3A Inducers