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Josee's interpretive program was a little Lori Nichol gem to Humoresque where she portrayed a Harlequin releasing a baby bird. She fell on her hardest element, a triple Lutz. Technically, Michelle was superior. But the judges felt that since this was the "interpretive" program, Josee actually interpreted the music while Michelle's program was just generic pretty skating.
Frank Carroll was quite irate at the result.
Sarah Hughes was third (Bye Bye Blackbird ), followed by Jennifer Robinson, Lu Chen, and Surya Bonaly.
By the way, the best resource for results of those old competitions in the Golden Skate archives, accessed form the Golden Skate home page.
^^^^ What did Lulu do? How did she lose out on interpretation?!
Josee had nerve problems and never performed to her ability in "amateur" competitions but she found success as a professional and won a few pro competitions.
Surya Bonaly skated to an almost comical screeching rendition of "March With Me."
There was a big write-up of this event in the newspapers, with quotes from Josee from a speech that she gave the next day to the children that she was coaching at the time. All about how nervous she was to be facing the World Champion and she didn't think she had a chance to win, but if you work hard and follow your dream anything is possible, etc.Originally Posted by SkateFiguring
Anyway, back on topic, I have to say that as a fan I'd be much more interested in seeing a Retired Champion Competition than a regular "adult" competition... and if I were an "adult" skater (which sounds sort of porny, LOL), I would not be too happy to find myself competing against Midori Ito!!
Truly. (But you could get her autograph. )and if I were an "adult" skater (which sounds sort of porny, LOL), I would not be too happy to find myself competing against Midori Ito!!
IMO Michelle was wuz robbed at the 2000 Sears Canadian Open. Both Michelle's SP and LP were far superior to Josee's programs. Carroll was irate for a reason.
well, lori choreographed that program for josee, and beautiful world for michelle. a harbinger of things to come-- a sign that michelle should start looking elsewhere?
i actually count josee among my favorites, but that humoresque program wasn't even as charming as her american in paris program. or her poeme by secret garden program. not to mention kismet... i don't care about the jumps--a program need not be cleanly skated to have its charm shine through.
did jennifer robinson skate to the vocal version of summer of '42 at the same event? she skated that at _one_ of the canadian opens if so, i preferred jennifer's program to both MK's and josee's. just preferred the choreography--i'm not talking about the standings.
Last edited by skfan; 06-09-2011 at 11:00 PM.
As for his new venture into the competitive arena... I don't see it working if it's going to be pro am, but that's just me... I don't see why it needs to be the old dogs vs the puppies.
As per FSU (which is as per a press conference held), Laura Lepisto is back to training well and will compete at Nebelhorn.
My point with regard to Midori competing in an adult competition is that she doesn't seem to WANT to bring it back as a "retired elite skater competition". In the press release that came out on Yahoo Japan, she said something to the effect that she wanted to show people that even as you get older, if you still love something you can participate. You know, for fun, without having the same level of pressure that being in some made for TV pro-am or World level competition would bring. That seemed to be part of what was lacking for her (the fun) when she tried to come back before the 1998 Olympics (along with her health issues).
I didn't appreciate what I perceived as a slam on adult figure skating that was brought up with regard to Midori being an "exception" or that only ice dance can be enjoyed over the age of 40. The largest groups at most adult competitions are 31-40 and 41-50 and I am talking FREESTYLE events, not dance. There have been a few very high level skaters return and take part. They will say that the best part of it is the comeraderie of the events, as will National, World, and Olympic level judges. There are also a number of very well known and respected coaches who are thrilled to have competitive adults in their stable of students, most notably Charlie Tickner, who is at every US Adult Nationals running around all week with skaters on both rinks, at practices, etc. all the time.
As it is, Midori's in a group of 2 skaters and if I were the other skater, I would be THRILLED just to share the ice with her and be second and to have my picture taken on the podium with her, even if she won by 50 or 100 points, so long as I skated MY best.
Chouinard was a charming, incredibly expressive skater with more ability than confidence, and I generally enjoyed her programs (though I thought Michelle should have won that day). She must have been a joy to choreograph for. I still ache for her because of the dirty trick fate played on her in the 1994 Olympics. That Typhoid Mary, Tonya Harding, having already jeopardized Nancy Kerrigan's Olympic chances, then took out Chouinard. Harding broke her shoelace or somesuch, and asked the judges for a moment to repair her skate. The judges decreed that yes, Harding could have a time-out, but the next skater MUST then skate right away or forfeit a chance to do her long program. The next skater was Josée. So out went Chouinard, even though I'm sure she was completely unsettled by the change. Really such a shame that Josée became another casualty of Tonya Harding's chaotic tenure in the skating spotlight.


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Powder Coating is the only technical publication devoted to the Powder Coating industry and other green finishing technologies.
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D.S. Richart Associates
The surface topography of powder coatings and its relation to gloss
Using function fillers in coating powder formulation
Daimler Trucks North America
Automotive industry rally boosts powder coating use
Powder-coated microcoupe goes over big in Europe, even bigger in powder coating industry
What's the big deal these days? It's smart to think small
Danick Specialties & Support Inc.
Polyester resins as binders for powder coatings
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Coater builds its success by powder coating for the architectural marketplace
Cost savings with oven temperature profiling
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Planning and courage build new powder coating business
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Decoral System USA
Graphics process creates wood, marble, and other decorative effects on powder-coated aluminum
Decorative Veneer
Methods of expansion: Powder coating MDF and plastic
Coater builds its success by powder coating for the architectural marketplace
Measuring coating thickness on heat-sensitive substrates
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Powder coating thickness measurement and paperless QA
Using ultrasonic coating thickness gages
Fumed metallic oxides improve powder processing and application
Deimco Finishing Equipment
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Michigan job shop's fast supplier response and vigilant system maintenance are keys to success
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Delta International Machinery
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Linear powder coating reels in rewards for fastener maker
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A Midwest powder coater waltzes into the major leagues by building a solid reputation coating large parts for historic projects
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Fabricator leaves Independence and enlists powder to regain its self-determination
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Dietz Supply
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Dow Chemical
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Dresser Industries, Wayne Division of
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DSM Resins
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Electromagnetic brush technique speeds powder application on flat substrates
DuBois Chemicals
Phosphate-free, low-temperature zirconium-based pretreatment in powder coating
DuBois Chemicals, a Johnson-Diversey company
Scaling back: Removing laser scale from ferrous metal parts
Duke University Center on Globalization, Governance & Competitiveness
Powder Coating: A global value chain perspective
DuPont Automotive Systems
Silver soars to its apex in popularity. What color dares to dethrone this reigning neutral?
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Air-powered vacuum helps heavyweight coating company knock out shocks
An automated system applies a two-tone powder finish to hand-grenades
Artist finds expression in palette of powder coatings
Fabricator leaves Independence and enlists powder to regain its self-determination
From gunpowder to powder coatings, company marks 200 years in business
Heigh-ho silver, away! Color tops auto trends survey
Knock on wood: 2002 may be a better year for powder coatings market
Love's labor found in a junkyard and restored with powder
Maker of grain storage equipment sows seeds of growth by installing powder line
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Near-infrared curing: What it is; what it isn't
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One product leads to another when a wire former starts powder coating in-house
Pallet rackmaker finds it's better to burn off in-house than outsource away
Powder puts maker of golf course accessories on par in product performance
Powder revitalizes and revolutionizes custom automotive finishes
Shimmery metallic effects drive consumer color choices
Silver streaks to top of vehicle color survey list
Six Sigma: Developing new products not a pie-in-the-sky endeavor
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Studying powder coating variables and their effects during cure with gas-fired IR and convection heat
This coater's business is the perfect profile of what a lot of faith and an emphasis on quality can do
Dutch Industries
Compact powder system opens new ground in seed opener finishing
Dynamic Coatings
Specialty application: A finisher tames powder to achieve sometimes fierce, other times subtle automotive stylings.
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Well Known Kennewick Attorney Killed in Accident on I-90
Kennewick attorney Ray Whitlow was killed in an automobile accident this morning 28 miles west of Cle Elum on westbound I-90. According to the WSP, Whitlow, who was 65, lost control of his car and crossed into the path of another car two lanes to the left.
Whitlow was a partner at the Hames, Anderson, Whitlow and O'Leary law firm and was also active in the Tri-Cities Cougar Club and at Tri-Cities Prep.
His partner Tim Anderson tells us that Whitlow was the "best partner anyone could have".


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|SportStar Vendor Cover Up Blank Hockey Helmet Decals
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Image Note: Some decals may not come with the SportStar header card. The package will just include the 3 decals as described above.


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Long distance democracy is coming to some Massachusetts towns. Williamstown is the latest place in western Massachusetts to allow town board members to vote at meetings over the phone, or even a video-conference hookup, if unable to attend in person.
A 2011 regulation by the state's attorney general lets municipalities opt-in to the practice if they choose.
Valerie Hall is chair of the school committee in Williamstown. She says she's been asked by members of her board in the past if they could phone in to a meeting, but had to turn them down.
"Many people nowadays travel for business and work from home, so we've become a society, I think, that's very used to calling into meetings and Skyping to meetings and I thought it would really benefit the school committee if we could allow our members to participate even when they're traveling," Hall says.
Great Barrington, Middlefield and Gill also allow board members to phone it in. Officials in Amherst and Northampton have discussed it but not taken a vote.
Though phone calls, videoconferencing and online voice apps like Skype are fair game, there's still no provision to vote by text message.


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Not all courses are offered each semester. Some music courses were renumbered in Spring, 1994.
108 Harmony II (3 Units) Music 108 develops an understanding of compositional techniques. Emphasis is placed on cadences, modulations, dominant sevenths, secondary dominants and analysis. Music 108 is required for music majors. Lecture 3 hours. Prerequisite: Music 107. Corequisite: Music 105. Note: For the non-pianist concurrent study of piano is strongly recommended. Transfer credit: CSU, UC, USC
Glendale Community College reserves the right to modify its programs, tuition and fees, admission and graduation requirements, schedules and other policies, procedures and regulations stated in this catalog without notice. This catalog does not constitute a contract between the student and the college.
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Breathing Planet Campaign
For 250 years, the Royal Botanic Gardens, Kew has led the world in plant and fungal science. And today, with hundreds of scientists at the centre of a global network, we are leading the quest to find plant-based solutions for people and our planet.
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Call us at 020 8332 3248 to offer your support, or donate online, or find out more about our work via the links below.


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Google Maps: 6 Cool New Services Rolled Out
Now Google Maps can be used for a half-dozen new tasks, including finding musicians to gig with, planning a GPS-guided bicycle trip in Europe, and finding and booking hotel rooms.Google engineers and partners are always adding innovative ways to show off what Google Maps can do to help consumers every day, and the latest additions include some really cool new ideas, from helping musicians find each other to giving bicyclists in 10 foreign countries a way to set out on trips using GPS navigation on their Android mobile phones. Here are the six new Google Maps services that have been recently unveiled.
GPS Navigation for Cyclists
The site uses audio and text to reveal the correct answer if the user answers incorrectly, so that their learning is reinforced as the quiz progresses. The site also provides fascinating information about each country, including images, Wikipedia information and basic facts about the country, according to the post. Users can also link their Uncharted.fm accounts to their Facebook accounts so they can post their scores and compete with their friends. Use Google Maps to Find Zip Codes If you ever need to find zip codes for specific neighborhoods, now you can use the Google Maps-based Zip Code Catcher to make it easier, according to a post on the Google Maps Mania Blog. Zip Code Catcher includes two drawing tools that allow users to plot out the areas where they are searching for zip codes. Once you make your selections, you can click the download button to save a .CSV file of all the zip codes in your selected area. "The downloaded spreadsheet includes all the zip codes and the city, state, latitude and longitude, the population and even the distance from the center of your selected area for each zip code," according to the post.
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Art Stuff
Art Scene
- A review of an Ed Templeton art show
Dave Carnie
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Golden Age of Neglect
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Jane Evelyn Atwood
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Le Dernier Cri
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Milk-Crate Digest
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A~N~P Quarterly
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Exit Real World Tour Stop
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On the occasion of Halloween treat your family with this cheesy lasagna that's made using ground beef, sausage, Muir Glen sauce and organic diced tomatoes – a perfect Italian dinner.
Feed your hungry trick or-treaters this hearty meal when they return home.
© 2015 ®/TM General Mills All Rights Reserved


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By GARY ARRINGTONSports writer
The Emery High golf team this season was very young and inexperienced going into the season. With that said, the team has made great strides throughout the season as they have worked hard at getting better.
Last week, Emery hosted the other teams of region 12 at Millsite golf course and although they didn't win, they shot their best scores of the season.
Coach Kevin Reynolds, "I felt like they played much better this week. We keep improving every week because the kids are trying really hard."
Richfield won the golf tournament as they continue to be the best team in the region and was followed closely by Delta. Juab's Brady Wellborn had the best score at 72 while Hunter Huntington had Emery's best score at 89. McKoy Allred, McKlane Allred and Gage Bell followed Huntington in scoring for Emery. Chance Huntington and Andrew Terry also golfed in the meet. Reynolds was excited after the meet; "This was the first time all season that all four golfers have been under a hundred in scoring. They are playing better."
The last region meet is Sept. 29 at Richfield.


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The theme of this unit is the development of an imaginary mission to the asteroid Vesta. It also introduces teachers and students to the Vesta Mappers citizen scientist project, which is part of the CosmoQuest online community. The unit is designed... (View More) to be used in 50-minute periods over 13 days and lessons follow the 5E instructional model. Students will explore not only science content but science and engineering practices as well. An alignment is provided to the Next Generation Science Standards (NGSS). (View Less)
Materials Cost: $10 - $20 per group of students
This 12-lesson unit includes inquiry-based lessons about the surface features of the Moon and the Earth and how these two worlds formed and continue to evolve. Students participate in real science as they help lunar scientists map the surface of the... (View More) Moon with MoonMappers, an online citizen science project that lets the public analyze real data from NASA's Lunar Reconnaissance Orbiter. The lessons in this unit follow the 5E instructional model. Includes an overview of citizen science, glossary of lunar feature vocabulary, alignment to NGSS and NSES, and featured links. Each of the lessons addresses different topics and can be used together as a unit, or independently. (View Less)
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Strait's Antiques
This really pretty Marigold Carnival Leaf Chain on the inside of the bowl and Berry with Leaf design on the back of the bowl was made by Fenton Glass. This Bowl measures 6 1/2 inches in diameter X 2 inches high. It is in very good condition with no chips or cracks. The Bowl is not signed on the bottom. Be sure to search our other Fenton available. We guarantee items to be as described. THANK YOU.


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Nebraska approves new route for Keystone XL Pipeline; NAM urges President Obama to approve the project
National Association of Manufacturers (NAM) Vice President of Energy and Resources Policy Ross Eisenberg issued this statement after Nebraska Governor JDave Heineman approved the new Nebraska route for the Keystone XL pipeline:
"Gov. Heineman's decision is another positive step that we hope will clear the way for final approval of the Keystone XL pipeline by President Obama. The pipeline is an immediate job creator—its construction will create tens of thousands of manufacturing and construction jobs, plus significantly more indirect 'spin-off' jobs.
"Access to affordable energy sources is critical to manufacturers' ability to compete in the growing global marketplace. The Keystone XL pipeline will provide manufacturers with another valuable energy source from a neighboring ally. We urge President Obama to approve the Keystone XL pipeline as soon as possible to help get Americans back to work."


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Top Definition
ridicoulously good; quite off the chain; outstanding
yo, the shoe game is whoopa wicked. Holla.
by noc March 11, 2003
The Urban Dictionary Mug
One side has the word, one side has the definition. Microwave and dishwasher safe. Lotsa space for your liquids.Buy the mug
The Urban Dictionary T-Shirt
Smooth, soft, slim fit American Apparel shirt. Custom printed. 100% fine jersey cotton, except for heather grey (90% cotton).Buy the t-shirt


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Terrapin Tuesday Americana Series featuring The Black Lillies, James Justin & Co.
James Justin & Co.
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Tuesday, April 9, 2013
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|Posted by My wife is gonna kill me :( HELLLLLLP!! on December 13, 2003 at 12:26:51:
|In response to Re: Accidentally cut 1/2" Polybutylene
Thanks for respond HJ.....the house was built in 1988. You are talking about re-piping the whole house?? Thanks!
: I use the Qest fittings when necessary. How old is the house because if it is within the guidelines I would be thinking about getting the PB replaced before your time runs out and then it fails.
: : Hi,
: : I have been doing some research and it seems like the "Qest" or "Flair-It" compression fittings would be very easy and cost effective to get the job done.
: : P.S. Should I go with the Qest or Flair-It fitting??
|Replies to this post


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Katherine Russell: Back To Her Cello After A Double Lung Transplant With Bar
"I used to wake up coughing ferociously every morning," recalls Katherine Russell, a 23-year-old from Amherst, New York. "I would hesitate to go out on the dance floor, and I used to struggle not to cough through classical concerts — a challenge for a performing cellist."
After battling cystic fibrosis since birth, Katherine experienced rapid health deterioration in 2012 following a bout of influenza that led to pneumonia. Just two weeks after being airlifted to Cleveland Clinic, Katherine was listed for transplant and a pair of donor lungs was identified. She underwent lung transplant with bronchial artery revascularization (BAR), a challenging surgical technique pioneered at Cleveland Clinic to restore bronchial arterial circulation to her transplanted lungs.
"Now my coughing difficulties are all lifted," Katherine reflects. "The lung transplant has brought more than comfort — it has raised my quality of life."
92 lung transplants in 2015 including:
1 heart lung transplants
Cleveland Clinic's lung transplant program is an essential component of a broad medical and surgical strategy to manage all patients with pulmonary disease.
In the last five years, Cleveland Clinic has proven to be a national leader in lung transplant, both in terms of patient volumes and successful outcomes. The transplant program has established a reputation for accepting and transplanting challenging, complex patients, which has led to our high referral rate.
Our secure online service, DrConnect, provides referring physicians access to patient's treatment progress with streamlined communication from Cleveland Clinic physicians to your office, allowing continued participation in the ongoing care of patients. With the best possible treatment plans and coordinated care, our team approach benefits both the patient and the referring physician.
Your lungs' main job is to make oxygen available to your body and to remove other gases, such as carbon dioxide. This process is done 12 to 20 times per minute.
When you inhale air through the nose or mouth, it travels down the back of the throat (pharynx), passes through the voice box (larynx) and into your windpipe (trachea).
Your trachea is divided into two air passages (bronchial tubes). One bronchial tube leads to the left lung, the other to the right lung. The right lung has three sections, called lobes, and is a little larger than the left lung, which has two lobes. The bronchial tubes divide into smaller air passages (bronchi), and then into bronchioles. The bronchioles end in tiny air sacs called alveoli, which pump oxygen from the inhaled air to the blood.
After absorbing oxygen, the blood leaves the lungs and is carried to the heart. Then, it is pumped through your body to provide oxygen to the cells of your tissues and organs.
After the oxygen is delivered to the cells, other gases are still in your blood. Your blood carries these gases back to your lungs and removes them when you exhale.
The respiratory system has built-in methods to prevent harmful substances from entering the lungs:
Each person is born with two lungs, but can survive with only one as long as that lung is healthy.
Healthy lungs are made of a spongy, pinkish-grayish tissue. Lungs that have become polluted with harmful carcinogens (substances that can cause cancer) or carbon particles have blackened spots on the surface. Healthy lungs may also have blackish spots, however, they are sporadic and not as abundant as in unhealthy lungs.
Healthy lungs are elastic so they can expand when you inhale; in contrast, a disease like emphysema causes the lungs to lose their elasticity. When a lung can no longer expand properly or transfer oxygen to the blood, that person has difficulty breathing and tires easily; in some cases, he or she cannot walk more than a few steps at a time. Other difficulties may occur because the tissues and organs aren't getting the oxygen they need.
In some lung disorders, removing part or all of the lung can effectively treat the problem. But if a disease affects both lungs, or when medical treatment has not improved the lung condition, the best treatment choice may be a lung transplant.
A lung transplant may be recommended for patients with diseases such as cystic fibrosis, pulmonary fibrosis, chronic obstructive pulmonary disease (a group of diseases that includes emphysema) or pulmonary hypertension.
Before a lung transplant, you can expect to have a pre-transplant evaluation, which includes a complete physical, consultations with members of the Lung Transplant Team and a series of tests. A pre-transplant evaluation provides complete information about your overall health and helps determine if you are eligible for a lung transplant.
After your healthcare provider has determined that you are a good candidate for a lung transplant, the search for a donor will begin. Locating a suitable donor takes time and the waiting period may be stressful.
After a donor is found, things move quickly. You'll come to the hospital immediately, undergo surgery, and remain in the hospital for two to three weeks or longer, depending on your recovery.
During your recovery, you will learn about your new medications, how to recognize signs of complications, and when you can return to your normal activities. After you go home, you can expect to recover gradually, usually over three to six months.
Follow-up care after your transplant includes appointments with your physician and tests to assess how your new lung is functioning and how the medications are working.
Waiting for a donor organ can be a stressful experience, especially because the amount of time you'll have to wait is unknown. There are many things you can do to prepare yourself while you wait for a donor lung to become available. Changing your lifestyle before your transplant will help you adjust after the transplant.
Below are some guidelines to follow:
Until your transplant, you will meet with the transplant pulmonologist and transplant coordinator every two months in order to evaluate your overall health.
Ask your social worker about support groups and other resources so you can receive more information and learn about other transplant recipients' experiences.
If possible, don't turn your back on your favorite activities. You can spend the time doing what you enjoy. Now may be a perfect time to learn a new hobby or continue your old hobbies. The time will pass quickly if you spend it doing things you enjoy.
If you have any questions or concerns, please call us at 216.444.8282. We will be happy to answer your questions.
When a lung has been identified for you, a transplant coordinator will contact you by telephone or pager. Remember, this could be any time of the day or night.
As soon as you receive the call, do not eat or drink anything (not even water).
Your stomach must be empty before surgery.
It is normal to feel both excited and scared. Because of the natural confusion caused by the need to get to the hospital quickly, you may feel rushed and confused. You'll be glad you planned ahead to get to the hospital with minimal delay, knowing you have left your home in order.
As soon as you receive the call, bring your suitcase that you've packed ahead of time and come directly to Cleveland Clinic. Even though the donor lung receives special handling, there is a time limit.
If you live more than 1½ hours away from the hospital, the transplant coordinator will arrange transportation for you and one family member. If you live less than 1½ hours away, you must have someone drive you quickly but carefully to the hospital.
When you arrive at the hospital, go to Desk G-50 where you will be admitted.
You will wait in the Transplant Unit until the final results of the crossmatch are determined. If the crossmatch results are negative (or compatible), you will be prepared for surgery (generally within a few hours of your admission).
Just before surgery, you will be asked questions, and tests will be ordered to make sure you are in the best possible physical and emotional condition for the transplant.
If you have a cold, sore throat, fever or any type of infection, it is very important to tell the nursing staff. It also is very important to tell the staff about any other problems you may have.
A complete physical, chest X-ray, blood tests and an electrocardiogram (EKG) will be completed, and the results will be reviewed by your doctor.
While you are being prepared for surgery, a Cleveland Clinic transplant surgeon will remove and prepare the donor lung.
If you have a significant medical problem or any signs of infection, or if the donor lung is determined to be unacceptable, the surgery will be canceled. It is better to wait until another lung becomes available than to risk a transplant when you are not physically ready.
Before you go to the operating room, you will be asked to:
To prepare you for the transplant surgery, the incision area will be shaved (from your chest to your knees) to prevent infection. You also will have an intravenous tube (IV) inserted in your arm to deliver fluids and medication. Before going to the operating room, you will be given a sedative to help you relax and make you sleepy.
An anesthesiologist will inject general anesthesia (pain-relieving medication) through your IV, which will make you go to sleep. After you are asleep:
Family members and friends are invited to wait for you in the Family Waiting Lounge until the surgery is completed. This waiting area has a play room for small children, a television, reading materials and comfortable chairs.
The surgery lasts six to 12 hours. Cleveland Clinic has several cafeterias and restaurants, a gift shop and a Health Information Desk that may be of interest. We ask visitors to sign in and out of the waiting area, and provide a phone number so we can contact them if necessary.
A member of the transplant team will meet with your family in the Lounge to keep them updated on your condition. Your family will be notified when the surgery is complete.
If you have any questions or concerns, please call us at 216.444.8282. We will be happy to answer your questions.
After surgery, you will be taken to the Intensive Care Unit (ICU) where you are closely monitored. You will be very drowsy during this time and will be sleeping most of the time.
Special monitoring equipment will check your pulse and blood pressure every 15 minutes. Occasionally, this monitoring equipment will beep or sound an alarm. This does not necessarily mean anything is wrong. Regularly, an electrocardiogram will be done to measure your heart rhythm and rate.
Your weight, and your intake and output of fluids will be checked frequently so your doctor can determine how well your heart and lung are functioning.
The IV in your arm and the catheter in your neck or groin will still be in place to deliver fluids and medicines. The catheter also helps your doctor determine the pressure in your heart chambers to evaluate its function.
You will have a tube in your throat leading to your windpipe (called an endotracheal tube). This tube is connected to a ventilator to help you breathe and receive the right amount of oxygen. At first, you might feel like you aren't getting enough air. It takes time to get used to the machine. Try to relax and breathe with the ventilator to make it easier to breathe.
When you are connected to the ventilator, you will not be able to talk. To communicate with your nurse, you can nod or shake your head to indicate "yes" or "no." Although this tube might be uncomfortable, it is necessary to help you breathe. As your lungs expand and when you are breathing on your own and getting the oxygen you need, you will be taken off the ventilator (usually in one to two days).
You will have a dressing over your incision site. The nurse will check the incision frequently to detect bleeding.
The nasogastric tube and urinary catheter will remain in place for a few days up to a week, until your bowel and urinary functions have returned to normal. If the catheter feels uncomfortable, tell your nurse so it can be adjusted.
A chest drainage tube will remain in place for a few days to drain the fluid and blood that collect after surgery around the lungs.
Once your transplant team has determined your condition is stable, you will be transferred from the ICU to your room in the Transplant Unit. At times during your recovery, you might need to return to the ICU for specialized monitoring to ensure your best recovery.
2011 Cleveland Clinic lung transplantation facts and figures
For information on key data for the lung program and other solid organ transplants please visit, www.ustransplant.org. This third party resource evaluates all solid organ transplant programs in the United States. You will be able to find solid organ transplant outcome information including; number of transplants performed, survival rates, wait list times and other vital statistics. In addition, you will be able to research OPOs across the country and compare programs regionally and nationally.
A pre-transplant evaluation includes a complete physical, meetings with members of the Lung Transplant Team, and a series of tests. The evaluation might take several visits.
The pre-transplant evaluation is performed to make sure you are physically able to undergo a transplant. The evaluation helps the Transplant Team identify and treat any potential problems before the transplant, as well as avoid potential complications after the transplant.
The pre-transplant screening is first performed to make sure a lung transplant is the right treatment for you.
Before your pre-transplant screening, a transplant coordinator will contact you and your doctor to gather important information about your medical condition. This information includes:
Once this information is received, a transplant coordinator will contact you for a telephone interview to further discuss your medical history and lung disease.
Your screening appointment day will begin with a series of breathing tests, discussion of your medical history, and a physical examination. You will also meet with members of the Lung Transplant Team, including the pulmonologist, transplant coordinator, financial coordinator, and social worker.
You might have to answer similar questions with each team member. Please be patient. Although the questions are similar, each specialist is concerned with a specific aspect of your health and will gain a different perspective of your lung disease.
During the pre-transplant screening, you will have several X-rays, laboratory tests, and breathing tests (called spirometry tests) to make sure you are eligible for a lung transplant.
The spirometry tests provide information about the extent of your lung disease and how well your lungs function. The tests are not painful, but might be uncomfortable. You will also meet with a transplant pulmonologist (a staff doctor with extensive training and experience in lung disease and transplantation). The pulmonologist will ask you questions about your condition.
The screening generally lasts most of the day. If the results of the screening evaluation indicate you are eligible for a lung transplant, you will be scheduled for a pre-transplant evaluation.
Lab testing will be completed during your pre-transplant evaluation appointment. This testing will include a nicotine/cotinine blood level. This test indicates whether you are smoking, chewing tobacco or nicotine gum, using inhaled nicotine products, or are exposed to second-hand smoke. The International Guidelines for Lung Transplant Candidacy require a patient to be nicotine-free for six months before undergoing an evaluation for transplantation.
It is the responsibility of you and your referring doctor to have insurance approval in place for your screening appointment. Please notify your insurance company of your pre-transplant screening appointment with Cleveland Clinic's Transplant Center. Make sure your insurance company will provide coverage for the pre-transplant screening. (Many insurance companies will only provide coverage at specified centers.)
More information about insurance coverage will be provided on the day of your pre-transplant evaluation appointment.
You might see a social worker during your evaluation appointment. Social workers can provide personal support to you and your family throughout the transplantation process. Social workers also offer:
You will meet with a financial counselor who can review your insurance coverage for pre- and post-transplant expenses. The financial counselor also can provide information about Social Security disability, supplemental security income, Medicaid, and Medicare.
If you have been approved for a lung transplant and are going to be placed on the organ waiting list, you will need to prepare yourself financially and clarify your insurance coverage while you wait for your transplant.
The transplant financial counselor and the transplant coordinator are always available to answer your questions and address your concerns, but you will also need to contact your insurance company to clarify your coverage. The following questions will help you sort out your insurance coverage and help you plan for the expenses of transplantation.
Questions for your insurance company:
Questions to ask your transplant financial counselor:
Transplant-related expenses to consider:
The Lung Transplant Team at Cleveland Clinic is specially trained in meeting the needs of lung transplant patients. The team is committed to providing comprehensive care in a compassionate setting. The Lung Transplant Team members include:
The following Cleveland Clinic Transplant Center doctors and staff specialize in Lung Transplant:
Cleveland Clinic performs single, double and combined organ transplants including heart/lung and lung/liver.
We cannot predict how long you will be on the national waiting list to receive a liver. It could be days, a few weeks or even several years. Placement on the waiting list does not guarantee that you will get an organ.
When and if there is an organ that becomes available for you, your transplant coordinator will notify you. Have a plan in place so that you can leave your home on short notice. There is always a possibility that the donor lung is not functioning properly or the donor may become too unstable to continue with transplant. Please do not be too disappointed if this happens. We always have your best interest uppermost in our minds.
The visiting hours in the ICU are different for each patient. Your Transplant Team will decide when you are well enough to see visitors and will tell your family when they are able to visit. Generally, after you've recovered from anesthesia, your family may see you in the ICU periodically, after checking with your nurse.
After you are transferred to your room in the Transplant Unit, the visiting hours are not strictly enforced. However, the staff recommends no more than two visitors at one time, since rest is an important part of your recovery. The Transplant Unit also requests that reasonable hours (from 9 a.m. to 8 p.m.) be observed. Children under age 6 should not visit while the patient is hospitalized. If you have any questions or concerns about visiting hours, please ask the Transplant Unit staff.
Here are some tips for making your hospital stay more comfortable:
As you recover and "wake up" from the anesthesia, you might experience pain and/or nausea. You also will feel some pain at your incision site.
In most cases, your pain will be managed by a patient-controlled pain pump to make you as comfortable as possible. The pain pump has a hand-held button that will allow you to deliver pain medicine (as prescribed by your doctor) directly into your IV on demand (when you decide you need it). After a few days, your discomfort should gradually decrease.
A healthcare provider will show you how to do deep breathing exercises with an incentive spirometer. An incentive spirometer is a breathing aid to help keep your lungs clear and active while you are recovering from surgery.
You also will be asked to cough frequently. Because coughing will put pressure on your incision and might be painful, we recommend holding a pillow against your chest while you cough. Coughing helps remove secretions from your lungs to prevent infection.
It is important to change positions and move your legs and feet often during your recovery to maintain your circulation and improve your strength. The nurse will help you with these activities.
As soon as possible after surgery, your nurse will help you get out of bed and walk in the hallway. Your family and friends can walk with you when they visit. Stop and rest whenever you feel tired, but try to increase the distance you walk a little every day.
Initially, you will be given intravenous fluids and food through the tube in your arm.
After the tube in your throat is removed, you might only be able to eat ice chips and/or drink clear liquids. Your diet will gradually be increased to solid food over the next few days after your surgery.
A low-fat, low-sodium diet is required after transplant. If you have diabetes, you will follow the same diet you had before your surgery.
Initially, a member of the surgical team will visit you to tell you about the surgery. Every day while you are in the hospital, you can expect early morning visits, as well as periodic visits at night, from your doctors. Your transplant coordinator also will check on your progress frequently throughout the day.
The dressing over your incision will be changed, and blood samples will be taken every morning. The blood samples are tested in a laboratory, and the results indicate how well your new lung is working.
Your weight will be checked every day. Your weight reflects your fluid level and how well your kidneys are functioning.
Your urine output also will be measured daily. Once the catheter is removed, make sure you collect your urine so the nurse can record the amount.
Every day, you will gradually increase your activity. You also will continue to learn more about your medicines and daily healthcare in preparation for your recovery at home.
Although you might find it difficult to be so dependent on your healthcare providers for your daily needs, you must remember that they are specially trained and know what type of care you need. You should be reassured that your healthcare providers are doing everything possible to help you regain your health.
Yes. Many people complain of having trouble sleeping for some time after surgery. You might experience insomnia (an inability to sleep) because of:
If you cannot sleep, try these tips:
You can expect to stay in the hospital two to three weeks, depending on how quickly you recover from surgery and whether you develop any complications.
Remember, each patient has a different rate of recovery. You will be discharged only after your Transplant Team has determined that you have regained your strength and your health is stable.
You can expect to remain in the Cleveland area for an additional two to three weeks after discharge for close medical observation.
Because of the new freedom to indulge in many different foods, and an increased feeling of hunger due to medications such as prednisone (Deltasone), it is easy to see why excessive weight gain is a common problem for many transplant patients.
To promote healing after lung transplantation surgery, you should eat more lean meat, poultry, fish and low-fat dairy products. You should include a variety of grains, fruits and vegetables for adequate calories, vitamins and minerals.
Yes. In order to monitor your weight gain after transplant surgery, a registered dietitian will work with you to develop a nutritional plan. This plan will be determined by your weight, blood work results and medications.
The information below describes some of the dietary guidelines a dietitian may recommend for you. These guidelines cover only some of the changes that may take place in your diet. Your dietitian will plan a nutritional program to meet your personal needs.
Some transplant medications may cause your potassium level to dramatically increase or decrease. This is a serious condition; but fortunately, it usually does not last long. In order to control your blood potassium level, make sure to eat the foods your dietitian recommends.
Food Guide Pyramid
Many people experience high blood pressure or fluid retention following lung transplantation. If fluid retention or high blood pressure are problems for you, the dietitian will incorporate low-salt foods throughout your meal plan.
You may need to follow a low-sodium diet indefinitely after transplant.
Two common long-term problems for transplant patients are weight gain and high cholesterol levels. The following are suggestions that may help you control both:
The medication prednisone (Deltasone) may cause you to experience an increased appetite, which could lead to excess weight gain. Because you may or may not need to gain weight after your transplant, it is important to discuss this concern with your dietitian.
If you do need to watch your weight, it doesn't mean you have to eat less food, just be more selective about the foods you do eat.
Your dietitian will work with you to achieve and maintain your ideal weight. In general, you should follow these suggestions:
Registered dietitians are available in the hospital, at the Transplant Center and also in the Department of Nutrition Therapy.
If you have questions or need to schedule an appointment with a dietitian, please call 216.444.3046 or 800.223.2273, ext. 43046.
Nutrition Hotline: 216.445.2710.
If you have any questions or concerns, please call us at 216.444.6996. We will be happy to answer your questions.
You can resume your previous activities as soon as you feel better, but remember that your recovery will take several months and you should increase your activity gradually. A daily pulmonary rehabilitation program, prescribed by your physical therapist, will strengthen your lung and continue to improve your overall health as you recover at home.
You will not injure yourself or your new lung if you follow these general guidelines:
Many people complain of having trouble sleeping for some time after surgery. You may experience insomnia (an inability to sleep) because of discomfort related to healing, stress from personal concerns or side effects from your medications.
If you cannot sleep, try these tips:
Many lung transplant patients are able to return to work within a few months after surgery. However, various aspects of the recovery process can affect the timing of your return.
You will need to discuss returning to your job with your doctor and transplant coordinator. When the time approaches, a "return to work" letter will be provided. This will let your employer know when you may begin working and what limitations, if any, you may have at work.
You may travel as soon as you are feeling better, but always let your transplant coordinator know when you plan to go and provide a phone number where you can be reached.
By remembering these traveling tips, your vacation will be worry free:
Even if your periods seem to have stopped, you should always use a safe and effective method of birth control after transplant surgery. We do not recommend birth control pills, because of the added risk of side effects.
Pregnancy is not recommended, especially within one year after transplant surgery. The medications you take after surgery are harmful to a developing baby, and the stress of pregnancy on your body can be harmful to your health.
If you desire to have children after your transplant, there are other options such as adopting and serving as foster parents.
Please discuss these options with your transplant coordinator or social worker.
Male transplant patients may experience difficulty with erections after surgery. This may be caused by a reduction of blood flow to the penis or it maybe a result of the transplant medications. In most cases, this situation can be corrected.
If impotence becomes a problem for you, please feel free to discuss any concerns with your physician or transplant coordinator. Cleveland Clinic has specialists who are available to help you with these issues.
If you have any questions or concerns, please call us at 216.444.8282.
Any time after your transplant, you may decide to write to the family of your organ donor. This decision is a personal one. In order for you to make the decision, it may be helpful for you to know that organ donor families have expressed their appreciation for the correspondence they receive from recipients.
You do not have to contact the donor's family. This information is provided for you only if you decide to do so.
Here is some information you may want to include in your letter to the organ donor's family:
After you write a letter to the donor's family, place it an unsealed envelope (The correspondence is reviewed for confidentiality.) and include a separate sheet of paper with your full name and date of transplant. Send this information in a separate envelope to:
Lung Transplant Coordinator The Cleveland Clinic 9500 Euclid Ave., A110 Cleveland, OH 44195
Lung Transplant Coordinator The Cleveland Clinic 9500 Euclid Ave., A110 Cleveland, OH 44195
After receiving your correspondence, the transplant coordinator forwards it to Lifebanc, Northeastern Ohio's organ procurement agency. Lifebanc will notify the donor's family that there is correspondence from the recipient.
In general, the identities of the donor and the recipient of the organ are confidential, to protect each individual's privacy.
Although there is no law that a donor's family and the organ recipient cannot meet and know each others' names, all organ procurement agencies (such as Lifebanc) maintain the privacy of the donors and recipients.
You may or may not hear from your donor's family. Some donor families may feel that writing about their loved one and their decision to donate helps them with their grieving. Others choose not to write to the organ recipient.
If the donor's family chooses to respond, they will send a letter to Lifebanc. Lifebanc will forward the correspondence to your transplant coordinator, who will forward the response to you.
If you have any questions or concerns, please call us at 216.444.6996. We will be happy to answer your questions.
One of the jobs of your immune system is to fight infection. Immediately before your transplant, you will need to take immunosuppressant medications, which suppress your immune system to prepare your body to receive the transplant. These medications decrease your body's ability to fight infection. When the body's defenses are down, infection can spread quickly.
There are several ways you and your family, friends and healthcare providers can help prevent infection after the transplant.
Practice good hygiene
Take care of your mouth and teeth.
Protect your skin from scratches
If you have any questions or concerns, please call us at 216.444.6996. We will be happy to answer your questions.
The risks of transplantation are the same as those of any surgery, including the risk of bleeding or breathing problems. Some transplant recipients also may experience side effects from the medications.
The two main complications of transplant surgery are organ rejection and infection. Since the body recognizes the new lung as a foreign object, it will normally try to get rid of it or "reject" it. Anti-rejection drugs taken after surgery help prevent a rejection episode, but they also inhibit part of the immune system. Since the body's ability to fight infection is decreased, transplant recipients are more prone to infections.
Years of experience, research and improved medications help prevent rejection, and your transplant team will take every precaution to prevent these complications. While you are recovering in the hospital, you will learn to recognize signs of rejection and infection.
The body's immune system protects you from infection. Immune cells recognize the transplanted lung as different from the rest of the body and attempt to destroy it; this is called rejection and is your body's way of not accepting the new organ.
After transplant surgery, you are prescribed immunosuppressive drugs to "fool" your immune system into thinking your new lung is your own so it doesn't try to attack the new lung.
Although rejection is most common in the first six months after surgery, it can occur at any time. Fortunately, rejection can be treated, especially if the signs of rejection are recognized early. While you are in the hospital, the Transplant Team can usually recognize a rejection episode before it causes any major or irreversible damage.
After you go home, it's vital for you to be aware of the possible signs of rejection so you can report them to your healthcare providers and be treated immediately. It is also very important for you to continuously take your medications as prescribed, have your blood work drawn as scheduled, and follow your pulmonary function test and bronchoscopy schedules.
If you are experiencing any of these symptoms, contact your transplant coordinator immediately:
The Transplant Team will be able to determine if your body is rejecting your lung by completing daily tests of pulmonary function during your hospital stay. If the Team thinks you may be experiencing any problems with your new lung, the following tests may be completed:
A lung biopsy is a procedure in which a small sample of lung tissue is removed and tested. A lung biopsy is usually performed on an outpatient basis.
In order to take a biopsy, or a small sample of tissue, the skin above your lung is numbed to allow a small needle to pass directly through to your lung. Once complete, a microscope is used to examine the sample of tissue and establish a diagnosis.
The actual biopsy generally takes between 20 to 30 minutes. You will be required to lie flat for two hours following the procedure to prevent bleeding.
If rejection develops, your physician will prescribe medications to treat rejection and prevent continued complications. In order to control the rejection, you may need to be admitted to the hospital, or you may receive care in an outpatient setting.
The medications used to treat a lung rejection episode are strong drugs. The first few doses may cause the following side effects:
In order to help control these symptoms, you will receive a pre-medication of acetaminophen (Tylenol) and diphenhydramine hydrochloride (Benadryl) before each dose.
Anti-rejection drugs taken after surgery help prevent a rejection episode, but they also inhibit part of the immune system. Since the body's ability to fight infection is decreased, transplant recipients are more prone to viruses and infections.
CMV is short for Cytomegalovirus. It is a type of herpes virus. CMV can affect almost any organ and cause almost any type of infection.
Since CMV can affect almost any organ, it can cause many different symptoms. However, the majority of CMV infections are without symptoms (asymptomatic). Some symptoms include:
CMV is most often caused by a reactivation of CMV acquired long before your transplant. If you develop your first CMV infection, the virus likely came from your transplanted organ. (The donor may have been exposed to the virus.)
CMV is transmitted by contact between mucous membranes (the mouth and genitals) and live virus present in the secretions of infected CMV patients.
CMV is difficult to diagnose, since its symptoms mimic many other illnesses. CMV may be detected through blood tests that indicate the presence of CMV antibodies. Urine and sputum cultures also may detect the virus. Biopsy of the infected organ can also indicate the presence of the CMV virus.
Patients diagnosed with CMV are treated with an anti-viral medication, delivered intravenously (through an IV). Recovery may take a long time, and patients are advised to increase activity and exercise gradually, while including periods of rest throughout your recovery.
There is no cure for CMV. Once you have been infected with CMV, the virus remains latent and can cause infection again in the future.
After you go home, it will be your responsibility to seek consistent and proper medical care to follow-up your lung transplant. It is very important that you maintain your follow-up appointment schedule as recommended after your lung transplant.
Your follow-up appointments play a vital role in effectively monitoring your progress, as well as your lung function and your response to the medications after your lung transplant. These visits also provide you the opportunity to ask questions about your lung transplant recovery.
Your local physician is the doctor who cared for you before you came to Cleveland Clinic for your lung transplant. Your local physician will be notified when you receive your lung transplant and when you are discharged from the hospital.
The Lung Transplant Team will work with you and your local physician to coordinate your care and adjust your medications as necessary.
If you are sick, you should first see your local physician in his or her office, or if necessary, you should go to the nearest emergency room. Your local physician will perform an examination, obtain your current laboratory test results and order any other necessary tests. Your local doctor should discuss your illness and treatment with Cleveland Clinic Transplant Team, as it relates to your lung transplant.
The most important step in maintaining your health after your transplant is to take your medications exactly as prescribed. These drugs help prevent rejection and infection, and must be taken for the rest of your life.
Before any medication is prescribed, your physician will ask you:
The type of medications, the dosage and side effects may be different for each patient. While you are in the hospital, the Lung Transplant Team will teach you about your medications and give you information sheets describing each drug and how to take it. Before you go home, the Transplant Team will make sure that you know:
Your family members are also encouraged to learn about your medications.
Some of the drugs you are prescribed may cause unwanted side effects such as weight gain, acne or excess hair growth. Despite these side effects, never change the dose or stop taking your medications without first checking with your physician.
Many of the side effects can be controlled. Your doctor may adjust your dosage or offer other suggestions for managing the side effects. Keep all appointments with your doctor and the laboratory so your response to the drug can be monitored.
The individual drug information sheets contained in this notebook describe the common side effects of each drug and how to manage them.
Call your doctor or transplant coordinator if you become sick and vomit soon after taking your medication. Do not take a second dose without first talking to your healthcare provider. If you have diarrhea for more than one day, call your doctor or transplant coordinator. Also call if you have any other symptoms that are persistent or severe.
Yes. It is very important to always follow the instructions for your medications every day to prevent rejection. The third major cause of transplant failure results from not taking anti-rejection medications as prescribed.
If you miss a dose of your medication at the scheduled time, don't panic. Take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and return to your regular medication schedule.
As you begin to feel well, it may be easy to forget to take your medications, but always remember that your body never stops requiring the transplant medications. By taking your medications consistently and following-up with your physician routinely, you are assuming the most important job after your transplant.
Your physician will periodically change the dose of your medications. The dose may be changed because you are having uncomfortable side effects or because blood test results indicate a different dose is needed.
You will receive a medication dosage record to write down your medications and dosages. Every time your physician tells you to change the dose of your medication, cross out the previous dose and write in the new dose. (Use ink, not pencil, and do not erase previous information so you have a record of your earlier doses.)
Remember, never change the dose of your medication unless your physician has told you to.
Never take other medications without first talking to your physician. This includes over-the-counter drugs (those you can buy without a prescription). Some over-the-counter drugs include aspirin, ibuprofen (Advil, Nuprin), vitamins, cold medicine, antihistamines, antacids, laxatives and sleeping pills. Some over-the-counter medications may decrease the effectiveness of your transplant medications and can cause unwanted side effects.
Yes. Your healthcare providers realize your medications are expensive, especially since you must take them for the rest of your life. There are several government and state programs that offer financial assistance for medication expenses.
Please ask your healthcare provider what programs are available for you. You also can ask to see a financial counselor who can answer questions about insurance coverage and Medicare benefits related to your medication expenses.
Exciting developments in drug research are creating new immunosuppressive medications. Cleveland Clinic Lung Transplant Program participates in new drug studies on a continuous basis. You may be asked to take part in one of these programs after your transplant. All programs are strictly voluntary and have no influence on your transplant status.
Note: These are general guidelines. Be sure to ask your doctor or pharmacist for guidelines specific to your medication.
Be sure you know the answers to these questions before you start taking any new medication:
To find a transplant specialist for your needs, contact the Transplant Center at 216.444.2394 (or toll-free 800.223.2273, ext. 42394)
Cleveland Clinic © 1995-2016. All Rights Reserved. 9500 Euclid Avenue, Cleveland, Ohio 44195 | 800.223.2273 | TTY 216.444.0261


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Super Power: Recall - Undeclared Ingredient
AUDIENCE: Consumer
ISSUE: Freedom Trading is conducting a voluntary consumer recall of a product sold as a dietary supplement under the brand name of Super Power. This product was sold between August 2012 and January 2013 nationwide. Finished product of Super Power was tested and found to contain trace amounts of an FDA-approved drug. Analytical tests conducted by independent labs of Super Power concluded that the products contained trace amounts of sildenafil. Sildenafil is the active pharmaceutical ingredient in an FDA-approved drug that is used to treat erectile dysfunction (ED) making this product an unapproved new drug.
This undeclared active ingredient poses a threat to consumers because sildenafil may interact with nitrates found in some prescription drugs (such as nitroglycerin) and lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol or heart disease often take nitrates. ED is a common problem in men with these conditions and they may seek products to enhance sexual performance. Additionally sildenafil may cause side effects such as, headaches and flushing.
BACKGROUND: The recalled products are in capsule form, packaged in two (2) count blister packs. The lot and expiration date can be found on the back of the package. The following lot is being recalled: L08108.
RECOMMENDATION: Consumers who have purchased these products are urged to immediately discontinue their use and contact their physician if they have experienced any problems that may be related to taking this product. The Company is advising consumers to return the product to their place of purchase. Consumers may also return products directly to Freedom Trading.
Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:
- Complete and submit the report Online: www.fda.gov/MedWatch/report.htm
- Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178
[01/24/2013 - Press Release - Freedom Trading]


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4th Annual JDC Jewish Informal Education Conference in Lvov Enriches Region's Jewish Future, Explores Galacia's Past
More than one hundred fifty Jewish educators, community professionals, and volunteers from the former Soviet Union and Israel will gather in Lvov, Ukraine on October 13 to take part in the American Jewish Joint Distribution Committee's fourth annual Jewish Informal Education Conference. The four-day confab on community-building and Jewish learning will engage participants in a variety of network-building opportunities, knowledge sharing workshops, and Jewish education best practices. They will also explore contemporary Jewish life in the former Soviet Union and the significance of the Galicia region to Jewish history.


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News Releases
NSF International publishes news releases related to food, water, sustainability, health sciences, home products and management systems certifications. Below are NSF's most recent news releases.
Newsroom Archives
view past news
- 2016
- 2015
January 2012 News
NSF Sport App Makes Finding Certified Dietary Supplements and Sports Nutrition Products Easier
- 5 years ago
ANN ARBOR, Mich. — A new mobile app developed by global public health organization NSF...
NSF Expands Medical Device and Pharmaceutical Services with NSF-DBA's Acquisition of Pink Associates
- 5 years ago
ANN ARBOR, Mich. and KIRKBYMOORSIDE, North Yorkshire, United Kingdom — NSF-DBA, an NSF International Health...
NSF Selected to Administer BPI Certified Compostable Program for Plastic Products
- 5 years ago
ANN ARBOR, Mich. — To handle a five-fold increase in compostable plastic product certifications since...
The Vitamin Shoppe First Retailer to Earn NSF Certified for Sport® Certification on a Product Line
- 5 years ago
ANN ARBOR, Mich. — Vitamin Shoppe, Inc. (NYSE: VSI), a leading specialty retailer and direct...


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What You Can Learn from the NFL Referee Lockout
By Christina McKeon on Sep 27, 2012
American football is a lot like religion. The fans are devoted followers that take brand loyalty to a whole new level. These fans that worship their teams each week showed that they are powerful customers whose voice has an impact. Yesterday, these fans proved that their opinion could force the hand of a large and powerful institution.
With a three-month NFL referee lockout that seemed like it was nowhere close to resolution, the Green Bay Packers and the Seattle Seahawks competed last Monday night. For those of you that might have been out of the news cycle the past few days, Green Bay lost the game due to a controversial call that many experts and analysts agree should have resulted in Green Bay winning the game. Outrage ensued.
The NFL had pulled replacement referees from the high school ranks, and these replacements did not have the knowledge and experience to handle high intensity NFL games. Fans protested about their customer experience. Their anger-filled rants were heard in social media, in the headlines of newspapers, on radio, and on national TV. Suddenly, the NFL was moved to reach an agreement with the referees. That agreement was reached late in the night on Wednesday with many believing that the referees had the upper hand forcing the owners into submission. Some might argue that the referees benefited, not the fans. Since the fans wanted qualified and competent referees, I would say the fans did benefit. The referees are scheduled to return to the field this Sunday, so the fans got what they wanted.
What can you learn from this negative customer experience?
- Customers are in control. NFL owners thought they were controlling this situation with the upper hand over referees. The owners figured out they weren't in control when their fans reacted negatively. Customers can make or break you more now than ever before, which is why it is more important to connect with them, engage them in a personal manner, and create rewarding relationships.
- Protect your brand. Whether knowingly or unknowingly, the NFL put their brand and each team's brand at risk with replacement referees. Think about each business decision you make, and how it may impact your brand at different points in time. A decision that results in a gain today could result in a larger loss down the road.
- Customer experience matters. The NFL likely foresaw declining revenues in ticket sales, merchandising, advertising, and other areas if the lockout continued. While fans primarily spoke with their minds in the days following the Green Bay debacle, their wallets would be the next things to speak. Customer experience directly affects your success and is one of the few areas where you can differentiate your business.
What would you do if your brand got such negative attention? Would you be prepared to navigate such stormy waters? Would you be able to prevent such a fiasco? If you don't have a good answer to these questions, consider joining us October 3-5, 2012 at the Oracle Customer Experience Summit in San Francisco.
You'll have the opportunity to learn even more about customer experience from industry experts such as best-selling author Seth Godin, Paul Hagen and Kerry Bodine from Forrester Research, Inc., George Kembel from the Stanford d.School, Bruce Temkin of The Temkin Group, and Gene Alvarez from Gartner Inc.. There will also be plenty of your peers and customer experience experts available for networking and discussions.


text: If wol top parses show the maximum potential of a class, when judging top holy priests compared to top other classes, holy priests do fall behind. Sure, at a medium level, personal skill can soften the edges, and you wont need top world performance to beat an encounter, unless you're in top guilds that need to defeat encounters without a lot of gear. Top disc priest on sha is pulling 76k hps, while top holy priest is pulling 53k: at that level, both have equal skills/gear, so the difference comes from class/specc. Sure bosses still die without needing a disc priest, but doesn't change the fact that a bigger hammer is making things easier.I really really don't understand people saying how bad Holy is. Sure, we have more struggles with mana than other classes but it also greatly rewards smart play. This is just one log, Heroic Sha: http://www.worldoflogs.com/reports/r...?s=7180&e=8075 I mean.. I don't see what you're saying at all. Please enlighten me.


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Kelly & Katie Gabrielle Pump
Sorry, this item is sold out!
Looks like you've got more shoe shopping to do - have fun!
Looks like you've got more shoe shopping to do - have fun!
Item # 265696
From days at the office to that next special occasion, the Gabrielle is the perfect choice! Kelly & Katie combines classic details and some height all in this one fabulous shoe!
- Faux leather upper
- Stretch fabric at peep toe
- Lightly cushioned insole
- 3" covered heel
- Synthetic sole
- Imported
- View more Women's Kelly & Katie Shoes
By: YoungPro
Location: Arlington, VA
April 21, 2013
Who puts slippery felt on the bottom of shoes??
"I ordered these shoes because they looked like an awesome black shoe for summer with the open toe and breathable fabric. However, the square toe looks a little frumpy, even though it's not a low-heel, and the shoes are so slippery! The bottom is coated in felt, which may provide more traction on carpet than the smooth plastic some shoes use (I hate that too), but it's super slippery on hard-surface flooring. I don't understand why manufacturers leave the bottoms of women's shoes slick and seemingly unfinished. It's an easy fix at the cobbler, but why not include it in the first place?"
By: Emma36
Location: NH
February 26, 2013
Such an attractive work heel
"I bought this hoping for a low-heel that wouldn't make me feel childish at work--I got exactly that! So many of my coworkers strut around in tall shoes, but I can't do that everyday because I have knee problems. This shoe was way better than what I was hoping for: the 'leather' (I think its vegan) is very flexible and thick--super comfortable. The square toe didn't look out of place at all, and this is the perfect, low, professional heel."
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Michael Antonio Delton Sandal
Sorry, this item is sold out!
Looks like you've got more shoe shopping to do - have fun!
Looks like you've got more shoe shopping to do - have fun!
Item # dsw12prod4440023
A simple sandal that will get you through the season in style is the Michael Antonio Delton. This flat sandal will pair with all of your casual wear, spring or summer!
- Faux metallic leather upper
- Ankle strap with adjustable buckle
- Synthetic sole
- Imported
- View more Women's Michael Antonio Shoes
By: Nikiwe
Location: Colorado
October 21, 2013
Would recommend for those with wide feet
"Liked the bronze color and comfort, yet they were wide and the style made me feel as if I were a child trying on my Mother's shoes. The snake skin pattern was not too distracting, and I usually avoid such animal print embellishment."
By: TT24
Location: Austin
October 09, 2013
Dress up or dress down
"Great sandal that you can dress up or dress down. I wore these to work with a sheath dress and great accessories; looked fantastic together. I had a lot of walking to do that day and these did not disappoint. Felt great all day long and didn't rub! There is a slight cushion so it doesn't feel like you're walking barefoot (as some other sandals can do). Love!"
By: MAL9
Location: Danvers, MA
September 19, 2013
"These are a cute color. Shiny and catchy to the eye but not overwhelming. Beautiful gladiator style. Comfortable - but - they are very flat so I found after a couple hours my feet ached but did not hurt. I have been wearing these the end of the summer and will do so into the fall until my toes get too cold!"
By: MayaTheBee
Location: New York
September 08, 2013
"These shoes are super cute and very comfortable as long as you aren't walking for very long distances. They don't rub, they just don't provide a lot of support. They're also sturdier than I was expecting, which I was very pleased about."
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JaredS wrote:Thanks KY for the suggestion- I reviewed the specs on the RRD and it seems to be more geared toward light wind/flat riding. I am looking for a responsive board that can handle chop and hold a rail - then do a quick slash on a bowly section (very small prairie slab lol). Also something that had some pop for a bit of strapless puntin fun. i can hold my own on a shortboard so no worries about that. I have ridden a cab skillet on maui north shore which was amazing in those waves but sadly those days are few and far between for me... My local distribution carries the OR surf series or airush compact but everyone still rides twin tips out here. I dont mind ordering off the net if it means getting the satisfaction i crave. Mahalo
JaredS wrote:Strapless and ideally a board with 5 fin boxes for versatility. The conditions here (canadian prairies) change quite quickly so one day I could be riding flat water and the next day will be 1ft wind chop. This board wont ever see a proper wave but still need to scratch that itch... Would prefer quad over tri if I had to choose. Bump and jump and smack a bit - couldnt have put it better myself..
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