text:
Everything necessary for naturally caring for your pond and lake water. We've helped supply over 80,000 pond owners worldwide with Koenders products and have installed windmill aeration systems in almost every region of the world.
We consult and work with pond owners, corporate businesses, municipal and federal governments, golf courses, fish farms and all others who have interests in saving the planets water through the use of sustainable, environmentally friendly processes and practises. Using our sustainable approach to pond and lake care.
Koenders Windmills Produce the MOST CFM in the Industry - Cubic Feet Per Month. Read article
Learn More about the Koenders Difference
Your pond is not only a conversation piece; it's a statement about how you care. You've invested in a pond because you love and re...
Click the button below to view the installation and maintenance manuals and videos
View Manuals & Videos
3rd party study confirms that Koenders windmills have the best performance ratings in the industry!
Read More About It
The algae initially covered around 40% of the pond. Only 60 days after being on the Koenders 3 Step Program, the algae hasn't come back. Needless to say I am impressed.
Fairley Carey, Yanceyville, North Carolina
When something sounds to easy to be true it probably is!!! That is why when I was told about Nature's Pond Care 3 step program and the fact that it would not be an overnight success but more a process I started to believe!!!
Jeff Eckhardt, Landscaper, Edgar, Nebraska
The water has never been cleaner. What a huge improvement to the past. The water does not smell and we don't have to worry about clogged filters for the pond is clean and clear now. Great products - thanks!
Gary Nervas, Langenburg, SK
Nature's Pond Care Program Works Great!! Over 7 years ago we started using your Nature's Pond Care program. Our Pond has been clean and clear ever since. As for our windmill aeration system. It aerates the pond all year round. Great product and it costs us nothing to run.
Sheldon Andrews, Shediac Cape, NB
Your Products Never Stop Working! We installed a Koenders Windmill Aeration system way back then and have never done a thing to it. It has been an extremely reliable and effective product and we are very happy with the results.
Judy White, Marysville OH
Nature's Pond Conditioner and Koenders Windmill Aeration - a truly effective combination! Every year since, we've used your pond conditioner in combination with the Windmill and it works great!!!
Earl Karns, Kensington, Ohio
Since installing our windmill aeration system we have never had a fish kill. The other benefit of having our windmill aerating our water is that it helps keep the water healthy and clean.
Joe Blandford, Lowell, IN
I just want you to know what a joy this windmill has been to own...for its durability and how it improves the health of my pond. It's been standing here 7-8 years and I've done nothing to it.
Dennis Rex, Auburn, NY
Our Koenders Windmill "Works Like A Champ!!!" Within 90 days we started seeing our pond clearing up. Our pond is now stocked with bass, blue gill, crappie and trout and the windmill aeration has done a fabulous job of keeping these fish healthy and clean.
Matthew Petersen, Yakima, WA
We had some extremely windy days this past winter and our windmill is still standing tall. We are very happy with our purchase and we trust in our Koenders windmill to keep our pond healthy and our fish alive!
Micheal Carroll, Delta, OH
Besides routine maintenance on the diaphragm we haven't had to do anything to it. The windmill keeps a hole in the ice for the fish throughout the winter and we haven't experienced any more fish kills since installing!
Rob McClure, Carrollton, OH
Last year we conducted a study on the farm. On one pond we followed your Nature's Pond care program by installing a Koenders Windmill Aeration system and treating the water with Natures Pond Conditioner. We did not do anything to the other pond. The difference between the ponds was miraculous!!!
Mike Deobald, Stone Barn Farm, Hodgeville, SK
We found that the windmill was very easy to assemble and were quickly pumping oxygen into our pond! One of the best things that we have found about our windmill is that we haven't had to perform any sort of maintenance in the entire 15 years that we have owned it!
John Modra, Griffith, IN
We have 2 ponds about 20 years old, and about 10-12 years ago we decided to purchase a Koenders windmill aeration system for our smaller pond. It has honestly been one of the best things that we have ever bought! If you follow the directions and be sure to anchor it down properly it works absolutely perfectly.
Eric Lewis - Bloomer, WI
My uncle had recommended that I try Nature's Pond Conditioner as it had worked wonders for his pond and I am SO glad he did, the Nature's Pond Conditioner works great! I went from having an algae covered pond to almost no algae.
Mark Riley - Villa Ridge, MO
The fish have always stayed healthy and we have never had a fish kill! Our Koenders windmills have been working amazing and they just keep running like a champ. The only maintenance that we have done is simply changed the diaphragms on them every 7-10 years. I will stand behind your products no matter what. They last forever!!.
Tom Rowe - Britton, MI
That is one reliable windmill! That same windmill is still turning today pumping oxygen into our pond to help keep the fish healthy and the weeds and algae to a minimum. The windmill has never let us down and is quite attractive to look at. We love it!!
Steve King - Hamilton, IN
We are extremely happy with the quality of our windmill and how worry free it has been. We haven't had to do any sort of maintenance or repairs on it in the entire time that we have owned it. It seems to effortlessly pump air through the two airstone diffusers keeping our fish healthy and water clean!
Kay - Oshkosh, WI
We chose to work with Koenders Water Solutions Inc and have been following their Nature's Pond Care program for the last few years with outstanding results. Its been a real pleasure working with Koenders and we look forward to continuing our partnership.
Gene LeClair - Parks, Bldg & Grounds Ops Mtce (Core Parks Infrastructure) - City of Ottawa, Canada
I am very pleased so far with the performance of my Koenders Windmill Aeration System. It works perfectly all of the time. It turns smoothly, it pumps smoothly, it is great to look at, and I have never once had to service it at all!
Matt Hall - Brooklyn, MI
Our pond remains healthy and clean and we have never had a fish kill during all these years. We are very satisfied with the performance of our Koenders Windmill and has certainly lived up to its expectations.
Jack Mueller - Seymour, WI
About 30 days after pouring in Koender's Nature's Pond Conditioner and getting the Koenders double diaphragm aeration windmill set-up and working, the water cleared right up, my pond water is clear now, it was phenomenal!
Bernie Gorski - Harrow, ON
Our favorite part is to watch them catch fish from our pond and then clean them and cook them over an open fire. We are so happy with our Koenders windmill that provides our fish with the oxygen that they need to remain healthy, growing and reproducing.
John Barnes - Hillsboro, KY
We stood the windmill back up, and still to this day it is working the same way it did when it was new! We are very pleased with the simple operation and efficiency that we get from our Koenders windmill aeration system.
Raymond Heinlen - St. Johns, MI
We have had a Koenders windmill up and running for nearly 20 years. It has been the best way to provide oxygen to our pond that is close to 2 acres in size. When we stocked our pond with fish, our Koenders windmill aeration system never failed us.
Kyle Rudolph - Joplin, MT
We really enjoy our Koenders windmill, it looks beautiful in our yard next to our pond and we have gotten many compliments on it. Before assembling it I just spray painted the blades and tail with Tremclad primer and paint and it is holding up really well to the elements.
Angelina Grimson - JCalgary, AB
We installed one of your Koenders Windmill Aeration Systems over 15 years ago. We use it to aerate our 2 acre fish pond and it has done everything it was promised it would do. Since installing this windmill we have never had a fish die off and it has been working amazing year round for all these years.
John Brickner - Auburndale, WI
I have owned a Koenders Windmill for over 10 years and it has been working really well ever since I installed it!!! Not only have we saved money on electricity by using this windmill to aerate instead of electricity but we have never had to do anything to it.
Dale Conner - Park Hills, MO
I am Happy With Product, Real Happy!! We have been aerating our fish pond with a Koenders Windmil for over 20 years. The windmill aeration keeps the fish healthy and pond clear – you can see down 2-3 ft deep into the water.
Fred Green - Troy, OH
We installed two of your Koenders Windmill Aeration Systems over 15 years ago to help pump oxygen into our trout ponds. They have been running just like the way they were the day I installed them.
Mike Short - Cedaredge, CO
Its always tough being the leader in the market because these types of companies try to grab on to the success that you have created!! Thanks again for a really great product!!
Bob Hassen - Swanton, OH
We installed a Koenders Windmill Aeration System about 10 years ago on this pond and our water is in beautiful condition. This whole time we have never once had to do any maintenance to the windmill so it has definitely impressed us and lived up to our expectations!
Steve Raney, Raney Ranch Retrievers - Santa Ysabel, CA
We installed one of your Koenders Windmill aeration systems about 10 years ago to keep our fish alive in a 2.5 acre pond we have on the farm. Never had a fish kill since and this windmill has helped both keep our pond water clean and fish healthy.
Brian Wade - McGregor, IA
During this six years we have lubricated the pivot tube once and nothing else. It has done a fabulous job of getting rid of the algae and weeds. We can now see right down to the bottom of the pond and the water is so clear its like an aquarium we can even see the fish swimming in the water.
John Harbom - Caledon, On
We have been using Koenders Windmills to aerate our surrounding trout lakes for almost 30 years. These windmill aerators have kept our trout healthy and strong during the both the cold winter months and hot summers.
Keith Day, Kyle Fish and Game League - Kyle, SK
The Koenders HD 250 Electric Aeration System works really well to keep our sprayer nozzles from getting clogged up with algae, we are very happy with it. This saves us time and money.
Eric McPeek, Farmer - Coronach, SK
We purchased the Koenders HD250 Electric Aeration System and it works great. As a result of using It we now have the best water quality we have ever had! The odor from the pond has also been significantly reduced.
Hank Klok - Picture Butte, AB
Cranberry Farmer Uses Koenders Windmill Aeration Systems for Almost 20Yrs Maintenance FREE! I am a cranberry producer in Wisconsin and we have been very impressed with the results from our Koenders aeration windmill, it has done everything we had hoped it would.
Lewis Fader, Selz Cranberry Marsh Inc - Warrens, WI
Koenders keep our 6 Million Fish Healthy each Year!! Its cost, reliability and performance has been far superior. You can really tell that your company is the innovators of windmill aeration systems.
Randy Roeseler, Roeseler Fish Farms - Juneau, WI
The windmill has been working very well – we installed it in the summer to help reduce the sludge on our beach area at the cottage. Another one of the cottagers on the lake have done the same thing with successful results so we have decided to do the same thing.
Annette Loebach - Lac Sinclair, QC
Koenders Windmill Aeration is Keeping Our House Water Clean!! We have a single diaphragm windmill with two diffusers controlling the algae in our pond. It has worked wonderfully over the years.
Larry Weber - KS
Our Koenders aeration windmill is working great to keep our water healthy, doing the job it's supposed to do. We have 2 air diffusers connected to our windmill. After installing our Koenders windmills I would say the water quality and clarity has increased a minimum of 50%.
Brogowski, Gene - Clarence, NY
The Koenders windmill was a great purchase, you guys have a great product, low maintenance, in fact I didn't have to even change the diaphragm and check check valves on my windmill aerations system until my 12th year of owning it. It costs practically nothing to maintain.
Barber, C - Oxford, NY
We Love our Windmill and great Customer Service!! Our water is clearer and our fish seem livelier and our ducks seem to like it too. Everyone we have had contact with at Koenders has been extremely courteous, friendly and knowledgeable and it is a true pleasure doing business with y'all.
Jayne Ard - Latta, SC
I love my Koenders Windmill, it works great. It definitely keeps the water cleaner. I have one Koenders aeration windmill that I put in between 2 of my ponds and it does a great job of aerating them both.
Dennis Barlow - Newcomerstown, OH
I have to tell you that we believe your windmill has helped the health of our pond tremendously. We've had it for about 6 years and only recently had to replace the diaphragm. We really enjoy our pond now and go swimming in it almost every day during the Summer.
J Bolger - Vermont
We are just very pleased with our Koenders Windmill Aeration system, very pleased! We didn't realize how much wind we had until we got our Koenders windmill, the slightest breeze the windmill is aerating. The water has cleared up, the fish are happy; we are catching bigger fish.
Our Koenders windmills is working really well, no complaints. In fact, our bottom up aeration system from Koenders are growing these fish to be so big and healthy that just the other day one of our friends were fishing at the pond and the blue gill fish they caught was so big it almost pulled them in the pond.
Virden Ault - Kenton, OH
We have been using a Koenders Windmill to aerate our 1/2 acre pond for over 15 years. We raise 200-300 gold fish per/yr and my sons sell them to customers and make a little school money. Its amazing how little wind this windmill needs in order to get the bubbles going in our pond.
Richard Hurry - Grand Rapids, OH
In 1999, we made the switch to aerating our septic system with a Koenders windmill. We just recently purchased a maintenance repair kit for $ 69.95 to overhaul the pump - not bad for 16 years of operation. I cant imagine the amount of money that I have saved on electricity and replacement of pumps.
Kenneth Yoder - Hartville, OH
Our Koenders Windmill Went Up Like A Dream!! The windmill has been virtually maintenance free for over 7 years now and the paint and everything looks outstanding - still looks brand new!!
Tracy Lectka - Oakley, MI
We installed 2 of your Koenders Windmill Aeration Systems over 10 years ago on 2 of our 3 sewage lagoons up in Thompson MB. Five years ago we installed a 3rd windmill aeration system for our #3 settling pond. These aeration systems have done an amazing job.
Barry Michaluk, Manitoba Conservation Group - Thompson, MB
Our Koenders Windmill Aeration System has done a wonderful job of aerating our 2 acre recreational pond for the last 12-15 years. Until recently, we have never done a thing to this windmill, It has kept the pond water clean and the fish healthy ever since we installed it.
Curt Schurman - Atlington, IA
Since I put my Koenders Windmill Aeration System in 6 years ago the difference in my pond water is night and day. I love my Koenders Windmill.
M Conrad - PA
We have owned our Koenders Windmill Aeration system for over 10 years and until recently have not had to do one thing to it. We just love the the quality of your product and it has done a fabulous job in keeping our pond water healthy and clean.
Robert Saxon - Rehoboth, MA
I have three Koenders windmill aeration systems, each one aerating a different fish pond. My neighbor also has 2 of them installed on his fish ponds. Ever since we installed these units we have never had fish kill offs, we have also never had to do any maintenance on these windmill aeration systems.
Chuck Westholter - Clear Lake, MN
I have seen such an improvement in the pond since doing all the repairs and treating it with Natures Pond Conditioner. This system is about 20+ years old and doesn't look like it has had much maintenance to it but is working very well. Thank you Koenders!!
Lyle Kummer - Sioux Falls, SD
I purchased a Koenders aerator windmill in 2006 for a 1/3 acre pond here close to Houston. It has worked perfectly for all these years. I would definitely recommend a Koenders windmill aerator to anyone who has a pond in order to keep it healthy.
Paul Jozwiak - Rosenberg, Texas
Done Nothing to Our Windmill For 15 Years!!! Our windmill has been aerating our 1/4 acre pond for over 15 years and it has been pretty well care free for this whole time. We swim and fish in our pond and the windmill aeration system has done a marvelous job of keeping the water clean.
Lewis Forrest - Arnprior, Ontario
I purchased a 16' windmill over the July 4th weekend and it's been up and running for about 3 weeks now. I was really impressed how well engineered it was and how everything fit and went together. So far I'm really impressed , happy and satisfied with your product. I'm looking forward to many years of reliable service from it.
Rick Wing
We have owned one of your windmill aeration systems for over 16 years and it has done a marvelous job of keeping our pond water clean and algae free. Really like the look of your windmill and the fact that it does a reliable job of keeping our water clean is a bonus!!
Mrs. Kenny - Mono, Ontario
We installed our Koenders Windmill in 2006 – it is used to aerate our 3/4 acre pond that is about 11 FT deep. Our pond is stocked with Bass, Blue Gill and Perch. The windmill has kept the fish healthy and alive during all seasons of the year, it also helps keep our pond water clean. Your product works great and we have never had a problem with it during all these years!
Bob Kocourek - Brillion, WI
We have been using a Koenders Windmill for over 7 years to aerate one of our settling ponds for compost. It has worked extremely well in eliminating the odors from the water and we have been so impressed with the results that we ordered 3 more Koenders Windmill aeration systems for our other 3 ponds.
Terrence Boyle - Antigonish, N.S.
I have to tell you we just love the fountain and the light kit. People are in awe of the light show at night coming from our pond. The fountain is so eye catching and relaxing to watch and listen to. We are so glad we added it to our windmill system. The windmill is great too and those hinges make raising and lowering the windmill a snap.
Mike Fletcher - Marintown, ON
We had used one of your pond aeration windmills for about 7 years on our dairy farm. We really noticed a difference right away, our milk production increased dramatically. We never had to do any maintenance to the windmill in the 7 years that we owned it. I highly recommend it to anyone.
Anne Friesen, Dairy Farm - Macgregor, Manitoba
We have been quite happy with our windmill aeration system from Koenders. It works well in aerating our 3-4 acre fish pond both in the summer and winter. For as large as our pond is the windmill has managed to keep our fish alive and an area water open during the winter months. Our pond is one of the cleanest in the area.
Brent Dennis - Troy, PA
We installed our windmill over 10 yrs ago and it is still working well. We primarily use the aeration to keep our fish alive, our pond is full of bass. Down here in Texas we are having one of the worst droughts ever and despit the hot temperatures, lower than ever water levels, our fish are thriving. Since installing our Koenders Windmill we have never had a bass die.
Joe Fuller - Gunter, TX
Koenders Windmill Aeration Works Great on Our Sewage Lagoons!! We bought 2 of your aeration windmills about 4 years ago to treat our sewage lagoon. They have worked great to get rid of the fouls smell and algae that we were having trouble with. We are very satisfied with the Koenders aeration windmills.
Huguette Lutz, Chief Administrative Officer - Town of Carlyle, SK
"Your aeration windmills have worked great to keep one of our municipal ponds open during the winter, maintaining it odor free and fish healthy. We purchased it about 3 years ago and haven't had any problems with it, we actually plan on using one your windmills for our sewage lagoon holding cells, to get rid of the algae."
Sandy Hintz, Mayor - Town of Wapella, SK
"We have been a Koenders Windmill customer for 25 Years. Our dugout water is used for our farm home and the windmill aeration keeps the water clean all year round. It is especially helpful during the winter months - we used to have smelly water in the house, but with the aeration we do not get that rotten egg smell in our water anymore."
Peter Starko - High River, Alberta
"Koenders Windmills are Built Tough!! We have owned our 20' windmill since Feb 2008, the mill has never needed maintenance. During Hurricane Ike we had to evacuate and I forgot to lower the windmill before we left. When we came back the neighbourhood was damaged but the windmill was fine and still pumping air despite being hit by 90+ Mph winds."
Mike Morgan - Orange, TX
"Our windmill is about 20 years old, during all this time we have only done maintenance on it twice. We have been using the windmill to aerate our fish pond. The aeration system has prevented any fish kills from ever occurring, even during the severe drought that we had in 2011 we didn't even lose a fish."
Marty Baecker - Rogers, TX
"We installed our windmill over 12 yrs ago and it has run practically maintenance Free. It has been doing a wonderful job in keeping our pond water clean and Fish healthy,Bass, Blue Gill and Catfish. Looking forward to trying your Natures Pond Conditioner - what an excellent alternative to the Pond Chemicals that are out on the market."
Paul Hutchins - La Motte, IA
"We Were able to use our Pond Water FOR Drinking!! People are amazed at how clean our water stays and come to visit our windmill system all the time. I am only now having to replace the maintenance repair kit in the compressor."
Bill Thompson - Wallacetown, Ontario
"We have owned the Koenders windmill aeration systems for a couple of years now and we have seen a significant improvement in the quality of our golf course pond water. The Koenders windmills have kept our water clear, algae free. We are very happy with the product, even more so that we don't have to use any dangerous chemicals to keep our water clean."
Carla Clarkson - Brandon, MB
"We have been using your aeration windmills for 2 years now and they definitely get the job done, in fact we have 6 Koenders windmills at our golf course. They keep the algae away and really that's all we have ever wanted. I would definitely recommend this method of keeping golf course ponds clean."
Matt Iannetta - HoneyBrook, PA
"Before installing your windmill we had fish kills and the pond was completely covered in Algae. Now with the Koenders windmill we haven't had any fish kills and the pond is now clear. Golfers are always interested to see how well the windmill is working, especially when you get 10 mph and higher winds, it really starts bubbling."
Darren Binggeli - Whiteman Air, MO
"Our windmill aeration system by Koenders was installed 20 years ago on our 1/2 Acre fish pond in Ontario. It has kept our pond open during the winter months and our fish healthy all year round. It has been a very effective and reliable way for us to do it for all these years."
Joan Chikinsky - Metcalfe, Ontario
"We have been using the Koenders windmill aeration systems to treat our 1 acre sewage lagoons for about 2 and half years now, we have been amazed by the results. We couldn't be happier with your product."
Sean DeHavilland - Mission Hills Community Services District
"We run a Camping Resort called Cozy Corners and installed a Koenders Windmill 15 years ago to keep our fish healthy and our pond clean. Your windmill aeration system works awesome!!! It keeps the moss off the pond and our fish alive. It has worked problem free for all these years."
Randy Bramlett - Clinton, MO
"19 Yrs with our windmill aeration system by Koenders and never had to perform maintenance except for one little screw adjustment. Amazing that for all these years I have never had to perform any maintenance - this unit has been pumping for all this time. Our fish also enjoy the added oxygen that the windmill gives them."
Wayne Sigsworth - Smithfalls, Ontario
"I built my own tower and mounted a Koenders double diaphragm windmill head with no trouble at all 3 years ago. I am able to aerate my minnow pond with three air stones and the past 3 years I've not experienced one fish kill. I run it year round and it works great."
Robert Marek - Cadott, WI
"We installed our Koenders Windmill over 14 years ago at the suggestion of the guy at the local Fish Farm. We have never had a fish kill. The pond also looks a lot nicer since we installed the windmill aeration. This product has been maintenance FREE for all this time eventhough they told us that we would need to do maintenance."
Terry Snyder - Bryant, Indiana
"We installed our windmill aeration systems on our Waste Water Treatment ponds in 2009. The windmills are being used to help clean the waste water so that we can re-use it in our manufacturing process. The product is performing as per expectations and we are happy that we made this choice for lagoon aeration."
Karl Smith - Innophos Corporation
"We have been using a Koenders Windmill aeration system to aerate our Farm Fish Pond for over 10 Years and it works great. We put 500 Trout into this pond each year and the windmill aeration keeps the water clean and algae FREE. It also keeps the fish healthy all year round. Thanks for helping make sure our fish are kept so healthy."
Irwin Gatzke - Warman, SK
"Koenders has helped us keep our pond water clean and welcome life like frogs and minnows abundant through our use of your Natures Pond Conditioner and the aeration windmill."
Bob Morrison - Bethany, Ontario
"We put it up in 2002 after we experienced a significant fish die off in the spring. Since putting it up, our fish are very happy. I am looking forward to your Pond Conditioner to see how it works."
Kathy Hutton - Hartland, MI
"Unbelievable!!!!! I was looking through my invoices from when I purchased our Koenders Windmills and it is exactly 12 years to the month and we have not done anything to them. We installed 2 of your Koenders Windmill aeration system to aerate our 18 Ft deep fish pond. The windmills keep the fish healthy and the algae and weeds down. Thanks for a such a great product."
Raymond Rady - Homestead County, OH
"Our Koenders Windmill aeration systems is one of the few things in life that you do not have to do a thing to once it is up and running. We installed this system over 7 years ago and it has done everything it promised and more. We have a 1/2 acre trout pond on our acreage and this windmill has kept the pond clean and fish healthy during all seasons."
Ron Hepperle - Millet, AB
"We have been using your windmill aeration system for 10 years and it has been maintenance Free. The Koenders Windmill Aeration system has kept our fish healthy and happy, we have perch that are over 13 inches long. This aeration method has been an excellent source of oxygen for the water and using this windmill allows us to do it with no energy costs. "
David Mitchell - Abrams, WI
"We bought a Koenders Windmill aertion system over 13 years ago and its kept our pond water nice and clean. We have never done a thing to our windmill, not even any of the maintenance that Koenders recommends, this must be a new record for product neglect and one that keeps working despite its lack of care. "
Tim Rokosz - Freeland, MI
"We have owned our windmill aeration system for almost 20 years and amazingly have not done a thing to it for all these years. It has kept our cattle drinking pond algae and weed free. We pump water up from this pond to a holding tank for our cattle to drink from. "
Dean Dowling - Swanton, OH
"We have a spring fed recreational pond about 1 acre in size that is full with fish. About 12 years ago we purchased our Koenders Windmill aeration system to ensure our pond does not stagnate. The windmill is doing a marvelous job of keeping our fish alive and the pond water clear. During the winter months it keeps a hole open in the ice to ensure the pond can vent off the gases caused by the decomposing of leafs and other matter, another key to keeping our fish healthy all year round."
Vincent Luczak - Fife Lake, MI
"We have been using a Koenders Windmill aeration system for over 7 years to aerate my 1/4 acre recreation pond in my back yard. It has been maintenance Free and the fish, frogs, and birds love it. I have 2 diffusers running off the one windmill and they are in about 16 FT of water. Thanks for a wonderful and reliable product. "
Gerhard Epp - Wheatly, Ontario
"I have owned my Koenders Windmill for 17 years and it has been working wonderfully ever since. A few years ago we had a terrible drought down here in Texas, our pond water level dropped from 9 Ft to 3 Ft. All the other pond owners in the area lost their fish, but we didn't lose any. I credit this to our Koenders Windmill Aeration System."
Dennis Scott - Livingston, TX
"My mother bought our windmill way back and it has been in service for over 20 years. It keeps my pond really clean and the fish healthy. We have never done anything to this windmill. It just keeps on working, in all seasons and in all winds. Quite amazing."
William Baker - Dillsboro, Indiana
"I am happy to say that since we installed the windmill we have had no issues with our pond. Our fish are healthy and we have clean pond water. We have not serviced the windmill for all these years, it just keeps on working. Great product!"
Mike Hinson - Troy, ID
"We have been very happy with our windmill. For over 10 years we have been using your windmill to pump water to irrigate our gardens and to aerate our ponds. Koenders you have built an excellent product that works very well. "
Keith Barrett - Plainfield, Ontario
"I would recommend the Koenders aeration system to anybody that is looking for something that is maintenance-free and does a good job. Absolutely."
Mark Pehlemann - Cash Crop Farm, Port Perry, Ontario
"The Koenders windmill aeration system is a fairly simple and beneficial way to achieve aeration for your pond and it gives you a good amount of oxygen into the water which helps prevent algae growth."
Karen Jeffrey - Fish Farm, Erin, Ontario
"Before installing our windmill aeration system we had experienced fish kills during the winter months. Our Koenders Windmill Aeration system has kept our pond open and fish healthy during the winter months and we have never had a fish kill since."
John Veriha - Marinette, WI
"I have had one of your Koenders Free Air windmills installed on our 2 acre fish Pond for over 8 years. Since we have installed this windmill aeration system I am pleased to say that we have never had one fish die."
Scott Ites - Iowa Falls, Iowa
"We have owned our windmill aeration system for 14 years and are amazed by the incredible job it is doing in keeping our pond healthy and clean. Our Koenders Windmill has removed and kept out 99% of the weeds and algae in our pond."
Robert Bergenstock - Lycoming, NY
"The combination of windmill aeration and your pond conditioner has cleaned up my pond and provided me with a pond maintenance program that is environmentally friendly, economical and extremely effective."
Jason Wilcox - Bartlett, NE
"You were right on about your product advice. I have been having problems with my pond for years. It has looked like the before picture every summer until this year. Thanks to you guys the combination of aeration along with your environmentally friendly bacteria and other ingredients has cleaned up my pond in record time. No more chemicals for me"
Jeff Stevenson - Katy, TX
"I started using Natures Pond Conditioner 2 years ago for my pond and it has worked better than any other treatment. Our pond gets a lot of sunshine and Natures Pond Conditioner not only shades it from the sun but it also provides it with the extra supplements it needs to keep it clean."
Lenore Smith - Bowmanville Ontario
"I could not be happier with the results, in 2 months you can see a marked improvement in the water quality. We have already had 2 ducks & a family of water fowl take up residence ... A happy customer"
Alan S. - Australia
"We have been using your windmills to aerate our 11 Acre Fish and Irrigation Pond for over 7 years. We have several of your Koenders Windmill aeration systems on the pond and it has served to keep the water algae and weed free. This assists us in irrigating our corn, hay and alfalfa fields by ensuring the irrigation pumps do not get clogged up."
Colby Edwards - University of Missouri
"We have been using your windmill aeration system on our 3 acre Fish Pond for over 16 years. It may be hard to believe but we have never had an issue with the windmill. Never taken it down for any maintenance, never even done any maintenance on it."
Charles Casey - Lacon, IL
"When we bought our windmill over 11 years ago there were none of these units around. Now, anyone in the area who has a pond also has a windmill, 50-100 of them in the region. A few of the neighbors have installed other brands but they clearly do not work as well as the Koenders Windmill which is what almost all of the pond owners have."
Kevin Armstrong - Ashton, Ontario
"We purchased a Koenders Electric Aerator - the EL2 unit over 10 years ago and it has been running 24/7 ever since. The only maintenance we have ever had to do is replace the diaphragm in it once. It keeps our pond/dugout water sparkling clear and is the water that we use for our cattle to drink from."
Alan Lewis - Taylor B.C.
"By placing 5 separate windmill systems on various ponds, the City has cost effectively solved the problem. The windmills have now been working for 1.5 years and the hydrogen sulfide smell has not been an issue once. Also, water quality is slowly improving. Overall, Koenders Windmills have been a great, cost effective solution for the City of Prineville."
City of Prineville, Oregon
"We have been using your windmill to aerate our fish pond for over 10 years. The year before purchasing the Koenders Windmill we had a large fish kill, never happened since we installed our windmill aeration system. It works very well in keeping the pond water open in the winter and the water clean in the summer."
Dirk Emde - Hanover, Ontario
"We bought our Koenders Windmill in 1990 and replaced the first diaphragm around 10 years later. Here it is 2013 and I am just replacing it again. Other than greasing the tower top every year it has needed nothing else. We have bass, bluegill and perch in our pond and the windmill keeps the water in real good shape and our fish healthy."
F Green - Troy Ohio
"Over 12 years ago we installed a Koenders Windmill to pump air into our 3/4 acre Brim and Bass Pond. Since installing the windmill we have had no issues with either it or the pond. Louisiana is not known for high winds, however, this windmill has worked so well in low winds that it has been an ideal solution to keep our fish healthy and our pond clean."
Kevin Bernard - Rayne, LA
"We are proud owners of 3 X Koenders Windmills. Two of which we have owned for 7 years - these units are aerating two of our bigger fish ponds. The 3rd Koenders Windmill is aerating our gold fish pond and has been doing so for over 14 years. These windmills have been working with no issue for all these years and they are so much fun to watch!!!"
Nancy Renfrew - Plummer, ID
"Just wanted you to know that your product is one of the few that I have ever bought that works the way it says it will. Nowadays, you never know what your going to get but I am so happy with your Koenders Windmill aeration system that I just bought another one for my other pond."
Chris Vice - Georgetown, ILL
"We have been a proud owner of an original Koenders Windmill for over 20 Yrs. It has aerated our Farm pond water that is used for both livestock and home use. By aerating the water we have avoided the smell that can come from these prairie ponds in the hot summer and cold winter months."
Dwayne Johnson - Tribune, SK
"We have had our fish pond for just over 5 years. The first few years we tried all sorts of different pond treatments that you find at the various retail stores. Then we came across Natures Pond Conditioner via a web search. We figured that we had nothing to lose at this point and for the last 3 years we have been using Natures Pond Conditioner. We Love IT!!"
Lenore Smith - Bowmanville, Ontario
"It may sound incredible but its true, we've had our windmill for 14 years and 10 years ago we had a straight line wind come through our property . It blew down my pull barn and ripped half the roof off my house. My windmill was still standing, didn't hurt it a bit. Should have known then that it would run for 14 years with no maintenance at all."
Audley Craig - Britton, MI
"We have been using Koenders Windmills for almost a decade to aerate two of our 1.5 acre farm ponds. They have worked real well, so well that my neighbor, Wally Walldrop, installed one for his farm pond a few years ago. We are so happy with the product that we just purchased two more 12 FT Koenders Windmill Aeration systems for our other 2 ponds."
Linden Rollyson - Dahinda, ILL
"We have used your windmill to aerate our fish pond for the last 15 years. This windmill is so sturdy and durable that is has even survived 3 hurricanes in the last several years with no damage. If anyone is every worried about the strength and sturdiness of these windmills and towers in severe storms tell them not to. They are an amazing product!!!"
Kevin and Darlene Norman - Youngsville, LA
"Our pond was brand new when we built it 14 years ago and one of the first things we did was to install a Koenders Windmill Aeration system. Our pond is 1 acre in size and we stock it with Rainbow Trout. It has kept the water clean and the fish healthy. The combination of Fish and Air is what has kept this water so clean, with no algae or sludge for so many years."
Neil Baird - Sing Hampton, Ontario
View All Testimonials
© Koenders Water Solutions 2017. All Rights Reserved.
Site Design by Relentless Technology
Vancouver Search Engine Optimization


text:
Septicemia in neonates at birth-5 days of age
OVERVIEW: What every practitioner needs to know
Are you sure your patient has neonatal septicemia? What are the typical findings for this disease?
What other disease/condition shares some of these symptoms?
What caused this disease to develop at this time?
What laboratory studies should you request to help confirm the diagnosis? How should you interpret the results?
Would imaging studies be helpful? If so, which ones?
Confirming the diagnosis
If you are able to confirm that the patient has sepsis, what treatment should be initiated?
What are the adverse effects associated with each treatment option?
What are the possible outcomes of Early Onset Sepsis?
- What causes this disease and how frequent is it?
How do these pathogens/genes/exposures cause the disease?
Other clinical manifestations that might help with diagnosis and management
Are additional laboratory studies available; even some that are not widely available?
How can Early Onset Sepsis be prevented?
What is the evidence?
Ongoing controversies regarding etiology, diagnosis, treatment
OVERVIEW: What every practitioner needs to know
Early onset sepsis (EOS) is defined as infection that occurs within the first 7 days of life. The overall incidence in the United States is approximately 1 case/1000 live births. Although the incidence is low, it is an important cause of neonatal morbidity and mortality. Morbidity and mortality attributable to EOS ranges from 15% to 33%, with highest risk among preterm infants. The incidence and relative risk of infection varies inversely with gestational age.
Group B Streptococcus agalactiae (GBS) remains the most common early onset pathogen among term infants. Escherichia coli is the most common early onset pathogen among preterm infants. The most common sites of early onset infections are bloodstream infections, meningitis, and pneumonia.
Bacteremia is defined as at least one positive blood culture with a known pathogen. Bacteremia resulting in clinical septicemia is the most common early onset infection in the newborn.
Meningitis should be considered and a lumbar puncture should be considered as a part of the initial evaluation for sepsis in the first week of life. The incidence of meningitis is difficult to estimate because practice with regard to routine lumbar puncture varies across the country. Infants may also be too unstable tolerate a lumbar puncture prior to starting antibiotics. The reported incidence of meningitis may be underestimated because of dyssynchrony between positive CSF and negative blood cultures.
Urinary tract infections are uncommon in the immediate neonatal period in the absence of structural GU anomalies. Therefore, urine cultures are not considered a part of the evaluations for EOS.
Clinical Sepsis is defined as having clinical signs and symptoms consistent with infection and/or sepsis syndrome in the absence of positive blood, urine or CSF cultures.
Are you sure your patient has neonatal septicemia? What are the typical findings for this disease?
Signs and symptoms of early onset sepsis may be subtle and mimic other diseases. Presentation varies somewhat based on gestational age of the neonate. Up to 20% of infants are asymptomatic. Among neonates with symptoms, the most common symptoms are:
1. Respiratory distress
2. Apnea
3. Lethargy
4. Poor feeding
5. Temperature instability
6. Hypoglycemia / hyperglycemia
7. Hypotension
8. Jaundice
What other disease/condition shares some of these symptoms?
Clinical signs and symptoms of septicemia are non-specific and overlap with findings in other diseases. For example, metabolic derangements seen in the critically ill newborn with sepsis can be seen in other diseases. A careful evaluation and review of differential diagnosis is important to avoid delay of appropriate therapy. Disorders with signs and symptoms that mimic neonatal sepsis include the following. (In some cases, sepsis represents a complication of the underlying condition.)
Respiratory distress syndrome
Congenital heart disease (especially ductal dependent lesions)
Congenital pneumonia
Metabolic acidosis
Severe anemia
Hemolytic anemia
Inborn error of metabolism
Congenital adrenal hyperplasia
What caused this disease to develop at this time?
Most early onset septicemia occurs after direct seeding of the blood from an ascending amniotic fluid infection and/or from aspiration of infected amniotic fluid.
Maternal risk factors for infection:
Maternal fever
Preterm labor
Premature rupture of membranes
Prolonged rupture of membranes
History of group B streptococcus (GBS) colonization
Clinical concern of maternal chorioamnionitis
Infant risk factors for infection:
Immature immune responses
Limited innate immunity
What laboratory studies should you request to help confirm the diagnosis? How should you interpret the results?
Blood culture (the "Gold Standard") - The predictive value of a blood culture is affected by the number of colony-forming units (CFU) per ml of blood and therefore by the volume of blood. Sensitivity increases when the volume collected is at least 1 ml. The predictive value is decreased by previous antibiotic treatment of mother or infant. Cultures are typically positive within 48-72 hours.
Complete Blood Count - Normal values for white blood cell count cover a wide range and vary with postnatal age and gestational age. (See
Figure 1.
Reference ranges for blood neutrophil concentrations during the first 72 hours after the birth of term and near-term (36 weeks gestation) neonates. A total of 12,149 values were obtained for the analysis. The 5th percentile, the mean, and the 95th percentile values are shown. Reprinted with permission Christensen 2009.
Figure 2.
Reference ranges for blood neutrophil concentrations during the first 72 hours after the birth of 28- to 36-week gestation preterm neonates. A total of 8896 values were obtained for the analysis. The 5th percentile, the mean, and the 95th percentile values are shown. Reprinted with permission Christensen 2009.
Cerebrospinal Fluid Culture -CSF cultures should be considered in all neonates being evaluated for sepsis. This procedure is underutilized in low birth weight infants because many are clinically unstable. In newborns, characteristic findings of elevated neutrophil counts and protein concentrations and decreased glucose concentrations are obscured by normal elevations of the first two and by the frequency of hypoglycemia. Blood contamination from superficial blood vessels is common, which may complicate interpretation of the WBC cell count. Nevertheless, extreme elevations in neutrophils (in the absence of grossly bloody taps) or decrease in CSF glucose concentrations (in the presence of normal blood glucose concentrations) are helpful. A gram stain and aerobic and anaerobic CSF cultures are especially important. Positive CSF cultures may occur in the presence of negative blood cultures.
Urine Culture - Urinary tract infection is unlikely within the first week of life. Therefore, urine cultures are not considered a cost-effective part of the EOS evaluation.
Respiratory Culture - These are of limited utility and low predictive value. It is difficult to differentiate infection from colonization. A respiratory culture may be useful in a patient with suspected viral infection.
Coagulation studies -Consumptive coagulopathy is common in overwhelming sepsis syndromes, especially with Gram-negative infections.
Blood gas and Pulse oximetry -Infants with suspected sepsis should be evaluated for impaired gas exchange. Metabolic acidosis is common.
Electrolytes, BUN and Creatinine- Hyponatremia and hyperkalemia may be seen. Metabolic acidosis is common. Infants with suspected sepsis should be evaluated for renal insufficiency.
Would imaging studies be helpful? If so, which ones?
Chest X-ray - Chest x-ray: high yield, low cost, and minimal radiation exposure. Pneumonia is common with early onset sepsis.
Cranial ultrasound - Portable and low cost. CNS imaging is suggested in any critically ill neonate or those with suspected meningitis.
MRI - This is high cost and low yield. It should be used selectively. Abnormalities may help guide counseling to family after discharge.
Confirming the diagnosis
Group B Streptococcus (GBS) remains the most common pathogen causing early onset sepsis in term neonates. In 2010 the CDC, in conjunction with ACOG, the AAP, and the American Society of Family Physicians, revised guidelines to prevent invasive GBS disease in pregnant women and their newborns, including a revised algorithm for the evaluation of infants at risk for GBS disease. The strength of the evidence is high and includes surveillance and clinical data since the previous guidelines were published in 2002. (See
Figure 3.
Algorithm for secondary prevention of early-onset group B streptococcal (GBS) disease among newborns.
If you are able to confirm that the patient has sepsis, what treatment should be initiated?
Antibiotic therapy
Antibiotic therapy should be initiated immediately. Do not delay therapy while awaiting results of laboratory data. Patients with early onset sepsis frequently have multi-system organ dysfunction and require supportive therapy in addition to antimicrobial therapy. The choice of empiric antimicrobial therapy should be based on the most likely pathogen, gestational age, and known potential colonization patterns. The most appropriate agent can only be chosen after pathogen and antimicrobial resistance patterns are identified. Dosing should be based on published pharmacological references based on gestational age. Antibiotic concentrations should be monitored to ensure proper dosing. Dosing adjustments may be necessary for patients with renal insufficiency. Duration of therapy varies based on the extent of systemic disease.
Respiratory support
Apnea is a common complication with sepsis. Respiratory support may be necessary to support blood gas exchange (supplemental oxygen, NCPAP, mechanical ventilation). Patients should be evaluated for hypoxemia and for signs of pulmonary hypertension.
Fluid administration
Feeding intolerance is common. Also, infants with tachypnea and respiratory distress cannot maintain a coordinated suck and swallow. Renal insufficiency may require adjustments in fluid and electrolyte administration.
Hematologic support
Infants should be evaluated for thrombocytopenia and for disseminated intravascular coagulopathy (DIC).
Cardiovascular support
Hypotension is common. Inadequate tissue perfusion may result in metabolic acidosis. Inotropic and chronotropic agents may be useful to help stabilize cardiac output and blood pressure.
What about long-term treatment?
Typically, treatment is confined to the hospitalization. Long-term treatment would be necessary for infants who develop complications secondary to the infection.
What are the adverse effects associated with each treatment option?
The benefits of treatment outweigh the risk of not treating neonates with sepsis. Potential adverse effects are outlined below:
Antibiotic therapy
Toxicity secondary to inappropriate dosing
Prolonged broad spectrum antibiotic usage is associated with increased risk of colonization with Candida or resistant organisms.
Ototoxicity with appropriate drug concentrations is rare, but possible.
Fluid administration
Electrolyte disturbances
Fluid overload
Inadequate nutrition
Respiratory support
Chronic lung disease
Prolonged oxygen requirement
Hematologic support
Transfusion reaction
Risk associated with exposure to blood transfusion
Cardiovascular support
Effect on cardiac output
What are the possible outcomes of Early Onset Sepsis?
What will you tell the family about prognosis?
The majority of infants with early onset sepsis survive. The risk for death varies inversely with gestational age, with preterm infants having a higher risk of death compared to term infants. Fulminant presentation and Gram-negative sepsis carry a higher risk of mortality. Most infection-related deaths occur within 48-72 hours.
What will you tell the family about risks/benefits of the available treatment options?
The benefits of therapy are greater than the associated risks. There are minimal long-term risks associated with antibiotic therapy.
What causes this disease and how frequent is it?
The incidence varies based on gestational age and birth weight, with increased incidence among low birth weight infants. The overall incidence is 1 case per 1000 live births. The incidence among infants <1500 grams ranges between 15 to 19 cases per 1000 live births.
Mode of transmission (See
Figure 4.
Reprinted with permission from Goldenberg RL, Hauth JC, Andrews WW. Intrauterine infection and preterm delivery. N Engl J Med 2000;342(20):1500-7
Bacteria may reach the infant across the placenta (transplacental), from an ascending amniotic fluid infection, by transmission during birth (intrapartum), or from aspiration of infected amniotic fluid.
Distribution of pathogens (See
Table I.
This varies based on gestational age. The distribution of pathogens has changed for preterm infants over time.
Gram-positive organisms:
Streptococcus agalactiae (Group B Streptococcus; GBS) is most common among term infants.
Listeria monocytogenes
Streptococcus pneumoniae
Coagulase-negative Staphylococcus
Gram-negative organisms
E. coli is the most common pathogen among preterm infants.
Haemophilus influenzae (usually non-typable)
Candida species are rare but carry a high mortality rate
Predisposing factors
Maternal history of GBS colonization
Maternal risk factors for infection (preterm labor, premature and/or prolonged rupture of membranes, maternal fever)
Maternal chorioamnionitis
Early Onset Invasive Group B Streptococcus Disease
GBS is the most common cause of early onset sepsis among term infants. The disease typically occurs within the first 7 days of life. The incidence has declined dramatically over the past decade after recommendations for universal screening of all pregnant women by the CDC, AAP and ACOG. (See
Figure 5.
Trends in invasive GBS disease in newborns before and after consensus guidelines and revised guidelines from the American Board of Pediatrics and American College of Obstetrics and Gynecology. Modified and reprinted with permission from Jordan HT, Farley MM, Craig A, et al. Revisiting the need for vaccine prevention of late-onset neonatal group B streptococcal disease. Pediatr Infect Dis J 2008;27:1057-64.
Clinical manifestations of early onset GBS infection:
Meningitis (more common in late onset GBS disease)
Maternal risk factors
Approximately 10% to 30% of women are colonized with GBS in the vagina and/or rectum, with highest colonization rates among African American women.
Colonization can be transient or consistent during the pregnancy.
In the absence of intrapartum treatment, 1%-2% of infants born to colonized mothers develop invasive disease.
The risk of intrapartum transmission decreases if the mother receives treatment
Ten known serotypes of GBS disease; however, serotypes Ia, Ib, III, V cause majority of EOS disease in newborns
Majority of early onset invasive disease is caused by Serotype III
Meningitis most likely to be caused by Serotype III
How do these pathogens/genes/exposures cause the disease?
Vertical Transmission
Colonization during delivery
Other clinical manifestations that might help with diagnosis and management
Are additional laboratory studies available; even some that are not widely available?
Various cytokines are known to be elevated in patients with sepsis; however, laboratory tests for these are not readily available. Used in combination with other clinical and laboratory variables, they improve the positive predictive value.
How can Early Onset Sepsis be prevented?
Strategies to prevent early onset sepsis in neonates focuses on reduction of maternal risk factors known to be associated with this disease process.
Guidelines to Prevent Invasive Group B Strep Disease
Universal screening of all pregnant women between 35-37 weeks gestation
Compliance with published guidelines from CDC for management of pregnant women with GBS colonization. Appropriate intrapartum treatment prior to delivery is associated with decreased perinatal transmission rates ( See
Table IIGuidelines for Intrapartum Antibiotic Prophylaxis)
Compliance with guidelines for the evaluation and management of neonates at risk for invasive GBS disease (See
Figure 3Algorithm for secondary prevention of GBS).
Table II.
Other important measures include active labor management, including timely administration of antibiotics to mothers with signs and symptoms of infection, prenatal care so that risk factors can be diagnosed and communicated prior to delivery, and quality improvement measures to monitor and track missed opportunities for intrapartum GBS prophylaxis due to inadequate communication or system failure.
Researchers continue to development and effective vaccine to decrease the overall burden of early onset GBS disease because it is known that vaccination decreases maternal colonization rates and increases transplacental anti-GBS antibody transfer to the fetus. There are ten known serotypes of GBS. Serotypes Ia, Ib, III and V cause 95% of the invasive GBS disease in neonates. The distribution of serotypes identified as colonizing strains differ from those known to cause invasive disease.
What is the evidence?
Stoll, BJ, Hansen, NI, Sánchez, PJ. "Early onset neonatal sepsis: the burden of group B Streptococcal and E. coli disease continues". Pediatrics. vol. 127. 2011. pp. 817-26.
Schelonka, RL, Chai, MK, Yoder, BA. "Volume of blood required to detect common neonatal pathogens". J Pediatr. vol. 129. 1996. pp. 275-8.
DiGeronimo, RJ. "Lack of efficacy of the urine culture as part of the initial workup of suspected neonatal sepsis". Pediatr Infect Dis J. vol. 11. 1992. pp. 764-6.
Visser, VE, Hall, RT. "Urine culture in the evaluation of suspected neonatal sepsis". J Pediatr. vol. 94. 1979. pp. 635-8.
Garcia-Prats, JA, Cooper, TR, Schneider, VF. "Rapid detection of microorganisms in blood cultures of newborn infants utilizing an automated blood culture system". Pediatrics. vol. 105. 2000. pp. 523-7.
Kumar, Y, Qunibi, M, Neal, TJ, Yoxall, CW. "Time to positivity of neonatal blood cultures". Arch Dis Child Fetal Neonatal Ed. vol. 85. 2001. pp. F182-6.
Christensen, RD, Henry, E, Jopling, J, Wiedmeier, SE. "The CBC: reference ranges for neonates". Semin Perinatol. vol. 33. 2009. pp. 3-11.
Mouzinho, A, Rosenfeld, CR, Sánchez, PJ, Risser, R. "Revised reference ranges for circulating neutrophils in very-low-birth-weight neonates". Pediatrics. vol. 94. 1994. pp. 76-82.
Stoll, BJ, Hansen, N, Fanaroff, AA. "Changes in pathogens causing early-onset sepsis in very-low-birth-weight infants". N Engl J Med. vol. 347. 2002. pp. 240-7.
Larry, KP. "Group B streptococcal infections". American Academy of Pediatrics. 2012. pp. 680-5.
Verani, JR, McGee, L, Schrag, SJ. "Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Center for Disease Control and Prevention (CDC)". MMWR Recomm Rep. vol. 59. 2010. pp. 1-36.
Ongoing controversies regarding etiology, diagnosis, treatment
Cytokines: Researchers continue to investigate various cytokines and their relationship to infection in the neonate. It appears that a combination of various inflammatory markers increase the positive predictive value when trying to diagnose infection. Measurement of most cytokines is not readily available in the clinical setting at present.
Immune modulators for treatment: Limited data are available at this time in the neonatal population.
IVIG or other monoclonal antibody preparations: Commercially available IVIG preparations have not improved outcomes in neonates with sepsis. The risks associated with transfusion outweigh the benefit in this population. Researchers are investigating the efficacy of type-specific antibody preparations, which have higher antibody titers to specific pathogens known to be associated with neonatal sepsis.
Development of rapid intrapartum testing for GBS using Nucleic Acid Amplification Test (NAAT): This technology would have the advantage of diagnosing colonization at the time of delivery; however, the technique is cumbersome and testing is not readily available at this time in most hospitals.
Vaccine development for GBS: A recent randomized controlled trial of a conjugate vaccine to serotype III showed delayed acquisition of the vaccine serotype in women not known to be colonized.
Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
Renal and Urology News Articles
- Obesity Linked With Improved Survival in mCRPC
- Radium-223 Use in mCRPC Differs By Race
- Brachytherapy for Favorable-Risk Prostate Cancer Continues to Decline
- Kidney Damage in Younger Adults Tied to NSAID Use
- Abiraterone, Prednisone With Androgen Deprivation Therapy Show Durable Efficacy in Metastatic Castration-Naive Prostate Cancer
Sign Up for Free e-newsletters
- Acute Kidney Injury (AKI)
- Anemia
- Chronic Kidney Disease (CKD)
- Contrast Nephropathy
- Cardiovascular Disease (CVD)
- Diabetes
- Diabetic Nephropathy
- End-stage Renal Disease (ESRD)
- Hemodialysis
- Hyperkalemia
- Hyperphosphatemia
- Hypertension
- Hyperuricemia
- Lupus Nephritis
- Peritoneal Dialysis
- Secondary Hyperparathyroidism (SHPT)
- Transplantation

subset: commoncrawl


text:
You have no items in your shopping cart.
KitchenAid Mixer Artisan 5 Quart Capacity Glass Bowl Mixer - Azure Blue
The KitchenAid Artisan Mixer w/ Glass Bowl will add spice to any kitchen.
Exceptional Performance
5-Quart Glass Bowl - This Kitchenaid Artisan Mixer features an elegant glass bowl which has a convenient pouring spout and easy-to-read, graduated measurement
High-Performance Motor
This powerful KitchenAid Mixer's 325-watt motor easily mixes everyday recipes, including multiple batches of batter and dough at 10 speeds that range from slow stirring to fast whipping.
Unique Planetary Mixing Action
With the new Artisan KitchenAid Mixer, the beater spirals within the bowl for efficient, thorough mixing, providing beater-to-bowl coverage unrivaled by the competition.
Multipurpose Attachment Hub
The KitchenAid Artisan Mixer's hub powers a variety of optional attachments, ranging from food grinders to pasta makers, providing unmatched culinary versatility and convenience.
Enduring Design
All-Metal Construction, this rugged, durable, all-metal constructed KitchenAid Mixer provides years of reliable service.
KitchenAid Mixer Artisan Series Glass Bowl Stand Mixer Features:
Exceptional Performance:
Designed for high-performance household mixing
325 watts
10 mixing speeds
Enduring Design:
Azure Color
Premium metallic finish
Clear glass bowl with graduated measurement markings*
Stand mixer head tilts for convenient access to beater and bowl
5-Quart Glass Bowl Flat Beater 6-Wire Whip C-Dough Hook
Click Here To Order KitchenAid Mixer Attachments & Accessories
*The KSM155GBAZ bowl appears to have a dark tint in the factory photos. This is inaccurate. All KSM155GBs come with clear bowls.
|KitchenAid 5Qt Designer Mixer- Azure Blue
|GTIIN / UPC Code
|Tilt-Head Stand Mixers
|5 Quart
|Manufacturer's Warranty
|1 Year Limited Manufacturer Warranty
WARNING: This product may expose you to chemicals known to the State of California to cause cancer and reproductive harm. For more information, go to www.P65Warnings.ca.gov.
|Wattage Range
|250 - 499
|Weight (in Lbs)


text:
Category:User Guide
This Crypto++ User Guide was originally written by Denis Bider, who has given permission for it to be incorporated into this Wiki, to be modified and updated as needed by the Crypto++ user community. The original guide is also available in ZIP format for download: Original User Guide, but please note that it was written for Crypto++ version 4.x, and does not include updates made on this Wiki.
This guide was written in order to demonstrate the capabilities of the Crypto++ library and to show how its features can be integrated into practical applications. To make the most of this guide, you should be:
- fairly proficient in C++, and
- acquainted with basic cryptographic techniques.
This guide does not attempt to teach what cryptography is, or how to use it properly. Learning cryptography takes time, and there are books and resources available that teach this subject very well.
I therefore assume that you are well acquainted with cryptography, and will try to show how you can use the Crypto++ library to achieve your objectives. Since Crypto++ is a moving target, this guide is arranged primarily as a user's guide; it would be impossible to provide a normative reference without a serious devotion of sustained effort. I therefore recommend that you learn to use Crypto++ source files as your primary reference, and only use this guide to help you in your initial orientation.
Pages in category "User Guide"
The following 7 pages are in this category, out of 7 total.


text:
Internet Index Results Mean Maybe We Should Just Rename It The Sweden Wide Web
Slow your chants of "We're No. 1! We're No. 1!" and stop waving that foam finger, America. We aren't number one, at least not so far as the World Wide Web is considered — Sweden is. I know, so disappointing and now it's totally going to be renamed the Sweden Wide Web except not really because that would be silly. Anyway, a new index from the World Wide Web Foundation has bestowed the No. 1 crown on Sweden, where about 95% of citizen are online.
That country gets the most out of its Internet usage, says the index, while only one in three people around the world are actually using the Web. In Africa, the share of users is even smaller than the global results, notes the Los Angeles Times. The foundation is a nonprofit group that worked to try and rank, sort and otherwise nail down how various countries surf the webbernets. It isn't only about who is using the Internet where, but rather what different people are getting from it.
"We want to take this issue about whether or not people are a part of the information society and help increase awareness that it's as important as access to water and vaccinations –- it's not a secondary issue," Internet pioneer Tim Berners-Lee said in the newly released report.
Falling in line behind Sweden (sigh, No. 1) are the United States, Britain, Canada, Finland, Switzerland, New Zealand, Australia, Norway and Ireland. Something all those nations have in common is money — the average income there is higher there than in say, many many countries in Africa.
That income disparity could be why countries like Zimbabwe, Ethiopia and Burkina Faso fall behind. Logging on in Africa costs half the average monthly income in many of the countries surveyed there, while in America it costs only about 5% or less of average monthly income and only 1.7% in Europe.
Money isn't everything — Qatar was up there on the average income list but ranked lower because its citizens haven't really used the Web much to effect politics in that country. Government censorship wasn't taken into account, but the study's organizers hope to include that in future indices.
Now get back to using the Internet for absolutely everything you do so that we can finally be winners again, America. I miss chanting and waving that foam finger already.
Sweden tops, Yemen last in getting most out of Internet, study says [Los Angeles Times]
Want more consumer news? Visit our parent organization, Consumer Reports, for the latest on scams, recalls, and other consumer issues.


text:
hackenslashPosts: 2439Joined: Mon Feb 23, 2009 3:43 pm Gender: Cake
Re: **Sticky** Critical Thinking Resources
An interesting paper. Only had a scan of it so far, but I'll give it a more thorough reading when I sober up.
I agree with his core premise, that what most people think of as critical thinking isn't particularly critical. I also agree that arguments and reasoning never serve as justification for drawing conclusions.
I haven't come across any of his writings before, though I have heard his name in connection with Popper.
Thanks for sharing.
|Sun Apr 19, 2015 5:35 pm


text:
Manage your account and access personalized content. Sign up for an Oracle Account
Access your cloud dashboard, manage orders, and more. Sign up for a free trial
Flexible and Cost-Effective Network Connectivity for Virtualization
Oracle's Sun Blade 6000 and Sun Netra 6000 Virtualized 40 GbE Network Express Module is the industry's first fully virtualized 40GbE network aggregation solution to meet the needs of demanding workloads. It provides scalable I/O throughput (1, 10, 40 Gb/sec) for multiple blade servers with zero management overhead.
More Specifications


text:
Used Car - 2004 Kia Optima EX V6 in Hamilton, Oh
Please Call For Price
About This 2004 Kia Optima EX V6
Vehicle Location:
Hamilton, Oh
Call For Price
Stock Number:
Fuel Economy Estimates
City MPG
Highway MPG
Combined MPG: 24
Estimated Monthly Fuel Cost: $92.71*
*Based on $1.78 per gallon and 15k miles per year.
Actual costs may vary.
Actual costs may vary.
Send This Vehicle To Your Smartphone
Seller's Description and Comments:
Located at Mr Auto in Hamilton, Oh. Call Mr Auto today at 513-894-2772 for more information about this vehicle.
Vehicle Options:
- Air Conditioning
- Alloy Wheels
- Am/fm Radio
- Automatic Headlights
- Cargo Net
- Cassette Player
- Cd Player
- Child Safety Door Locks
- Cruise Control
- Driver Airbag
- Driver Multi-adjustable Power Seat
- Electrochromic Interior Rearview Mirror
- First Aid Kit
- Fog Lights
- Front Air Dam
- Front Side Airbag
- Front Side Airbag With Head Protection
- Heated Exterior Mirror
- Interval Wipers
- Keyless Entry
- Leather Steering Wheel
- Manual Sunroof
- Passenger Airbag
- Power Adjustable Exterior Mirror
- Power Door Locks
- Power Sunroof
- Power Windows
- Rear Window Defogger
- Second Row Folding Seat
- Steering Wheel Mounted Controls
- Tachometer
- Tilt Steering
- Tilt Steering Column
- Trunk Anti-trap Device
- Vehicle Anti-theft
Carfax Vehicle History Report:
View the CarFax vehicle history report and protect yourself from:
Major Accidents, Lemon History and Odometer Problems
» Get A Free CARFAX Record Check
Major Accidents, Lemon History and Odometer Problems
» Get A Free CARFAX Record Check
Financing Information:
Payment Calculator:
2004 Kia Optima ReviewThis car review is specific to this model, not the actual vehicle for sale.
Highly competent sedan offers good value.
The Kia Optima is a remarkably good car for the price. Kia offers a strong value when compared against the big Japanese brands. You get a lot for your money, and unlike earlier Korean attempts at building a mid-size sedan, the Optima achieves a level of sophistication in its engine and chassis that is competitive for its size, and not just its price. For 2004, the Optima's styling is more sophisticated as well, with a new front end that gives the whole car a more subtle appearance.
The available V6 engine is exceptionally smooth, and works well with the four-speed automatic transmission that comes with it. The Optima's refined and unruffled road manners will please most of the people who are in the market for mid-size family transportation.
Kia Optima is based on the platform of the current Hyundai Sonata and shares the Sonata's engine and suspension layout; if you like one, you'll no doubt like the other. But the Optima offers unique styling, sharing no body panels with the Sonata and offers different features.
The 2004 Kia Optima comes in two trim levels, LX and EX, with a choice of four-cylinder engine or V6 in either.
Optima LX ($15,500) is powered by a 138-horsepower 2.4-liter four-cylinder engine and comes complete with air conditioning; cruise control; rear defroster: six-speaker AM/FM/CD stereo; eight-way manually adjustable driver's seat; power windows, mirrors and locks; front-seat side-impact airbags; four-wheel-disc brakes; and P205/60 all-season tires on 15-inch steel wheels. A five-speed manual transmission is standard, a four-speed automatic ($920) optional.
The LX V6 ($17,895) gets a 2.7-liter V6 rated at 170 horsepower. The automatic transmission is standard, along with woodgrain interior trim and P205/55 Michelin tires on 16-inch aluminum wheels.
The four-cylinder Optima EX ($18,095) adds a tilt-and-slide glass sunroof, electronic climate control, Infinity AM/FM/CD/cassette stereo, fog lights, HomeLink universal transmitter, heated outside mirrors, self-dimming inside mirror, remote keyless entry with alarm, eight-way power driver's seat, leather wrappers for the steering wheel and shift knob, and other appointments. It also comes with aluminum wheels, but they are 15-inch units wearing the base-level P205/60 tires. The four-speed automatic is the only transmission available.
The EX V6 ($19,495) comes with all the above: the 170-horsepower V6, 16-inch wheels and tires, and all the EX-level luxury goodies.
The list of factory options is short. Anti-lock brakes ($795) are available only with the V6. Leather seating ($1095) is offered only on the EX. Port-installed accessories include a CD changer ($375), carpeted floor mats ($85), and a rear spoiler ($220).
All Optimas come with Kia's 10-year/100,000 mile powertrain warranty and 5-year/60,000 mile basic warranty, plus a 5-year/unlimited mileage roadside assistance plan.
The 2004 Kia Optima breaks no new styling ground. It's a basic three-box, four-door sedan with conventional proportions. Not a head turner by any means, it is handsomely done and presents itself well, with distinctively sculpted panels and balanced forms.
Last year's bright gridwork grille has been replaced for 2004 by a simple, trapezoidal opening split by a single horizontal bar. Now flanking the grille are dual headlamps, round inboard and rectangular outboard. The description sounds busy, but the actual look is satisfying, sophisticated and vaguely European.
The alloy wheels that come on the V6 models are redesigned for 2004, and EX models are accented by chrome door handles and bodyside moldings. The brightwork is well done and makes the car look richer. In fact, the Optima looks better the longer you look at it, with both an overall shape and details that are appealing.
The Optima's interior is as conventional as its exterior, and there's little here that will either surprise or confound the new driver. The overall quality of materials is okay. The color matches are good and the layout is appropriate, but the fit and finish is not up to the standards of Honda and Toyota. Some of the panels don't fit flush and the rear ashtray in one car squeaked. The available leather interior complements the rest of the interior nicely. It comes with genuine wood trim, though it was so over finished that it was difficult to differentiate it from the imitation wood trim that is also used.
The front bucket seats are firm, supportive and fairly flat, comfortable and well suited for hours of commuting, with enough fore-and-aft travel to accommodate the longest of legs.
The back seat is good, though putting three adults in back is requesting a bit more intimacy than most are accustomed to. The 60/40 folding rear seatback increases the versatility of the Optima.
Trunk size is adequate, with 13.6 cubic feet of cargo space, compared with 14.0 for the new Honda Accord. Optima's trunk lid has articulated hinges that don't impinge on luggage space or crush grocery bags, a nice feature.
Driving Impression
The Optima is most enjoyable with the V6 and automatic, though the four-cylinder and manual shifter make a fine combination.
The four-cylinder engine works well around town and cruising at high speeds, but it doesn't have a lot of power at altitude on winding roads. The manual gearbox works well. The clutch pedal is easy to operate and it's easy to shift smoothly and.
The V6 engine in the Kia Optima is so smooth and quiet that one of our colleagues got into one with the engine idling and promptly tried to start it. It's that polished, and the impression doesn't fade once the Optima is underway. The engine quietly goes about its business, at least until given full throttle. Then it's still smooth but it can be heard sonorously churning out power. The V6 and automatic are a responsive team. The V6 surrenders 2-3 miles per gallon, but seems worth it for the smoothness and improved response.
The Optima's automatic transmission is a good match for the V6 engine. It shifts imperceptibly in normal driving. Slam the gas pedal down and it quickly downshifts. The transmission also has a manual-shift feature: Sliding the console-mounted shift lever over to the right allows the driver to shift up and down with a flick of the lever. It's sometimes helpful or enjoyable to slap the lever over and downshift manually to pass, but it's not necessary. This system is built by Kia, but was designed by Porsche and is similar to the Tiptronic.
Kia tuned the Optima's suspension for comfort, not handling. That doesn't mean a floaty, imprecise ride. It's smooth and stable at high speeds. It doesn't feel as connected to wet roads as a Honda Accord or Mazda6, though. While hustling down some back roads, the Optima displayed remarkable poise over bumps and lumps in mid-corner, its line not diverted by bumps in the road. The Optima operates best in its comfort zone. Push it really hard and you begin to see more chassis flex than that of the leading brands. The nose dives under hard braking and the rear squats under hard acceleration. There's considerable understeer (the tendency of the front tires to lose grip before the rear tires, causing the car to describe a wider arc in a corner). Also, the steering is relatively slow, so you have to turn the wheel more than you do in an Accord.
Kia engineers have managed to filter out most road and tire noise, but there's a ruffle of wind noise from the top of the windshield. Overall, it isn't quite as quiet as the Hyundai Sonata. At highway speeds, conversations between front and back seat were easy at normal speaking volume.
The Kia Optima excels at providing good transportation at a reasonable cost. It's smooth, reasonably refined and comfortable. Its price makes it attractive, especially considering the long warranty, the roadside assistance plan, and all the standard features.
Model Lineup
Kia Optima LX ($15,500); LX V6 ($17,895); EX ($18,095); EX V6 ($19,495).
Assembled In
Hwasung, South Korea.
Options As Tested
antilock brakes ($795); leather seats ($1095); carpeted floormats ($85).
Model Tested
Kia Optima EX V6 ($19,495).
3659 Dixie Hwy
Hamilton, Oh. 45015
Email This Seller
Contact: Sales Manager


text:
You know Roland there was a loophole discovered to worm out of exactly these predicaments.
You can accuse Abs of obsessing, attacking the poster, then complain and have Les shut this down. It worked for that member, when he too found himself knee-deep in his own contradictory logic.
"Abs, quit obsessing!"..."keep it up"...start there.


text:
The Parke & Ronen Rib Knit Henley is where style and quality meet. The stylish, fitted henley features a deep button-down vee neckline with contrast trim around it. The henley is made from soft, breathable and absorbent 100% cotton for ultimate comfort. This long-sleeve henley looks great paired with jeans for a cool, casual look or with lounge pants for a more relaxed feel.
100% Cotton.
Machine wash cold with similar colors. Only use non-chlorine bleach, when needed. Tumble dry low, use cool iron.
|26 in 66 cm
|29-31 in 74-79 cm
|26 in 66 cm
|31-33 in 79-84 cm
|26 in 66 cm
|33-35 in 84-89 cm
|Extra Large
|26 in 66 cm
|35-37 in 89-94 cm


text:
The National Corn Growers Association (NCGA) applauds the Senate in its 79-14 decision to overturn President George W. Bush's veto of the Water Resources Development Act (WRDA), enacting this long-awaited legislation.
"When it comes to this issue, nothing has been easy," says NCGA President Ron Litterer. "After almost two decades of work by corn growers, millions of dollars spent on studies, seven years of waiting on the legislative process, a presidential veto and then a veto override by the U.S. Congress, we finally have achieved authorization to modernize seven locks on the Upper Mississippi River System. Once again, our grower members demonstrated their influence and commitment to the Water Resources Development Act by contacting their members of Congress and urging them to overturn the president's veto."
Corn growers have been long-time advocates for improvements to our inland waterway system and have fought for passage of the Water Resources Development Act (WRDA), Litterer says.
"The WRDA enactment illustrates the power of perseverance," says Warren Kemper, member of the NCGA Production and Stewardship Action Team and board member of the Iowa Corn Growers Association. "For nearly a decade, I have worked tirelessly with fellow growers and congressional staff on this legislation. I share this triumph with the countless individuals who waged this battle with me."
NCGA extends its thanks to the members and staff of the Senate Environment and Public Works Committee under the leadership of Chairwoman Barbara Boxer (D-CA) and Ranking Member James Inhofe (R-OK). Additionally, corn growers extend a special thanks to Sen. Kit Bond (R-MO), a true champion for lock modernization on the Upper Mississippi River System.
"This is a great day for the future of flood protection, super-efficient port and river transportation and environmental restoration," says Sen. Bond. "This success would not have been possible without the broad-based coalition of industry, labor and agriculture led by the corn growers who had the vision and patience to achieve victory."
Overturning the president's veto is just a permission slip to seek funding through the annual appropriations process. For several years, NCGA has worked to secure pre-construction dollars for the Upper Mississippi River System projects, but the real work now begins with a full-court press to obtain construction dollars through the annual appropriations process, Litterer said.


text:
Where can I find my 360fly 4K serial number?
The serial number can be found in 3 different locations for your 360fly. It can be found on the bottom of the package that the device was shipped in or printed on the bottom of the 360fly 4K. However, if you do not have the package or you can not read it off the bottom of the 360fly 4K, don't worry you can also connect your device to the 360fly App and view the serial number in the settings menu.
Viewing the Serial Number on the bottom of the 360fly 4K
The serial number is printed on the bottom of the camera on the charging connector. We know the serial number is printed very small, so you may need to use a magnifying glass to read it.
Viewing the Serial Number in the 360fly App
1. Connect the 360fly 4K to the 360fly application by tap on the Camera icon in the lower left corner of the application.
2. Once connected tap on the Gear icon in the top right corner to access the 360fly settings menu.
3. Tap on the "Device Information" setting menu to view the 360fly serial number.
4. We recommend that you write your serial number down and store it in case it is needed in the future.
Have more questions? Submit a request


text:
Germany Beats Brazil 7-1 in World Cup Slaughter
Germany's 7-to-1 victory over Brazil in the 2014 World Cup semifinal is one for the history books. WSJ's Geoff Foster looks at how the stats compare to past World Cups.
This transcript has been automatically generated and may not be 100% accurate.
... I ... the hard ... work would happen or Brazil on Tuesday when it was seven one Germany in the World Cup semi finals ... the European number ... carries seven goals most World Cup semi final ... ever ... no country and scored six goals in a World Cup semi final since nineteen fifty four when Germany and Austria six one ... Brazil gave up seven goals they've given up seven goals and higher World Cup and the breach ... it was the worst loss in the country's history since nineteen twenty when they lost six nap in Europe ... Green score its first five goals in a span of just nineteen minutes he has only been gone three times World Cup ... Severino was two hundred and twenty three goals to most of any country in World Cup history ... with this surpassed ... Brazil ...


text: Families and Parents Welcome parents and families! Hamline strives to provide a warm and welcoming environment where undergraduate students and their parents can get questions answered and receive assistance. If you have questions or concerns, please don't hesitate to contact the Dean of Students Office. Their most important job is to act as a resource and advocate for the students of Hamline University, and they are always happy to help. For Parents of Incoming First-Year Students Piper Preview is the first of two required orientation programs for all incoming first-year students. During this two-day/overnight program, students and parents/family members will get the opportunity to meet the New Student Mentors, mingle with other incoming Pipers, register for classes, and get your questions answered. Piper Passages is the second required orientation program for all first-year students. A few days before classes start, students who plan on living in the residence halls will move in, commuter students will have a Commuter Student Pre-Orientation Program, and parents and family members will also participate in a variety of orientation sessions. For All Parents The Parent E-Newsletter is an excellent resource, providing updates and stories about life on campus, Hamline students, faculty, and other events and useful information about Hamline. Other Valuable Resources Campus InformationDiningHousingHamline Public SafetyVirtual Tour Events and ActivitiesAthletics Parent EventsStudent ActivitiesOffices and Services Full ListingCareer Development CenterCounseling and Health ServicesDean of StudentsFinancial AidHamline HealthcareHelp at HamlineInstitutional ResearchStudent AccountsUniversity Policies


text:
Taking a summer vacation doesn't have to be expensive, when you plan ahead, choose the meals carefully and decide what to bring vs. what to buy you are well on your way to eating well {& cheap} on vacation.
Once you have your menu determined, then you can make decisions about what you will bring from home vs. what you will buy when you arrive.
Tip 1: Buy things ahead of time that are easy to pack
- Dry items are easy to pack; bring things like tortillas, chips, mixes for pancakes or baked oatmeal, graham crackers for s'mores, crackers, pretzels, etc.
- Meal items that will save prep when you arrive; freeze these and they can double as ice packs! If you only need 2 C of applesauce, don't pack the whole jar. Pre-measure them and place in a ziplock; then freeze. We froze applesauce, wild rice, bread and pound cake on our last trip.
- Cold items that pack well; bring things like cheese, lunch meat, carrots or other hard veggies (e.g., bell peppers).
- Know what you need & watch for sales! Grab onions, potatoes, tortillas, etc., ahead of time when you know that you will need them on your trip.
Tip 2: Buy most* produce (see tip #4) when you arrive
- Visit the farmer's market in the town that you are staying in, if possible, or stop at fruit/vegetable stands on your way! This is a great way to support local farmers and eat in season on your vacation.
- If no farmer's markets are available, visit the local grocer for softer fruits and veggies that won't travel as well. This could include bananas, zucchini, tomatoes and avocado.
Tip 3: Buy meat and dairy when you arrive
- This will be your biggest expense, but also make the traveling a lot easier. No need to mess with raw meat in a cooler for 8-10+ hours!
- Choose wisely, buying meat in bulk (e.g., 4lb of ground beef vs. 1 lb) to use over multiple days. This will reduce the cost.
- Check the deli or meat department for specials; often locally made sausages or brats will be cheaper (& more fun) than brand name ones.
- Find eggs locally – support the farmers!
Tip 4: Buy in bulk before you leave
- If you have a Costco or Sam's (or equivalent) membership, or know someone who does, now is the time to use it, especially if you are feeding a crowd!
- Costco allowed us to buy *fruits (organic strawberries & blueberries), *veggies (bell peppers, carrots, broccoli, spinach), chips, salsa, tortillas, cheese, graham crackers, lunch meat and more before we left; had we bought these when we arrived we would have spent much, much more!
- Choose carefully what you will buy at Costco – buy items that will be harder to find where you are going, items that you need a lot of (for us, that was bell peppers – we went through 20 of them!), and items that you know are your best price purchase as Costco. Skip the other items.


text:
the older guys will always get eclipsed in performance by the new, younger kids. that, in itself, is not surprising.
ruben is no longer the crazy kid who does the biggest air or the most hard core kiteloops.
he needs to re-define his role in kiteboarding, otherwise his star will continue to fade...
the more impressive pro's out there, imho, are people like Dre and Susi Mai who, despite not winning anything in a long, long time, still manage to stay relevant and popular.
there's really not enough money in this industry for Best to start a bidding war with SS over Ruben. SS decided they couldn't afford him, and Best figured they'd snap him up for cheap.
i think it's a smart move on SS part. Ruben is definitely marketable, but not nearly as much as he once was.


text:
[UPDATE] Nik Wallenda's Attempt to Walk Across the Grand Canyon Successful! [VIDEO]
He did it! Calling on Jesus to calm the winds and taking reassuring words from his dad, Wallenda, who seemed nervous and tired at times, ran the final 20 or so feet to complete the Grand Canyon crossing


text:
When combined with the Kensington Charge & Sync Cabinet, this 10-pack of USB to 30-pin cables allows you to keep up to ten iPad's charged and ready for anther day in the classroom. They're designed to fit perfectly with the Cabinet's built-in USB ports.
To compare the product you selected, please choose a product below to replace
View compare or close and continue browsing


text:
Friday, March 8, 2013
Effective Monday, April 1, 2013, certain Official Bankruptcy Forms will change due to automatic adjustment of dollar amounts in various provisions of the Bankruptcy Code. For additional information regarding the affected forms below, please click here.
Official Forms affected:
B1 - Voluntary Petition
B6C - Schedule C
B6E - Schedule E
B7 - Statement of Financial Affairs
B10 - Proof of Claim
B22A - Statement of Current Monthly Income and Means Test Calculation (Chapter 7)
B22C - Statement of Current Monthly Income and Calculation of Commitment Period and Dispo sable Income (Chapter 13)
To view Clerk's Notice 13-02, please click here.


text:
Wednesday, December 1, 2010
H&M Spring 2011 Women
39 comments:
I love the leggins so much!!ReplyDelete
i'd love to know when that colorblock dress (fourth row from top, next to black and white leggings) will be in stock! i live in the usa.ReplyDelete
I really like the camel blazer!ReplyDelete
- AnonymousDecember 1, 2010 at 4:22 AM
Muy grafica la coleccion, I like it !ReplyDelete
the green bag looks decent!ReplyDelete
- AnonymousDecember 1, 2010 at 10:29 AM
Do you know when the suit in the first picture with the birds, hits the stores?ReplyDelete
By the way I'm living in Denmark, do you think it will be the same date?
- AnonymousDecember 1, 2010 at 10:32 AM
when will these items hit the store in Turkey and Istanbul?ReplyDelete
Ah, I just adore the patched leggings and the cropped sweaters and the prints... and I would LOVE if you told me when this collection comes out! If you can manage :) Thanks for posting this, and the previous H&M posts!ReplyDelete
the items hit stores on different weeks so i'd be glad if you told me, which ones you're interested in. the dates should be the sameReplyDelete
love the green bag and the first dress!! wanna have!!!ReplyDelete
Pascal, would you write a story of your blogging success, what do you like in other blogs, advices to the starters? I think it will be interesting for hundreds...
Thank you for your perfect style.
Amazing pictures! Tuesday it's my turn to go :D!ReplyDelete
Wow! When does the red, black and cream top from the second to last row hit stores?ReplyDelete
The acessories look amazing and I love that block print is coming back.ReplyDelete
<3 the suede-patch leggings too! xReplyDelete
When does the men's collection hit stores? Do you have pictures for it too?ReplyDelete
And I agree with Daria, a story about your blogging success and what it's like to be such a successful blogger would be really cool! :-)
very nice collection!ReplyDelete
OMG so many wonderful pieces! I would love to have that green bag to carry!! So chic!!ReplyDelete
Everyone Loves Lipstick Blog
great pictures!! *_*ReplyDelete
Everything looks great! Gonna check out H&M soon after saw your post :DReplyDelete
That Scottie dog dress is amaazing!ReplyDelete
Do you know when that will be hitting stores?
- AnonymousDecember 4, 2010 at 10:16 AM
I just have to have that black, red, cream top! I fell in love with it :) Please help me and tell me, when it will be in stores :)ReplyDelete
I WANT TO HAVE THE GREEN BAG!!!!!!ReplyDelete
- AnonymousDecember 4, 2010 at 8:29 PM
Im interested in the black & white bag with the zipper in the middle.ReplyDelete
When does this bag hit stores?
Very great picks and pics!ReplyDelete
oh, i'm in love with this colorblock dress, so '60s, could you tell me when it hits the stores? http://farm6.static.flickr.com/5124/5221775249_ddb1eb5ae7_o.jpgReplyDelete
i need one for spring, definitely!
i'm also interested in this cute black-red-white sweater with pockets, elbow patches and collar.
Ohhhhh I fell in love with the green bag:) great!!!!ReplyDelete
I would love to know when these items are coming out:ReplyDelete
1st picture from the left, 1st row (b&w print)
3rd picture from the left, 5th row (crop top)
Thank you!
I'm in love with the boots! They're just sublime! I hope they're leather!ReplyDelete
- AnonymousDecember 10, 2010 at 3:20 AM
are you gonna post the mens collection ?ReplyDelete
probably not gonna post the men's collection at the moment, because it isn't that exciting. gonna ask next week about the single pieces though when they hit stores so stay tuned..ReplyDelete
- AnonymousDecember 11, 2010 at 10:18 PM
can you also find out when the green bag, and the white/black dress with the dogs on gets out in the stores? Thank you. :-)ReplyDelete
That green bag loos so cool to me!ReplyDelete
Looking forward already for the new collections :)
Hated It At First, But Seeting These Pictures MAkes Me Loove It.ReplyDelete
- AnonymousDecember 14, 2010 at 9:45 PM
wenn kunnt die schwarz-wissi täsche wo die puppe ah hät?und isch die vo dr trend abteilig?ReplyDelete
coole blog
i love the bag and the leggings :)ReplyDelete
Can't wait to get that CAMEL Blazer.ReplyDelete
Oh yeah!
LOVE the dress, 4th row, third over. And also, that green handbag - I WANT it :)ReplyDelete
- AnonymousDecember 30, 2010 at 11:28 PM
Silk shirt, b/w bag with zipper and b/w(creme?) shoes -love them! I would really like to know when they hit the stores.ReplyDelete
The patched leggings, the green bag and the black/red/creme top with patches are already in the stores.