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1933 - Secretary of the Navy establishes Fleet Marine Force, integrating a ready-to-deploy Marine force with own aircraft into Fleet organization.
1941 - US declares war on Japan.
1941 - USS Wake (PR-3), a river gunboat moored at Shanghai, is only U.S. vessel to surrender during World War II.
1942 - Eight PT boats (PT 36, PT 37, PT 40, PT 43, PT 44, PT 48, PT 59, and PT 109) turn back 8 Japanese destroyers attempting to reinforce Japanese forces on Guadalcanal.
German U-boat 576 and freighter Bluefields found within 240 yards
A team of researchers led by NOAA's Office of National Marine Sanctuaries have discovered two
The U.S. and Republic of Korea (ROK) navies will participate in Exercise Clear Horizon, October 20-24, in waters south of the Korean peninsula.
Clear Horizon
The U.S. 6th Fleet command and control ship USS Mount Whitney (LCC 20) departed Batumi, Georgia, Oct. 18 after completing a successful port visit.
While in Batumi,
Maritime Reporter & Engineering News was founded by John J. O'Malley (1905-1980) in 1939, and today ranks as the world's largest audited trade publication in the world serving the maritime industry,
Piracy, terrorism and criminal activities originating in Somalia can only be addressed by creating a climate of security, engagement and empowerment that will encourage home grown businesses,


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Lee County Newswire (Page 2)
Comprehensive Real-Time News Feed for Lee County, FL. (Page 2)
Results 21 - 40 of 4,168 in Lee County, FL
Morning robbery at 7-11 in Lehigh Acres w/Photo
... suspect fled to the south. If you can identify this suspect, or know anything about the armed robbery, call the Lee County Sheriff's Office at (239) 477-1000. Or, to remain anonymous and be eligible for a cash reward, call Southwest Florida Crime ... Comment?
Lee County deputies investigating fatal shooting w/Photo
On October 19, 2014, at 8:15 P.M., Lee County Sheriff's Office deputies responded to a call where the caller stated a Hispanic male had been injured near Coopers Ct. in Fort Myers. Upon arrival, deputies found a Hispanic male who was suffering from a gunshot wound. Comment?
Marchers plead for justice for boy's death w/Photo
LEE COUNTY, Fla.- Dozens of marchers gathered Sunday afternoon, pleading for justice in the unsolved killing of a 5-year-old boy. Andrew Faust died when he was hit by a bullet from a drive-by shooting in Fort Myers last week. Comment?
Project Orange on hold pending internal review w/Photo
... confidentiality per Section 288.075, Florida Statues." A statement was delivered from the Glen Salyer who is the Lee County Assistant to the County Manager and Lee County Economic Development Director. "Of course we are disappointed in Project ... Comment?
Lee County expected to reveal 'project orange' today w/Photo
LEE COUNTY, Fla.- Today, we expect to learn the identity of 'project orange,' a company planning to move its headquarters to Lee County. The county has been working on a deal with this company for months, and we've now learned the mystery company chose Lee County out of three locations to bring its new headquarters. Comment?
Mom of 5-year-old shooting victim speaks out w/Photo
... be an illness on board. A 14-year-old woke up Friday to find "a strange man" standing over her according to the Lee County Sheriff's Office. The man grabbed her and told her to keep quiet. Detectives say she kicked the man and screamed for help. A ... Comment?
LCSO Investigating Late Night Robbery w/Photo
The Lee County Sheriff's Office is searching for the person responsible for a robbery on Cherokee Ave. in Lehigh Acres. Comment?
Pet owner believes dog's bear battle led to death w/Photo
... infected with Ebola. An announcement is expected by Monday on who is planning to locate corporate headquarters in Lee County. The corporation is expected to hire 170 people with annual salaries averaging in the $80,000 range. An announcement is ... Comment?
Forecast: Quiet weather tonight, warm on Monday w/Photo
... chance for some isolated rain developing in the afternoon, mainly it appears for areas south of Fort Myers and Lee County. The weather for the middle part of the upcoming week is still in a bit of limbo as there remains a good deal of dispute ... Comment?
Lee County ready to uncover details of "Project Orange" w/Photo
An announcement is expected by Monday on who is planning to locate corporate headquarters in Lee County. The so-called "Project Orange" was labeled while Lee Commissioners worked with the company to set out an incentive package. Comment?
Teen girl stops burglary in Lehigh Acres w/Photo
A 14-year-old woke up Friday to find "a strange man" standing over her according to the Lee County Sheriff's Office. He is identified as Brian Michael Comiskey. Comment?
Thousands of bees crushed to death after swarming honey spill on road w/Photo
The incident happened in Lee County, Florida, when a barrel containing 2,400 pounds of the sweetener fell off a truck after it hit a bump. 'My wife's gonna be sad, that was her money,' said driver Neslan Torralvo, who estimated the cost of the accident to be $5,000 . Comment?
Occupied Burglary in Lehigh Acres w/Photo
On October 17th, 2014, Lee County Sheriff's Office deputies responded to a just occurred Occupied Burglary in Lehigh Acres. Upon arrival, deputies learned that a 14 year old female woke up to find a strange man standing over her. Comment?
Early morning 7-11 robbery in Lehigh Acres w/Photo
... say the suspect's face was covered with a mask. Anyone who can help identifying the suspect is asked to call the Lee County Sheriff's Office at (239) 477-1000. Or, to remain anonymous and be eligible for a cash reward, call Southwest Florida Crime ... Comment?
Morning Robbery at 7-11 in Lehigh Acres w/Photo
At 2:30 A.M. on October 19th, 2014, Lee County Sheriff's Office deputies were dispatched to a robbery at the 7-11, located at 4325 Lee Boulevard in Lehigh Acres. Witnesses state that a male entered the store, brandished a black firearm, and fled with an undisclosed amount of cash. Comment?
Community says final goodbye to murdered 5-year-old w/Photo
... joy from many hearts. "My heart goes out to the family. The killing, the shooting -- it all needs to stop," said Lee County School Board member Don Armstrong. People who never met Andrew Faust are now meeting him in a way they could never imagine. ... Comment?
Lee County deputy cited for fatal crash w/Photo
The Cape Coral Police Department reported Friday that Deputy Douglas E. Hood was cited for careless driving following a two-month investigation. Police say 15-year-old Austin Dukette was riding his bike to school in August when Hood hit the boy with his vehicle. Comment?
Cape Coral - South Fort Myers left no doubt as to who's in charge in Class 6A-District 12. w/Photo
... the Bulldogs. Ida Baker (4-4, 1-1) would then grab the district's second playoff berth with a victory at East Lee County (0-2) on Oct. 31. Baker has a non-district game at Charlotte this coming Friday. "All the scenarios get a little crazy," Ida ... Comment?
Deputy found at fault, cited for fatal crash involving teen bicyclist w/Photo
... and when it was determined that he was fit for duty he was put back on the road, according to LCSO. According to Lee County Sheriff Mike Scott, Hood was using his in-car laptop shortly before the crash. However, Sheriff Scott is unsure if Hood was ... Comment?
Charlotte Harbor Super Boat Grand Prix falls short in profit w/Photo
... will hold a workshop on Tuesday to further discuss the results of the audit. Cape Coral police determined that a Lee County Sheriff's Office deputy was at fault in the Aug. 22 crash that took a 15-year-old's life. Cape Coral police determined that a ... Comment?
Copyright © 2014 Topix LLC

subset: commoncrawl


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Wholesaler sales of HVAC/R equipment in Canada was up 3.2% in November 2012 compared to the same month in 2011, according to data from the Canadian Institute of Plumbing & Heating. The report said HVAC/R was down in British Columbia, unchanged in Alberta, and up in all other regions.
In the first 11 months of 2012, HVAC/R was up 7.8%.
Total November sales in all the product segments tracked by the association were down 0.2%, or CAD $1 million, compared to November 2011. For the first 11 months of 2012, total product sales were up 7.1%, or CAD $350.7 million, compared to the first 11 months of 2011, making year-to-date total sales of CAD $5,269 billion.
In addition to HVAC/R, the organization tracks wholesaler sales in these product categories:
* hydronics
* plumbing
* waterworks
to Daily News
Daily News
Aug 28, 2014: LG Heat Pump Clothes Dryer Earns Emerging Technology Award
Aug 28, 2014: Early Snowthrower Demand Boosts Toro Sales
Aug 27, 2014: Sustainability Standard Launched for Household Portable and Floor Care Appliances
Aug 27, 2014: Electrolux Joins AllSeen Alliance to Develop Seamlessly Connected Appliances
Aug 27, 2014: HRAI Awards Industry Leaders at 46th Annual Meeting
Daily News>>
September 2014: Appliance Industry Focus: HVAC
June 2014: Appliance Magazine Market Insight: April 2014
May 2014: Appliance Magazine Market Insight: March 2014
April 2014: Appliance Magazine Market Insight: February 2014


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Check out the winners of 2014
Find your best beach vacation!
Updated 09/26/2012
In a 1938 building that housed a five-and-dime, Woolworth Walk features the work of 160 crafts artists in 20,000 square feet of exhibit space on two levels. There's even a soda fountain, built to resemble the original Woolworth luncheonette.
25 Haywood St., Downtown, Asheville, North Carolina, 28801, United States
Website: www.woolworthwalk.com
Updated 09/26/2012


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Gains lots of coins after the first or second going to the shop
Rated : 3.14 based on 127 votes.
Gains lots of coins after the first or second going to the shop
Launch your truck off the ramp as far as you can to score points which can be used to buy upgrades that will help you get even further and help you complete all 8 challenges.
If you have any problems viewing this game please fill out the details below. Before reporting a broken link / game please make sure of the following:
Commando 2
Plays: 5775160
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Swords and Sandals 2
Plays: 5010755
Raze 2
Plays: 3107995
Plays: 2589545
The Last Stand Union City
Plays: 2204921
Potty Racers 3
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HackedGamePlaya (Jun 26, 2011)
This game is not playable hacked on arcadeprehacks.com.
Guest (Apr 30, 2011)
boring when you get max on everything :P
Guest (Apr 30, 2011)
Guest (Apr 27, 2011)
you have to get 1 coin to get da muny
Guest (Mar 07, 2011)
Its an okay game...allsoooo no where near first comment ._. but again its a good hack just not a vry good game its boring
Guest (Feb 22, 2011)
my score 20000
Guest (Dec 21, 2010)
reload the game and you get the money
Guest (Nov 27, 2010)
Dont have money
Guest (Nov 12, 2010)
Guest (Sep 30, 2010)
thrs no money


text:
Digital Home & Smartphones Help
It's free to register, to post a question or to start / join a discussion
Sync Outlook and Windows Mobile
Likes # 0
Posted April 20, 2011 at 9:49PM
Using Office 2010 in Windows 7 and Sony Xpweria phone Windows Mobile 6.1 professional. Bought windows phone to get easy sync BUT calenders do not sync at all [tasks and contacts are fine. I don't do eail on the phone].
Is this a common problem or do I need to do soemthing else? Any ideas?
Likes # 0
Posted April 21, 2011 at 4:12PM
Can't help with your problem but if I was you I'd give myself a name which wasn't my email address. You are asking for trouble leaving it as it is;-)
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The White House has released a map of the U.S. government's assessment of the Syrian government's use of chemical weapons on Aug. 21, 2013.
Rookie Marcus Smart scored 16 points, and Jared Sullinger had 15 with 17 rebounds to lead Boston to a 100-86 victory over Brooklyn on Wednesday night.
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American West Heartland Shoulder BagSKU: #7933771
Product Information
- Break past all the drama and step out with the effortless style of the Heartland Shoulder Bag by American West™.
- Leather construction with an amazing embossed design.
- Interior lining with a back wall zip pocket and multifunctional slip pockets.
- Adjustable shoulder strap with metal details.
- Holds your wallet, sunglasses, personal technology, a copy of your favorite magazine and a small umbrella.
- Top zip closure.
- Metal details embellish the exterior.
- Platform bottom with feet to protect the bag when set down.
- Measurements:
- Bottom Width: 12 in
- Depth: 3 1⁄2 in
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- Strap Drop: 12 in
- Weight: 15 oz


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ministry relationship executive jobs
Director-Fnd & Corp Relations
Loma Linda University- Loma Linda, CA
to continue the teaching and healing ministry of Jesus Christ, while embracing the ... required. Certified Fund Raising Executive (CFRE) preferred. Ability to input...30+ days ago from Loma Linda University
Director of Church Innovation
Christian Care Ministry- Melbourne, FL
Care Ministry's President, its Executive Team and its Board of Directors to align ... Prior experience in Church and/or ministry business and technology development and deliver...14 days ago from TheLadders.com
VP-Mission Integration
Sonoma County Entities- Santa Rosa, CA
continued through the St. Joseph Health Ministry of extending the healing ministry of ... Participates as an active member of the Executive Management Team; exerting influence in...30+ days ago from Sonoma County Entities
Chief Operating Officer
Leading Non-profit Organization- San Francisco, CA
profit targets. Collaborate with the CEO and executive team on the developing strategy, business plans and budgets, and continuous innovation and experimentation to drive...13 days ago from IvyExec
Bates Memorial Baptist Church- Louisville, KY
EDUCATION and/or EXPERIENCE: - A Bachelor's Degree required in Youth Ministry, Christian Y ... - Prefer 2-5 years' experience working in Youth Education/Ministry in a medium to large si...21 days ago from Get Christian Jobs
PLC Account Executive - Chicago
Presence Health- Mokena, IL
Facility : Presence Life Connections Department : PSS MARKETING&PLANNING Schedule : Full-time Shift : Day shift Hours : 8:00 am - 5:00 pm Location : Mokena, IL Req Number : 132509...22 days ago from CareerBuilder
Chief Marketing Officer
Christian Care Ministry- Melbourne, FL
message, as well as aligned with the Ministry's strategy Build and manage a Ministry ... Committee all aspects of the Ministry's plans for growth and expansion Develop budgets...14 days ago from TheLadders.com
Occupational Health Client Executive - Joliet
Presence Health- Kankakee, IL
Facility : Presence St. Mary's Hospital Department : PSMH PHYSICIAN SALES Schedule : Part-time (benefits eligible) Shift : Day shift Hours : 8:00 am - 5:00 pm Location : Kankakee,...22 days ago from CareerBuilder
Executive Director
Love Lines- Minnetonka, MN
continued ministry and support.Role of the Executive Director: The Executive Director ... Financial acumenOperational Duties of the Executive Director: The Executive Director...30+ days ago from Get Christian Jobs
Sr. Provider Engagement Executive
Presence Health- Chicago, IL
includes experience interacting with senior/executive leadership and assisting with the development of proposals, pricing and negotiating terms and contracts with prospects and/or...22 days ago from CareerBuilder
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Monday, 27 Jul 2009 02:25 PM
A key U.S. Senate committee will convene a hearing on the "Don't Ask, Don't Tell" law that forbids gays to serve openly in the military, a lawmaker announced Monday.
Senate Armed Services Committee chairman Carl Levin has agreed to have such a session this fall, Democratic Sen. Kirsten Gillibrand, a foe of the policy, said without specifying the date.
At least 265 men and women had been discharged under the policy since President Barack Obama took office in January, according to a left-of-center Washington think tank.
"This policy is wrong for our national security and wrong for the moral foundation upon which our country was founded," said Gillibrand, whose home state is New York.
"'Don't Ask, Don't Tell' is an unfair, outdated measure that violates the civil rights of some of our bravest, most heroic men and women. By repealing this policy, we will increase America's strength — both militarily and morally," she said.
Obama has drawn fire for not taking steps to freeze or repeal the rule, saying that Congress is the best venue for undoing the policy, which was crafted in 1993.
About 13,000 service members have been discharged under the policy, and estimated costs through 2003 run at $95.4 million in recruiting costs and $95.1 million in training replacements, according to the Government Accountability Office.
An overwhelming number of Americans support letting openly gay men and lesbians serve in the military.
The policy requires gays to keep quiet about their sexual orientation or face expulsion.
Copyright AFP 2008, AFP stories and photos shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium
Friday, 04 Jan 2013 13:06 PM
Tens of thousands of Fatah supporters rallied in the Hamas stronghold of Gaza on Friday for the first time since they we . . .
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This must be a horror flick! Please let me out of the theater!...
Canada shares a common language with the US and they called it correctly:...
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"Subject: She is almost as smart as Joe Biden
Harvard educated First Lady...
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YouTube to buy videogame-streaming company Twitch: report
May 19, 2014 - 10:53 AMT
PanARMENIAN.Net - YouTube has a deal to buy Twitch, a popular videogame-streaming company, for more than $1 billion, Guru3d.com reported, citing sources familiar with the pact.
The deal, in an all-cash offer, is expected to be announced imminently, sources said. If completed the acquisition would be the most significant in the history of YouTube, which Google acquired in 2006 for $1.65 billion.
San Francisco-based Twitch lets users upload and watch free, live gameplay videos that can be streamed from Microsoft Xbox and PlayStation 4 consoles. The company claims to have more than 45 million monthly users, with more than 1 million members who upload videos each month.
YouTube is preparing for U.S. regulators to challenge the Twitch deal, according to sources. YouTube is far and away the No. 1 platform for Internet video, serving more than 6 billion hours of video per month to 1 billion users worldwide, and the company expects the Justice Department to take a hard look at whether buying Twitch raises anticompetitive issues in the online-video market.
Twitch was launched in June 2011 by Justin Kan and Emmett Shear, co-founders of Justin.tv, one of the first websites to host livestreaming user-generated video. Shear currently serves as CEO of Twitch.
Founded in 2011, the startup has raised about $35 million in funding. Investors include Bessemer Venture Partners, Alsop Louie Partners, WestSummit Capital, Take-Two Interactive Software, Thrive Capital and Draper Associates.
Top stories
In all, 281 smartphones have been handed to the winning subscribers from different regions of Armenia since the end of 2013.
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The attacks appear unrelated to an episode in which hackers stole nude photos from the iCloud accounts of several U.S. celebrities.
"We roughly know who they are. If we can take them out of the equation then the rest will fall down," Troels Oerting said.
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Russia agrees to resume gas supplies to Ukraine in EU-brokered deal The terms include the EU acting as guarantor for Ukraine's gas purchases from Russia and helping to meet outstanding debts.
UN: human suffering in Syria is worsening "We are still unable to deliver sufficient quantities of aid to people in the hardest to reach areas," Kang told the 15-nation council.


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Can Vitamin D Help Prevent the Development of Type 2 Diabetes?By Banaz Al-khalidi
November is National Diabetes Month and World Diabetes Day takes place every year on November 14 to engage millions of people worldwide in diabetes advocacy and awareness. The International Diabetes Federation estimated that 382 million adults (20-79 years old) suffered from diabetes in 2013, which equates to a prevalence of 8.3%. To provide a better perspective by nation, the 10 countries with the highest prevalence of diabetes in 2013 were as follows: Tokelau (37.5%), Federated States of Micronesia (35%), Marshall Islands (34.9%), Kiribati (28.8%), Cook Islands (25.7%), Vanuatu (24%), Saudi Arabia (24%), Nauru (23.3%), Kuwait (23.1%), and Qatar (22.9%). However, if we were to look at the 3 countries with the greatest number of people with diabetes, China ranks the highest (98.4 million), followed by India (65.1 million) and USA (24.4 million). These figures are quite alarming.
Of those suffering from diabetes, type 2 diabetes comprises almost 90% of people with diabetes around the world. As such, type 2 diabetes is one of the fastest growing health problems in the world. So what could be driving this epidemic?
Evidence from observational studies have consistently shown us that low blood levels of vitamin D are associated with an increased risk of type 2 diabetes. The results of numerous observational studies led to speculation that the development of type 2 diabetes is associated with vitamin D insufficiency. Going back to the figures presented earlier, if vitamin D insufficiency is a risk factor for type 2 diabetes, one might also speculate that countries with higher prevalence of diabetes are facing a coexisting problem of type 2 diabetes and vitamin D insufficiency. For example, Tokelauans (the nationals of Tokelau) who have the highest prevalence of type 2 diabetes may also be at risk for vitamin D insufficiency despite having a tropical and marine climate. The question then becomes, could vitamin D be a causal factor in the development of type 2 diabetes? While this might sound too simplistic, I assure you it's not.
Interpretation of evidence on vitamin D and type 2 diabetes is complicated for a number of reasons. First and foremost, observational studies do not tell us anything about the cause-effect relationship between vitamin D and type 2 diabetes because of possible uncontrolled confounding factors, such as physical activity, that may affect both vitamin D levels and the risk of type 2 diabetes. Second, observational studies cannot inform us about reverse causation. In other words, which comes first, the chicken or the egg? Third, there are a myriad of factors that affect vitamin D levels, including environmental, cultural, genetic and physiological factors.
It remains unclear then whether there is a causal link between vitamin D and type 2 diabetes.
To answer this question, a large genetic study, published in The Lancet Diabetes and Endocrinology journal, looked at the causal association between low blood levels of vitamin D and risk of type 2 diabetes. The study concluded that the association between vitamin D and type 2 diabetes is unlikely to be causal. The research, which was a Mendelian randomization study, examined the link between type 2 diabetes risk and vitamin D, by assessing the genes that control blood levels of vitamin D. Most importantly, the design of this study has a powerful control for confounding factors and reverse causation which are issues of concern in observational studies. This may partly explain the discrepancy between results from earlier observational studies and this study in question. However, we still need to be cautious about interpreting the results from mendelian randomization studies as some of the underlying assumptions in the study might remain untested.
The take home message is that no special recommendations could be made about vitamin D levels or supplementation for people with type 2 diabetes. However, long-term randomized trials of vitamin D supplementation remain important to elucidate vitamin D's role in type 2 diabetes.
As we recognize National Diabetes Awareness this month, it is important to remind patients that diabetes is a progressive chronic lifestyle disease that can be controlled by making healthy lifestyle changes- such as partaking in regular physical activity, eating a balanced diet, maintaining a healthy body weight, taking prescribed medications, joining a smoking cessation program, and improving sleeping patterns.
Zheng Ye, Stephen J Sharp, Stephen Burgess, Robert A Scott, Fumiaki Imamura, Claudia Langenberg, Nicholas J Wareham, Nita G Forouhi. Association between circulating 25-hydroxyvitamin D and incident type 2 diabetes: a mendelian randomisation study. The Lancet Diabetes & Endocrinology, 2014; DOI: 10.1016/S2213-8587(14)70184-6.
Health Literacy and Implications in Nutrition CareBy Mayra Sofia Crespo Bellido
"I drink tea of guanábana leaves when I can't make it to my chemotherapy sessions. Did you know Miss, that eating guanábana is just as good as 10 chemotherapy sessions?" I was shocked when a patient shared this piece of information with me during a nutritional assessment interview. Luckily, my preceptor stepped in and educated the patient and his spouse on the risks of completely substituting traditional medicine with alternative treatments that are not evidence-based. He argued with my professor. In that moment it sunk in how dangerous health illiteracy can be.
Health literacy has been defined as "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions." It involves different factors such as: health knowledge, listening, speaking, arithmetical, writing, and reading skills, and cultural competencies of health professionals as well as other systemic factors.
According to the National Center for Education Statistics, nearly 9 out of 10 adults may lack the skills needed to manage their health and prevent disease. Nearly 14% of adults (30 million people) have 'below basic' health literacy. These adults were more likely to report their health as poor (42%) and are more likely to lack health insurance (28%) than adults with Proficient health literacy. These patients are more likely not to vocalize their concerns and questions as well as being less active participants in their care because of the stigma associated with being health illiterate. Being health illiterate is a stronger predictor of health than socioeconomic status, education, ethnicity, or race.
Nutrition professionals in all areas face health illiteracy on a day-to-day basis. During my dietetic internship training, I have a difficult time gathering accurate information from patients during the nutritional assessment in the clinical setting, particularly when assigned a high patient load. That initial interaction may be somewhat compromised by the fact that most patients do not know how to express nutritional concerns and time is too constricted to dig deep into the answers provided. Same goes to other areas of practice: nutrition researchers dealing with tailoring informed consent forms to the level of health literacy of their population of interest or foodservice managers explaining to their employees the reasons to follow HACCP procedures to ensure food safety. Even public health nutrition professionals may face it while trying to advocate in favor of measures such as the taxation of sugar-sweetened beverages.
Healthy People 2020 includes the specific objective to increase health literacy under the topic of Health Communication and Health Information Technology. In this era health and nutrition information is produced and distributed by individuals and organizations with various agendas. It is critical that people have the skills to navigate this sea of information without feeling overwhelmed by nutrition confusion. Guiding people through this process and giving them strategies to find and understand accurate food and nutrition information could allow for a new sense of empowerment that could position dietitians, nutritionists and other nutrition professionals as the go-to source in these matters for people who have put their trust elsewhere to get the information.
The World Health Organization has determined improving health literacy has implications in a greater scope than individual decision-making processes with the following quote:
"[…] Health Literacy goes beyond a narrow concept of health education and individual behavior-oriented communication, and addresses the environmental, political and social factors that determine health. Health education, in this more comprehensive understanding, aims to influence not only individual lifestyle decisions, but also raises awareness of the determinants of health, and encourages individual and collective actions which may lead to a modification of these determinants. Health education is achieved therefore, through methods that go beyond information diffusion and entail interaction, participation and critical analysis. Such health education leads to health literacy, leading to personal and social benefit, such as by enabling effective community action, and by contributing to the development of social capital."Such an impact could guide the food and nutrition policy measures that are needed to ensure the population's health by activism that intends to change social determinants of health. Wow!
There is a vast amount of literature in health literacy, yet there is still some room for improvement in the scope of practice. Public health and community nutrition professionals could make use of the health care system's shift from acute care towards preventive care and health promotion to justify projects that improve basic health literacy skills. Helping people understand the purpose of health and nutrition behavior change, increasing self-efficacy and helping individuals make decisions accordingly is vital.
Department of Health and Human Services (US), Office of Disease Prevention and Health Promotion. Health literacy online: A guide to writing and designing easy-to-use health web sites.
Health Communication and Health Information Technology- https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology
Health literacy and health behaviour- http://www.who.int/healthpromotion/about/en/
Carbone E., Zoellener, J. (2012) Nutrition and Health Literacy: A Systematic Review to Inform Nutrition Research and Practice. J Acad Nutr Diet. doi: 10.1016/j.jada.2011.08.042
Interview Featuring MNC Chair Dr. Connie BalesConnie Bales, PhD, RD, is the current chair of ASN's Medical Nutrition Council, which leads ASN's clinical nutrition conference series. In an interview, the clinical researcher and educator from Duke University Medical Center and the Durham VA Medical Center speaks about upcoming pursuits for the council, what she hopes to achieve in her new role, and the information overload problem the field is facing. Read the entire interview here.
Posted In Clinical Conference
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Mobile Innovations in Global Nutrition ResearchBy Marion Roche, PhD
At the 2014 Clinton Global Initiative in late September, former President Bill Clinton remarked that a Masaai Warrior has better access to mobile communications today using a small cell phone than he had during his presidency 25 years ago. This access to technology is providing a wealth of opportunities, including in nutrition research and programming. Cell phones are ubiquitous across the African continent and are being used increasingly as an essential part of health community plans: in the area of emergency maternal health, such as when labour stops progressing; for improving supply demands, such as when rural clinics run low on zinc and oral rehydration salts (ORS). The use of cell phones has been at the forefront of the emergence of an entire field of mobile health, known as m-health. One of the most popular uses is probably communications messaging, such as sending regular SMS reminders to parents for growth monitoring visits.
Mobile technologies also offer innovations in global nutrition research. As cell phone use across Africa increases, it becomes easier and easier to train field workers in the use of personal data assistants (PDAs), as people are more familiar with the technology from having their own cell phones. One such example from the Micronutrient Initiative (MI) is the use of PDAs for data collection in our field surveys evaluating a mass media intervention to improve zinc and ORS for the treatment of diarrhea in Senegal. Interviewers carried a PDA with questionnaires loaded onto their device. Text-prompts guided them through the questionnaire, eliminating the need for paper surveys and the logistical complications of storage and transportation that paper surveys add. In the case of our Senegal survey, the PDAs connected to the mobile network daily and sent the interviews to a central server, eliminating the step of manual data entry, as PDAs are configured to send the data directly into the digital database. Anyone who has done data entry can appreciate the extreme benefit of being able to skip this time-consuming and high-risk-for-errors step. Further, the study supervisor can check for concerns in data quality from multiple study sites on a daily basis and follow up with interviewers the next day, potentially increasing overall data quality. And just as important, the issue of lost or damaged paper questionnaires is greatly reduced.
Using PDAs for field surveys opens up other new opportunities, such as incorporating visual media into questionnaires. We were able to provide caregivers in our Senegal zinc and ORS study with pictures of the different brands of products available, giving programmers important insights. The use of images can also be helpful in surveys with dietary recalls, although this option would require preparation of uploading photos and knowing the foods and supplements available to the targeted audience in advance. After a media campaign, we could include images from television spots or radio segments to see if parents recall the ads.
Global Positioning System (GPS) is now offered with some PDAs, which can help in monitoring data quality, survey implementation, and new ways for interpreting data. For example, with the Senegal project, we have the GPS coordinates for households and a visual map of clusters, or hot spots, for diarrhea infections, enabling us to prioritize these areas for intervention. We were also able to ask families about radio stations they listened to and create a map of radio stations reaching the communities in order to develop a national mass media campaign using local radio stations. With traditional surveys it could be months before this type of information would be available.
Despite the advances in using PDAs for data gathering, there are downsides, the biggest being initial purchase costs, related software, as well as having the training and expertise to support surveys in-country. Other challenges are short battery life, theft, connectivity issues, and, in some cases, the need for accompanying paper consent forms. At MI we are fortunate to work with Canadian partner Health Bridge whose expertise and equipment support our local partners and the MI office in Senegal. Innovations in enabling access to these new technologies may be the next challenge in m-health for nutrition surveys, as we work towards systems that provide greater access to larger segments of populations in low to middle income countries.
Field worker using PDA in our zinc and ORS diarrhea treatment intervention study in Senegal.
Can the Vegetarian Diet Be Healthy?By Meghan Anderson Thomas, MS
I constantly hear:
Omnivores: "Vegetarians just don't look healthy."
Vegetarians: " Meat just isn't good for you." Or "I feel so much better when I'm not eating it"
So who has it right? Can they both be right and wrong at the same time? I think the answer lies in the motivations behind the eater. The omnivore may have a point because vegetarianism, like all other diets, has the capacity to be unhealthy.
Essentially, vegetarianism, pescetarianism, veganism, etc. are elimination diets. Like any elimination diet, they have the potential to lack vital nutrients including certain vitamins that are predominately found in animal products. According to Sabate, vegetarian diets when compared to meat-based diets are more likely to be deficient in vital nutrients(1). Similarly, when omnivores (typical American diet) obtain the abundance of their calories from meat and dairy they have less room for the fruit and vegetables that provide them with the other nutrients vegetarians so easily acquire. Moreover, studies show that the increased risk of cancer and heart disease in meat-based diets may be related to a deficiency in the phytochemicals and other compounds found in plant-based foods, not just the intake of saturated fats and excess calories(2).
Again, the problem lies in the motivation. Vegetarians and omnivores alike that eat for health are much more likely to eat properly. The choice of becoming a vegetarian for health reasons alone may lead the vegetarian in question to a more healthful diet in which they are cognizant of variety and balance. That being said, there are plenty of vegetarians that may be doing it for the wrong reasons or are, like most, uneducated in making the proper nutritional decisions.
The observation that vegetarians are unhealthy may actually be evident. Most will argue that they have been deficient in iron, zinc, calcium and B vitamins since they have eliminated animal products, leading to anemia(2). Not to mention that most vegetarians are women who are prone to anemia due to menstruation. The fatigue that follows leads to the snowball effect of fatigue, decreased exercise and depression. The point is, diet has a strong influence on health and well-being and it is dangerously easy to eat incorrectly, even if one's intentions may be pure. This is seen in all "types" of eaters alike.
It is important to remember that as a vegetarian, the elimination of a steak may reduce your risk for heart disease, hypertension, atherosclerosis, hyperlipidemia, etc., but it is not a free pass to eat all the junk food you can to make up for it. The elimination of meat alone is not the ticket to health. Instead, it seems to be a correlation: the vegetarians motivated by health are also more likely to be cognizant enough to eat right all of the time. Furthermore, Sabate illustrates that the vegetarian diet is viewed as improving health and limiting disease when compared to the meat-based diet(1).
1. Sabate, J. (2003). The contribution of vegetarian diets to health and disease: a paradigm shift? The American Journal of Clinical Nutrition, 78 (3), 502S-507S.
2. Nieman, D. C. (1999). Physical fitness and vegetarian diets: is there a relation? The American Journal of Clinical Nutrition, 70 (3), 570S-575S.
Changes on the Horizon: Redefining Malnutrition Diagnoses in Older AdultsBy Jonelle Agurs, ASN Intern
No one wants to get half a diagnosis from their doctor.
Unfortunately, that's what tends to happen when diagnosing malnutrition in hospitalized adult patients in the United States. The present criteria for some malnutrition assessments, like the Malnutrition Screening Tool (MST), are under scrutiny because they only evaluate patients on symptoms of starvation, such as unintentional weight loss or poor appetite. However, new studies postulate that malnutrition should not be limited to food behaviors, but should be expanded to include inflammation resulting from chronic disease. The body's inflammatory response can intensify the symptoms of starvation, and vice versa; poor eating habits may induce inflammation as well. The human body does an impeccable job of patching itself up using the inflammatory response, but this process often triggers symptoms strongly associated with malnutrition, such as weight loss. With approximately half of the U.S. adult population (117 million) suffering from at least one chronic condition, such as coronary heart disease and diabetes, it is no surprise that there is an increasing prevalence of malnutrition cases among hospitalized adult patients.
ASN supports the efforts of many of its partner organizations, such as the American Society for Parenteral and Enteral Nutrition and the Academy of Nutrition and Dietetics, which want to recognize the role of the inflammatory response when diagnosing malnutrition. They have proposed four standard criteria: insufficient energy intake, unintended weight loss, muscle mass and fat loss, and diminished physical function. These criteria will support a more etiological-based diagnosis of malnutrition; a diagnosis more closely linked to the chronic diseases that cause it. Misdiagnoses often result in patients being discharged early from hospital care, causing inpatients to return later for health issues made worse by the symptoms of poor nutrition.
The International Classification of Diseases, 10th Revision, or ICD-10, is a coding system under the Affordable Care Act of 2010, scheduled to be implemented after October 1, 2015. Designed to improve disease management, this revision will include coding using an updated definition of malnutrition. Absence of a standard screening system for this condition is like installing the proverbial cork in the leaky faucet; diagnoses without a simple malnutrition assessment may "plug" up the issue, but the pressure continues to build, waiting for a more thorough solution. The expansion of the ICD-10 coding system will provide a part of that solution by enhancing screening accuracy. With five times more descriptors than its ICD-9 predecessor, ICD-10 coding will include more conditions that could be linked to a range of malnutrition-related issues.
Hospitals across the nation are preparing for the ICD-10 updates, but it is imperative that hospital personnel fully understand how to recognize and diagnose malnutrition to code it properly. Despite shortages of nursing staff and other trained individuals, quality of patient care must be maintained in order to indicate their risk of malnutrition. Clinicians must be able to perform comprehensive assessments of the patient's complete medical background, so that, along with the newly-proposed diagnostic construct, every patient will receive comprehensive care that will, ideally, lower the cost of their medical care expenses in the future.
Malnutrition, among other hospital-based nutrition topics will be discussed on Saturday, December 6 during the fourth annual Advances and Controversies in Clinical Nutrition conference. Dr. Gordon Jensen, ASN's immediate past president, will give an address titled "Malnutrition and the Affordable Care Act." The conference runs December 4-6 at the Gaylord National Resort & Convention Center in National Harbor, MD, and features a dynamic program with topics ranging from dietary supplements to nutrition and cancer. To learn more about this year's conference, please visit the website.
Jensen, G, Compher, C, Sullivan, D, Mullin, G. (2013). Recognizing Malnutrition in Adults: Definitions and Characteristics, Screening, Assessment, and Team Approach. Journal of Parenteral and Enteral Nutrition, 802-807.
Nutrition Research: Revisiting our FociBy Kevin Klatt
A few weeks ago, I had the pleasure of reading Allyson West and Marie Caudill's Research and Practice Innovations paper in the Journal of the Academy of Nutrition and Dietetics, entitled "Applied Choline-Omics: Lessons from Human Metabolic Studies for the Integration of Genomics Research into Nutrition Practice" (1). The publication elegantly describes how integrating metabolomic, transcriptomic and genetic/epigenetic approaches into traditional controlled feeding studies can help refine the Dietary Reference Intakes, and elucidate the mechanisms by which choline and folate contribute to overall health.
Referencing the Nutrition Research Priorities established by the American Society for Nutrition (ASN) in 2013 (2), we can clearly see that the approaches described by West and Caudill fall in line with ASN's thinking on how to advance the field of nutritional sciences. The Nutrition Research Priorities report specifically highlights furthering our understanding of nutrition and health by pursuing –omics research to understand individual responses to nutrients. For me, it was encouraging to see these kinds of advanced techniques and their clinical applications representing the field of research in a major clinical nutrition journal.
Fast-forwarding to this past week, I found myself staring at headlines inflaming the conversation around the newest low-carbohydrate/low-fat research, published in the reputable Annals of Internal Medicine (3). The publication is a randomized trial that ultimately concludes "the low-carbohydrate diet was more effective for weight loss and cardiovascular risk factor reduction than the low-fat diet". Being in such a high profile journal and funded by the NIH, one would expect this publication to add some significant perspective to our understanding of energy balance and disease progression, two areas also highlighted in the 2013 Nutrition Research Priorities report. Unfortunately, upon reading the paper, one is quickly underwhelmed by the lackluster weight loss over 12 months, the poor accuracy of the dietary recall data, the lack of any information about diet quality, the use of imprecise measurement techniques, and the authors' failure to discuss alternative conclusion, beyond just the low-carbohydrate component of the diet. I have specifically detailed the limitations of this trial elsewhere.
As I finished reading the study, West and Caudill's 'Choline-omics' paper came to mind, and I couldn't help but feel frustrated: why are we still funding these overly reductionist paradigms of low-carb vs low-fat, when much more integrative and informative approaches are being taken? To quote the 2013 Nutrition Research Priorities report on the topic of energy balance:
"A systems approach is preferable because the standard experimental approach of varying one factor at a time has accomplished little to address the population-wide problem of energy imbalance."Yet here we are, still trying (and failing) to vary only one factor, and publishing it in a premier journal for physicians. Is this how we want to represent nutrition research?
I further sat and thought about this trial: even at the outset, given the design, and the quality of the proposed data to be collected, what could this have added to our knowledge of nutrition? The trial states that its goal was to conduct a randomized trial to compare low-carb versus low-fat diets on body weight and CVD risk factors in a diverse population without comorbidities. Beyond the overly reductionist paradigm of low-carb/fat, the study design is questionable in that "neither diet included a specific calorie or energy goal." Ultimately, the trial tested whether a macronutrient goal, coupled with education and a meal replacement bar would spontaneously lead individuals to lose weight, in a diverse population without comorbid conditions. Not surprisingly, after being sent into an environment with highly palatable, minimally nutritious high carbohydrate/ high calorie foods, the low-carbohydrate group fared better. Is this substantially improving our understanding of nutrition and energy balance? If there's any theme that holds true with weight loss and disease risk reduction, it's that choosing a well-planned, reduced energy diet which an individual can adhere to is most important (4,5,6,7). Given the failure to reach recommended fiber intakes and minimal weight loss seen in this trial, nothing about the previous statement appears to change.
Even worse than the limited information to be gained from this kind of trial is the media reporting and subsequent public response to this research. The public's perception of nutrition recommendations isn't that great, as acknowledged in what I would argue is the most pertinent point of the Nutrition Research Priorities report:
"Perhaps the greatest barrier to advancing the connections between food and health is the variability in individual responses to diet; it is also the origin of public skepticism to acceptance of dietary advice…."If individual variability spurs public skepticism, we should seek to explain that variability. One only needs to look to the original 1980's Dietary Guidelines for Americans (4) to see that we've known that there is individual variation in weight gain/loss and in biomarker response to diets high/low in fat. Yet here we are, 3 decades later, and we're conducting trials that do nothing to further isolate and understand the factors that contribute to this variation. However, what we are doing is deepening this public skepticism, as history shows us the controversial topic of low-carb vs. low-fat undoubtedly garners a lot of press.
Don't get me wrong, research that attempts to understand individual variation in response to food and nutrients is being done, but, despite being identified as a major priority, it does not appear to be so. It's truly a shame to be in this field and see examples of researchers employing the most cutting edge techniques to answer pressing questions, only to be overshadowed by overly simplistic paradigms that incite more sentiment than they do advance science. It is essential that scientists, and more importantly funding agencies, are aware of the field's established research priorities, so that we can stop asking the uninformative questions that tantalize a public controversy and start generating truly substantial evidence, which fosters public trust in recommendations. These established Nutrition Research Priorities can be found in full here.
1. http://www.ncbi.nlm.nih.gov/pubmed/24529976
2. http://www.ncbi.nlm.nih.gov/pubmed/23784071
3. http://annals.org/article.aspx?articleid=1900694
4. http://www.health.gov/dietaryguidelines/1980thin.pdf
5. http://www.nejm.org/doi/full/10.1056/NEJMoa022207
6. http://www.nejm.org/doi/full/10.1056/NEJMoa0804748
7. http://jama.jamanetwork.com/article.aspx?articleid=200094
8. http://www.health.gov/dietaryguidelines/1980thin.pdf
Posted In nutrition research
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Food Security in Puerto Rico: Vulnerable Food SupplyBy Mayra S. Crespo Bellido
In 1942, Dr. Lydia J. Roberts was asked by Dr. M. L. Wilson of the US Food and Nutrition Board to visit Puerto Rico under the pretenses that "there was a problem in [the island], which ordinarily imported much of its food." After all, the island only produced 65% of the food the habitants needed, 35% was being imported at the time. Dr. Roberts was assigned to study the food and nutrition situation in order to report back to Washington, DC. Out of her collaboration with the University of Puerto Rico as a visiting professor, a clear picture of the living situation for the islanders during the 1940s was portrayed in her book Patterns of Living in Puerto Rican Families. This classic one-of-a-kind report depicts explicitly the poor health conditions and severe food insecurity in most households, mostly due to lack of educational and monetary resources. During this period infectious diseases were ranked #1 among the most common causes of mortality for all ages.
In the 21st century, a changing landscape of health problems troubles Puerto Rico. Following nutrition transition patterns of developing countries, the leading causes of death of our time are all from complications of chronic conditions associated with the increasing prevalence of obesity in the island. In 2013, 35% of Puerto Ricans living in the island benefited from the Nutrition Assistance Program, and the majority of the population benefits from other programs such as WIC and Child Nutrition Programs. Nonetheless, Puerto Rico deals with serious food security issues as the island produces only 17.65% of the food it consumes, importing 82% from over 10 different countries.
According to the Food and Agriculture Organization (FAO), food security exists when all people, at all times, have physical, social and economic access to sufficient, safe and nutritious food which meets their dietary needs and food preferences for an active and healthy life. The four dimensions of food security as defined by the FAO are: food availability, food access, proper utilization and stability. A recent study established that food security is not distributed equally as people living in rural areas of the island are disproportionately affected unemployment rate, greater proportion of habitants below the poverty level and lower education levels all of which may create barriers to food access and proper utilization. However for the Puerto Rican population it becomes a little more complicated than that.
Dr. Myrna Comas, Puerto Rico Secretary of Agriculture, has made it her lifework to bring awareness of the vulnerability of the food chain supply in Puerto Rico. As stated by Dr. Comas, the high dependence on imported foodstuff, constant decreases in local agricultural production, the fact that there is only one functioning seaport that receives all merchandise imported, the great distances food has to travel to get to the island, and a lack of policy to ensure food security are some of the many reasons the food chain supply to the island is susceptible to external influences. Some identified risk factors that could interfere with the supply of food are: global climate change, food and water contamination, reduction of terrains devoted to agriculture in the island, accidents, and free trade agreements, among others.
Under the direction of Dr. Comas, the Puerto Rico Department of Agriculture has systematically addressed these issues for the past couple of years. Part of this plan to counterattack the risk of having a food crisis includes an educational campaign to bring awareness to the matter of food security, and initiatives to conserve agricultural lands and to promote local agricultural production of staple foods. There is evidently a long way to go until this matter is resolved. Hopefully with increased knowledge and understanding of the repercussions of letting this problem remain unaddressed will encourage the proper authorities to create local and international food policy that avoids an impending food crisis in the island.
Rosario-Mejías, M, Dávila-Román, A. (2012). Distribución geográfica de la seguridad alimentaria en Puerto Rico, 2005-2009. CIDE Digital 3(1-2), 109-118.
My Clinical Nutrition Internship: Enhancing Physician EducationBy Hans Chiang
I used to be very picky with my food as a child. My parents tried multiple ways to keep me on a well-balanced diet. My interest in nutrition sparked when my parents persuaded me to eat carrots by claiming "carrots are good for your eyes." While I did not have the scientific fundamentals and resources to research the biochemical mechanism that validates their claim at that age, I trusted my parents, labelled carrots as "good food" and tried to incorporate them into my food choices. When taking biochemistry in my undergraduate studies, these mysterious interactions between foods and the human body unfolded as I learned the science behind how nutrients actually work. Realizing how dietary intake plays a huge role in disease prevention and treatment, I wanted to advance my nutrition education in medical school so that I can provide relevant nutritional guidance to my patients as a physician.
For this reason, I applied for a position in the Clinical Nutrition Internship Program during the summer after my first year of medical school at Indiana University School of Medicine. The program provided me with valuable experiences; not only did I learn about nutritional science from registered dietitians, I also shadowed physicians of different specialties, observe procedures, and learn how they incorporate nutrition into their fields of practice. On top of the clinical exposure, I reviewed my physiology and biochemistry by participating in literature research with my mentor and writing a research paper on the assessment and dietary modulations of endothelial functions.
I had the opportunity to learn from dietitians who assist different patient populations. I spent time in a diabetes care center, a hospital pulmonary and cardiac rehabilitation unit, a retirement community, a cancer radiation center, the local WIC clinic, a community health clinic, the Volunteers in Medicine clinic of Monroe County, and the University Student Health Center. I was surprised to learn how diets are formulated so differently for each unique population. In addition, I learned to appreciate the communication techniques dietitians use to encourage their patients to follow an optimized diet. As a future physician, I would also be working with a very diverse population and these are all useful techniques I can use in my practice.
Besides learning about nutrition from dietitians, I participated in nutrition support rounds and shadowed physicians in different specialties. I shadowed a gastroenterologist and observed esophagogastroduodenoscopies (EGD), colonoscopies, colon decompressions, and gastric tube insertions. I shadowed a bariatric surgeon and observed lap band, cholecystectomy, and hernia repair procedures. I also spent time with an oncologist, a pediatrician, and an endocrinologist to learn about how weight control plays an immense role in treating cancer patients, infants, teenagers, and diabetic patients.
The Clinical Nutrition Internship Program was a wonderful enhancement to my education in becoming a physician. Besides learning about the various roles nutrition has in the health care field, I also obtained valuable communication skills through observing the interactions between the health care professionals and their patients. Regardless of the specialty I pursue in the future, I will be able to incorporate what I learned through this internship into my practice to provide my patients with the best care and education. I enjoyed the eight weeks of the internship very much and am very grateful to have had this opportunity.
Meet ASN's 2014-15 BloggersASN is pleased to announce the following 9 bloggers who will serve one-year terms. ASN bloggers are selected through a competitive application process, and those selected hail from a variety of settings, including doctoral programs, medical schools, and postdoc fellowships. Their professional goals and photos can be found here. Let us know what topics you'd like to see written about.
• Banaz Al-Khalidi, MSc, Doctoral Student, York University, Canada
• Meghan Anderson, MS, Student, Medical University of South Carolina
• Mayra S. Crespo Bellido, Dietetics Intern, University of Puerto Rico-Medical Sciences
• Debbie Fetter, Doctoral Student, University of California-Davis
• Kevin Klatt, Doctoral Student, Cornell University
• Brett Loman, Dietetic Intern and Graduate Student, University of Illinois-Urbana Champaign
• Marion Roche, PhD, MPH, Technical Adviser, Micronutrient Initiative
• Sheela Sinharoy, MPH, Doctoral Student, Emory University
• Tiffanie Stewart, MSc, Doctoral Student, Florida International University


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US researchers develop new way to measure cumulative effect of football head hits
Washington, July 19 (ANI): Scientists at an US academic medical centre have developed a new way to measure the cumulative effect of impacts to the head incurred by football players.
According to Joel Stitzel from the Virginia Tech-Wake Forest University School of Biomedical Engineering and Sciences under the Wake Forest Baptist Medical Center, the metric, called Risk Weighted Cumulative Exposure (RWE), can capture players' exposure to the risk of concussion over the course of a football season by measuring the frequency and magnitude of all impacts.
Based on data gathered throughout a season of high school football games and practices, the researchers used RWE to measure the cumulative risk of injury due to linear and rotational acceleration separately, as well as the combined probability of injury associated with both.
Concussion is the most common sports-related head injury, with football players having the highest rate among high school athletes, according to the study. It is estimated that nearly 1.1 million students play high school football in the United States.
With such a large number of players in the sport, it is critical to understand the risk associated with different levels of impact and accurately estimate cumulative concussion risk over the course of a practice, game, season or lifetime, Stitzel said.
In the Wake Forest Baptist study, the researchers measured the head impact exposure in 40 high school football players by using sensors placed in their helmets to record linear and rotational acceleration. A total of 16,502 impacts were collected over the course of one football season and the data were analyzed as a group and as individual players.
Impacts were weighted according to the associated risk from linear acceleration and rotational acceleration alone, as well as to the combined probability of injury associated with both.
"All hits involve both linear and rotational acceleration, but rotation coveys the idea that your head is pivoting about the neck whereas linear acceleration is experienced from a direct blow in more of a straight line through the center of mass of the head," Stitzel said.
The study found that impact frequency was greater during games (15.5) than during practices (9.4). However, overall exposure over the course of the season was greater during practices.
This information may help teams reduce exposure to head impacts during practices by teaching proper tackling techniques that could reduce exposure to impacts that may result in a higher concussion rate, the researchers reported. (ANI)
Rebel stronghold tightens security ahead of Ukrainian election
October 26, 2014 at 8:25 AM
'Thousands more' U.S. troops to join Liberia Ebola mission
October 26, 2014 at 8:00 AM
Brazil preps for historic presidential runoff
October 26, 2014 at 4:00 AM
Dortmund slump to fourth Bundesliga defeat in a row
October 26, 2014 at 3:55 AM
Chilean students and parents march against education reform
October 26, 2014 at 2:35 AM
Egypt declares state of emergency, funerals held for security personnel
October 26, 2014 at 2:10 AM


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A recent article made me ask a lot of questions about the liquor laws in the state (Liquor laws loosened, but still restrictive," June 13). Why should Utah liquor laws not be labeled "not only quirky but inhibiting?" Isn't the purpose of the laws to inhibit alcohol consumption?
Why does the business of a sushi restaurant in Salt Lake City "suffer" because the patrons are not comfortable with Utah liquor laws? Why doesn't the restaurant move to Reno or Las Vegas if the income is dependent upon liquor sales rather than sushi sales? Why do lawmakers assume the state benefits financially more from tourists, "world travelers" who will visit Utah briefly, than from permanent residents living in Utah paying property taxes?
Helen S. Carbine
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Feature Articles
Articles tagged 'wireless display'
Intel at CES 2011: Laptops, Netbooks, WiDi and Demos
We visited Intel's booth today and we had the opportunity to experience the new Sandy Bridge laptops, wireless display, netbooks and a preview of a couple of Oak Trail products.
- IBM to offload semiconductor tech business to Globalfoundaries for US$1.5 billion
- Jabra announces the release of the Jabra Move Wireless – headphones inspired by the city
- Rumor: Microsoft weeks away from launching fitness bands with multi-platform support
- More Sony devices to get PS4 Remote Play capabilities?
- Would you pay CAD$599 for a 256GB USB thumb drive?
- SteelSeries announces launch of new Siberia headset family - Updated with price and availability information.
- New Google Nexus Player announced
- Samsung's flexible batteries can be wrapped around your wrist
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Metro: Last Light won't be released on the Wii U, and 4A Games isn't shy when it comes to explaining why.
"Wii U has a horrible, slow CPU," 4A's chief technical officer Oles Shishkovtsov told NowGamer.
Metro publisher THQ's head of communications Huw Beynon was more diplomatic, explaining that his studio couldn't justify the effort required to make a Wii U version on par with those of other consoles.
"We had an early look at it, we thought we could probably do it, but in terms of the impact we would make on the overall quality of the game - potentially to its detriment - we just figured it wasn't worth pursuing at this time," he said.
"It's something we might return to. I really couldn't make any promises, though."
"Given the size of the team and compared to where we were last time, just developing for the Playstation 3 is a significant addition."
In September, Tecmo Koei producer Akihiro Suzuki claimed the Wii U had a slower CPU than the PlayStation 3 and Xbox 360, which reduced the number of possible on-screen enemies as well as the frame rate in Warriors Orochi 3 Hyper.
However, last month designers from Virgil and Ubisoft stepped forward to say that the Wii U was surprisingly easy to develop for.
The Wii U will be available in New Zealand from November 30.
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Silver Ferns bounce back to down England
Arrest after baby taken from Hamilton home
Otatara lockdown over but hunt for man continues


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10/29-11/11: Stress Management Course FREE pic
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6/10-6/23: looking for bluegrass banjo teacher (at my apt.)
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Zuo Modern Marina Armchair - BeigeItem # HN-ZMC1742
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Measurement was a key topic discussed by Facebook Chief Operating Officer Sheryl Sandberg during the social network's first-quarter earnings call Wednesday, and the company's plans for Atlas Solutions, which it acquired from Microsoft in February, were front and center.
Evercore Partners
Mediabistro Course
Instagram Marketing
Starting October 27, learn how to gain likes and followers on one of the most popular social media platforms! In this course, you'll learn how to develop an Instagram strategy that will make your profile stand out and gain new followers, tell your brand's story through photos, and use your profile to drive your sales and business objectives. Register now!
Will Facebook Be Worth $1 Trillion?
Are you tired of debating about Facebook's stock price? The best way to cut investors short is to ask: Will Facebook be worth $1 trillion?
Analysts Bullish So Far On Facebook IPO
Analysts are starting to chime in on Facebook's May 18 initial public offering, and so far, the chiming has been in harmony with the social network.


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"A Bible-based non-denominational Christian Church."
Latest News
By an overwhelming vote of its members, The Lakeway Church, on Sunday, August 17, confirmed a call to Reverend Larry Coulter, of Austin, to become its new Senior Pastor. Coulter will begin his responsibilities at the church on October 12, 2014. The previous Senior Pastor, Ron Kelling, retired in May
Once again this year, our Children's Ministry is holding a fun evening for our kids celebrating the fall. On Saturday, October 25, from 5-7, bring your kids in their Halloween costumes (no scary costumes, please!) to walk our well-lit back parking lot and pick up treats from over 50 cars/vans/trucks
Laura Savage-Rains will be the speaker for our 2014 FALL WOMEN'S CONFERENCE, with a day around the concept of How to Bring Out Your God-Colors & God-Flavors. The conference will be held at the church on Saturday, October 18, from 8:30 am to 2:15 pm. Both a continental breakfast and


text: We went the the Blue Nile with my in-laws who have an adventurous side. We got the sampler platter (two platters was more than enough for four adults.) There were six or seven vegetarian samples along with a chicken and beef. All spiced in a traditional Ethiopian taste. The platters were proceeded by an appetizer consisting of a fried, stuffed... More


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In this picture released by the official website of the office of the Iranian supreme leader, Supreme Leader Ayatollah Ali Khamenei, seated left, listens to an official during his visit at an aerospace exhibition in Tehran, Iran, Sunday, May 11, 2014. (AP/Office of the Iranian Supreme Leader)
TEHRAN: Iran has produced a new generation of short-range marine missiles and aerial drones, the official IRNA news agency reported Sunday.
The report said the Ghadir missile, with a range of 100 kilometers, is designed to destroy marine targets. It did not give a range for the Nasr-e Basir cruise missile, but said it could "operate in silence," without elaborating.
Iran has unveiled two new drones, the high-altitude Karrar-4 and the Mohajer-4. The latter can be used to generate maps for both military and civilian purposes, IRNA said.
The report said President Hassan Rouhani attended a ceremony marking the inauguration.
Tehran regularly announces military advances that cannot be independently verified.
Iran launched a homegrown defense industry in 1992 that produces light and heavy weapons ranging from mortars to tanks and submarines. It has surface-to-surface missiles with a range of about 2,000 kilometers, enough to reach Israel and U.S. military bases in the region.
Report: Iran builds surface-to-surface missile
Iran unveils new surface-to-air missile, radars
Iran says purported Israeli drone came from north
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Report: Iran builds surface-to-surface missile
Iran unveils new surface-to-air missile, radars
Iran says purported Israeli drone came from north
Iran's defense minister said his country is ready to ship defensive materials to Lebanon to aid its army in the fight...
The U.S. military conducted six airstrikes against ISIS militants near the Syrian border town of Kobani Sunday and...
U.N. experts questioned Israeli officials on Monday over alleged rights abuses ranging from the demolition of...
Iran's state news agency is reporting that the Islamic Republic's Foreign Ministry has warned Saudi Arabia that...
Raghda Yaqub was just days away from marriage, but a bombing in east Baghdad meant the 24-year-old Iraqi was buried...
Iran has still not implemented all the nuclear transparency measures it had agreed to carry out by late August, the...
Defense Minister Samir Moqbel is expected to discuss an Iranian aid package to the Lebanese Army during this week's...


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Long Time No Sierra Cardigan$34.99Price: $34.99
Missing the alpine surroundings of home, you don this shades-of-grey cardigan for a trip to your old stomping grounds. Semi-sheer with a Southwestern-inspired motif, this open-front layer touts long dolman sleeves and a circle hem thats perfectly cozy for a road trip through the mountains.
Foliage Stroll Sweater$44.99Price: $44.99
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The Good Tuft Cardigan$39.99Price: $39.99
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Chapter After Chapter Cardigan in Navy$34.99Price: $34.99
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Like Peas in a Podcast Sweater$34.99Price: $34.99
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You Get the Pointelle Cardigan$39.99Price: $39.99
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Fond of the Wind Cardigan$34.99Price: $34.99
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Crafternoon And Night Top$49.99Price: $49.99
An all-day crafting party with your pals calls for this totally inspiring open-knit top! Your long-sleeved pullover expands the color spectrum of paints and yarn around you with hues ranging from periwinkle, plum, and emerald to orange, yellow, and magenta. With such an exuberant array of colors - woven into ...
To Quiche Their Own Cardigan in Berry$54.99Price: $54.99
Wearing this lacy, berry-red cardigan to brunch is a smart choice. Your bestie expresses her love for it and soon asks to borrow this flutter-sleeved look, which touts gossamer-sheer fabric and intricate lace accents. That's precisely what you love most about this waist-tied garment - each wearer's taste makes its ...


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Pentecostal Lighthouse Church
6107 Blue Spring Rd. NW Huntsville, AL 35810
PH: 256.852.4779 or 1.877.452.4779; FAX: 256.852.4248Ā
Welcome to Our Website!
Feel free to browse through our pages. Be sure to stop by our Inspirational Page and learn more about how to stay strong in the faith. Scroll down this page and learn about what We Believe through our Doctoral Statement. Click on our Announcements and get the latest on upcoming events!
Come and Join Us
Every 2nd Friday
of the MonthĀ
@ 7:00 pm
Luke 18:1Ā
And he spake a parable unto themĀ
to this end, that men ought always to pray,
and not to faint.
Monday's @ 7:00 pm
Youth Service Every 4th Friday
of the Month @ 7:00 pm
Please check out our latest inspirational
words of encouragement on our "Inspirational Page"
The Choir needs
Faithful Members!
Choir Rehersal is
Every Thursday @ 7:00 p.m.
Please visit the "Announcement Page" for more details on this Week's Announcements!
Meet Our Pastor! Ā
Bishop Dr. Johnny L. Burrell has a tremendous passion forĀGod's word coupled
with a love for God's people.ĀPastor Burrell obediently fulfills his calling asĀ
Senior Pastor ofĀPentecostal Lighthouse Church.
For more details about our pastor, please click Ā"History" on the menu page
Are You in Need of Child Care?
Please call for a tour: 256-852-4386ĀĀ
For more info please click onĀour
menu above (Child Care)
Now enrolling!
Men's Ministry
Have You heard?
We're having a Ball at Plc's Child Care!
Now Enrolling!
PleaseĀView Our Calendar Page forĀFuture Events
Thank you for supporting PLC Feed Families.
With your donations we wereĀable to feed several families in
Huntsville and the surrounding areas. The food pantry
is in need of can and dry goods.
We are asking you to bringĀthese food items starting next Sunday
Bible Study Topic: Spritual Truths & Bible Types
"God gives us Gifts, Talents and Responsibility in order to help bring
lost sheep into the fold"
Dr. Johnny Burrell (Pastor)
Exodus: 10:12 Message Bible
God said to Moses: "Stretch your hand over Egypt and signal the locusts to cover the land of Egypt, devouring every blade of grass in the country, everything that the hail didn't get."
Philippians 2:15 Living Bible (TLB)
Some, of course, are preaching the Good News because they are jealous of the way God has used me. They want reputations as fearless preachers! But others have purer motives, 16-17 preaching because they love me, for they know that the Lord has brought me here to use me to defend the Truth. And some preach to make me jealous, thinking that their success will add to my sorrows here in jail! 18 But whatever their motive for doing it, the fact remains that the Good News about Christ is being preached, and I am glad.
1 John 3:20 Living Bible (TLB)
But if we have bad consciences and feel that we have done wrong, the Lord will surely feel it even more, for he knows everything we do.
Romans 7:15-18 Living Bible (TLB)
15 I don't understand myself at all, for I really want to do what is right, but I can't. I do what I don't want to—what I hate. 16 I know perfectly well that what I am doing is wrong, and my bad conscience proves that I agree with these laws I am breaking. 17 But I can't help myself because I'm no longer doing it. It is sin inside me that is stronger than I am that makes me do these evil things.
18 I know I am rotten through and through so far as my old sinful nature is concerned. No matter which way I turn I can't make myself do right. I want to but I can't.
Romans 12:1 Living Bible (TLB)
And so, dear brothers, I plead with you to give your bodies to God. Let them be a living sacrifice, holy—the kind he can accept. When you think of what he has done for you, is this too much to ask?