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Hi, this is a 3 piece set, wanted to confirm that includes 2 shams and quilt, is that correct? Thanks
Great set. Not super light...perfect for warmer weather. Very well made, and the price was great....
Greenland Home Fashions Esprit Spice 3-Piece Quilt Set
ITEM#: 14353416Spruce up the look of your bedroom with this reversible quilt set from Greenland Home Fashions. This Esprit cotton quilt set features elegant stripes on one side and a stylish Art Deco pattern on the other, giving you a fashionable and dynamic set that lets you change up your space in an instant. Constructed and filled with cotton, this quilt and its matching shams offer soft comfort at bedtime.
Each piece of the Esprit Spice quilt set is made from 100 percent cotton, which is gentle and comfortable on your skin. Choose from four different sizes to find the best fit: twin, full/queen, queen, and king/California king. This beautiful set is machine washable, so you can keep it looking fresh.
- Set includes: Quilt, two pillow shams (only one sham with twin set)
- Pattern: Art deco print
- Color options: Natural
- Style: Modern
- Cover materials: 100-percent cotton
- Fill materials: 100-percent cotton
- Backing materials: 100-percent cotton
- Care instructions: Machine wash
Twin Dimensions
- Quilt: 68 inches wide x 88 inches long
- Sham: 20 inches wide x 26 inches long
Full Dimensions
- Quilt: 90 inches wide x 90 inches long
- Shams: 20 inches wide x 26 inches long
Full/Queen Dimensions
- Quilt: 90 inches wide x 90 inches long
- Shams: 20 inches wide x 26 inches long each
King/California King Dimensions
- Quilt: 105 inches wide x 95 inches long
- Shams: 20 inches wide x 36 inches long each
The digital images we display have the most accurate color possible. However, due to differences in computer monitors, we cannot be responsible for variations in color between the actual product and your screen.
|Floral Motif Stripe
|Set Include
|2 Piece 3 Piece
|Care Instruction
|Machine Wash
|Multi Off-White
|Quilt Type
|Printed Pattern
|See description
|See description
|Model Number
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Customer Reviews
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Greenland Home Fashions Esprit Spice 3-Piece Quil
Great set. Not super light...perfect for warmer weather. Very well made, and the price was great.Read More
Love this!
I've had this on my bed for a few years and I never get tired of it. It's held up very well.Read More
quilt and shams
looks elegant; good colors; reverses for a new look; pleasing textureRead More
Very nice quilt. Plenty big enough for a double size bed. Washes nicely.Read More
Great colors!!!
I love the feel of quilts and all the colors are BEAUTIFUL!! Bought for the master bedroom in my very new HOUSE!! Love, love, thanks OVERSTOCK!Read More
Super soft and vintage chic
I wasn't sure about the colors in this quilt (no description) but I would say they are off white, chocolate, mid-orange (kinda 70s-ish), deep fuschia, mid-olive green (also kinda 70s-ish), and turquoise. I already had a fuschia quilt on my bed and it matched perfectly. It is also surprisingly soft right out of the bag, not stiff like some of the cheap quilts I looked at in stores. The shams have cute little ties on the back/striped side so the pillow doesn't pop out. The price is AWESOME for what I got.Read More
Nice but...
Nice bedding! I have for a queen would like it to be a bit longer but we have an extra deep mattress so for a normal depth it would be fine! The quality is great for the price of this piece, I also have a different one from the same company in my guest bedroom and it's the same quality stitching. My only downfall of this piece is the coloring in the photo seems to be burgandy, burnt oranges, darker mustard yellows and blues so I though it would be perfect combination for my husband and I feminine pattern with more masculine colors BUT they aren't the burgandy is actually a mauve pink color, the mustard more of a yellow yellow as te dark blue is more of a teal. Now my husband doesn't care he digs the pattern an would sleep under something hot pink but if your going to have a significant other sharing this and they are kind of iffy about 'girly' colors Id take that into consideration!Read More
I'm In love
I ordered this in king size for my bed. I was originally looking for something under $100, of good quality. I wanted it to be colorful, but not TOO girly for my husband. I am so glad I got this. Its beautiful! Its thick and soft, made very well. The colors are so bright and looks even better in person! fits on my bed without being stiff. It's everything i was looking for.Read More
Nice surprise!
Was afraid to order this because there weren't any reviews! It is beautiful! I got it for a full bed and it covers both mattresses. Good quality. Shams are very big and tie in the back. Recommend it!Read More
Pretty colors - Nice Quality
Nice quality and the colors are prettier in real life - lots of options to use in decorating. Turquoise, browns and hot pinks - Modern retro feelRead More
Questions & Answers
Hello sptfyr, this set includes a quilt and two shams (one sham for twin size). Please let us know if you have additional questions. Thanks for shopping with us.
Do they make this pattern in a duvet cover?
Hello Alconrade, this lovely pattern is not currently available in a duvet cover. Thank you for shopping with us.
Does this have any red in it??
Hello Twindeb79, yes, this does have hints of red in it. Thanks for shopping with us!
Why did you choose this product?
I wanted something colorful, fun, with some neutrals and this fits :)
Love pattern and colors
Had just the quilt on my Amazon wish list for months - and that alone was $40 more expensive than on here!
Colors and price.
Leave at door if no one is there.
I liked the colors and after reading all of the reviews it sounded like it was just what I wanted. I wanted something a little light weight and would brighten up my room.
Looked fun, cheery and bright. Much better price than Groupon Goods and other places I checked. Thanks overstock
I like the look for a lighter spring/summer feel...
The colors I wanted and good reviews.
I searched and searched for a quilt for my husband and I (newlyweds) that was fun, but not overly girlie, and that was a good price! And this was it!
Love the colors and pattern
Love the colors!
Was pretty and had good customer reviews.
I liked the look, 100% cotton. Reviews sealed my choice
Already have this and is pretty and soft. Getting second one for vacation home.
Like the multiple colors. Great reviews from buyers.
colors and quality
LOVE the pattern; I especially like that the colors are deep and rich. This will be in a master bedroom and the stripes offer a little (hopefully!) masculinity to the pattern.
The design and colors
Unfortunately after ordrering the queen size quilt, I decided to order the king size because our mattress is extra deep & sits high off the floor. Now that I've placed 2 orders today can I cancel the queen size quilt as soon as possible before it's processed & shipped...or is it too late??
Hello cuijk1, thank you for your inquiry; you will be contacted by Customer Care.
More specifically, is this quilt pre-shrunk ? Thanks
Yes, I think it is. After it was washed, it still goes well on our king bed, but there is not a lot of overlap on the sides, which was fine with me.
Hello Marg5, this quilt is pre-shrunk. Thank you for shopping with us! tb
Yes and I love that its porportioned so that there is no overlap. Like I said one more reason to buy this quit for your sancuary!!!!
Is this quilt pre-washed?
Thank you for contacting us, marg5. Yes, this quilt is pre-washed. Please let us know if you have any further questions.
Did not notice if prewashed
Is this item still available in twin size?
Hello nellyd, items are restocked as they become available; however we cannot guarantee an item will be restocked. We currently do have this quilt available in the twin size. We hope this helps. Thank you for shopping with us.
Its still advertised in twin.
Would gold sheets and deep red curtains go with this set?
Thank you for contacting us dawn099. There is not really any Red color in this quilt, it's more of a burgundy and orange color range, so my opinion would be, gold sheets would match, but not to much Red curtains. Please let us know if you have any further questions.
Sheets good pic. Red curtains thats on you..I can imagine a dark room with the red
Would the Ridgedale Thermal Backed curtains in Moss coordinate well with this quilt?
Unfortunately No - There is too much blue in the quilt. A cranberry or beige would be a safer bet.
I think they would coordinate just fine. There is plenty of green in this quilt. I do, however, think s light teal or a cranberry would look smarter. But your choice!
I'm still unsure on the base color because of how much whiter the daybed cover looks than this. So it would help me to know if I were to buy sheets to go with this, from the link below, which color would I buy? It looks like I should buy the butter when I look at the 3 piece set coloring, but looking at the daybed I would be inclined to buy the light ivory. Thanks. http://www.overstock.com/Bedding-Bath/Striped-1000-Thread-Count-Quality-Easy-Care-Sheet-Set-with-Bonus-Pillowcases-6-piece-Set/8556566/product.html
The butter would go nicely but a tad more yellow than the beige in the base of the bedspread. I can tell you it is ivory, but that is too vague. It is a natural ivory, that or earthy ivory...if that makes sense. Definitely not white, almost an uncooked oatmeal....lol oh the lengths we go to trying to describe a color.
http://www.overstock.com/Home-Garden/Esprit-Spice-84-inch-Curtain-Panel-Pair/7984116/product.html take a look at the curtains they have in the same pattern. The quilt has more quality to it than these curtains appear to have...but you can zoom in on the colors
Yes, it's definitely a little more than just ivory - ivory with a lot of yellow. Butter would look good but an ivory would match almost exactly; it just depends on your taste. I used a light teal and they look good too. It's a nice light quilt.
suggest light ivory
Light Ivory coordinates beautifully. I have a beautiful cut trim on my sheet set that shows the lovely colors of the quilt when I turn it back.
do you still have te matching curtains available?
Hello, kathy122451. I think item #15352554 is what you're looking for. Please let us know if we can do anything else for you. Thank you for shopping with us!
what are the colors in this? can i get a close up pic of the print/color please?
Hello wanderlust122, This quilt is beautiful! Unfortunately, we don't currently have any additional photos available. Based on what other customers, who have purchased this product, have said, the colors are: mustard, olive/sage, turquoise, and cream. The picture for the 3 piece quilt set is exact as far as the color goes. I hope this helps. Thanks for shopping with us.
Though the previous answerer gave you the correct colors, they are not nearly as bright as what is depicted in the picture online. The background is cream, then in order I would say turquoise, yellow-green, cranberry, mustard. The swirls are brown with yellow-green leaves. Again, just not as sharp and beautiful as the online picture. I like mine but it's a bit skimpy in size and fabric quality. Definitely a summer quilt.
How thick is the padding for the quilt?
Hello april1334, The quilt does not have a specific warmth rating or measurement for thickness. Thanks for shopping with us!
I have this quilt. I measured the thickness at about 1/4".
It's a summer quilt, no doubt about that. A bit skimpy, both in size and weight.
I am wanting to order this in the king size but after reading the reviews it seems that the sizing is not accurate. Can you please let me know that if I order this and it is not as described I can return for a full refund along with the shipping charges?
Hello lannybird, you can initiate a return for most new and unopened items within 30 days of delivery for a full refund.* You must return items in new or unused condition with all original materials included with the shipment. We must receive your returned items at our processing facility within 45 days of delivery. We inspect all returned items and award a partial refund for opened or used products. If the return is a result of our error or defective product, we will refund the full cost of the merchandise and shipping charges. This link will bring you to further details. https://help.overstock.com/app/answers/detail/a_id/1 Thank you for shopping with us.
I purchased the king size as well. My bed is a platform style bed. The box spring is a thin one and is not visible. Just the mattress is visible and it's about 12" high. If I lay this quilt, it will cover the mattress on the 3 sides that don't include the headboard and contact the the platform. It kinda lays on it about 1/2" to an 1". Therefore, you can't see the mattress. Up at the headboard side it barely overhangs. But, I normally fold it back to expose the stripes on the reverse side of the quilt. The approximate dimensions are 95" x 104". The 95" run along the same direction as the stripes which I have set up in the direction of headboard to footboard. The thickness of the quilt is about 1/4". Hope this helps!
Hello, What are the colors in this set? It looks beautiful, just need to get this right. Also the background seems darker than the daybed set with the same name. 15446959. Is it the lighting or something and really is exact? Thanks greatly! :)
Mustard, Fuscia, Olive/Sage, Turqoise, and cream. The picture for the 3 piece quilt set is exact. It faded slightly after first wash, but I have washed it several times since and the colors are the same. Also the stitching has held up perfect. Hope this helps.
beckylouwho... thanks for the assistance. To prevent fading, use a cap of white vinegar in the first wash or regularly. It works! :)
Does this quilt have any sage (green) in it?
Hello pod1. Thanks for your interest in the Esprit Spice 3-Piece Quilt Set. From what other customers have said in their reviews, there is green but more of an olive green than sage. I hope this helps you, and thanks for shopping with us.
It does have a bit of sage green, yes, it's beautiful
NO! it does not have sage green. It is a very pretty Turquoise
Lots of yellow-green and turquoise.
Is there any RED in this quilt? It appears it does from the photo, but perhaps it is a dark pink rather than red? I already have red curtains and hope this quilt will match. Thanks in advance :)
Hello mzprizz, thank you for your interest in the Esprit Spice 3-Piece Quilt Set. The color looks to be red. Thank you for shopping with us, and have a great day!
It is definitely not pink. It is a little bit of a rusty red.
Red curtains will match this quilt, yes.
I would also have to say redish or rusty red...
No red at all. Fuschia and cranberry. More fuschia than cranberry. Look at the back side of the quilt as shown in the picture. Those are the colors of the quilt.
Is this item hypoallergenic? My husband has asthma & allergies.
Hello satorilove927, I apologize for the delay in response. This set is 100% cotton. Cotton is a naturally hypoallergenic fiber. For more information on hypoallergenic bedding visit our buying guide at the link below. Thank you for shopping with us. http://www.overstock.com/guides/tips-on-choosing-hypoallergenic-bedding-materials
can I add an extra pillow sham to my order. I ordered a twin and I know it comes with only one sham. I would like to buy it, plus the other two small decorative pillows
Can I send back my "Queen" for a King but is past 30 days????
Hello judywillis, can order the shams as well as matching curtains by using the link below. Thank you for shopping with us. http://www.overstock.com/search?keywords=Esprit+Spice&SearchType=Header
Hello pets04, you can return most new unopened items within 30 days for a full refund. Anything outside the 30 day time frame may be subject to a partial refund. You can view our standard return policy at the link below. Thank you for shopping with us. https://help.overstock.com/app/answers/detail/a_id/1/session/L3RpbWUvMTM3MDU1NzI1Mi9zaWQvSXg2aWM1c2w%3D
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Publications (79)186.89 Total impact
Article: Effect of urine urea nitrogen and protein intake adjusted by using the estimated urine creatinine excretion rate on the antiproteinuric effect of angiotensin II type I receptor blockers[Show abstract] [Hide abstract]
ABSTRACT: The aim of this study was to determine the role of protein intake on proteinuria in chronic kidney disease (CKD), as it is presently not conclusive. This is a subanalysis of data from an open-label, case-controlled, randomized clinical trial on education about low-salt diets (NCT01552954). We estimated the urine excretion rate of parameters in a day, adjusted by using the equation for estimating urine creatinine excretion, and analyzed the effect of urine urea nitrogen (UUN), as well as estimating protein intake on the level of albuminuria in hypertensive patients with chronic kidney disease. Among 174 participants from whom complete 24-h urine specimens were collected, the estimates from the Tanaka equation resulted in the highest accuracy for the urinary excretion rate of creatinine, sodium, albumin, and UUN. Among 227 participants, the baseline value of estimated urine albumin excretion (eUalb) was positively correlated with the estimated UUN (eUUN) or protein intake according to eUUN (P = 0.012 and P = 0.038, respectively). We were able to calculate the ratios of eUalb and eUUN in 221 participants and grouped them according to the ratio of eUUN during 16-wk trial period. The proportion of patients that achieved a decrement of eUalb ≥25% during 16 wk with an angiotensin II type I receptor blocker (ARB) medication was 80% (24 of 30) in group 1, with eUUN ratio ≤-25%; 82.2% (111 of 135) in group 2, with eUUN ratio between -25% and 25%; and 66.1% (37 and 56) in group 3, with eUUN ratio ≥25% (P = 0.048). The probability of a decrease in albuminuria with ARB treatment was lower in patients with an increase of eUUN or protein intake during the 16 wk of ARB treatment, as observed in multiple logistic regression analysis as well. The estimated urine urea excretion rate showed a positive association with the level of albuminuria in hypertensive patients with chronic kidney disease. The increase of eUUN excretion ameliorated the antiproteinuric effect of ARB. Copyright © 2015 Elsevier Inc. All rights reserved.Nutrition 06/2015; DOI:10.1016/j.nut.2015.05.004 · 2.93 Impact Factor
Article: Circulating tumour necrosis factor receptors 1 and 2 predict contrast-induced nephropathy and progressive renal dysfunction: A prospective cohort study[Show abstract] [Hide abstract]
ABSTRACT: Contrast-induced nephropathy (CIN) is an important cause of hospital-acquired acute kidney injury. An accurate understanding of the pathogenesis of CIN is crucial. The aim of this study was to evaluate the clinical role of circulating tumor necrosis factor receptors (cTNFRs) in CIN. From May 2013 to February 2014, 262 patients who underwent coronary angiography and/or percutaneous coronary intervention at Seoul National University Boramae Medical Center were enrolled. CIN was defined as either an increase in serum creatinine ≥ 22.1 μmol/L or ≥ 25% within 48 hours after the procedure. Diabetes and chronic kidney disease accounted for 27.5% and 17.6% of the patients, respectively, and the mean age was 65 years. All patients received fluid therapy, and 36.3% underwent percutaneous coronary intervention. A total of 4.2% of the patients developed CIN; younger age, underlying diseases (e.g., stroke and chronic kidney disease), the use of N-acetylcysteine, and elevated concentrations of ln(cTNFRs) were associated with development of CIN. Increased values of ln(cTNFR1) (OR 6.32, 95% CI 2.46-16.28, P < 0.001) and ln(cTNFR2) (OR 3.24, 95% CI 1.26-8.31, P = 0.015) were significantly associated with CIN after adjusting for other risk factors, including baseline renal function. Moreover, an increase of cTNFRs levels was independently correlated with the deterioration of renal function. Markedly elevated concentrations of circulating TNFRs were correlated with the occurrence of CIN and significantly associated with prolonged renal dysfunction regardless of the development of CIN. This article is protected by copyright. All rights reserved.Nephrology 03/2015; 20(8). DOI:10.1111/nep.12448 · 2.08 Impact Factor
Article: Not Early Referral but Planned Dialysis Improves Quality of Life and Depression in Newly Diagnosed End Stage Renal Disease Patients: A Prospective Cohort Study in Korea[Show abstract] [Hide abstract]
ABSTRACT: Health-related quality of life (HRQOL) has recently become an important issue. It reportedly affects morbidity and mortality in patients with end-stage renal disease (ESRD). In this study, we investigated whether early referral and planned dialysis improve the HRQOL and depression of patients with ESRD. We prospectively enrolled newly diagnosed patients with ESRD, from 31 hospitals in Korea, who completed questionnaires at 3 months after dialysis. We also got follow-up survey at 1 year after dialysis. To measure HRQOL and depression, Kidney Disease Quality of Life Short Form 36 (KDQOL-36) and Beck's Depression Inventory (BDI) were utilized. A total of 643 patients were analyzed. Referral type did not affect either KDQOL-36 or BDI scores. However, the planned dialysis group showed significantly better scores in 4 of 5 KDQOL-36 domains than did the unplanned group at 3 months after dialysis and partly, the effect was sustained for 1 year after dialysis. The benefit of planned dialysis was significant after adjusting for age, sex, type of dialysis, marital status, educational attainment, occupation, modified Charlson comorbidity index, albumin, and hemoglobin levels. BDI scores were also lower which indicate less depressive mood in planned dialysis group than those in unplanned group both at 3 months and 1 year after dialysis. Not early referral but planned dialysis improved both the short- and long-term HRQOL and depression of patients with ESRD. Nephrologists should try to help patients to initiate dialysis in a planned manner.PLoS ONE 02/2015; 10(2):e0117582. DOI:10.1371/journal.pone.0117582 · 3.23 Impact Factor
Article: Steroid Use and Infectious Complication in Peritoneal Dialysis After Kidney Transplant Failure[Show abstract] [Hide abstract]
ABSTRACT: Peritoneal dialysis (PD) is one potential treatment option for patients starting dialysis after graft loss (DAGL). However, the infectious outcomes and their associations with steroid use remain undetermined in these patients. A total of 41 DAGL patients undergoing PD were recruited. The patients were divided into low- and high-dose steroid groups according to the median level. Additionally, they were categorized into tapering and nontapering groups, for which the tapering regimen was defined as the withdrawal of steroids within 1 year after starting PD. Primary outcomes, such as peritonitis and exit site infection (ESI), were compared between DAGL and 712 transplant-naive (TN) patients. The overall risk of peritonitis was similar between the TN and DAGL groups. However, when the DAGL group was stratified by the steroid variable, the risk was higher in the high-dose or nontapering steroid groups than in the TN or counterpart steroid groups. The DAGL group had a higher risk of ESI than the TN group, irrespective of steroid dose. When the analysis was stratified by tapering regimen, the difference in ESI risks was seen only in the nontapering group and the TN group; the tapering group had a similar risk of ESI as that of the TN group. The present study first addresses the risks of peritonitis and ESI together and then raises awareness of the high risk that should be considered after using high-dose steroids or the nontapering regimen in the DAGL patients.Transplantation 01/2015; Online First(7). DOI:10.1097/TP.0000000000000573 · 3.83 Impact Factor
Article: Effects of acute kidney injury and chronic kidney disease on long-term mortality after coronary artery bypass grafting[Show abstract] [Hide abstract]
ABSTRACT: Both acute kidney injury (AKI) and chronic kidney disease (CKD) are important issues in patients undergoing coronary artery bypass grafting (CABG), particularly with regard to mortality. However, their synergistic or discrete effects on long-term mortality remain unresolved. A total of 1,899 patients undergoing CABG were retrospectively analyzed. The adjusted hazard ratios for all-cause mortality were calculated after stratifying the timeframes. To evaluate the synergistic effects between AKI and CKD, the relative excess risk due to interaction was applied. The presence of AKI, CKD, or both increased the hazard ratios for mortality, compared with the absence of both: AKI alone, 1.84 (1.464-2.319); CKD alone, 2.46 (1.735-3.478); and AKI and CKD together, 3.21 (2.301-4.488). However, the relationships with mortality were different between AKI and CKD, according to the timeframes: AKI primarily affected early mortality, particularly within 3 years, whereas CKD had a relatively constant effect on both the early and late periods. When the parameters from the relative excess risk due to interaction were obtained, there was a synergistic additive effect on early mortality between AKI and CKD. The relationships with mortality after CABG were different between AKI and CKD. However, their effects were not exclusive but synergistic. Copyright © 2015 Elsevier Inc. All rights reserved.American Heart Journal 01/2015; 169(3). DOI:10.1016/j.ahj.2014.12.019 · 4.46 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Acute kidney injury (AKI) is a common clinical syndrome that carries a poor prognosis even in cases with seemingly mild or reversible renal dysfunction. Although this potentially devastating disease is associated with increased mortality, early detection and timely intervention may improve clinical outcomes. In this regard, a standardized definition and classification of AKI, reflecting prognosis on the basis of evidence, may allow early recognition and stage-based management of the disease. Nevertheless, there has been considerable variability and inconsistency in the definition and classification of AKI, resulting in failure to bridge the gap between research and clinical practice. The definition of AKI has evolved, with the introduction of the "Risk, Injury, Failure, Loss, and End-stage renal disease" (RIFLE), and "AKI Network" (AKIN) criteria. The recent "Kidney Disease Improving Global Outcomes" (KDIGO) guidelines proposed a uniform definition of AKI, essentially merging the RIFLE and AKIN criteria. This review will focus on the definition and classification of AKI, as proposed by KDIGO in 2012, and their use in clinical practice for clinicians.01/2015; 88(4):357. DOI:10.3904/kjm.2015.88.4.357
Article: A Low-Salt Diet Increases the Estimated Net Endogenous Acid Production in Nondiabetic Chronic Kidney Disease Patients Treated with Angiotensin Receptor Blockade[Show abstract] [Hide abstract]
ABSTRACT: Background/aims: An acid-base imbalance precedes renal disease progression in patients with chronic kidney disease (CKD). Little is known about the effects of a low-salt diet (LSD) on net endogenous acid production (NEAP) levels in CKD patients using angiotensin receptor blockade. Methods: We enrolled a total of 202 nondiabetic CKD patients who underwent an 8-week treatment with olmesartan from the original trial [Effects of Low Sodium Intake on the Antiproteinuric Efficacy of Olmesartan in Hypertensive Patients with Albuminuria (ESPECIAL) trial: NCT01552954]. The patients were divided into good- and poor-LSD-compliance groups. Results: During the interventional 8 weeks, the NEAP in the good-compliance group increased compared to the control group (12.9 ± 32.0 vs. -2.0 ± 35.0 mmol/day, p = 0.002). NEAP was positively associated with the good-LSD-compliance group in the fully adjusted analyses (r = 0.135, p = 0.016). The additional reduction of 2.39 g/day of protein intake with a reduction of 1 g/day of salt intake did not increase the NEAP under angiotensin II receptor blockade (ARB) treatment with an LSD (r = 0.546, p < 0.001). Conclusion: We found that an LSD may increase the NEAP in nondiabetic CKD patients using ARB, which suggests that additional acid producing-protein restriction should be required to prevent the NEAP from rising.Nephron Clinical Practice 12/2014; 128(3-4). DOI:10.1159/000369558 · 1.40 Impact Factor
Article: Control of fluid balance guided by body composition monitoring in patients on peritoneal dialysis (COMPASS): Study protocol for a randomized controlled trial[Show abstract] [Hide abstract]
ABSTRACT: Background The clinical benefits of bioimpedance spectroscopy (BIS)-guided fluid management in patients on hemodialysis have been widely demonstrated. However, no previous reports have evaluated the effect of regular and serial BIS-guided fluid management on the residual renal function (RRF) in patients on peritoneal dialysis (PD). Therefore, we will evaluate the clinical efficacy of BIS-guided fluid management for preserving RRF and protecting cardiovascular events in patients on PD. Methods/design This is a multicenter, prospective, randomized controlled trial. A total of 138 participants on PD will be enrolled and randomly assigned to receive either BIS-guided fluid management or fluid management based only on the clinical information for 1 year. The primary outcome is the change in the glomerular filtration rate (GFR) between months 0 and 12 after starting treatment. The secondary outcomes will include GFR at month 12, time to the anuric state (urine volume <100 ml/day), and fatal and nonfatal cardiovascular events during treatment. Discussion This is the first clinical trial to investigate the effect of BIS-guided fluid management on RRF and for protecting against cardiovascular events in patients on PD. Trial registration Clinical Trials.gov number NCT01887262, June 24, 2013.Trials 11/2014; 15(1):432. DOI:10.1186/1745-6215-15-432 · 1.73 Impact Factor
Article: Effects of Intensive Low-Salt Diet Education on Albuminuria among Nondiabetic Patients with Hypertension Treated with Olmesartan: A Single-Blinded Randomized, Controlled Trial[Show abstract] [Hide abstract]
ABSTRACT: Background and objectives: The antiproteinuric effect of a renin-angiotensin-aldosterone system blockade can be magnified by dietary salt restriction. This study sought to determine the effect of intensive low-salt diet education on BP and urine albumin excretion in nondiabetic patients with hypertension and albuminuria. Design, setting, participants, & measurements: This study was conducted between March of 2012 and March of 2013 as an open-label, randomized, controlled trial. After a run-in period of 8 weeks, all patients received the angiotensin II receptor blocker olmesartan (40 mg daily). Patients were then divided into two groups. One group was treated for another 8 weeks with angiotensin II receptor blocker plus conventional low-salt diet education, and the other group was treated for 8 weeks with angiotensin II receptor blocker plus intensive low-salt diet education. The final analyses was performed with 245 completed patients. Results: The amount of daily albuminuria was significantly decreased from 0 (566.0 [25.0-5398.6] mg/d) to 8 weeks (282.5 [16.1-4898.5] mg/d; P<0.001). From 8 to 16 weeks, the 24-hour urinary sodium excretion was decreased by 36.0±5.9 mmol/d in the intensive education group and 8.8±4.9 mmol/d in the conventional education group (interaction P<0.001). Patients who completed intensive low-salt diet education exhibited greater decreases in urinary albumin excretion than the control group (change in albuminuria from 8 to 16 weeks, -154.0 versus 0.4 mg/d; P=0.01). Urinary albumin excretion tended to decrease as the 24-hour urinary sodium excretion amount decreased (R=0.32; 95% confidence interval, 0.20 to 0.43; P<0.001). Conclusions: The 24-hour urinary albumin excretion was decreased more in patients in the intensive low-salt diet education group than patients in the conventional education group. Weekly intensive education on a low-salt diet would be a suitable method for clinical practice.Clinical Journal of the American Society of Nephrology 10/2014; 9(12). DOI:10.2215/CJN.01310214 · 4.61 Impact Factor
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ABSTRACT: Background: Fibroblast growth factor 23 (FGF23) is a phosphate regulating protein. Several studies demonstrated that elevated FGF23 is independently associated with mortality for early-stage chronic kidney disease and incident hemodialysis (HD) patients. However, little is known about the significance of elevated FGF23 in peritoneal dialysis (PD) patients. Here, we analyzed the association of FGF23 with cardiovascular (CV) events, all-cause mortality, residual renal function (RRF), and CV parameters in PD patients. ♦ Methods: The present study is a single-center, retrospective study. Patients who started PD at Seoul National University Hospital between January 2005 and July 2011 and whose baseline serum samples were available were enrolled. C-terminal FGF23 was measured. Subjects were divided into 2 groups; lower 2 tertiles (FGF23 ≤ 119.0 RU/mL) and top tertile (FGF23 > 119.0 RU/mL). The primary outcome was time to fatal or non-fatal CV events. In the subgroup analysis, the associations of FGF23 with aortic stiffness or with vascular calcification were analyzed. ♦ Results: A total of 205 incident PD patients were analyzed. Mean duration of follow-up was 41.6 ± 20.0 months. The baseline median FGF23 level was 78.6 RU/mL (interquartile range [IQR], 34.1 - 155.0). At baseline, subjects in the higher FGF23 group were younger, and had a lower RRF, lower prevalence of diabetes mellitus (DM), and cerebrovascular disease. During follow-up, 22 of the 205 patients (10.7%) reached primary outcome. After adjustment for age, DM, pre-existing coronary artery disease, cerebrovascular disease, congestive heart failure, and left ventricular mass index, the higher FGF23 group exhibited significantly higher risk of primary outcome, compared with the lower group (hazard ratio [HR], 2.54; 95% confidence interval [CI], 1.05 - 6.12; p = 0.045). There were no significant differences in all-cause mortality and development of anuria between the 2 FGF23 groups. In the subgroup analysis, FGF23 groups were not associated with pulse wave velocity and abdominal aortic calcification score. ♦ Conclusion: Elevated FGF23 is associated with higher risk of adverse CV outcome for incident PD patients.Peritoneal dialysis international: journal of the International Society for Peritoneal Dialysis 09/2014; DOI:10.3747/pdi.2013.00343 · 1.53 Impact Factor
Article: Urinary Sodium Excretion Has Positive Correlation with Activation of Urinary Renin Angiotensin System and Reactive Oxygen Species in Hypertensive Chronic Kidney Disease[Show abstract] [Hide abstract]
ABSTRACT: It is not well described the pathophysiology of renal injuries caused by a high salt intake in humans. The authors analyzed the relationship between the 24-hr urine sodium-to-creatinine ratio (24HUna/cr) and renal injury parameters such as urine angiotensinogen (uAGT/cr), monocyte chemoattractant peptide-1 (uMCP1/cr), and malondialdehyde-to-creatinine ratio (uMDA/cr) by using the data derived from 226 hypertensive chronic kidney disease patients. At baseline, the 24HUna/cr group or levels had a positive correlation with uAGT/cr and uMDA/cr adjusted for related factors (P<0.001 for each analysis). When we estimated uAGT/cr in the 24HUna/cr groups by ANCOVA, the uAGT/cr in patients with ≥200 mEq/g cr was higher than in patients with <100 mEq/g cr (708 [95% CI, 448-967] vs. 334 [95% CI, 184-483] pg/mg cr, P=0.014). Similarly, uMDA/cr was estimated as 0.17 (95% CI, 0.14-0.21) pM/mg cr in patients with <100 mEq/g cr and 0.27 (95% CI, 0.20-0.33) pM/mg cr in patients with ≥200 mEq/g cr (P=0.016). During the 16-week follow-up period, an increase in urinary sodium excretion predicted an increase in urinary angiotensinogen excretion. In conclusion, high salt intake increases renal renin-angiotensin-system (RAS) activation, primarily, and directly or indirectly affects the production of reactive oxygen species through renal RAS activation.Journal of Korean Medical Science 09/2014; 29 Suppl 2(Suppl 2):S123-30. DOI:10.3346/jkms.2014.29.S2.S123 · 1.27 Impact Factor
Article: Remission of secondary membranous nephropathy in a patient with Kimura disease after surgical resection[Show abstract] [Hide abstract]
ABSTRACT: Kimura disease (KD) is an eosinophilic, granulomatous, benign, chronic inflammatory disease with an unknown etiology. A 33-year-old woman visited our hospital because of a palpable, left subclavian mass, a left scapulo-anterior pseudoaneurysm, and nephrotic syndrome. Her subclavian lymph node biopsy examination result was consistent with KD, and results of a renal biopsy indicated secondary membranous nephropathy. After renal histological examination confirmed nephropathy, treatment with prednisolone and cyclosporine was initiated, which was maintained for over 1 year. However, this therapy only provided a transient improvement in proteinuria. One year after commencing the treatment, both proteinuria and azotemia aggravated as the left axillary mass doubled in size. Finally, the mass was surgically excised, following which the azotemia rapidly normalized and proteinuria resolved within 1 month. This case shows that tumor resection in a patient with KD with secondary nephropathy may resolve secondary renal manifestations. Furthermore, reversible renal dysfunction may be caused by unknown secreted molecules.09/2014; 33(3). DOI:10.1016/j.krcp.2014.06.002
Article: Circulating TNF Receptors Are Significant Prognostic Biomarkers for Idiopathic Membranous Nephropathy[Show abstract] [Hide abstract]
ABSTRACT: Idiopathic membranous nephropathy (iMN) is a common cause of nephrotic syndrome in adults. A biomarker to accurately indicate the severity of iMN and predict long-term prognosis is insufficient. Here, we evaluated the clinical significance of circulating tumor necrosis factor receptors (cTNFRs) as prognostic biomarkers of iMN with nephrotic syndrome. A total of 113 patients with biopsy-proven iMN and 43 healthy volunteers were enrolled in this study. Ninety patients with iMN had nephrotic range proteinuria. Levels of cTNFRs were measured by using serum samples collected at the time of initial diagnosis. Levels of cTNFRs were higher in the patients with nephrotic syndrome than in those with subnephrotic range proteinuria or in the healthy volunteers (P for trend <0.001). Estimated glomerular filtration rate and proteinuria tended to worsen as the cTNFRs levels increased. Having a cTNFR1 level within the highest tertile was a significant risk factor for renal progression after adjustment, in comparison with the other tertiles (hazard ratio [HR], 3.39; 95% confidence interval [95% CI], 1.48-7.78; P = 0.004). The cTNFR2 level within the highest tertile also significantly increased the risk of renal progression (HR, 3.29; 95% CI, 1.43-7.54; P = 0.005). Renal tubular TNFRs expression was associated with cTNFRs level. However, the cTNFRs levels were not associated with autoantibody against phospholipase A2 receptor reactivity/levels or treatment response. This study demonstrated that cTNFRs levels at the time of initial diagnosis could predict renal progression in patients with iMN.PLoS ONE 08/2014; 9(8):e104354. DOI:10.1371/journal.pone.0104354 · 3.23 Impact Factor
Article: Classical Indications Are Useful for Initiating Continuous Renal Replacement Therapy in Critically Ill Patients[Show abstract] [Hide abstract]
ABSTRACT: The optimal timing for initiating continuous renal replacement therapy (CRRT) remains controversial, and it is not obvious which parameters should be considered during this process. We investigated the predictive value of physiological parameters among critically ill patients receiving CRRT due to acute kidney injury (AKI). A total of 496 patients who started CRRT were prospectively enrolled. The following physiological parameters were significantly associated with mortality even after multivariate adjustments: level of pH [hazard ratio (95% CI): 7.15 < pH ≤ 7.20, 1.971 (1.319-2.946); pH ≤ 7.15, 2.315 (1.586-3.380); reference > 7.25, P-for-trend < 0.001]; bicarbonate level (HCO3(-)) [≤ 14 mmol/L, 2.010 (1.542-2.620); reference > 18 mmol/L, P-for-trend < 0.001]; phosphorus level [> 7 mmol/L, 1.736 (1.313-2.296); reference ≤ 5 mmol/L, P-for-trend < 0.001]; and urine output < 0.3 ml/kg/hr [1.509 (1.191-1.912); reference > 0.3 ml/kg/hour]. Weight gain over 2 kg was associated with mortality exclusively according to univariate analysis [1.516 (1.215-1.892)]. The diagnostic value of the composite of these factors (pH, bicarbonate level, phosphorus level, urine output, weight gain, and potassium levels) [area under the curve (AUC) 0.701, 95% CI 0.644-0.759] was comparable to or higher than the blood urea nitrogen level (AUC 0.571, 95% CI 0.511-0.630), serum creatinine level (AUC 0.462, 95% CI 0.399-0.525), eGFR (AUC 0.541, 95% CI 0.478-0.605), and AKI Network stage (AUC 0.627, 95% CI 0.561-0.692). In conclusion, the physiological parameters are useful in predicting post-AKI mortality and should be considered when initiating CRRT in critically ill patients with AKI.The Tohoku Journal of Experimental Medicine 08/2014; 233(4):233-41. DOI:10.1620/tjem.233.233 · 1.35 Impact Factor
Article: The Clinical Association of the Blood Pressure Variability with the Target Organ Damage in Hypertensive Patients with Chronic Kidney Disease[Show abstract] [Hide abstract]
ABSTRACT: It is known that blood pressure variability (BPV) can independently affect target organ damage (TOD), even with normal blood pressure. There have been few studieson chronic kidney disease (CKD) patients. We evaluated the relationship between BPV and TOD in a cross-sectional, multicenter study on hypertensive CKD patients. We evaluated 1,173 patients using 24-hr ambulatory blood pressure monitoring. BPV was defined as the average real variability, with a mean value of the absolute differences between consecutive readings of systolic blood pressure. TOD was defined as left ventricular hypertrophy (LVH) (by the Romhilt-Estes score ≥4 in electrocardiography) and kidney injury (as determined from an estimated glomerular filtration rate [eGFR]<30 mL/min/1.73 m2 and proteinuria).The mean BPV of the subjects was 15.9±4.63 mmHg. BPV displayed a positive relationship with LVH in a univariate analysis and after adjustment for multi-variables (odds ratio per 1 mmHg increase in BPV: 1.053, P=0.006). In contrast, BPV had no relationship with kidney injury. These data suggest that BPV may be positively associated with LVH in hypertensive CKD patients. Graphical AbstractJournal of Korean Medical Science 07/2014; 29(7):957-64. DOI:10.3346/jkms.2014.29.7.957 · 1.27 Impact Factor
Article: Serum Potassium and All-cause Mortality Outcome of Peritoneal Dialysis Patients: A Nationwide Prospective Observational Cohort Study in Korea[Show abstract] [Hide abstract]
ABSTRACT: Background Hypokalemia has been suggested to be a risk factor in peritoneal dialysis (PD). Recently in US, a large peritoneal dialysis cohort study showed potassium abnormalities contribute disproportionately to the high death risk in PD patients. This issue was reviewed in Korean ESRD cohort comparing to hemodialysis (HD). Patients and methods A nationwide prospective observational cohort study (CRC-ESRD) was performed between August 2008 and October 2013. Among them, patients had been selected who checked serum potassium level at least twice within 18 months. Overall mortality rate was evaluated as outcome. Patients were divided into following four groups based on time-averaged potassium level: K<3.5, 3.5≤K<4.5, 4.5≤K<5.5, ≥5.5 mg/dL. They were analyzed to determine association of serum potassium with mortality using Cox proportional hazard model. Results Follow-up data were available for 1,686 patients (HD 62.3%, PD 37.7%). The mean age was 58.2±13.9 years, and the ratio of men to women was 57% to 43%. Overall duration of dialysis was 1.9±3.9 years. PD patients significantly had lower serum potassium level comparing to HD patients (p<0.001). Serum potassium was <3.5 mg/dL in 10.7% of PD patients, whereas 2.2% in HD patients. During the mean 2.2 year follow up period, 142 patients died of mainly cardiac arrest and infection. Univariate analysis indicated that older age, history of congestive heart failure or diabetes could be the risk factor for mortality. Multivariate analysis proved PD patients with <3.5 mg/dL of time-averaged serum potassium to have all-cause mortality with adjusted hazard ratio of 2.5 (95% CI, 1.33-4.41) (p=0.004), whereas, HD patients was not. Among adjusted variables, PD patients who had diabetes or congestive heart failure tended to have higher risk of death with adjusted hazard ratio 1.7 (95% CI, 0.99-2.76) and 2.3 (95% CI 1.24-4.19) respectively. Conclusion PD patients with hypokalemia (<3.5 mg/dL) have higher mortality risk. This study confirmed the previous cohort study in different ethnic group. Therefore, regardless of ethnicity, this result could be accepted.06/2014; 33(2):A4. DOI:10.1016/j.krcp.2014.05.022
Article: Renal adverse effects of sunitinib and its clinical significance: A single-center experience in Korea[Show abstract] [Hide abstract]
ABSTRACT: Sunitinib is an oral multitargeted tyrosine kinase inhibitor used mainly for the treatment of metastatic renal cell carcinoma. The renal adverse effects (RAEs) of sunitinib have not been investigated. The aim of this study was to determine the incidence and risk factors of RAEs (proteinuria [PU] and renal insufficiency [RI]) and to investigate the relationship between PU and antitumor efficacy. We performed a retrospective review of medical records of patients who had received sunitinib for more than 3 months. One hundred and fifty-five patients (mean age, 58.7 ± 12.6 years) were enrolled, and the mean baseline creatinine level was 1.24 mg/dL. PU developed in 15 of 111 patients, and preexisting PU was aggravated in six of 111 patients. Only one patient developed typical nephrotic syndrome. Following discontinuation of sunitinib, PU was improved in 12 of 17 patients but persisted in five of 17 patients. RI occurred in 12 of 155 patients, and the maximum creatinine level was 3.31 mg/dL. RI improved in two of 12 patients but persisted in 10 of 12 patients. Risk factors for PU were hypertension, dyslipidemia, and chronic kidney disease. Older age was a risk factor for RI. The median progression-free survival was significantly better for patients who showed PU. The incidence of RAEs associated with sunitinib was lower than those of previous reports. The severity of RAEs was mild to moderate, and partially reversible after cessation of sunitinib. We suggest that blood pressure, urinalysis, and renal function in patients receiving sunitinib should be monitored closely.The Korean Journal of Internal Medicine 01/2014; 29(1):40-8. DOI:10.3904/kjim.2014.29.1.40 · 1.43 Impact Factor
Conference Paper: Forecasting renal prognoses for IgA nephropathy using machine learningKidney Week Posters; 01/2014
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ABSTRACT: Peritoneal dialysis catheters (PDCs) can be inserted by a percutaneous, open surgical, or laparoscopic approach. Considerable controversy surrounds the mode of catheter placement and its impact on technical success. We compared the complications and survival characteristics of PDCs that were inserted by the open approach versus those inserted percutaneously. We reviewed the outcomes of 167 patients who received PDCs between September 2009 and February 2012. Of these, 89 were placed percutaneously and 78 were placed by open surgical techniques. The mechanical complication rates, including catheter bleeding, wrapping, migration, leakage, and technical failure of intraperitoneal placement were compared between the two groups. Additionally, peritonitis episodes, exit site infection rates, and tunnel infection rates were compared between groups. The incidence of one or more previous intra-abdominal surgeries was significantly higher in the open group (4.5 percutaneous vs 21.7 % open; P = 0.001). Although the overall number of complications did not differ between the two groups, the incidence of early mechanical complications (11.2 vs 0 %; P = 0.002) and the number of catheter removals due to mechanical complications (7.9 vs 1.3 %; P = 0.047) were higher in the percutaneous group. Of the 15 mechanical complications in the percutaneous group, one third were due to technical failures compared to none in the open group (5.6 vs 0 %; P = 0.034). The 1 year survival rate of the PDCs for the percutaneous and open groups was 89.9 and 93.3 %, respectively (P = 0.249). The placement modality did not affect catheter survival. However, early mechanical complications, including technical failures, were more frequent in the percutaneous group, despite the proportion of patients with a history of one or more previous intra-abdominal surgeries being significantly lower in that group. The direct visualized open method of catheter insertion may provide the most reliable and secure access for a PDC.World Journal of Surgery 12/2013; 38(5). DOI:10.1007/s00268-013-2346-5 · 2.64 Impact Factor
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ABSTRACT: Background Periodontitis and chronic kidney disease (CKD) are important health issues; however, the association between periodontitis and CKD markers, especially in Korean adults, remains elusive. Methods Data on 15,729 Korean adults were obtained from the Korean National Health and Nutritional Examination Surveys IV and V. The CKD markers included a decreased estimated glomerular filtration rate (eGFR;<60 mL/min/1.73 m2), proteinuria, and hematuria. Odds ratios (ORs) and 95% confidence intervals were measured using stepwise multivariate logistic regression analyses for CKD markers based on the presence of periodontitis. Results Patients with periodontitis had greater unadjusted ORs for CKD markers compared to those without periodontitis, as follows: decreased eGFR, 4.07 (3.11–5.33); proteinuria, 2.12 (1.48–3.05); and hematuria, 1.25 (1.13–1.39; (all P<0.001). Periodontitis was a significant predictor of decreased eGFR independent of all covariates [1.39 (1.03–1.89), P=0.034]. However, the effect of periodontitis on decreased eGFR seemed to be affected by hypertension and diabetes mellitus. Periodontitis was not an independent predictor of proteinuria; the significance disappeared after adjusting for hypertension and diabetes mellitus. Periodontitis was significantly correlated with hematuria, leading to similar ORs regardless of the adjustment for covariates [1.29 (1.15–1.46), P<0.001]. Conclusion This study confirms the correlation between periodontitis and CKD markers, including decreased eGFR, proteinuria, and hematuria in Korean adults.12/2013; 32(4). DOI:10.1016/j.krcp.2013.09.001
Top Journals
Seoul National University Hospital
Sŏul, Seoul, South Korea
- Department of Internal Medicine
American Society of NephrologyWashington, Washington, D.C., United States
Seoul National University
Sŏul, Seoul, South Korea
- Department of Internal Medicine
Yonsei University Hospital
Sŏul, Seoul, South Korea
- Department of Internal Medicine
Yonsei University
Sŏul, Seoul, South Korea
- • Department of Internal Medicine
- • College of Medicine
Chosun University
Gwangju, Gwangju, South Korea
- College of Dentistry
Korea University
Seoul, Seoul, South Korea
- Department of Anatomy

subset: commoncrawl


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Leave a Review
waw great !!!!! i was preparing like this recipe here http://www.restaurantboss.co.vu/flag if inappropriate
waw great !!!!! i was preparing like this recipe here http://www.restaurantboss.co.vu/flag if inappropriate
This dough is great! I grill my pizza. This dough made a crispy , tender delicious crust to hold whatever toppings you desire. So much better than the dough you buy in the supermarket - and no chemicals additives!flag if inappropriate
Are we missing something? Anything about baking at *what* temperature...and for how long?flag if inappropriate
This recipe was a quick and easy way to make delicious pizza dough.flag if inappropriate
Wait, I'm sorry, are people really comparing this to cardboard?! Have any of you actually eaten cardboard? This is a great, simple, foolproof recipe for a decent pizza dough. I got fluffy without being doughy, and crispy where I wanted it. Tasted like pizza dough, not cardboard, and the best part about it was that it made an awesome pizza.flag if inappropriate
This recipe is easy to make, easy to extend and roll, but its like a heavy bread, not a lot of flavor and not very good I agree with one of the other reviewers, "cardboard" is correct! I will not making this one again!flag if inappropriate
2,5 tsp for a package of yeast.flag if inappropriate
The dough is very wet, try 3 cups of flour for 3/4c of water.flag if inappropriate
I looked it up, and found that a "packet" of yeast is equal to a "scant" tablespoon.flag if inappropriate


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By Sarah Pridgeon view full post » Tweet
There and back again: A rock climber's tale
Lisa Fletcher to run for second Assessor term
Connett announces candidacy for County Commission
GOP convention rankles delegates
Handling of censure resolution stirs conflict By Sarah Pridgeon view full post » Tweet
Kuhl announces re-election bid
County Treasurer Mary Wood Kuhl has announced that she will be seeking a fifth term in office. Having served the county for 15 years, she hopes to continue her successful run and see her recent projects come to fruition. view…
Hodge enters sheriff race
Jeff Hodge has announced that he will run for the office of Crook County Sheriff at the upcoming elections. He touts almost two decades of experience and dedication to law enforcement as the foundation of his candidacy. view full post…


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- 45Promote
Framed Art Print
Hudson Beareby Peter Cassidy
Choose from a variety of frame styles, colors and sizes to compliment your favorite Society6 gallery, or fine art print - made ready to hang. Fine-crafted from solid woods, premium shatterproof acrylic protects the face of the art print, while an acid free dust cover on the back provides a custom finish. All framed art prints include wall hanging hardware.
Hudson Beare Lecture Theatre. Mayfield Road, Edinburgh 1960. Architect: R. Gardner-Medwin. Engineer: Blyth & Blyth.


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OTHER ISSUES'Make or break' study session on Mayfield
The fate of the Mayfield project may well be decided this Tuesday, when the City Council holds what is likely to be its last...Original post made on Jul. 5, 2007
Last comment by Neil, on Oct 12, 2008 at 11:46 am | 22 comments | 4519 Views
AROUND TOWN'Extreme marketing' at 7-Eleven
Like Homer Simpson lusting for a donut, fans descended on Mountain View's new, temporarily named "Kwik-E-Mart" after it opened...Original post made on Jul. 6, 2007
Last comment by Homer Simpson, on Jul 6, 2007 at 1:06 pm | 1 comment | 4069 Views
OTHER ISSUESWaitin' for a train
EVERYONE LOVES Caltrain, or wants to love it. Which is why we'd all like to see it straighten out some of it services....Original post made on Jul. 6, 2007
Last comment by Andrew, on Jul 11, 2007 at 4:55 pm | 6 comments | 6290 Views
SCHOOLS & KIDSBoundary change's possible fallout
With the decision for Los Altos School District boundary changes now final, the district's hired demographer, Jeanne Gobalet,...Original post made on Jul. 7, 2007
Last comment by Amanda, on Jul 23, 2007 at 8:38 am | 6 comments | 6139 Views
AROUND TOWNLetters to the Editor
Time to build homes at Mayfield site Read the full story here http://www.mv-voice.com/story.php?story_id=3140...Original post made on Jul. 9, 2007
Last comment by Olaf, on Jul 13, 2007 at 12:17 am | 5 comments | 4214 Views
OTHER ISSUESHome Depot story a goof
A series of misleading reports in several news outlets boil down to one big correction: Mountain View has never received,...Original post made on Jul. 10, 2007
Last comment by sara, on Dec 5, 2007 at 6:28 am | 24 comments | 5490 Views
AROUND TOWNMemories in rhyme
According to Jacqueline Chan Valencic, the '50s and '60s were a great time to grow up in Mountain View. Read the full story...Original post made on Jul. 13, 2007
Last comment by Ron Welti, on Oct 17, 2011 at 2:24 pm | 4 comments | 5763 Views
AROUND TOWNHome Depot story a goof
A series of misleading reports in several news outlets boil down to one big correction: Mountain View has never received,...Original post made on Jul. 13, 2007
Last comment by Lucius Gore, on Jul 26, 2007 at 10:45 am | 6 comments | 4153 Views
AROUND TOWNWorker center gets reprieve
The Day Worker Center has been given an extra month in its current spot, giving its board members valuable time to continue...Original post made on Jul. 14, 2007
Last comment by Bernie Brightman, on Jul 21, 2007 at 9:53 am | 3 comments | 3962 Views
AROUND TOWNKnock-down drag-out over Mayfield
The Mayfield housing development wasn't killed by a "make or break" City Council study session Tuesday, billed as the last...Original post made on Jul. 16, 2007
Last comment by Jon Wiener, on Jul 24, 2007 at 10:30 am | 3 comments | 4433 Views
AROUND TOWNHeart on their sleeves
Camino Medical Group's new facility, located south of Route 85 on El Camino Real, is the place to go if you need a heart...Original post made on Jul. 17, 2007
Last comment by Eli Wisnom, on Jul 28, 2007 at 9:54 am | 7 comments | 8298 Views
AROUND TOWNCultureFest returns to Castro
CultureFest 2007, a diverse party scene of arts, foods and melodies, will take over Castro Street this Saturday and Sunday. Read...Original post made on Jul. 20, 2007
Last comment by GSB, on Jul 20, 2007 at 3:35 pm | 3 comments | 4343 Views
AROUND TOWNHospital hires high-tech guru
El Camino Hospital has hired Eric Pifer, M.D., to oversee the hospital's information and technology interests as part of...Original post made on Jul. 22, 2007
Last comment by Mollie, on Jul 22, 2007 at 6:25 pm | 3 comments | 4765 Views
AROUND TOWNCity of Google
Google's presence in Mountain View is already unparalleled, with a reported two million square feet of office space in the...Original post made on Jul. 22, 2007
Last comment by steve, on Jul 27, 2007 at 3:29 pm | 8 comments | 5015 Views
AROUND TOWNHousing market through the roof
While the housing market seems to have slowed elsewhere, homes have been selling faster than ever in Mountain View, with...Original post made on Jul. 26, 2007
Last comment by eric, on Mar 24, 2009 at 10:39 pm | 17 comments | 5061 Views
AROUND TOWNCatch 22 at El Camino Hospital
Editor's note: Four weeks ago, the Voice reported that a patient at El Camino Hospital had been released after...Original post made on Jul. 27, 2007
Last comment by AJ, on Jan 9, 2009 at 9:08 am | 15 comments | 7060 Views
AROUND TOWNGoogle's wall of silence
There are probably as many opinions about Google as there are people who use Google, and it's easy to single out the company...Original post made on Jul. 31, 2007
Last comment by GSB, on Jul 31, 2007 at 10:35 am | 2 comments | 4551 Views
OTHER ISSUESCatch 22 at El Camino Hospital
According to his personal physician, administrators at El Camino Hospital, where he would spend the next five and half years,...Original post made on Jul. 31, 2007
Last comment by Jimmy's Dad, on Jul 31, 2007 at 7:38 pm | 1 comment | 4641 Views
SCHOOLS & KIDSSummer dumdums
With summer vacation in full swing, students are enjoying their chance to kick back and relax for awhile. But a recent announcement...Original post made on Aug. 1, 2007
Last comment by GSB, on Aug 9, 2007 at 1:08 pm | 4 comments | 4656 Views
AROUND TOWNEl Camino finds new radiology groups
The El Camino Hospital Radiologists Group, Inc. has announced that it is disbanding, and last month the hospital entered...Original post made on Aug. 3, 2007
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Mademoiselle Colette, now open in downtown Menlo Park
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The Big Four - Part one
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ARCHITECT c4000 can be integrated with the ARCHITECT i1000SR to consolidate clinical chemistry and immunoassay on one platform.
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Anesthesiologist (pain control)
13 years of experience
13 years of experience
Medical Center
6621 Fannin St
Houston, TX 77030 Phone number & directions
6621 Fannin St
Houston, TX 77030 Phone number & directions
Learn more about Dr. Ralph Gertler:
View the full profile to get information on:
- Qualifications
- What's important to you
View full profile
Patient Reviews
Have you visited Dr. Gertler? Share your experience.
Write a Review
Write a Review
Specialties & Research
Dr. Ralph Gertler, MD is board certified in Anesthesiology and Anesthesiology - Critical Care Medicine.
Education & Awards
Dr. Gertler graduated from Albert-Ludwigs-Universitaet Freiburg, Freiburg Im Breisgau.
Dr. Gertler has 2 hospital affiliations:
- Texas Children's Hospital
- Massachusetts General Hospital
Home > Find an Anesthesiologist > TX > Houston Anesthesiologists > Dr. Ralph Gertler, MD
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- Additional Information
- Dr. Ralph Gertler MD is a male Anesthesiologist, has 13 years of experience and practices in Anesthesiology and Critical Care Medicine.
- Where does Dr. Ralph Gertler practice?
- Dr. Ralph Gertler has 2 office locations.
Dr. Ralph Gertler practices Anesthesiology and Critical Care Medicine near Houston, TX.
Additional practice locations include: Dallas, TX.
See Houston Anesthesiologists.


text: Dan Peters/KSOO Major Reconstruction for 22nd Street, Minnesota Avenue in Sioux Falls By Dan Peters April 26, 2015 Four major street projects start in Sioux Falls on Monday April 27. Here's the only one that involves a detour. Read More|Comment Category: News Tags: 22nd Street, Minnesota Avenue, Sioux Falls, Street Construction Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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Athletes Oath
In the spirit of the Olympic Ideal, I pledge:
To Abide by the Rules of these Games,
To Respect the Officials that apply them,
To be Humble in Victory and Gracious in Defeat,
I am proud to be a Senior Games Athlete.
Happy Fall!
October and fall is officially here – we are looking forward to the final Senior Games of the 2015 season – coming right up are the inaugural Senior Games (October 21 – 25) in Visalia and the Inland Empire Games (October 9 – 16) in San Bernadino.
We've completed Palm Desert Senior Games (Feb.), Bay Area Senior Games (May), Wine Country Games (May – June), Pasadena Senior Games (June), San Diego Senior Games (September) and San Jose Senior Games (October) are now in the record books…and results are being posted on both this web site and the individual games web sites.
The results for the 2015 Summer National Games in Minneapolis are posted at www.nsga.com.
The CSGA Board and Games Coordinators are busy confirming dates for the 2016 Games. Our deadline for dates and venues to be posted on this site is November 1, 2015. As you know, it takes a big juggling act to confirm facilities and dates, avoid conflicts with other Games and National Championships and confirm that we are able to obtain great officials and referees – so please be patient!
2016 is a qualifying year for the 2017 Summer National Senior Games in Birmingham, Alabama. California's State Championship will be in Pasadena, in the usual June time frame. We are also planning a second qualifying event in early November in Northern California – the Encore Games and as soon as we are able to confirm venues, we will make an announcement.
Studies continue to prove that folks who exercise daily enjoy the benefits – you are all living proof of these studies who encourage everyone to exercise, train and find a sport they love! Regular exercise produces good health, great enthusiasm and positive attitudes – all contributing to "loving life."
I'll be sharing some stories of our California athletes –love your feedback and comments.. and if you have a candidate for a story, please send it to me at .
We continue to search for new Board members for the CSGA. If you are interested in serving on the Board, please contact me at: . We are especially interested in identifying finding board and committee members in the areas of sponsorship, fundraising, political advocacy and visibility!
Finally, the California Facebook Challenge is still on.. We have grown from 273 friends to 344 in the last few months.. BUT we can do better.. We have over 15,000 California Senior Athletes on our mailing list.. Lets get to 1000 "likes" by January 1! Go to www.facebook.com, type in California Senior Games in the search bar and "like" the page. Thanks!
Thanks to all for your energy, enthusiasm and commitment to Sport!
Happy training... and Enjoy the Games!
Anne Warner Cribs
Chair, California Senior Games Association
1960 Olympian Swimming


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|Reviews for FINDING HIMSELF
| CloudyDream chapter 1 . 2/26/2014
this already looks like it'll be awesome, thanks so much for writing this gem. kudos!
| FaeBreeze chapter 38 . 2/12/2014
This was a very good story. The ending is satisfying, even if it didn't leave me feeling happy and content. Good work, lovely writer!
| sherryola chapter 38 . 2/4/2014
Someone recommended this on a facebook group, and I've spent the last couple days between life necessities and work, reading this. It's fantastic. I have to say that I'd sort of hoped that Cedric's being in the mix would change certain outcomes, like the death of Sirius, but even though I hate Sirius dying, the way you made this canon and yet not was brilliant. I like the relationship between Hermione and Cedric very much. First non canon pairing I've enjoyed and really felt could have worked. Cedric and his house mates were just great, that strong abiding friendship. the relationship between Harry and Cedric also. There's nothing I didn't like about this story except for Sirius. This is going in my favorites and I'll be back to reread and savor it.
| tricksysauce chapter 1 . 1/15/2014
I'm unsure if you read reviews still, but I wanted to let you know how much you've inspired me as a writer. Your stories were the first fanfiction I ever found, all the way back when I was in middle school. I am so happy that they are here on FFN over a decade later. After reading everything you had written, I went on to find other authors (very, very few who approached your caliber). I then began to write myself. Today, I write, but, mainly, I teach kids to read. Your works opened up my world in so many ways that I can't even begin to describe. I hope that, in teaching children to read, I will encourage them to find stories that affect them as much as yours have affected me.
Wherever you are, whatever you're doing, I hope you are well, and a most sincere "thank you" for all of your beautiful works.
| xTroublesomePersonx chapter 39 . 1/10/2014
This was a truly outstanding fan fiction.
First of all, I'm extremely amazed and humbled by the length and detail in it. I've never stumbled upon a fan fiction more than half its' length before, which really goes to show that this right here is real dedication!
Second of all, I'm also very pleased with all the character development you put into it. While I did notice a few small errors here and there, I think you've managed to take the Cedric Diggory we all know and turn him into a very believable developed character of his own. Your portrayal of Hermione as someone who goes from being a mere child to a woman is also very well done. The only character I had a hard time connecting the book version to the fan fiction version of was Cedric's mother; however, as she barely showed up in the book, that's more or less a mute point.
Third of all, I'm also very happy with the romance in this. As someone, who shares your view on the Cedric/Hermione pairing, I could only be extremely pleased with them being put so very well together herein.
Fourth of all, I also really liked the way you put Cedric into the canon events, without him changing everything altogether. Even though, I was really frustrated that Cedric had to go through so much, I think it all served your purpose of making him 'real' very well.
Fifth of all, your description of the Harry Potter universe was also very good. You managed to keep the original one intact, while also making it into your own with your additional intriguing inputs. For that, I applaud you.
Because, sixth of all, I really think this was an extremely outstanding piece of work. And I really do applaud you for all of it. Now, even if there were a few minor flaws or a few slight frowns at one point or another, I don't want to dwell on any of those, because my overall impression of this fan fiction was that it was unbelievably very well-written, well thought out, and splendidly done.
Thank you for putting so much of your time into writing it. You're a very talented and dedicated author. (:
Apologies for the long review!
| Keep it up chapter 38 . 1/8/2014
This was my first good cedric/hermione fanfiction and really enjoyed it. I liked the traditions which you created at the end for the 7th years as they flowed with the style of the harry potter world.
| Guest chapter 38 . 1/5/2014
That was great, you are a talented author!
| Majerus chapter 38 . 1/4/2014
Nice finish, or at least a binding of several loose ends. :)
Thanks for writing this, sharing your time and talent, it's definitely one of my favorite Hermione stories thus far. I've never read a story that developed one of the 'other' characters quite as well as this has, and though I was clear in my disappointment with what I see your one failing in that character dev, the whole is so much more than it's parts - and that whole is fantastic.
| Majerus chapter 37 . 1/4/2014
Fantastic. A moving and very deep - review? - of how far she has come.
Well done.
| Majerus chapter 36 . 1/4/2014
So, Cedric IMMEDIATELY apparates and gets backup. Right?
It was a very well done battle scene - one that always has so much potential to go either way in a story and you did a great job with the intensity.
| Majerus chapter 35 . 1/4/2014
What the hell? Why on earth would Cedric undergo a complete personality change? Idiotic and Impulsive over with Hermione in danger, sure - no problem. Wildly fleeing his mother, possibly the one person he WOULD TRUST to help more than any other?
I say all of this because you've built such a solid character in Cedric Diggory that I KNOW How he thinks, you've taught us how he thinks. You've given his Inner Thoughts.
I don't buy it, it's so badly done - in light of your incredible plotting thus far - that it just stopped me cold. Your flimsy 'she's bound and determined to take me to London', what is he, six?
It's plain dues ex machina.
You blew your thus-far spotless character development and plotting all to shite *sad*
BTW, how is someone so poor in DADA able to blast the front gate of Hogwarts - the most secure place in magical Britain?
The final scenes come back together in some sort of reasonable fashion at least. The adults should have arrived by now though, having direct floo connections from Hogwarts about half an hour since Susan was supposed to have told them...
I know plot lines cannot be perfect when trying to both tell a story And have some canon semblances.
I hope Cedric slices one of Lucius's legs off and - with the threat of losing the other - is made to reverse the curse upon him. *laughs* ok, fantasy aside, I do hope Lucius gets crippled, like losing his arms actually. No, wait, the most appropriate punishment for that sack would be if he were squibbed.
| Majerus chapter 34 . 1/4/2014
Egads the way you are building this up is driving me nuts.
Of course Cedric will be put in danger - when he finds out that Hermione is at the DoM - if that whole things goes down the way it did in canon.
Which of course seems almost certain.
I'm literally too nervous to quit reading!
| Majerus chapter 33 . 1/4/2014
I keep forgetting to mention it, but your Really Do stick with Hermione's personality. I am impressed by this, and complimenting you here, and yet it's sad for Hermione herself.
Sure she's bending here and there, maturing some and growing slowly, but at her core she still is the prude, self-absorbed bookworm. The fact that she has to justify having sex not for it's enjoyment or the shared intimacy - but rather "for Cedric's health" - speaks very poorly about her future ability to live life, and enjoy it, for herself. :(
What a wild ride! I hope Hermione doesn't get overwrought - it's what I was afraid of early, though honestly I thought it would revolve around a fight, and mostly likely her rigid-ignorance over house elves. That aside, she has his journal...
| Majerus chapter 32 . 1/4/2014
Excellent job describing the various House privileges - except Syltherin. So they have tunnels, so what? How does that equate to the powers the other three have?
The spectacle of the House speaking gave me goose bumps :)
I've never understood the "thousands" of students idea - not just for your very logical reasons, but for the simple sake of timing. When do all of these other thousands of students go to class? Who teaches them with so few teachers available? Where do they sleep if - using Gryff's rooms as an example entire floors are taken up by one group of 4-6 kids? (Every canon mention of dorms mentions they go up or down to other years rooms).
In any case, it's another brilliant chapter, thanks!
| Majerus chapter 31 . 1/4/2014
Simply Brilliant. Your ideas ring with a perfect image of Hufflepuff.


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Department News
Stay current on what is happening, this page will be updated with all communication from our office.
September 2015 New Hires
The Non-Exempt Staff Council Welcomes these New Employees in September, 2015!
Welcome to St. Thomas, May 2015 New Hires
We welcomed 4 new colleagues to UST in May.
NESC Study Abroad Scholarship Recipients Have Been Selected!
The Non-Exempt Staff Council is excited to announce the NESC Study Abroad Scholarship recipients for the 2015-2016 academic year! This year's recipients are a non-exempt staff member and a child of a non-exempt staff member.
Welcome to St. Thomas, March and April 2015 New Hires
We welcomed 3 new colleagues to UST in March and April.
New NESC Council Members Announced
At their annual non-exempt staff appreciation breakfast on March 25, the NESC announced the new council members who will be taking their seats in May. The council also thanked the outgoing council members for their work on behalf of UST.
2015 Non-Exempt Staff Appreciation Breakfast Highlights
The Non-Exempt Staff Appreciation Breakfast was a great success! We would like to thank everyone who helped make the event possible: Jerry Sweeney and the Dining Services staff, Steve Uhls and his staff from the Physical Plant, and Steve Griffin and the UST Bookstore staff. We would also like to thank President Sullivan, Father Snyder, Melanie Barreto, Anna Biljin, and John Bannigan for taking part in our presentation.
2015 NESC Appreciation Award Recipient Announced
At the annual Non-Exempt Staff Appreciation Breakfast, the NESC announced Julie Kimlinger as the recipient of the 2015 Appreciation Award.
Thanks to all of the Appreciation Breakfast donors
The NESC would like to thank all of the generous donors who contributed items to the raffle and silent auction during the Non-Exempt Staff Appreciation Breakfast
Welcome to St. Thomas, February 2015 New Hires
We welcomed 2 new colleagues to UST in February.
Welcome to St. Thomas, January 2015 New Hires
We welcomed 7 new colleagues to UST in January.


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YMMV: Taipan
Inexact title. See the list below. We don't have an article named YMMV/Taipan, exactly. We do have:
If you meant one of those, just click and go. If you want to start a YMMV/Taipan page, just click the edit button above. Be careful, though, the only things that go in the Main namespace are tropes. Don't put in redirects for shows, books, etc.. Use the right namespace for those.


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Photo Galleries
< MyNorthwest
Thursday in photos
April 11: Happiest protester, Lindsey Vonn spies on Tiger Woods & more from the Masters
14 of 14
A police aims a paintball gun at protestors during clashes, after students held a massive march demanding free education in Santiago, Chile, Thursday, April. 11, 2013. The marches began during the 2006-2010 Michelle Bachelet administration and have troubled current President Sebastian Pinera even more. Pinera's government is focusing a chunk of the 2013 budget on financing school loans at lower rates. But students say the system still fails them, with poor public schools, expensive private universities, unprepared teachers and unaffordable loans. (AP Photo/Luis Hidalgo)
Photo by Luis Hidalgo
Photo by Luis Hidalgo
14 of 14
More Photo Galleries
Week in photos
Photos taken by the Associated Press Sept. 28 to Oct. 2.
Stargazers treated to supermoon eclipse
Stargazers were treated to a rare astronomical phenomenon with a total lunar eclipse combined with a so-called supermoon.
Week in photos
Photos from the Associated Press taken from around the world.
Four killed in Aurora Avenue Bridge crash in Seattle
The four people killed when a charter bus and Ride the Ducks vehicle collided were students from North Seattle College, The Seattle Times reports.
Big-name business leaders meet China's president in Seattle
Business leaders from Apple, Honeywell, Disney, Microsoft, Starbucks, Dow Chemical, Amazon, IBM, and many more attended a Wednesday morning meeting with the president of China.
Week in photos
Photos taken from around the world during Sept. 14-18.
Week in photos
Check out the week in photos from all over the world.


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Childhood Obesity - Why children are growing in all the wrong ways
Broadcast: 01/09/2006
Reporter: Elvira Nuic
REBECCA CARMODY (PRESENTER): On Sunday experts from around the world will gather in Sydney to discuss the worsening obesity epidemic. High on the agenda will be children, the first generation who, experts fear, won't live as long as their parents. In W-A the government is under pressure to fund more programs for young people battling the condition. Elvira Nuic reports.
DR BILLIE-GILES CORTI (UNIVERSITY OF WESTERN AUSTRALIA): Every year it's going up and up and up. It's like this tide coming through that's just not relenting so it's really serious. it's a global epidemic.
DR LIZ DAVIS (PRINCESS MARGARET HOSPITAL): There's not a pill or a magic treatment for it so it takes a lot of hard work.
ELVIRA NUIC (REPORTER): Four months ago the future for these children was bleak. Overweight or obese, their likelihood of developing killer diseases like diabetes, cancer and heart disease was high. That's before they were taken under the wing of exercise physiologist Mike McGuigan and his team.
DR MIKE MCGUIGAN (EDITH COWAN UNIVERSITY): Doing exercises that are resistance based so using things like weighted bags and dumbells, their own body weight as resistance. Quite different to the more traditional aerobic based programs which involve a lot of running based activities which a lot of children don't enjoy and perhaps aren't suited too in terms of their body shape.
ELVIRA NUIC (REPORTER): Exercise physiologists are at the coalface in the obesity battle. At Edith Cowan University, graduates are working with 150 overweight and obese children to see how resistance training can transform their bodies, general health and minds.
DR MIKE MCGUIGAN (EDITH COWAN UNIVERSITY): We've seen some quite significant improvements in terms of the changes in body fat percentage, we've seen some significant decreases. We've also seen that children have maintained and increased their muscle mass, we've seen that they've improved their bone health.
ELVIRA NUIC (REPORTER): The idea that exercise can fight obesity isn't rocket science. Yet for children too heavy for team sport this is one of the only programs of its type in WA, a state where almost one in every three children is obese or overweight.
NATALIE KING (PARENT): I think it's helped with his confidence, fitness level and heaps of people said to me, Ashley's looking great and a lot of people have come up to me and asked me if they could get into the program but they were full up anyway so unfortunately they couldn't get in.
ELVIRA NUIC (REPORTER): Despite huge demand for programs like this, in eight weeks the trial will be over and the kids gym will close, leaving these parents with few options.
DR MIKE MCGUIGAN (EDITH COWAN UNIVERSITY): It's something that really needs to be rolled out a lot more and a lot more extensively across the state i think if we're going to see the benefits.
ELVIRA NUIC (REPORTER): This year the state government will spend about three million dollars tackling obesity. Most will go towards education campaigns promoting healthier eating and exercise. Researchers say it's not nearly enough.
DR BILLIE-GILES CORTI (UNIVERSITY OF WESTERN AUSTRALIA): We've estimated that we need to really be spending 10 dollars a head and that's a lot less than we're currently spending on the problem. and that's not just for children, but for adults as well.
ELVIRA NUIC (REPORTER): Billie Giles Corti is a UWA researcher and member of the government's Physical Activity Taskforce. She says without an urgent and significant funding boost, the health system will struggle.
DR BILLIE-GILES CORTI (UNIVERSITY OF WESTERN AUSTRALIA): We'd really like to see bigger commitments from state and federal government to be able to address the problem and I think if we don't do it we've got some dire consequences into the future.
ELVIRA NUIC (REPORTER): Dr Liz Davis treats the most severe child obesity cases at Princess Margaret Hospital.
DR LIZ DAVIS (PRINCESS MARGARET HOSPITAL): We've certainly seen kids in our department who've had diabetes from obesity in early age, there's a number of kids the sleep department see who need treatment for sleep apnea, kids with hypertension, we've seen kids with nearly all the complication of obesity that are written about we've seen here over the last year or two.
ELVIRA NUIC (REPORTER): The Hospital is also involved in extensive research which will be presented to next week's international obesity conference in Sydney. It includes determining pre-cursers to obesity through studying healthy and overweight children. She says what's clear is that fixing the problem won't be cheap.
DR LIZ DAVIS (PRINCESS MARGARET HOSPITAL): Most of the studies around the world that have been shown to make a difference are also very resource intensive but there's no doubt that the complications and the health impacts of obesity are going to be very expensive as well.
ELVIRA NUIC (REPORTER): The problem then becomes what's the best way to spend the limited funding available? A new report published in the Medical Journal of Australia says education policies, like those in WA, have failed to control the country's rapidly expanding waistlines. The authors have called for fast food to be taxed, fruit and veg subsidised and for a complete junk food ban in schools.
STUDENT 1: I usually get pizzas, pies and mostly noodles.
STUDENT 2: On a Wednesday i'll get a pizza.
ELVIRA NUIC (REPORTER): The canteen at the South Ballajura Primary School is leading the way in the healthy food stakes.
STUDENT 3: I like bananas, apples and fruit, all fruit and for lunch i like spaghetti and lasagne.
LEE HAYS (CANTEEN MANAGER): I think we've taken a more balanced approach. Included more salads and fruits. We also try to include pastas.
ELVIRA NUIC (REPORTER): Even so, the menu here still includes ice cream, sausage rolls, pies and flavoured milk, items many experts want banned altogether. The state government will reveal its position on the issue soon after this week receiving a draft report recommending healthy canteen changes. At least one canteen manager says a junk food ban wouldn't be so bad.
LEE HAYS (CANTEEN MANAGER): I don't think they'd be too worried. You give the another alternatives and they'll take it on. It might take a little while but they'll get use to it and they seem to prefer the fresher. We've gone from a school that sold hardly any fruit to, I can't keep up with it.
ELVIRA NUIC (REPORTER): Whether banning junk food in schools is the answer or not, there's general agreement that more must be done to stop this generation eating itself to death.