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BaptistWay Bible Series for January 6: When cleanliness is not next to godliness
- December 28, 2007
- By John Rutledge
BaptistWay Bible Series for January 6
When cleanliness is not next to godliness
• Mark 7:1-23
Christ Church, Rockwall
If we read through the Gospels, after a while, it is easy to wag our finger or roll our eyes at the attitudes and antics of the scribes and Pharisees. The scribes were the Ph.D's of Mosaic Law while the Pharisees were a religious group within Judaism that sought to preserve and protect God's will as expressed in the law. They sometimes are caricatured as "nose in the air" moralists who go sniffing around for people actually enjoying their lives in order to make them miserable. In popular parlance, they are the proverbial "party poopers" in the kingdom of God. And in the Gospels, it is usually Jesus' party they are seeking to spoil.
But, of course, this caricature is not totally fair. After all, they are dealing with the religious tectonic shift happening between the Judaism they have known and the emerging way of Jesus. Questions arose about what practices and ways of thinking would transfer to the people's trust in Jesus as Messiah.
Practically speaking, if Jesus indeed came to fulfill the law and not to abolish it, then how were they supposed to pick and choose what customs and rituals to keep? These were important matters not easily negotiated among the religious leaders wanting to be faithful to the law and the people wanting to be faithful to the law while following Jesus.
What made these decisions difficult was the sheer volume of Jewish rituals and customs. By some estimates, there were 613 mizvot (commandments) in the Torah (the five books of Moses). Leviticus (chapters 11-26) outlines the purity laws that specify foods considered clean or unclean.
The Leviticus holiness code includes purity rituals for after childbirth or menstruation, regulations for wearing clothing made of two different materials (no cotton/poly blends), sanctions against coming in contact with a dead body or a dead animal, and pronouncements about sexual behaviors, keeping the Sabbath and getting tattoos. The purity laws laid out in Leviticus address almost every conceivable aspect of human life: birth, death, sex, ethnicity, gender, marriage, health and hygiene.
These matters were of utmost importance for at least two reasonsone, Israel needed to maintain its distinct identity from people of other nations in order preserve its faith in God as creator and ruler of the earth; and two, Israel was called by God to be holy, because the God who called Israel was holy (Leviticus 19:2).
Throughout the Gospel of Mark, however, Jesus repeatedly violates laws about ritual purity. In Mark alone, Jesus touches a leper (1:41), his disciples do not fast (2:18), he disregards Sabbath laws (2:23), he touches a woman who had been bleeding 12 years and then handles a dead corpse (5:21-43). In every instance, Jesus is healing and ministering to the people involved. The presence and power of God are being revealed. At the same time, Jesus directly violates Levitical laws about ritual purity.
In this passage, however, Jesus is asked why his disciples don't wash their hands before eating. Curiously, washing hands before a meal is not specifically required by Old Testament law. Ritual washing is mentioned, but specifically, nothing is mentioned about hand washing before meals. Washing one's hands before a meal is a "tradition of the elders," an oral tradition of legal teachings that emerged alongside the written law of Moses.
This explains Jesus' response to the scribes and Pharisees. He beats them at their own game regarding "the tradition of the elders." He chastises them for being willing to uphold their tradition at the expense of the commandments.
For example, in the ancient world, mothers and fathers (or the aged) often were financially and socially dependent on their children (or younger caretakers). But according to the "tradition of the elders," a child could decide to make a financial donation to the temple and give nothing to the parent. Making a financial commitment to God (the temple), they would be "off the hook" from having to take care of the parents (thus in violation of the more important commandment of God to honor father and mother).
Jesus thus exposes their spiritual hypocrisy. Jesus explains it is not what goes into a person that defiles the person. Rather, it is what comes out of the person that defiles the person. A man is not morally affected by what he eats, since the body naturally eliminates the waste. However, whatever comes out of a person's mouth comes from the heart. And when a person's heart is evil, Jesus says the whole body is defiled.
Whether or not someone washes his hands before a meal is not the point. What is most important is whether a person loves God with his whole heart and loves his neighbor as himself. This is the more noble aim of the law and the prophets, but it is not accomplished by a lifeless set of rituals and practices that doesn't lead a person to deeper love and compassion.
The laws of ritual purity failed to express the holiness of God. Jesus became the living, breathing embodiment of the real will of God that was at the heart of the law. It was Jesus who revealed the heart of the law teaching his followers to understand that only by being among the so-called unclean that true holiness could be seen.
Discussion questions
• What groups or persons do you consider unclean, impure or otherwise outside the circle of God's holiness and love?
• What are ways we distort the true nature of God's unconditional love into excuses to exclude people Jesus cares about?
• What boundaries have we wrongly built to keep the so-called "unclean" far away from us; from God? What can we do to tear down such walls?


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subset: commoncrawl


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John Levon wrote:
BTW I am a little concerned that we're re-implementing all this code when libxenstat can do it. I already wrote this code once :)
I based this code on libxenstat. Because libxenstat itself depends on libxc, and removing the libxc dependency was not going to be easy, I reimplemented it. (It's also based on an internal Red Hat project called virtstat).
I know libxenstat has the Solaris support ... That's what I was going to copy over once I had a Solaris machine up and running here, but feel free to beat me to it with a patch instead :-)
Rich. -- Emerging Technologies, Red Hat - http://et.redhat.com/~rjones/ Registered Address: Red Hat UK Ltd, Amberley Place, 107-111 Peascod Street, Windsor, Berkshire, SL4 1TE, United Kingdom. Registered in England and Wales under Company Registration No. 03798903
Description: S/MIME Cryptographic Signature


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Pennington: I think after we left Heinz Field back in December when we played Pittsburgh, we felt like we would be back here again. And here we are, playing in a similar situation, a big time game. We are excited about that but I think we felt like we would be here again.
Q)Do you guys think you are better equiped this time around to handle the challenge?
Pennington: I sure hope so. No matter how I feel physically, I can always help control the game mentally. That is where I didn't help control the game the first time. So as an offense we have to be mentally sharp and make sure that we are on our P s and Q's and do the right things necessary to start moving the football. Once we start getting good drives, we have to put points on the board.
Q)What is the best approach against the Steelers defense?
Pennington: We have to be patient. It is not about confusion, it is about being patient and not trying to force things. They do a great job in coverage. Their safeties and linebackers do a great job underneath and we have to make sure we remain patie nt. If we get a chance to hit a big time play, we have to hit it because you don't get too many.
Q)What are your thoughts on the season up to this point?
Pennington: We put ourselves in this position. We don't feel like we were handed anything. We set the tempo early in the season to get into the playoffs with 10 wins and we played well on Saturday night to win the game. We had to win the game three times, so we feel good about that.
Q)What is your evaluation of your first meeting with Pittsburgh?
Pennington: I just didn't play well mentally. I have to be more patient and make sure I don't give them easy ones. I gave them two easy ones that were crucial to our success. One of them, we had the ball across the 50 and the other we were gettin g ready to get in the red zone. You can't turn the ball over in those situations because those are times when you can score points.
Q)How is your chemistry with Justin McCareins developing?
Pennington: We have made some progress but I think we have a long way to go as far as quarterback/receiver relationship. As long as we continue to work hard and talk to each other and work things out, we will be fine. Q)Are you feeling better physically and mentally?
Pennington: It is a little bit of both. It always comes back to a couple of fundamental concepts. I always believe on the road that you have to communicate with each other when the crowd is loud and you also have to remain patient and make sure you don 't force things. Because, when you turn the ball over on the road, your percentages of winning aren't very good.


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I will never get tired of watching two young, healthy, buffed men getting into their first professional sexual encounter. Adorned with tanned bods, muscles galore and beautiful tools, Cody and Rocky take us with them on a Saturday afternoon journey full of sweet gay lovin'. Although these two fellas have known each other for some time, this is the first time they've endulged in their lust for one another. The fact that it was caught on camera just adds so much more life to their premier encounter. And what lucky folks we are to get to witness it thanks to RANDY BLUE! This is something worth seeing!
Cody reaches for the goods hidden in Rocky's trousers. Rocky certainly doesn't seem to mind as his buddy grabs a hold of him, that's for sure. The look on his face tells us he knows what's cumming up. With a flick of the tongue on the dark-haired boy's ear, Cody knows what his pal likes.
Ahh, now isn't that lovely sight! Two young jocks like these guys engaged in a lustful kiss is just about enough to get my dick stone hard. Hold on while I re-adjust. Ahh...that's better.
Well it would appear as though Cody has Rocky just about where he wants him now. Rocky is lost in another world I would think. A world full of nothing but bliss as his prick is teased to perfection. RANDY BLUE has the full gallery available for all of us if you'd like to see these hotties go through the full motions. I can tell you this is definitely not worth missing. Nothing that Randy Blue puts together should be missed by any means!


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I'm so amazed by this deal that I had to share it!! 6 quart Kitchen Aid Professional 600 Series on sale for $259.99!!! Kohls has it on sale for $450ish, and Target for $400ish. You can also get a $50 mail in rebate from Amazon. $209 for a KA 6 quart!!!! If you have Amazon Prime, it's free shipping. (Not sure if it is supersaver or not. Since I have prime, it doesn't show any other shipping price for me.)
Here's the mixer: http://www.amazon.com/gp/feature.html/ref=xs_gb_ARVI2BBHC24OI?ie=UTF8&docId=1000753181&pf_rd_p=441937901&pf_rd_s=right-1&pf_rd_t=701&pf_rd_i=20&pf_rd_m=ATVPDKIKX0DER&pf_rd_r=12FG7WH6MJT19WXN8251
Quote by @%username% on %date%


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FLORHAM PARK Cheshire Home will host a family picnic from 11 a.m. to 2 p.m. Sunday, Oct. 21, at its 9 Ridgedale Ave. location in Florham Park in celebration of its 20th anniversary. The day will include horse-drawn wagon rides, food and entertainment as well as games and prizes. Admission is free but tickets are required as space is limited. For tickets and information call 377-9531. The Florham Park Cheshire Home opened in 1981 as a residential and rehabilitative facility for young physically disabled adults. A full range of rehabilitative services, including 24-hour nursing care, counseling, physical therapy, independent living skills instruction, educational and vocational programs, and cultural and recreational activities are provided.
Cheshire Home's ongoing commitment has resulted in a nationally recognized reputation for providing goal-directed services that restore the residents to their highest practical level of physical, cognitive and behavioral functioning. Cheshire Home's success has been measured both by those who have been able to leave for small groups homes, supervised apartments and totally independent living, as w ell as through the enhanced quality of life experienced by those who continue to call Cheshire "home."
Since 1981 Cheshire Home has opened Cheshire II and is about to open Cheshire II I, small groups homes for residents who do not require 24-hour nursing care and are more independent than residents in the main building.


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One-Way To Two-Way Project Begins in New Albany
Construction signs are going up along Market, Elm and Spring Streets as work begins this week for a $1.9 million project that will convert one-way streets at New Albany to two-way streets.
The contractor for this Local Public Agency (LPA) project—funded by the Federal Highway Administration with matching funds provided by the City of New Albany—is Ragle Inc. Ragle is charged with sign replacement, signal modification and installation of thermoplastic pavement markings. These streets will be converted to two-way routes:
Market Street between First Street and Vincennes Street
Elm Street and Spring Street between State Street and Vincennes Street
Pearl Street from Elm Street to Main Street
Bank Street from Oak Street to Main Street
Meanwhile, pavement markings will be updated on State Street between Market Street and Elm Street.
This week, contractor crews will pothole for utility locations in advance of boring operations.
Federal monies are administered by the Indiana Department of Transportation. INDOT also provides oversight to assure compliance with federal standards. Hannum, Wagle and Cline of New Albany created engineering plans and has day-to-day responsibility for project supervision.
Current traffic counts on impacted streets are: Elm Street—8,500 vehicles per day; Spring Street—10,400 vpd; Market Street—4,500 vpd; Pearl Street—1,900 vpd; Bank Street—1,000 vpd; and State Street—9,100 vpd.
- Indiana DOT


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Maker's Mark Dipped Wax Shot Glasses
Great gift
Nothing says "Miami" like a minty Mojito. This set includes six glasses, a muddler, strainer and large mixing glass that includes the printed recipe.Added 8 Years Ago from Amazon.com
Sleek martini glasses with a skull and crossbones on the front.Tags: home, kitchen, accessories, glass, entertaining, glasses, drinks, glassware, decorAdded 9 Years Ago from Zgallerie
Get yourself oriented with this bar compass! For when you're too far gone to tell which is your right and left side.Added 9 Years Ago from Urban Outfitters
Clever. Very clever. I'm a big fan of using party supplies that double as conversation starters. These fit the bill. Clean design, witty... just right. Also check out alternate sets in different themes on the site...Tags: entertainment, gifts, entertaining, fun, glasses, kitchenware, parties, party supplies, barsAdded 10 Years Ago from Plum Party


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Morning Read: GDP Disappoints, Gold Benefits
Market check: Fourth-quarter gross-domestic product fell at an annual rate of 0.1%, spurring a modest "risk off" trade in Wednesday's premarket activity. Gold traders get a boost as futures cross above $1,679 per ounce, potentially setting up the SPDR Gold Trust (GLD) for a gain. The euro hits the highest versus the dollar since 2011, at $1.35, while the yen weakens.
Fund watch: Here come the closed-end bond funds. My colleague Mike Aneiro notes Bloomberg's coverage of some interesting moves to ramp up the leverage. From the story: "Bill Gross's Pacific Investment Management Co. said it plans to sell as much as $3.3 billion of shares for its Pimco Dynamic Credit Income Fund (PCI), poised to become the largest taxable income closed-end fund. DoubleLine Capital LP is starting its Income Solutions Fund... Blackstone Group LP (BX)'s debt investment arm obtained a $425 million line of credit last month for its Strategic Credit Fund (BGB).
In the news: This week brought the launch of Credit Suisse's Gold Shares Covered Call ETN (GLDI) -- which ETF Database's Jared Cummans says is "where gold and dividends meet." That's true if by "dividends" you mean a stream of income -- in this case, by selling call options that limit your upside in the event that gold surges higher.
In case you missed it: Before you blame hedge funds for whacking Apple's (AAPL) stock, check out the multidollar stock dump by one of the most staid mutual-fund companies -- American Funds.
Correction 10:51 a.m.: The original version of this post misstated the ticker for the Pimco Dynamic Credit Income Fund, which is PCI, not PDI. The latter is the symbol for PIMCO Dynamic Income Fund (PDI).


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Baseball looks up and sees sunny skies. The pennant races are bubbling. The grandstands, many of them in new stadia, are full.
The summer of discontent seems long ago. Remember 1994? The All-Star Game was like the last days of peace before total war. Soon after came silent ballparks and dark clubhouses. A bitter strike, ignited by the owners' desire for a salary cap, that would not end until the next spring, having devoured nearly a thousand games, the World Series, and every shred of good will from the fans. Not even negotiations in the White House could help.
Baseball seems to have been healed. By something.
"Probably," said pitcher Tom Glavine, "time."
Sure, 10 years of time. But also Cal Ripken and Barry Bonds, Mark McGwire and Sammy Sosa. Arizona and Florida and Anaheim, and a dynasty in the Bronx.
"Fortunately," said Glavine, "there were some magical moments that reminded people why they liked baseball so much."
"We were very fortunate," said Robert Manfred, executive vice president for labor relations for the baseball commissioner's office, "in having a resilient and tremendously popular product on the field."
Notice how both sides talk of fortune? Maybe that is how the 10-year anniversary of the strike should be remembered. Not for how bad it was in 1994. But how lucky baseball is for its good health in 2004.
This might be the season that average attendance finally returns to pre-strike levels. The average in 1993 was a record 31,612. It has not been back since. But attendance is up 11% this year.
And maybe what should be celebrated 10 years later is the evidence that baseball might have learned something. Despite brinkmanship, the two sides worked out a new contract in 2002 without a work stoppage. The ghosts of 1994 were looking over their shoulders.
"I think we've come to the understanding," said Yankee pitcher Mike Mussina, Baltimore's player representative during the strike, "that we're better off working together than against each other."
And yet, there are still issues, still fertile ground for conflict, in a world of vast wealth. Ten years later, there is still no salary cap. But there is a luxury tax and revenue sharing, and the salary average actually dropped slightly this season.
The highest paid player in the game in 1994 was Bobby Bonilla, at $5.7 million a year. Alex Rodriguez will make four times that in 2004. The Yankees payroll that season was $44.8 million. Now it is well over $180 million.
That is a lot of money to haggle over. The eternal squabble.
"The only time there will ever be peace between players and owners," said Philadelphia catcher Todd Pratt, "is when there's a contract that runs until the end of life."
So 10 years later, you can hear the relief in the voices of baseball, of how the game survived its nuclear winter. And also, from some, hints of the old battle. A reminder that you can never say never, when the question is asked if it could happen again.
The union man
Donald Fehr heads the Major League Baseball Players Association now, as he did then. He remembers the workdays in 1994 that went for 16 hours, seven days a week, in search of an 11th hour breakthrough that never came. "There's an intensity to it that I'm not sure can be described. ... People might have a tendency to view a lockout or a strike as an academic thing. When you actually go through one, you realize it's not. It's real. It has real effects on the people going through it. It brings home what it means not to have an agreement.
"Hopefully, what you end up with after that is a more professional working relationship. ... There's a lot more ongoing contact between the two sides than there was then. The game has grown significantly and that affects the thinking.
"You have to take (the 2002 agreement) as a good sign for the future."
The commissioner
Bud Selig was not officially named commissioner of baseball until 1998. But as acting commissioner, he was the voice of baseball during the strike, and he still remembers the night he called off the rest of the season.
"I'll never forget the drive home. After dinner with my wife, I sat in my house and I played over in my mind for hours all the World Series I could remember, starting with 1944. By the time the night was over, I felt even worse.
"It was unbelievably painful. I remember the hurt, how I felt, how everyone felt. I vowed I would do all I could possibly do. ... It was obvious we had to stop all that.
"I keep getting asked why we're having this renaissance now. You know why? Because we're all concentrating on what's going on in the field. The side issues, the anger, the bitterness — that's not visible to the public now. Relations are much better. But we'll have to work on that for a long, long time."
The baseball man
Manfred was baseball's lead negotiator in 2002.
"People remembering '94 is not necessarily a bad thing, in the sense that when people forget how painful and difficult it was, sometimes it gets them in the mode where they're more willing to do it again.
"I would like to believe our labor relations have evolved to a point that we have enough lines of communication and enough positive relations that we would be able to avoid that kind of a fight.
"But some of that depends on the economy; '94 wasn't just about bad relations. It was about an economic situation that was untenable."
The player rep
Glavine was player representative for the National League, as visible a spokesman as any during the conflict.
"I guess it's hard to say there isn't anything left over. I know there were a lot of people who were angry and said they would swear off baseball and never go to another game. I'm sure some of those people kept their word. How many? I don't know.
"That fight was an easy fight really because a salary cap is something we're never going to agree to unless it's an all-out work stoppage and we get beat.
"I think there's a little bit more dialogue between the two sides now. More a situation of everybody's trying to do the right thing versus looking over their shoulders to see who is trying to screw somebody.
"That time around, I guess we won more than we lost. But we gave up a lot since then, too. There's no question that that stuff (luxury tax, revenue sharing, etc.) now having been in place is having an impact on salaries. But you know what? Everybody is still making a pretty good living."
The veteran
Barry Larkin is in his 19th season with the Cincinnati Reds, and was on the bargaining committee in 1994. He says baseball still isn't back to where it was before the strike.
"There's more distrust between the players and the owners," Larkin said. "There's more distrust between the owners and the owners.
"I think the owners have to share more amongst themselves — willingly share more. I think it's obvious there are some owners who are in the game for I don't know what reason. That's really all I should say on that."
The reliever
Philadelphia reliever Roberto Hernandez was with the Chicago White Sox in 1994. The Sox were in first place when the strike came.
"We never thought it would go that long. Once they said the World Series was over, we felt like we were robbed. All you can do now is look back and say, 'What if?' "
"(The owners) have created their own monster with the big contracts they have given out. They've got no one to blame but themselves. If they're so poor, find another way to win. Develop the farm system. Build from within. The A's have done it. The Twins have done it.
"We gave in (in 2002). That was the first time we ever gave in on something. We were the ones reaching out trying to get a deal done. The night before the deadline, a radio station in Kansas City bought 10,000 seats and made up shirts blasting the players' association. The owner's son sat right in the middle of them."
Clearly, all is not perfect on the baseball labor front. But there is peace. Times are good. And there will be a World Series, 10 years after the unthinkable.
Contributing: Martin Frank of The (Wilmington, Del.) News Journal, John Fay of The Cincinnati Enquirer and John Delcos of The (Westchester, N.Y.) Journal News


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West Virginia Woman Files Latest DePuy Pinnacle Hip Implant LawsuitMay 19, 2011 | Parker Waichman LLP
A lawsuit has been filed in West Virginia over the DePuy Pinnacle Hip Replacement System. The lawsuit claims Johnson & Johnson and its DePuy Orthopaedics division concealed the defects and early failure rate associated with the DePuy Pinnacle hip implant.
The Pinnacle device is, like the DePuy Orthopaedics ASR hip replacement which was recalled last August, a metal-on-metal hip implant. Since the ASR recall was announced, more than 1,300 people have filed an adverse event report with the U.S. Food & Drug Administration (FDA) involving problems with a DePuy Pinnacle hip.
Concerns have been growing for some time that metal-on-metal devices like the DePuy Pinnacle and ASR hip implants may shed small metal particles as its components rub against each other. This can result in a reaction that causes tissue breakdown, bone loss, and even the formation of non-cancerous tumors. The shedding of metal shavings can cause cobalt poisoning, which can lead to long-term health problems if not treated.
According to her lawsuit, Delores Hatcher began experiencing severe pain and trouble walking shortly after receiving a DePuy Pinnacle hip implant in November 2009. This past April, her doctor discovered high levels of metal-cobalt and cobalt-1 in her blood. The lawsuit alleges that her injuries were the result of the "defective design, warnings, construction and unreasonably dangerous character of the DePuy Pinnacle metal-on-metal system." The complaint further alleges that as a result of the DePuy Pinnacle hip implant, Hatcher has suffered permanent physical injury, economic loss, pain and suffering, and the need for additional surgery.
Hatcher is seeking, among other things, both economic and non-economic damages, compensatory damages, disgorgement of profits, and further relief as the Court may deem proper.


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Found someone who looks right? Send them a message or just a wink and see if anything develops. With a little luck you'll be on your way to uncover your proper match.
It's quick and simple


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Logan council dumps Allconnex
Logan City Council, south of Brisbane, voted unanimously yesterday to split from water retailer Allconnex.
Last month, the council said it was staying put but yesterday voted to resume direct control over its water services.
All three of the company's shareholding councils, including Redland and Gold Coast, have now chosen to leave.
The councils have been concerned about rising water charges.
Logan Mayor Pam Parker says the decision was made to keep running expenses as low as possible.
Council finance committee chairman Luke Smith says remaining with Allconnex was not a viable option after the Redland council and the Gold Coast both decided to leave.
"We've had frustration with customer service with Allconnex, we've had frustration with a few of the services around, as have our residents," he said.
"We believe we can certainly provide a better option with customer service and maintenance as we did for 30 years."
Allconnex says it is not surprised the company's final shareholding council has decided to withdraw.
In a statement, Allconnex chief executive Kim Wood says his main priority is looking after the more than 800 Allconnex staff.
Queensland Water Minister Stephen Robertson have been unavailable to comment.
Topics: water-management, public-sector, electricity-energy-and-utilities, local-government, logan-city-dc-4114, southport-4215, redland-bay-4165


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Five billion people have no reliable access to essential health care. Heart attack and stroke are the world's leading cause of death and in the next decade 100 million people will die from chronic diseases before they reach 60, while another 20 million people will die from road injuries.
The George Institute for Global Health is a health and medical research institute whose mission is to improve the health of millions of people worldwide. With projects in more than 50 countries, we have raised over $550 million for global health research since 1999.
Our work is:
Across the world 20 people die prematurely every minute. Help us find ways for more people to live longer, healthier lives.


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In laws harassing me for dowry. What can i do to protect myself?
I have been married for more than 6 years now and have been a victim of Dowry. From the very first day my in-laws have been demanding for Dowry. For the past 6 months this demand has been ever-rising. As I was about to report this, my husband vanished out of the scene. Soon I discovered that my Brother-In-Law had been protecting him by keeping him in his house.
I want to leave him but my family does not want me to take a divorce or even report this case. If things don't work out by reporting the case & I would have to go back, it would only worsen the situation.
Do we have a way out of this?
The only option available to you is registering a criminal complaint against your husband or filing a petition for divorce or judicial separation.
You have a strong case in your favour and therefore we suggest that you should register a criminal complaint against your husband.
Apart from this you can approach a family member who can act as a mediator and try to resolve the issues either amicably or by exerting positive pressure on your husband and his family so that you can save your marriage with dignity.
File Mutual Consent Divorce @ Rs. 25,000/- only
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Trial record 68 of 318 for: hepatitis b | Recruiting, Not yet recruiting, Available Studies
Observational Study on Patients With Chronic Hepatitis B
This study is currently recruiting participants.
Verified June 2014 by Nanfang Hospital of Southern Medical University
Nanfang Hospital of Southern Medical University
National Health and Family Planning Commission, P.R.China
Information provided by (Responsible Party):
Nanfang Hospital of Southern Medical University
ClinicalTrials.gov Identifier:
First received: June 17, 2014
Last updated: NA
Last verified: June 2014
History: No changes posted
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
The study was conducted to evaluate the effect of anti-viral treatment on long-term outcome on patients with chronic hepatitis B.
|Chronic Hepatitis B
|Study Type:
|Study Design:
|Observational Model: Cohort
|Official Title:
|A Retrospective-prospective Observational Study to Evaluate the Effect of Anti-viral Treatment on the Long-term Outcome in Patients With Chronic Hepatitis B (SEARCH-B Study)
Resource links provided by NLM:
MedlinePlus related topics: Hepatitis Hepatitis A Hepatitis BU.S. FDA Resources
Further study details as provided by Nanfang Hospital of Southern Medical University:
|Ages Eligible for Study:
|30 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Study Population
Patients with chronic hepatitis B from hospital
Inclusion Criteria:
- Male or female, aged over 30 (inclusive) years of old
- Patients has a history of diagnosis of chronic hepatitis B (ie. HBsAg positive for more than 6 months)
- For patients with HBsAg positive, patients should be undergoing anti-viral treatment
- For patients with HBsAg negative, a documented evidence of previous anti-viral treatment should be provided.
- Life expectancy is more than 1 year
- Good treatment compliance.
Exclusion Criteria:
- Patients has a history of diagnosis of hepatocellular carcinoma
- Patients with Child Pugh C
- Coinfected with HCV, HDV and HIV
- Suffering from other serious disease
- Taking part in other clinical trial
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT02167503
Please refer to this study by its ClinicalTrials.gov identifier: NCT02167503
|Contact: Jinlin Hou, MD
|Contact: Jian Sun, MD
|China, Beijing
|Beijing Ditan Hospital
|Beijing, Beijing, China
|Contact: Jun Cheng, MD
|Principal Investigator: Jun Cheng, MD
|Beijing Friendship Hospital Attached to the Capital Medical University
|Beijing, Beijing, China
|Contact: Hong Ma, MD 13651096128
|Principal Investigator: hong ma, MD
|BeiJing YouAn Hospital ,Capital Medical University
|BeiJing, Beijing, China
|Contact: XinYue Chen, MD 13911212398
|Principal Investigator: XinYue Chen
|Department of infectious disease, First Hospital of Peking University
|Beijing, Beijing, China
|Contact: Yanyan Yu, MD 13901194223
|Principal Investigator: Yanyan Yu, MD
|People's Hospital of Beijing University
|Beijing, Beijing, China
|Contact: Lai Wei, MD
|Principal Investigator: Lai Wei, MD
|Principal Investigator: Hao Wang, MD
|China, Guangdong
|Department of infectious disease, Nanfang Hospital
|Guangzhou, Guangdong, China, 510515
|Contact: Jinlin Hou, MD
|Principal Investigator: Jinlin Hou, MD
|The Third Hospital of Sun Yat-Sen University
|GuangZhou, Guangdong, China
|Contact: ZhiLiang Gao, MD 13902263533
|Principal Investigator: ZhiLiang GAo
|China, Hubei
|Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology
|Wuhan, Hubei, China
|Contact: Qin Ning 13971521450
|Principal Investigator: Qin Ning
|China, Hunan
|Xiangya Hospital Central-South Univrsity
|ChangSha, Hunan, China
|Contact: DeMing Tan, MD 13875986817
|Principal Investigator: DeMing Tan, MD
|China, Jilin
|First Hospital .Jilin Unniversity
|ChangChun, Jilin, China
|Contact: JunQi Niu, MD 13756661205
|Principal Investigator: JunQi Niu
|China, Liaoning
|ShengJing Hospital of China Medical University
|ShenYang, Liaoning, China
|Contact: XiaoGuang Dou, MD 13898867074
|Principal Investigator: XiaoGuang Dou
|China, Shanghai
|Huashan Hospital,Fudan University
|ShangHai, Shanghai, China
|Contact: GuangFeng Shi, MD 13817780666
|Principal Investigator: GuangFeng Shi, MD
|Shanghai Ruijin Hospital
|ShangHai, Shanghai, China
|Contact: Qing Xie, MD 13651804273
|Principal Investigator: Qing Xie
|China, Zhejiang
|The First Affiliated Hospital of College of Medicine ,Zhejiang University
|HangZhou, Zhejiang, China
|Contact: JiFang Sheng, MD 13600519200
|Principal Investigator: JiFang Sheng
Sponsors and Collaborators
Nanfang Hospital of Southern Medical University
National Health and Family Planning Commission, P.R.China
|Principal Investigator:
|Jinlin Hou, MD
|Nanfang Hospital of Southern Medical University
More Information
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on July 27, 2017
|Responsible Party:
|Nanfang Hospital of Southern Medical University
|ClinicalTrials.gov Identifier:
|NCT02167503 History of Changes
|Other Study ID Numbers:
|Study First Received:
|June 17, 2014
|Last Updated:
|June 17, 2014
Additional relevant MeSH terms:
Hepatitis A
Hepatitis, Chronic
Hepatitis B
Hepatitis B, Chronic
Hepatitis, Viral, Human
Liver Diseases
Digestive System Diseases
Virus Diseases
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Hepadnaviridae Infections
DNA Virus Infections
ClinicalTrials.gov processed this record on July 27, 2017


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Mr Mark McGovern
Canton, Ohio - United States
No approved endorsements
About Mr Mark McGovern
I earned my BS degree in Aerospace Engineering from Virginia Tech. I've been working in military flight simulation for over a decade. Pilot training and aircraft flying qualities are my specialty.
If you notice offensive or incorrect information, please contact us.


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Explores how societies change by utilizing sociological perspectives to compare and contrast the impacts of changes on individuals and our social institutions (such as the family, economy, politics, education, and religion). Prerequisites: (WR 115 and RD 115) or IRW 115 and MTH 20 or equivalent placement. Audit available. (For detailed information, see the Course Content and Outcome Guide ).
- Credits:
- 4.00
- Registration:
- you will need the CRN to register.
- Fees:
- many classes have additional fees.
- Materials:
- classes marked with $0 or <$40 use low cost materials. Cost does not include art supplies, calculators, fees, and equipment.
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This page includes online classes only, more sections may exist for this class.


text:
Laugier-Hunziker syndrome (LHS) is a rare, acquired mucocutaneous hyperpigmentation often associated with longitudinal melanonychia. The clinical behavior of mucocutaneous pigmented lesions ranges from benign to highly malignant. Therefore, in most cases, the clinical diagnosis should be confirmed by further diagnostic methods. Dermoscopy is a noninvasive technique that has been used to make more accurate diagnoses of pigmented skin lesions. Nevertheless, to our knowledge, the dermoscopic features of the pigmented lesions in LHS have not been described previously. Herein, we report a case of LHS together with its dermoscopic features.
The clinical examination revealed macular hyperpigmentation on the oral and genital mucosa, conjunctiva, and palmoplantar region together with longitudinal melanonychia. Dermoscopic examination of mucosal lesions on the patient's lips and vulva revealed a parallel pattern. Longitudinal homogeneous pigmentation was observed on the toenails. The pigmented macules on the palms and the sole showed a parallel furrow pattern. A skin biopsy sample taken from the labial lesion was compatible with a diagnosis of mucosal melanosis.
By means of this case report, the dermoscopic features of the pigmented lesions in LHS are described for the first time, which facilitates diagnosis with a noninvasive technique. Future reports highlighting the dermoscopic features of this syndrome may simplify the diagnosis of LHS, which is thought to be underdiagnosed.
Laugier-Hunziker syndrome (LHS) is a rare, acquired disorder characterized by benign macular hyperpigmentation of the oral and genital mucosa, which is associated with longitudinal melanonychia in 50% to 60% of cases.1 Dermoscopic examination should be indicated for patients with LHS who have several pigmented lesions on the mucosa, nails, or skin. However, to our knowledge, this is the first description of the dermoscopic features of the lesions in LHS.
A 24-year-old female patient was referred to our dermoscopy unit because she had bluish-brown maculae on her lips (Figure 1A) and gingiva and pigmented papillae on her tongue (Figure 1B). In addition, a longitudinal hyperpigmented macule on the vulva extending from the labia minora to the labia majora (Figure 1C), an ill-defined hyperpigmented conjunctival macule (Figure 1D), 3 small pigmented macules on the palms and 1 on the sole, and linear melanonychia on the toenails were also observed. She had no medical history of receiving medication for, or family history of, pigmentation disorder or intestinal polyposis. Findings from the laboratory tests were within reference range, and the assessment of her gastrointestinal system included radiological examinations and a colonoscopy, the findings from which were also within reference range. Findings from the histological examination of the lesion on her lip revealed hyperpigmentation of basal keratinocytes. There were also perivascular melanin-laden macrophages in the papillary dermis (Figure 2A). Masson-Fontana staining was positive for melanin (Figure 2B), but staining with Prussian blue was negative for hemosiderin. Melanocytic proliferation was not detected immunohistochemically with S100 antibody. According to these findings, a diagnosis of LHS was made.
A 24-year-old female patient diagnosed as having Laugier-Hunziker syndrome. Note the bluish-brown pigmentation of the upper lip (A) and the tongue (B); longitudinal brownish pigmentation on the vulva (C); and an ill-defined conjunctival macule (D).
Hyperpigmentation of basal keratinocytes and melanophage population in the papillary dermis. A, Hematoxylin-eosin, original magnification ×100; B, highlighted hyperpigmentation with Masson-Fontana stain, original magnification ×100.
Dermoscopic examination of mucosal lesions on the patient's lips and vulva revealed parallel patterns. On the lips, linear, streaklike brown pigmentation caused by the skin furrows and reliefs was associated with multiple brown dots of different sizes distributed regularly throughout the lesion (Figure 3A). The parallel pattern seen on the vulva was partially linear and partially curvilinear, with light- to dark-brown streaks following the cutaneous profile (Figure 3B). Homogeneous, brownish, regular bandlike pigmentations with indistinct borders were seen on 4 toenails (Figure 3C). The pigmented macules on the palms and on the sole showed a parallel furrow pattern (Figure 4).
Dermoscopic examination of mucosal lesions. A, Parallel furrow pattern with multiple brown dots on the lip. B, Parallel furrow pattern with linear and curvilinear streaks on the vulva. C, Homogeneous regular bandlike pigmentations with indistinct borders on the toenail; inset, melanonychia longitudinalis.
Parallel furrow pattern of pigmented macules, all characterized by linear pigmentation following the sulci of the surface skin markings. A and B, Single dotted-line variation (single dotted lines along the sulci) on the left palm; C, single-line variant (single line along the sulci) on the right palm; and D, single-line variant with homogeneous pigmentation in the background on the sole.
In the case reported described herein, a parallel pattern was observed on the patient's lips and vulva. On the lips, it was accompanied by regularly distributed multiple brown dots without any other dermoscopic variable suggestive of a malignancy. To our knowledge, the presence of multiple dots has not been reported in the limited number of articles published on dermoscopic features of mucosal melanosis.2,3 The parallel pattern with multiple brown dots correlated histopathologically with melanin pigmentation of basal keratinocytes and dermal melanophages, and these dots would be an expected finding when a patient has a superficial pigmentary incontinence. On the vulva, the pigmentation observed on dermoscopy was seen as partially linear and partially curvilinear brown streaks following the cutaneous profile, and this observation was concordant with the characteristic features of benign genital melanosis as defined by Soyer et al.4
The longitudinal melanonychia in our patient revealed homogeneous brownish regular bands with indistinct borders, and the pigmented macules on the palms and the sole revealed a parallel furrow pattern on dermoscopy.
By means of this case, the dermoscopic features of LHS are described for the first time. Future reports will improve our perception of this rarely seen entity.
Correspondence: Isil Kilinc-Karaarslan, MD, Ege University, Department of Dermatology, 35100, Bornova, Izmir, Turkey (firstname.lastname@example.com).
Financial Disclosure: None reported.
Accepted for Publication: September 26, 2006.
Author Contributions:Study concept and design: Gerceker-Turk, Kilinc-Karaarslan, and Ozdemir. Acquisition of data: Gencoglan, Gerceker-Turk, and Ozdemir. Analysis and interpretation of data: Gerceker-Turk, Akalin, and Ozdemir. Drafting of the manuscript: Gencoglan, Gerceker-Turk, Kilinc-Karaarslan, Akalin, and Ozdemir. Critical revision of the manuscript for important intellectual content: Ozdemir. Administrative, technical, and material support: Gerceker-Turk. Study supervision: Ozdemir.
Gencoglan G, Gerceker-Turk B, Kilinc-Karaarslan I, Akalin T, Ozdemir F. Dermoscopic Findings in Laugier-Hunziker Syndrome. Arch Dermatol. 2007;143(5):631-633. doi:10.1001/archderm.143.5.631
© 2017


text:
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