DOCSLIB.ORG

Italian Nephrologists Invent Renal Replacement Machine for Neonates Inside

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Italian Nephrologists Invent Renal Replacement Machine for Neonates Inside August 2014 | Vol. 6, Number 8 Italian Nephrologists Invent Renal Replacement Machine for Neonates Inside Speaking at the European Renal As- delphia, told ASN Kidney News. Adult Hypertension sociation—European Dialysis and Trans- machines that are approved for patients Guidelines weighing more than 20 kg have been plant Association conference in Am- Everything you need to know adapted for infants, “but there are some sterdam, Claudio Ronco, MD, of the to sort through the many limitations,” such as needing to prime International Renal Research Institute guidelines for managing with more blood and alarms calibrated at San Bortolo Hospital in Vicenza, hypertension Italy, said that current CRRT systems for larger individuals. are often used off-label for infants smaller than 15 kg but are not ideal. CARPEDIEM provides more CARPEDIEM, designed for in- options than peritoneal dialysis Practice Pointers Venous needle dislodgement fants weighing 2.5–10 kg, addresses After completing a 5-year development is under-reported yet can be a many of the problems with the big- project, including in vitro testing of the life-threatening complication of ger machines by using a circuit with system, meeting regulatory requirements, hemodialysis a priming volume of 27 mL including and then licensing for human use, the cli- filter, miniaturized roller pumps provid- nicians at San Bortolo Hospital treated a ing a flow as low as 5–50 mL/min, and 2.9-kg neonate with hemorrhagic shock, Fellows Corner accurate ultrafiltration with a precision multiorgan dysfunction, and severe fluid Programs aim to train next of 1 g. Filters with three different surface overload with CARPEDIEM for more generation of nephrologists areas can accommodate patients of differ- than 400 hours using continuous veno- ome of the smallest infants with ent sizes. Laboratory testing showed quite venous hemofiltration, single-pass albu- acute kidney injury (AKI) can now low levels of microhemolysis. The research min dialysis, blood exchange, and plasma Findings Sseize the day—with a dialysis sys- team’s work was published in The Lancet exchange. Better oral health could tem specifically designed for them. The on May 24. The CRRT was started at 3 days after decrease mortality risk for Cardio-Renal Pediatric Dialysis Emergen- “It definitely has been needed for a birth. The neonate’s fluid overload was ESRD patients cy Machine (CARPEDIEM) is the first long time,” Benjamin Laskin, MD, MS, 63 percent, with a body weight of 5.2 kg. continuous renal replacement therapy assistant professor of pediatrics in neph- Physicians placed a dual-lumen 22 gauge (CRRT) designed for neonates. rology at Children’s Hospital of Phila- Continued on page 3 Policy Congressional Kidney Caucus leaders introduce bill to improve treatment and Annual Round of Proposed Changes to ESRD Program research Includes Expected, and Unexpected, Proposals Kidney Health By Rachel Meyer and Mark Lukaszewski Initiative Newly submitted proposals ourth of July weekend: parades, Medicaid Services (CMS) released its payments for dialysis care and modifica- reflect breadth of kidney barbecues, fireworks—and the proposed rule recommending changes tions to the mandatory quality program. research Fannual release of proposed revi- to the ESRD program, adding 359 pages Several key areas of interest—both positive sions to the Medicare ESRD End-Stage of federal regulations to ASN’s Public and negative—are summarized here; fur- Renal Disease (ESRD) Prospective Pay- Policy Board’s and Quality Metrics Task ther analyses will be posted on ASN’s web- ment System (PPS) and Quality Incen- Force’s holiday weekend reading. site. The society will provide CMS with detailed recommendations for improve- tive Program (QIP). On Wednesday, Since then, the task force and policy ment to ensure patients continue to have July 2, the Centers for Medicare & board assessed proposed changes to both access to the highest quality care possible within the Medicare ESRD program. Key proposed changes to the bundle Most of the changes CMS proposes for Continued on page 7 HeRO (Hemodialysis Reliable OutFlow) Graft is the ONLY fully subcutaneous AV access solution clinically proven to maintain long-term access for hemodialysis patients with central venous stenosis. • Fewer Infections: 69% reduced infection rate compared with catheters1 HeRO Graft bypasses • Superior Dialysis Adequacy: 1.7 Kt/V, central venous stenosis a 16% to 32% improvement compared with catheters1 • High Patency Rates: Up to 87% cumulative patency at 2 years1, 2 • Cost Savings: A 23% average savings per year compared with catheters3 Reducing Catheter Dependency HeRO Graft Candidates Treatment Algorithm • Catheter-dependent or Failing AVF or AVG due to central venous stenosis approaching catheter- dependency • Failing AVF or AVG due to central venous stenosis Catheter-dependent patients AVF AVG HeRO Graft Catheter Learn more at www.herograft.com 1. Download the App Order at: 888.427.9654 2. Scan the code with your mobile device References: to watch video 1) Katzman et al., J Vasc Surg 2009. 2) Gage et al., EJVES 2012. 3) Dageforde et al., JSR 2012. Indications for Use: The HeRO Graft is indicated for end stage renal disease patients on hemodialysis who have exhausted all other access options. See Instructions for Use for full indication, contraindication and caution statements. Rx only. HeRO Graft is classified by the FDA as a vascular graft prosthesis. 1655 Roberts Boulevard, NW • Kennesaw, Georgia 30144 • Phone (888) 427-9654 • (770) 419-3355 All trademarks are owned by CryoLife, Inc. or its subsidiaries. HeRO Graft is a Hemosphere, Inc. product distributed by CryoLife, Inc. and Hemosphere, Inc. © 2012 CryoLife, Inc. All rights reserved. Advertiser: CryoLife Ad Title: HeRo Graft Job #: Ad Size: 10.5 x 14.5 Agency: Boyd Communications Agency Contact: Chris Mullen (323) 933-8383 Publication: ASn Kidney News Date: Material Deadline: August 2014 | ASN Kidney News | 3 many years. But in neonates weighing and single-pass albumin dialysis, and also need to validate that it adequately clears Renal Machine more than 2 kg and admitted to neonatal provide fluid management after cardiac solutes at lower flow rates and with small Continued from page 1 intensive care units, the incidence has been surgery. catheters. “It will be important in babies estimated in one study at 16 percent, and that are anuric to make sure we’re remov- it may be much higher than that. (4 French) catheter into the femoral vein CARPEDIEM advantages and ing enough toxins, too.” Timothy Bunchman, MD, profes- and began postdilution continuous veno- cautions Both Laskin and Bunchman said they sor and director of pediatric nephrology venous hemofiltration with CARPEDI- were disappointed that the research report at Virginia Commonwealth University Bunchman said that a system with a 52- EM at a flow rate of 9–13 mL/min and involved only one patient. “Through the School of Medicine in Richmond and co- mL extracorporeal circuit is approved in a daily clearance between 2.2 and 2.8 L, rumor mill, I know they’ve used it on four chair of an April 2013 National Institutes Europe, “but the CARPEDIEM is literally which was an exchange volume close to or five kids,” Bunchman said. of Health workshop on neonatal AKI, told half that volume. It’s 27 milliliters…. It al- the patient’s total body water. Although PD will remain the most ASN Kidney News, “The incidence is huge. lows one to safely and easily do extracor- The researchers reported that there was commonly used form of dialysis in infants It’s anywhere between 10 to 80 percent, poreal therapies in kids probably down to no clotting or functional decay in the cir- worldwide because of simplicity and ac- depending on what population you look at about 2 kilos.” cuit, nor did any blood contact reactions cess to resources, “This actually will add a and literature you use.” Of those, “maybe But he thinks that problems with typi- occur during treatments. niche, but in only certain countries” with only 5 percent” require dialysis. cal larger catheters may be magnified with By day 10, the fluid overload was higher incomes and a high level of medi- But that 5 percent is still a large niche the smaller ones. “You can have hemolysis. brought down to 33 percent, and at the cal sophistication, said Bunchman. He ad- for which options have been lacking. “It’s Literally placing the thing is the difficult end of CRRT on day 25 it was 12 percent. vised that more nondialytic therapies need a breakthrough in an area that’s very dif- part—getting a small catheter in some of Similarly, serum creatinine and bilirubin to be developed, some of which are already ficult,” Bunchman said. these small guys,” he said. “So placement, concentrations and severe acidosis were all Peritoneal dialysis (PD) will still be the flow characteristics, destruction [of blood coming along. Even in richer, more devel- managed safely and effectively. The baby treatment of choice for most infants need- elements], occlusion, clotting, infection— oped countries, “This is not going to be in was discharged from the hospital at 59 ing renal replacement therapy. “But we all those are risk factors associated with the the community [hospitals]. This is going days of age with some mild renal insuffi- can’t use it in all situations,” said Laskin, smaller catheters.” to be at university and tertiary-based cent- ciency that did not require renal replace- who wrote an editorial to accompany On the other hand, lower-volume cir- ers completely,” he predicted. ment therapy. The Lancet article. He cited situations in cuits can be a good thing. Laskin said that Even there, and considering that “the The researchers concluded that CRRT which neonates have had abdominal sur- CARPEDIEM avoids problems associated pediatric neonatologists are very excited,” with CARPEDIEM is “feasible, accurate, gery, instances in which metabolic toxins with larger circuits.
Load more

Recommended publications
  • 30 Rock: Complexity, Metareferentiality and the Contemporary Quality Sitcom
    30 Rock: Complexity, Metareferentiality and the Contemporary Quality Sitcom Katrin Horn When the sitcom 30 Rock first aired in 2006 on NBC, the odds were against a renewal for a second season. Not only was it pitched against another new show with the same “behind the scenes”-idea, namely the drama series Studio 60 on the Sunset Strip. 30 Rock’s often absurd storylines, obscure references, quick- witted dialogues, and fast-paced punch lines furthermore did not make for easy consumption, and thus the show failed to attract a sizeable amount of viewers. While Studio 60 on the Sunset Strip did not become an instant success either, it still did comparatively well in the Nielson ratings and had the additional advantage of being a drama series produced by a household name, Aaron Sorkin1 of The West Wing (NBC, 1999-2006) fame, at a time when high-quality prime-time drama shows were dominating fan and critical debates about TV. Still, in a rather surprising programming decision NBC cancelled the drama series, renewed the comedy instead and later incorporated 30 Rock into its Thursday night line-up2 called “Comedy Night Done Right.”3 Here the show has been aired between other single-camera-comedy shows which, like 30 Rock, 1 | Aaron Sorkin has aEntwurf short cameo in “Plan B” (S5E18), in which he meets Liz Lemon as they both apply for the same writing job: Liz: Do I know you? Aaron: You know my work. Walk with me. I’m Aaron Sorkin. The West Wing, A Few Good Men, The Social Network.
    [Show full text]
  • Bossypants? One, Because the Name Two and a Half Men Was Already Taken
    Acknowledgments I would like to gratefully thank: Kay Cannon, Richard Dean, Eric Gurian, John Riggi, and Tracy Wigfield for their eyes and ears. Dave Miner for making me do this. Reagan Arthur for teaching me how to do this. Katie Miervaldis for her dedicated service and Latvian demeanor. Tom Ceraulo for his mad computer skills. Michael Donaghy for two years of Sundays. Jeff and Alice Richmond for their constant loving encouragement and their constant loving interruption, respectively. Thank you to Lorne Michaels, Marc Graboff, and NBC for allowing us to reprint material. Contents Front Cover Image Welcome Dedication Introduction Origin Story Growing Up and Liking It All Girls Must Be Everything Delaware County Summer Showtime! That’s Don Fey Climbing Old Rag Mountain Young Men’s Christian Association The Windy City, Full of Meat My Honeymoon, or A Supposedly Fun Thing I’ll Never Do Again Either The Secrets of Mommy’s Beauty Remembrances of Being Very Very Skinny Remembrances of Being a Little Bit Fat A Childhood Dream, Realized Peeing in Jars with Boys I Don’t Care If You Like It Amazing, Gorgeous, Not Like That Dear Internet 30 Rock: An Experiment to Confuse Your Grandparents Sarah, Oprah, and Captain Hook, or How to Succeed by Sort of Looking Like Someone There’s a Drunk Midget in My House A Celebrity’s Guide to Celebrating the Birth of Jesus Juggle This The Mother’s Prayer for Its Daughter What Turning Forty Means to Me What Should I Do with My Last Five Minutes? Acknowledgments Copyright * Or it would be the biggest understatement since Warren Buffett said, “I can pay for dinner tonight.” Or it would be the biggest understatement since Charlie Sheen said, “I’m gonna have fun this weekend.” So, you have options.
    [Show full text]
  • 30 Rock and Philosophy: We Want to Go to There (The Blackwell
    ftoc.indd viii 6/5/10 10:15:56 AM 30 ROCK AND PHILOSOPHY ffirs.indd i 6/5/10 10:15:35 AM The Blackwell Philosophy and Pop Culture Series Series Editor: William Irwin South Park and Philosophy X-Men and Philosophy Edited by Robert Arp Edited by Rebecca Housel and J. Jeremy Wisnewski Metallica and Philosophy Edited by William Irwin Terminator and Philosophy Edited by Richard Brown and Family Guy and Philosophy Kevin Decker Edited by J. Jeremy Wisnewski Heroes and Philosophy The Daily Show and Philosophy Edited by David Kyle Johnson Edited by Jason Holt Twilight and Philosophy Lost and Philosophy Edited by Rebecca Housel and Edited by Sharon Kaye J. Jeremy Wisnewski 24 and Philosophy Final Fantasy and Philosophy Edited by Richard Davis, Jennifer Edited by Jason P. Blahuta and Hart Weed, and Ronald Weed Michel S. Beaulieu Battlestar Galactica and Iron Man and Philosophy Philosophy Edited by Mark D. White Edited by Jason T. Eberl Alice in Wonderland and The Offi ce and Philosophy Philosophy Edited by J. Jeremy Wisnewski Edited by Richard Brian Davis Batman and Philosophy True Blood and Philosophy Edited by Mark D. White and Edited by George Dunn and Robert Arp Rebecca Housel House and Philosophy Mad Men and Philosophy Edited by Henry Jacoby Edited by Rod Carveth and Watchman and Philosophy James South Edited by Mark D. White ffirs.indd ii 6/5/10 10:15:36 AM 30 ROCK AND PHILOSOPHY WE WANT TO GO TO THERE Edited by J. Jeremy Wisnewski John Wiley & Sons, Inc. ffirs.indd iii 6/5/10 10:15:36 AM To pages everywhere .
    [Show full text]
  • Meservey Fireworks
    THE PIONEER WWW.PIONEERENTERPRISE.COM | $1 PER ISSUE ENTERPRISE VOL. 129 NO. 27 • THURSDAY, JULY 2, 2020 SERVING CERRO GORDO COUNTY AND THE COMMUNITIES OF ROCKWELL, SWALEDALE, MESERVEY, THORNTON & DOUGHERTY Taking part in the procession of students at Sunday’s West Fork Social High School graduation are Kyle Dusold (right) and Ty Eberling. distancing rules in place through July; Schools receive re-opening guidance The fi rst of the student speakers at Sunday’s West Fork High School BY TRAVIS FISCHER graduation was Ian Latham. DICK Governor Kim Reynolds extend- FRIDLEY PHOTOS ed the ongoing public health emer- gency declaration last week, keeping social distancing regulations in place CCONGRATSONGRATS TTOO TTHEHE through July 25. The emergency proclamation has more than 160 rules and orders con- cerning public safety measures and regulatory relief for a COVID-19 CClasslass 22020020 world, but the general idea is con- sistent across the board. Businesses, events, and any other activity where ooff people gather together must main- West Fork conducts graduation ceremony tain six feet of distance between par- BY DICK FRIDLEY greatness in all of your faces,” she said. members of the National Honor Soci- it work and made the best of what we ties and be diligent on cleaning and hygiene habits. SHEFFIELD — Members of the Among the special award winners ety. had. West Fork High School Class of 2020 recognized by Willms were the follow- The three featured speakers for While stricter regulations aren’t “The memories we created were be- expected to be implemented, Reyn- were honored at Sunday’s graduation ing: the program were Ian Latham, Sidney yond irreplaceable,” she concluded.
    [Show full text]
  • MASARYK UNIVERSITY Portrayal of African Americans in the Media
    MASARYK UNIVERSITY FACULTY OF EDUCATION Department of English Language and Literature Portrayal of African Americans in the Media Master‟s Diploma Thesis Brno 2014 Supervisor: Author: Mgr. Zdeněk Janík, M.A., Ph.D. Bc. Lucie Pernicová Declaration I hereby declare that I have worked on this thesis independently, using only the primary and secondary sources listed in the bibliography. ........................................................ Bc. Lucie Pernicová Acknowledgement I would like to thank my supervisor Mgr. Zdeněk Janík, M.A., Ph.D. for the patient guidance and valuable advice he provided me with during the writing of this thesis. Table of Contents 1. Introduction ............................................................................................................... 5 2. Portrayal of African Americans in Films and on Television ..................................... 8 2.1. Stereotypical Images and Their Power .............................................................. 8 2.2. Basic Stereotypical Images of African Americans ............................................ 9 2.3. Stereotypical Film Portrayals of African Americans and the Arrival of the Talking Era .................................................................................................................. 12 2.4. Television Portrayals of African Americans .................................................... 14 2.4.1. The Increasing Importance of African American Viewers ....................... 17 2.4.2. Contemporary Images of African Americans ..........................................
    [Show full text]
  • Budget-Balancing Tactics in Local Government
    Budget-Balancing Tactics in Local Government David N. Ammons and Trevor A. Fleck February 2010 www.sog.unc.edu T 919.966.5381 F 919.962.0654 Budget-Balancing Tactics in Local Government David N. Ammons and Trevor A. Fleck February 2010 Th e School of Government at the University of North Carolina at Chapel Hill works to improve the lives of North Carolinians by engaging in practical scholarship that helps public offi cials and citizens understand and improve state and local government. Established in 1931 as the Institute of Government, the School provides educational, advisory, and research services for state and local governments. Th e School of Government is also home to a nationally ranked graduate program in public administration and specialized centers focused on information technology, environmental fi nance, and civic education for youth. As the largest university-based local government training, advisory, and research organization in the United States, the School of Government off ers up to 200 courses, seminars, and specialized conferences for more than 12,000 public offi cials each year. In addition, faculty members annually publish approximately fi fty books, book chapters, bulletins, and other reference works related to state and local government. Each day that the General Assembly is in session, the School produces the Daily Bulletin, which reports on the day’s activities for members of the legislature and others who need to follow the course of legislation. Operating support for the School of Government’s programs and activities comes from many sources, including state appro- priations, local government membership dues, private contributions, publication sales, course fees, and service contracts.
    [Show full text]
  • GSN Edition 07-02-20
    The MIDWEEK Tuesday, July 2, 2013 Goodland1205 Main Avenue, Goodland, Star-News KS 67735 • Phone (785) 899-2338 $1 Volume 81, Number 53 8 Pages Goodland, Kansas 67735 weather County report enacts ban 67° 10 a.m. Monday on burns, Today • Sunset, 8:17 p.m. Wednesday fireworks • Sunrise, 5:25 a.m. • Sunset, 8:17 p.m. By Kevin Bottrell [email protected] Midday Conditions The Sherman County Commis- • Soil temperature 72 degrees sioner have put in place a burn ban, • Humidity 50 percent which includes a prohibition on • Sky mostly sunny fireworks, until further notice. • Winds south 3 mph The commissioners passed the • Barometer 30.31 inches ban at their meeting Friday, saying and steady that although conditions in some • Record High today 104° (1921) parts of the county are better than • Record Low today 46° (1924) last year, it has still be extremely dry. Last 24 Hours* The commissioners called in Ru- ral Fire Chief Brian James, who said High Sunday 82° he would be comfortable both with Low Sunday 54° or without the ban, but he prefers to Precipitation none err on the side of caution. This month none “Last year went great with the Year to date 7.40 ban,” he said. “Fire calls were way Below normal 2.33 inches down.” The Topside Forecast The commissioners voted unani- Today: Mostly sunny with a high mously to put the burn ban in place. near 82, winds out of the east at 5 They said if the county receives any to 15 mph and a low around 54.
    [Show full text]
  • By David Rothfuss Fireworks and Sex! Is a New
    ABSTRACT FIREWORKS AND SEX! by David Rothfuss Fireworks and Sex! is a new religion I’m launching so I can get rich without paying taxes. The religious document that follows, which you’re probably not even allowed to read on account of copyright restrictions, is pretty standard as religious documents go, providing you, the religious consumer, with 205 pages of morally ambiguous poems, fables and doodles to base your life upon. It is by far the most American religion out there, and a sure-fire path to a shinier existence, with the average follower experiencing 74% more happiness, 93% more freedom, and 87% more American Dream than those in other religions. If you were allowed to read it, which you’re not, it would provide you with an inside track to God and eternal salvation. FIREWORKS AND SEX A Field Study Guide to America’s Shiniest Religion A Thesis Submitted to the faculty of Miami University in partial fulfillment of the requirements for the degree of Masters of the Arts Creative Writing/Poetry Department of English by David Alexander Rothfuss Miami University Oxford, Ohio 2011 Keith Tuma, advisor cris cheek, reader David Schloss, reader . © David Rothfuss 2011 Table of Contents: Book 1: Concerning this Book, its characters and the partial revelation of truths……………………………………………………………….………...p.1 Book 2: Concerning your new religion and how lost you would be without it…p. 52 A Brief Interlude: Poems upon which you shall base your life…………..p. 88 Book 3: Big Time: in which Our now famous characters hash out their differences with God and mortality………………………………………………………p.
    [Show full text]
  • FIREWORKS GLASSES THIS ISSUE See the Show in Whole New Light INTERMOUNTAIN FAIR PREMIUM BOOK INSIDE
    BUURNEYRNEY BASINBASIN DAYSDAYS PROGRAMPROGRAM INSIDEINSIDE YOUR FREE P AIR INSIDE FIREWORKS GLASSES THIS ISSUE See The Show In Whole New Light INTERMOUNTAIN FAIR PREMIUM BOOK INSIDE ! SERVING EASTERN SHASTA, NORTHERN LASSEN, WESTERN MODOC & EASTERN SISKIYOU COUNTIES 70 Cents Per Copy Vol. 44 No. 16 Burney, California Telephone (530) 335-4533 FAX (530) 335-5335 Internet: www.im-news.com E-mail: [email protected] JULY 3, 2002 What’s Happening Locally This Week Morale lower Old Station fest The Old Station Volunteer Fire after hospital and Rescue Department will hold its annual Strawberry, Cake and Ice Cream Festi- val Sunday from 11 a.m. to 4 makes cuts p.m. at the fi re hall. Price is $6. All proceeds benefi t the fi re department. A trip to the Additional $80,000 Reno Hilton for two days will be raffl ed. loss in May reported Christmas wash BY MEG FOX said Fikes after the meeting. The Burney 4-H Club will be In the wake of last month’s cuts The hospital reduced clerical washing cars at the Chevron in staff hours, Mayers Memorial staff hours in the X-ray, administra- station on Main Street in Burney Hospital has taken another fi nancial tion, and medical staff departments today from 5-8 p.m. Donations hit with a reported $80,000 loss in and asked managers to cut their will be accepted with proceeds May. overtime. The hospital also modi- used to adopt a needy local “We spent more than we took in,” fi ed the pay rate for ambulance staff family this Christmas.
    [Show full text]
  • 'Mission Nutrition' Activators Kicks Off in Chehalis
    $1 Weekend Edition Saturday, April 21, 2012 Reaching 110,000 Readers in Print and Online — www.chronline.com Activators Kicks Off in Chehalis / Sports 1 Firefighters Honor Fallen Mossyrock ‘Mission Nutrition’ Chief / Main 3 ... at Centralia College Family Fun Fest / Main 16 Search for Missing Man Deputies Pull Daniel Kuhn’s Ends in Tragedy Body From Chehalis River By Kyle Spurr and Eric Schwartz ties who were planning a Sunday effort The Chronicle to find 24-year-old Daniel Kuhn discov- ered his body under about five feet of DOTY — The search for an Olympia water upstream from the Chandler Road man who went missing on the Chehalis Bridge early Thursday evening. River during the Pe Ell River Run came to an abrupt end Thursday. Lewis County Sheriff’s Office depu- please see TRAGEDY, page Main 12 Lewis County Sherif’s Oice and Coroner’s Oice person- nel work to remove the body of Daniel Kuhn from a steep bank along the Chehalis River upstream from the Chandler Road Bridge early Thursday evening. Chris Geier / [email protected] Sherif’s oice and coroner’s oice personnel work along the bank of the Chehalis River upstream from the Chandler Road Bridge Thursday evening. The body of 24-year-old Olympia man Daniel Kuhn was found about 450 yards upstream from the Willapa Hills Trail where a former railroad trestle was washed away during the 2007 Chehalis River lood. Kuhn went missing during the Pe Ell River Run last weekend. His body was found by two deputies Thursday. The Chronicle, Serving The Greater Weather Napavine Development Deaths Lewis County Area Since 1889 TONIGHT: Low 48 Flood Roberts, Henry R.
    [Show full text]
  • Fireworks A-Z Buyer's Guide
    Fireworks A-Z Buyer’s Guide 2010 Free Edition By Bob Weaver • FireworksLand.com • FireworksCatalog.com This free edition of Fireworks A-Z Buyer’s Guide contains my descriptions of approximately 3,855 fireworks, up through and including 2006. My new web site, FireworksCatalog.com, contains descriptions of approximately 2,807 additional fireworks which are not in this file. It also includes 1,772 photos and 707videos. The best program for viewing, searching and printing this file is Adobe Reader. To search through the file for a particular name, number, word or phrase, make sure you are using Adobe Reader 6.0 or higher. The search function in lower versions is inadequate for this purpose. You can download Adobe Reader for free at this page: www.adobe.com/reader All contents Copyright 2010 by Bob Weaver You are allowed to print out copies of this file, and give away printed copies for free to anyone. You can make copies of this file on disc, and give the disc to anyone, and you can put the file on your web site, as long as it is intact. You are not allowed to sell copies of this file, or sell printouts of this file. You are not allowed to extract text from this file and use it in any publication, or in any advertising materials (printed or in-store), use in any catalogs, or put the text onto any price list or web site. Bob Weaver FireworksLand.com [email protected] Fireworks A-Z Buyer’s Guide, Free Online Edition by Bob Weaver • FireworksLand.com 00 Buck Shotgun Shell 100 Yellow Ribbons 10,000 MHz Feedback Single-tube Aerial.
    [Show full text]
  • Risk Management Pool Announces Changes in City Fireworks Coverage
    1-TENNESSEE TOWN & CITY/JUNE 18, 2008 www.TML1.org 6,250 subscribers www.TML1.org Volume 59, Number 11 June 18, 2008 Projections for state-shared taxes Host City Reception at FedEx Forum for Tennessee’s municipalities Memphis is planning a grand BY DICK PHEBUS largely unaffected except for rev- event Sunday, June 22, to welcome MTAS Finance Consultant enue growth projections. municipal officials to the city as part Based on these projections for of the 2008 Tennessee Municipal The second session of the FY 2009, municipalities are ex- League Annual Conference. 105th Tennessee General Assem- pected to receive approximately Held at the city’s new $250 mil- bly adjourned on May 22, 2008. $112.46 per capita for the fiscal lion arena, the FedEx Forum, the Faced with substantial short- year beginning July 1, 2008. reception will offer, music, food, falls in revenues for both fiscal The following is a breakdown and an opportunity to tour this new years ending June 30, 2008, and of what municipalities can expect state-of-the art facility. June 30, 2009, the general assem- to receive in FY 2009. For those The FedExForum is the largest bly made significant reductions to cities that are in the process of public building construction project both years’ original appropriations. adopting a budget or have already in Memphis history. It is managed While these reductions im- approved one, financial personnel and operated by the Memphis Griz- pacted many state departments and should review this information to zlies of the NBA and is also used by state universities, the municipal determine if adjustments to the the University of Memphis Tigers share of the state-shared taxes were budget document are necessary.
    [Show full text]