Garmin BlueChart Mobile Trip Planning App

Application: iPad, iPhone, iPod Touch
Function: Marine charting, planning and reference
Cost: Free
Rating: ****

The long awaited Garmin BlueChart app has finally hit the streets.  We were teased with a few screen shots back in February and promised the app this past summer. Well it was worth the wait. Garmin took their own sweet time and did it right.  I have owned numerous Garmin products over the years and have never been disappointed. This app also delivers with a ton of awesome features.

If you have not downloaded it yet here is the link to the app in the iTunes Store.
https://itunes.apple.com/us/app/garmin-bluechart-mobile/id523635526#

Garmin has been advertising this app as a trip and planning tool and that is what they delivered.  The list of features is extensive but there are some additional features that I wish it had. More on that later.

Features:

• Create, edit Waypoint name and symbol as water, land, hazard with custom colors
• Create and edit Routes
• Picture of saved Routes
• g2 marine Cartography
• In app purchases for charts and advanced weather
• Transfer routes and waypoints wirelessly to networked Garmin chartplotters
• Fuel usage calculations in routes
• Record Tracks
• Chart notes
• Celestial data, sunrise sunset, moonrise, moonset and phase
• Tide stations
• Currents
• Active Captain user generated content points of interest
• Garmin points of interest
• Weather conditions, dew point, temperatures, wind speed and direction, water temp, visibility, wave height and period
• Grib files
• Premium weather in app purchase for radar and clouds $3.99
• Graphical measuring tool
• Shaded depth contours and inter-tidal zones
• Spot soundings
• Plan trips 
• Radial menu dial
• Powerful search feature for BlueChart services and ActiveCaptain content 
• Realtime GPS tracking
• External GPS capable 

Chart Menu: 

The apps main screen has a basic world map with banners at the top and bottom. The top banner has a gear icon on the left to select the Settings menu, a Heads Up button toggles between Track Up and North Up settings.  The center panel will give the status of your GPS connection if your connected via WiFi to your Garmin MFD.

The Record Track button starts and stops track recordings.  The Magnifying Glass icon lets you search the vast points of interest database.

Additional menu selections at the bottom center of the screen allow control of the Measuring Tool, My Content wheel icon and the Tides and Currents icon.  The Speed and Heading readings straddle these main icons left and right.

The last icon on the bottom far right is for selection of Chart Content. Chart content allows you to select various items to view on the display. These include Routes, Tracks, Waypoints, Tracks, ActiveCaptain POI, Weather, Grib weather files, and premium weather.

Charts:

Charts are easily selected and downloaded from with the app. Select the Gear Icon settings menu and select the BlueChart Maps option. 

There are 9 different chart sets available for purchase. US Coastal, $29.99, North America, $44.99, Australasia & Africa, $69.99, South America, $59.99, Mediterranean, $59.99, Nordics, $49.99, and Australia & New Zealand, $43.99.

Garmin charts are some of the best in the industry. The markers, depth gradients, colors and annotations are clear and concise.

Once you have purchased the chart set you can start to download the portions of the chart that you want to display.  Simply tap a tile to download it or tap a downloaded tile twice to remove it.

Charts will also be automatically downloaded when you zoom in to an area on the main chart display.

Routes and Waypoints:

Garmin has created a new Radial Menu to create, edit and inform the user of items on the charts. Simply tap once on any chart item or location on the chart and the Radial menu will pop up.

Tap on a chart item to have it pop up in the Radial menu where you can select them for more information.

Position coordinates are displayed for the center of the Radial Menu. Options for creating a Route or Waypoint are on either side of the three dots. Tap the dots for additional menu selections of Chart Notes and Celestial information.

Routes can easily be created by selecting the Add Route button on the Radial Menu.  Route points can be added with a tap of the finger or moved to a new location by dragging the route point to the desired location.

As you add legs to your route the leg distance, fuel requirements, time and bearing are listed.  This a great tool for planning your routes and estimating fuel and time for your passage.

Routes can then be edited by going to the Wheel icon on the bottom of the screen and selecting Routes in My Content. You can then select the options of Edit on Chart, Delete or View on Chart.

Routes and Waypoints can also be uploaded to your WiFi connected Garmin Chartplotter with the optional WiFi Adapter

Waypoints can be added by tapping on the display where you want to add a Waypoint.  Select the Add Waypoint button on the Radial Menu.

A popup box with display the name, symbol, coordinates, depth and a notes section.  You can rename the waypoint by selecting the Name field.

The Symbol can be changed to a variety of different icons. Tap on the Symbol box and select from General, Water, Land, Hazard and Shape menus.

There is a ton of different icons and colored markers to place as symbols.  Garmin did a great job in providing about any symbol you might need

Measuring Tool:

Garmin has provided their version of  a nice distance and bearing tool.  It allows you to quickly determine the distance between any two points on the chart.

Select the Protractor Icon on the bottom of the screen. Two marker circles will come up. These markers can be moved by dragging them around with your finger.

The blue marker is the start and the pink maker is the destination.

On the top of the screen a banner conveniently shows the Bearing, Distance and Return Bearing.

Weather:

One of the best features of this app is the amount of weather data that Garmin has provided.  The app requires that you purchase charts before weather data is available.  Basic weather is accessed with the Chart Content icon in the bottom right side of the display. Weather station data including buoy and land based NOAA weather is available for viewing.  

The only drawback is that it is limited to displaying one weather data type at a time.  Here I have selected Weather station temperatures.

Weather selections include conditions, dew point, temperatures, wind direction and speed, water temperature, visibility, wave height and period.  Grib forecast wind data can also be selected.

Premium weather includes Nexrad radar and cloud cover.  This can be purchased for $3.99 under the settings menu where you purchased the chart.

Point of Interest: 

Garmin has a ton of points of interest in their own database but they have also included access to the complete ActiveCaptain Points of Interest too.  Go to the settings menu and login with your ActiveCaptain username and password.  The database will download and remain on your device for offline viewing.

The ActiveCaptain POIs can be viewed graphically on the charts as you zoom in. Simply tap the icons to bring up a dialog box showing the information about the point. You can also leave your comments and reviews about the markers to be included in the database. Tap on the Comment or Review selection on the top of the dialog box to enter your comments.

Another way to find points of interest is to use the Search function. Select the magnifying glass icon in the upper right side of the screen to start your search. The app starts to search for POIs in your immediate location. To refine your search simply type it into the search box.  Within the search function there are settings to filter which points of interest you want to view. Simply check the ones you want included in the search.

I have reviewed alot of apps and Garmin has the most extensive points of interest that I have seen.  They make it easy to find almost anything you need.

Wish List:

There are always features that I would like to see in future app releases.

• Satellite overlays
• Importing and exporting of route and waypoint options such as emailing
• Social networking options as a way to share locations and data
• Navigation features of "Go to" or "Navigate to"
• Marine instruments
• TCP/IP connection for NAEMA data 

Not to shabby for Garmin's first Marine app offering.  The app is really packed with alot of features and data that everyone can use in planning their trips.  I realize Garmin was not going to give us an app that had full navigation capabilities.  They are still in the business of selling multi $1000 dollar chartplotters.  The app will be a great addition and companion for their chartplotters and allow boaters to enhance their yachting experience.


~~~Sail On~~~ /)
Mark

Leonid Rogozov: The Surgeon Who Operated On Himself And Lived

In April, 29th, 1961 a doctor of the 6th Soviet Antarctic expedition Leonid Rogozov aged 27 felt pain in a right lower belly and fever. The next day brought only exasperation. Having no chance to call a plane and being the only doctor at the station “Novolazarevskaya”, at night, in April, 30th the surgeon made an appendix removal operation on himself using local anesthesia. He was assisted by an engineer and the station’s meteorologist.

In 1959 Leonid Rogozov graduated from the Institute and was immediately accepted to the surgery clinical residency. However, his studies at the residency were broken off for some time due to Leonid’s trip to Antarctica in September, 1960 as a doctor of the 6th Soviet Antarctic expedition to Novolazarevskaya station.
During this expedition there happened an event that made a 27-year old surgeon world-famous.
In the 4th month of the wintering, in April, 29th, 1961, Leonid showed disturbing symptoms: weakness, nausea, fever and pain in a right iliac region. The following day his temperature got even higher. Being the only doctor in the expedition consisting of 13 people, Leonid diagnosed himself: acute appendicitis. There were no planes at any of the nearest stations, besides, adverse weather conditions would not allow to fly to Novolazarevskaya anyway. In order to save the sick member of a polar expedition there was needed an urgent operation on site. And the only way out was to operate on himself.
At night, on the 30th of April, 1961, the surgeon was being helped by a mechanical engineer and a meteorologist who were giving him the medical instruments and holding a small mirror at his belly. Lying half bent on the left side, the doctor made a local anesthesia with novocaine solution and made a 12cm incision in the right iliac region with a scalpel. Either watching in the mirror or by touch he removed an inflamed appendix and injected antibiotic in the abdominal cavity. In 30 or 40 minutes from the beginning of the operation there developed a faint and giddiness and the surgeon had to make pauses for some rest. Nevertheless, by midnight the operation lasting 1 hour and 45 minutes was over. In five days the temperature normalized, in two days more – the stitches were taken out.
In the St. Petersburg Museum of the Arctic and the Antarctic there is an exposure of surgical instruments that Leonid Rogozov applied for this uneasy operation.

26 organisations team up to fight Antibiotic Resistance

Better coordination is needed to ensure that antibiotics remain effective in treating common infections, experts say.


By CAROLYNE KRUPA, amednews staff. Posted Nov. 26, 2012.
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Antibiotic resistance has been a growing health concern for decades. But 26 organizations are joining together to highlight the increasing urgency of the problem and protect the effectiveness of antibiotics for future generations.
The Centers for Disease Control and Prevention, American Academy of Pediatrics, Robert Wood Johnson Foundation and Center for Disease Dynamics, Economics & Policy are among the 26 organizations that announced the effort on Nov. 13. By signing a joint statement, the groups agreed to better coordinate efforts to fight antibiotic resistance, support related research, improve surveillance and raise awareness.
Partners in the fight against antibiotic resistance
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“Antibiotic resistance has become one of the world’s most pressing health problems,” said Brian C. Quinn, PhD, senior program officer and team director of the Robert Wood Johnson Foundation’s Pioneer Portfolio, which is aimed at driving social change to improve health. “Antibiotics continue to be overused at alarming rates across the country. This problem is far too widespread to be handled alone.”
In conjunction with the statement, the CDDEP’s Extending the Cure project released its latest data about antibiotic use in different states. The five states with the highest rates of antibiotic use in 2010 were Kentucky, Louisiana, Mississippi, Tennessee and West Virginia. The states with the lowest use were Alaska, California, Hawaii, Oregon and Washington.
“The threat of antibiotic resistance returns again and again, and the threat of untreatable infections looms,” said Arjun Srinivasan, MD, associate director for Healthcare Associated Infection Prevention Programs with the CDC Division of Healthcare Quality Promotion. “There are patients in hospitals in this country that have infections that we cannot treat with any of the antibiotics that we have.”
Growing urgency
Antibiotic resistance is making some of the most common infections difficult to treat, said Clara Filice, MD, MPH, MHS, pediatric environmental health and food policy fellow with the AAP. A lot of the pathogens that cause infections — such as ear and skin infections — have become resistant to commonly used antibiotics.
“It is a growing public health crisis,” she said. “It’s something that most, if not all, physicians who are practicing are experiencing.”
More than 70% of bacteria that cause hospital-acquired infections are resistant to one or more antibiotics used to treat them, according to the National Institute of Allergies and Infectious Diseases.
Urinary tract infections are the second most common infection in the U.S., accounting for about 8.6 million patient visits annually, the CDC said. If they go untreated, UTIs can develop into serious bloodstream infections. But they are becoming harder to treat with the available arsenal of antibiotics, said CDDEP Director Ramanan Laxminarayan, PhD, MPH. Resistant bacteria that cause UTIs increased more than 30% between 1999 and 2010.
70% of bacteria that cause hospital-acquired infections are resistant to one or more antibiotics.
“These findings are especially disturbing because there are few new antibiotics to replace the ones that are becoming less effective,” he said. “New drug development needs to target the types of drug-resistant bacteria that cause these infections.”
There has been some progress. Overall, the percentage of antibiotic prescriptions filled nationwide has dropped 17% since 1999. Use of fluoroquinolones, which are commonly used to treat respiratory infections such as pneumonia, decreased 24% between 2007 and 2010. Deaths related to methicillin-resistant Staphylococcus aureus also have declined.
Health care professionals and organizations need to work together to improve antibiotic stewardship and reduce unnecessary use, Dr. Srinivasan said.
“It has reached a point of urgency,” said Henry “Chip” Chambers, MD, chair of the IDSA’s Antimicrobial Resistance Committee and chief of infectious diseases at San Francisco General Hospital. “We can’t invent ourselves out of this mess with new drugs. We are going to have to figure out how to save the ones we have.”

Surprising Hurdles to Quitting Smoking for Cancer Patients

Megan Brooks

Why do most cancer patients keep smoking after being diagnosed with cancer? The answer is far from simple, according to a new study.


Dr. Sonia Duffy
The "multitude of issues" that cancer patients face when tackling their smoking habit surprised us, Sonia Duffy, PhD, RN, FAAN, a researcher at the University of Michigan School of Nursing in Ann Arbor, told Medscape Medical News. There are "so many variables affecting why they don't get treatment, and if they do get treatment, why they may not respond," she explained.

"Nicotine addiction, health issues, emotional issues, psychological issues, and system-level issues are all in the way," Dr. Duffy noted.

Other obstacles include lack of access to smoking-cessation programs, doubts about whether they can quit, lack of social support, sleep deprivation, poor nutrition, low activity, and low socioeconomic status. After back-to-back appointments and grueling chemotherapy or radiation protocols, many cancer patients simply lack the time or energy to attend quit-smoking programs, Dr. Duffy said.

Depression is another huge barrier that keeps many cancer patients from kicking the habit. Although depression rates are lower than 10% in the general population, they are as high as 58% in cancer patients.

Dr. Duffy and colleagues conducted a literature review of relevant studies on smoking by cancer patients. The results appear in the November issue of Community Oncology.

This is the first comprehensive review to examine the reasons the very cause of the cancer — smoking — in many cases isn't treated, Dr. Duffy said. She admitted she wasn't prepared to find so many hurdles hindering smoking cessation in cancer patients.

Ducking an Obligation?

"There is a growing consensus about the obligation to provide state-of-the-art smoking cessation interventions for cancer patients," she and her colleagues write. However, research suggests that only 56% of family physicians recommend that their smoking oncology patients quit smoking, and most oncology providers do not provide smoking interventions beyond advice to quit, they note.

"For busy oncology providers, even brief advice coupled with medication therapy (nicotine replacement therapy, bupropion, or varenicline) can help smokers quit," Dr. Duffy told Medscape Medical News.

At the very least, she said providers can refer patients to the 1-800-QUIT-NOW help lines available in all 50 states; they provide telephone counseling and sometimes medications to those without insurance.

Nurses to the Rescue

Nurse-led interventions might be a good option to get more cancer patients to quit smoking. One review concluded that, in general, nurse-administered programs are more effective than nonnursing interventions ( Cochrane Database Syst Rev. 2004;1:CD001188).

"Oncology nurses are ideally positioned to deliver cessation interventions," Dr. Duffy and her colleagues point out. Why? Because they are "educated in patient education, psychosocial interventions, and physiological interventions; they have access to and immediate rapport with patients, as well as respect from patients' physicians; they understand the patients' medical conditions, can read their charts, and write nursing notes; and they constitute a much larger workforce than oncology physicians."

In addition, physician time is at a premium, which makes nursing interventions more cost effective.

It is estimated that smoking is behind 30% of all cancer deaths and 87% of all lung cancer deaths, yet 50% to 83% of patients keep smoking after being diagnosed with cancer.

Dr. Duffy said her next project will focus on ways to specifically design smoking-cessation programs for nurses to deliver to cancer patients.

The study was supported by the Department of Veterans Affairs and the National Institutes of Health through the University of Michigan's Head and Neck Specialized Program of Research Excellence (SPORE). The authors have disclosed no relevant financial relationships.

Community Oncol. 2012;9:344-352. Abstract


Medscape Medical News © 2012 WebMD, LLC

Send comments and news tips to news@medscape.net.

Cite this article: Surprising Hurdles to Quitting Smoking for Cancer Patients. Medscape. Nov 29, 2012.q

Ninth Café

Amazing café on 5th floor of Siam Discovery. Food was great.

In surgery

Garmin BlueChart Mobile Released

Garmin has finally released their long awaited app for iOS devices. It was released this morning in the iTunes App Store. Click on the link to download the free app. Maps can be downloaded through an in app purchase.

https://itunes.apple.com/us/app/garmin-bluechart-mobile/id523635526#

I wanted to let everyone know it is now avaialble.  I will follow up with a review after I check out all the great features.  I know what I am getting for Christmas!

Thanks Garmin
Merry Christmas early!

Mark

Vesper Marine AIS WatchMate App

Application: iPhone, iPad, iPod Touch requires iOS 4.1
Function: Vesper XB-8000 Remote Display and Control
Cost: FREE
Rating: ****

Vesper Marine was started in 2007 by two New Zealand sailors, Deirdre Schleigh and Jeff Robbins.  These guys spent several years sailing and cruising and learned first hand the need for collision avoidance.  Their products are designed by sailors so you know their going to be user friendly. They are based in Auckland, New Zealand where their products are designed and manufactured.

Before we cover the app, lets talk a little about the AIS hardware. Their latest offering is the Vesper Marine XB-8000 AIS class B transponder. This device not only receives class A and B AIS signals from other ships but also transmits your ships information and position so others can track you.  The hardware incorporates WiFI, NMEA 2000, 0183 and USB connection options.  It can easily be connected to your present onboard networked instruments, chart plotter or computer. Simply provide power, dedicated VHF and GPS antenna connections, NMEA neworks and your ready to go.

The integrated WiFi allows the device to be configured as a server for up to 5 wireless devices such as smartphones, tablets and computers.  It can also be connected as a client to your existing yacht's WiFi network.  It is the wireless options that allow the WatchMate app to connect to and control the XB-8000 AIS hardware. The XB-8000 unit retails for $799.00.

Hardware Features:

• NMEA 2000 & 0183
• Waterproof
• WiFi and waterproof USB connectivity
• High-performance parallel two channel AIS transponder
• Received class A and B AIS signals
• Transmits class B AIS
• Transponder "Silent Mode"
• Supports third party AIS applications
• 50 channel GPS receiver with external antenna
• Low 4 Watt power consumption
• WiFi configured as Access Point or Client
• WiFi security WPA/WPA2 protection
• View AIS and navigate from your computer
• Free Watchmate smart phone or tablet
• Connect up to 5 devices
• Monitoring and interactive remote control with smartphone app

The WatchMate App connects with the Vesper Marine XB-8000 AIS Transponder through the WiFi network. The app allows you to view AIS targets on remote devices but the real power of the app is the remote control functionality that is offers. The WatchMate App becomes the user interface for configuring and remotely controlling the AIS transponder.

WatchMate Features:

• View AIS received targets
• View your AIS Transponder's own GPS Position, Course and Speed
• Check status of your AIS transponder
• Adjust any of your AIS Transponder settings
• Silent Mode and Normal Transmitting mode
• Configure your Vessel's AIS MMSI, call sign, vessel type, vessel size
• Connects to your WatchMate device's WIFI access point 
• Supports Vesper Marine XB-8000 AIS Transponder
• Supports Vesper Marine WatchMate Vision

The app has five soft keys at the bottom of the display. They include Alarms, Targets, My Vessel, WatchMate and Settings.

The Alarm key takes you to the Alarm Monitor page.  Select the Edit button to select the different profiles.  Profiles adjust the distance at which notifications are made for surrounding ships.  Profiles include Anchor, Harbor, Coastal and Offshore modes.

The Target display lists the AIS targets along with bearing, range, speed over ground, closest point of approach and time to closest point of approach. Targets are listed from closest to farthest in the list.

Simply click on any of the targets to get the details for that specific ship. The targets are only listed in tabular form. One display that I wish it had was a graphical radar or map display showing the targets in relation to the yacht.

The My Vessel screen simply lists the current AIS data for your yacht. Latitude, longitude, Course Over Ground, Speed over Ground and Heading are all shown.

TheWatchMate screen includes a selection for Silent Mode which allows you to turn off the transmission and receiving of the AIS signals. (Correction see Jeffs comment below: Turning on Silent Mode stops transmission but not reception of AIS signals.) This would most likely be used at anchor when there is no need to broadcast or receive AIS data.

One added feature that would be nice is the ability to turn on and off the transmit and receive signals separately.  There may be times when you want to see nearby yachts but keep others like, pirates, from seeing your position.

The Vessel Details is where you  add data to identify your yacht. These include an MMSI, Name, Call Sign, Type and GPS Antenna Position.

IO Ports, Status and Advanced pages are used to setup and monitor the status of the transmit and receive functions of the XB-8000.


The Settings page allows you to edit the IP address of the network connection and Enable the connection.

Other third party iPad apps like iNavX, Digital Yacht Systems, iRegatta and SEAiq can also display AIS data. Simply enter the XB-8000's IP address 192.168.15.1 and Port number 39150 and start receiving data from the XB-8000 transponder unit.

The initial release of the app is basic in its function and control. I am sure there are features that will be added in the future to make it more functional. Are there any other features you would like? Make your comments here or contact Vesper Marine directly.

I like the ability to change settings and control the hardware with the app. The WiFi connectivity is an added bonus giving mobile devices access to AIS data anywhere on your yacht. 

With some added graphical displays this would be one sweet AIS app.

~~~Sail On~~~ /)
Mark

Bangkok

Maldives

http://youtu.be/ZbWGsUfiG6w

Orange Juice Can Trigger Dangerous Syndrome

Fran Lowry

ANAHEIM, California — Food protein-induced enterocolitis syndrome (FPIES) was triggered by orange juice in a 2-year-old boy, according to a poster presented here at the American College of Allergy, Asthma & Immunology 2012 Annual Scientific Meeting.

FPIES and its triggers (most commonly cow's milk, rice, and soy) can be difficult to diagnose, lead researcher Tara Federly, MD, a fellow at the Children's Mercy Hospital and the University of Missouri in Kansas City, told Medscape Medical News.

FPIES is not mediated by immunoglobulin (Ig)E, "so it's not the immediate hypersensitivity reaction that you see with peanut or milk or other allergy," Dr. Federly explained. "The exact mechanism is not known, but it's basically an inflammation of the GI tract that is triggered by certain foods. The interesting thing is that it happens hours after ingestion, instead of being a more immediate IgE-mediated reaction," she said.

In the case reported by Dr. Federly and her colleagues, which they describe as the first report of orange juice being the causative agent in FPIES, a 2-year-old boy presented with lethargy and severe vomiting that required hospitalization and the administration of intravenous fluids. This occurred on 5 occasions.

The episodes occurred without associated rash, angioedema, respiratory symptoms, fever, or contact with other sick children.

Each time, "the emergency department thought that he had viral gastroenteritis, and he returned to normal after intravenous fluid replacement," Dr. Federly reported.

On further questioning, the child's mother implicated orange juice as an apparent trigger because the reaction usually occurred a couple of hours after he drank it.

The possibility of an IgE-mediated food allergy was ruled out on the basis of negative skin-prick testing to orange extract and fresh orange juice. In addition, IgE specific to orange was less than 0.1 kU/L, Dr. Federly said.

The researchers performed an FPIES oral food challenge, using the recommended total challenge dose of 0.06 g of protein/kg divided into 3 feedings over 45 minutes.

The intended duration of observation was 4 hours, but within 90 minutes of the final dose, the child began vomiting every 10 to 15 minutes for 2 hours. He did not develop urticaria, rhinorrhea, wheezing, or other symptoms of anaphylaxis.

His absolute neutrophil count was elevated, from 1920 cells/µL to 3420 cells/µL.

The child became tachycardic and lethargic after his vomiting episodes and was given normal saline. After vigorous hydration, he responded very well and returned to normal.

Other Fruits Implicated

"This response goes along with FPIES," Dr. Federly said.

"Other fruits have been implicated in FPIES, such as apple, pear, and banana, but not orange juice. When he stopped eating oranges, he had resolution of his vomiting episodes," she explained.

The message for physicians is to think about the possibility of FPIES when a child comes in with recurrent episodes of vomiting and dehydration, she said.

Again, "the most typical triggers would be milk, soy, and rice, but you need to think of unusual cases, such as fruit and more solid foods. These kids should be seen by an allergist.... Doing a challenge in the clinic is the best way to determine if it is really FPIES," she noted.

"Not an Allergy"

Jay Portnoy, MD, professor of pediatrics at the University of Missouri and Mercy Children's Hospital, who was not part of the study, told Medscape Medical News that FPIES is a relatively new syndrome.

"Kids can die from [FPIES]. The reaction is delayed. It happens an hour or 2 after eating the food, so the parents don't always know what food it was; they don't even associate it with a food. It usually happens in children less than 1 year of age, young infants, so this might be responsible for crib death," Dr. Portnoy said.

"The important thing is that allergy testing doesn't help identify FPIES because it's not an allergy; it's something else, but we don't quite know what it is. It is important to be aware that this syndrome exists and that unusual foods not usually linked to food allergy can be associated with it," he said.

Dr. Federly and Dr. Portnoy have disclosed no relevant financial relationships.

American College of Allergy, Asthma & Immunology (ACAAI) 2012 Annual Scientific Meeting: Abstract P261. Presented November 11, 2011.


Medscape Medical News © 2012 WebMD, LLC

Moon

Management of Hypertension

Parks

Orange

Where Yah Headed?

"I'm flying away
And that is where I stay
Right there in Never Neverland
I'd be flying, I'd be dying
For love and appreciation
Where mermaids would sing
And fairies would ring
Right down there in Never Neverland
And it's the second star to the left and straight on 'til morning
Or was it the second star to the right and straight on 'til morning?
In Never Neverland
In my Never Neverland"
 

Most boaters today rely on their array of electronic devices to tell them where they are and what direction they are heading.  GPS, chart plotters, multifunction displays, marine instruments, computers, iPhones and iPads all help the mariner get to where he is going these days. 

GPS was first developed in the 1960's primarily for military use. It was not released commercially until about 1990.  President Reagan issued a directive to make it available for civilian use after a Korean Airliner was shot down in 1983 after accidentally flying into prohibited airspace over the USSR.  The GPS satellite project launched 24 satellites into space between 1989 and 1994. 

Prior to GPS there was a system called LORAN C which used low frequency radio waves to help aircraft and ships determine their position and speed.  The system was developed by the US during World War II.  The land based LORAN beacons broadcast their signal up to 1200 miles. The system was officially shut by the Coast Guard in 2010 when it determine the system was no longer needed.

Prior to that mariners practiced celestial navigation which used a system of position fixes and angular measurements of celestial bodies in relation to the horizon.  The sun, moon, planets and some 57 stars could be used with a sextant to navigate the world's oceans.

From there we go back to the 2nd century China where it is thought that the first magnetic compass was developed during Han Dynasty. The compass is a magnetic pointer that aligns itself with the Earth's magnetic field.  The compass needle points to the magnetic north pole located in northeastern Canada.  This is not the same as true North which is the the north Pole.  The difference between true North and the magnetic North is called declination. Declination changes depending on where you are on Earth. These values are often printed on charts and need to be accounted for when navigating.

Even with all the high tech electronic gadgetry on board it is still nice to have a simple compass to use as a reference.  Looking through the iTunes store you will find that there at hundreds of options.  Lets look at a few compass apps that are available for the iPhone and iPad.

Commander Compass $3.99
Milspec compass
gyro compass
Maps
GPS tracker
Speedometer
Gyro horizon and inclinometer.


Compass 54 Pro $.99

Switch between true and magnetic North
Location coordinates (longitude, latitude).
Course
Speed
Altitude
Mph, feet units and Kph, meter units
Temperature Celsius and Fahrenheit
Humidity
Pressure
Current date and time
Current GMT time
12-hour and 24-hour format
Standard, satellite, hybrid maps.
Current location.
Location tracking

Digital Compass Free $Free

Display the course in degrees
Display the latitude and longitude
iPhone 3G, required
Must be moving to display course
Instrument style

Compass Easy $.99,

Magnetic North
True, North
Multi-Language
Supports Retina Display


Compass Go  $.99

Simple GPS compass
Accurate sun compass
Magnetic declination indicator
Bookmark your location via email
Email your location to others
Speed meter
Altitude meter

Digital Compass  $Free

Magnetic digital compass
Latitude and longitude
True North
Magnetic North







3D Gyro Compass $1.99

Gyroscope
3D compass
True North
Magnetic North
Orientation number display
Horizontal mode
Smooth motion flow technique.
Superb high quality graphic display



Free HD Compass for iPad $ Free

Unique free High-definition compass
Rustic style





Gyro Compass $ Free

GPS
Online map
Gyro Compass
Landscape mode



Compass HD $.99

Compass HD for iPad
Looks like a real compass.
Function in all orientations.
Analog and digital readings






These are just a few of the many listed in the iTunes store. They come in all shapes and sizes and with many different features. Download a few of your favorites and always know where your headed!

~~~Sail On~~~ /)
Mark

A Marine "Black Friday"

Well, Thanksgiving has not even started yet and my wife is talking about Christmas shopping on BLACK FRIDAY. Many stores are planning to open even earlier than Friday. Some are opening their doors on Thanksgiving day at 8:00 pm. You have got to be kidding! This Christmas shopping is getting out of control.

People have been camping out all week in front of Best Buy and Walmart stores to catch the early deals on Christmas gifts.  I like to save a few bucks and get a good deal, but camping out in this weather?

If your like me, you probably have been getting alot of email notices about the "BLACK FRIDAY" events. I don't know if this is just an American phenomena but I thought it would be a good idea to share the Marine boating and sailing deals I have been hearing about.

We can all use a good deal on boat stuff.  It appears to me that if the word Marine is on the box it costs twice as much. Not to worry my boating friends, here are some holiday deals that will save you some serious cash!

West Marine is currently having a Holiday sale with some gift items 30% off from November 13-26th.  Check their site again on Friday for more great online deals.

On Thanksgiving Day they are having a 15% off sale on their entire site. Just use the code BIG15 at checkout.

Get your captain an eGift Card from West Marine, that will be sure to put a smile on his face!

Marine Depot is having a Black Friday event with saving of 10-50% on some items. Their sale runs through December 4th.

Mauri Pro Sailing is another great boating gear and prices. They are having a 30% off sale on their closeout items. You can get free shipping for orders over $75 in the US. Redeem the coupon SHUS.

Jamestown Distributors has many great items on sale for Christmas and you can get free shipping on items over $50.00 until November 26 by using redeeming the code THANKS.

Defender Marine is another quality site with great merchandise and prices. Check out their Holiday Sale items.

Bass Pro Shops is having a 5 DAY SALE with discounts up to 50% on hundreds of items through November 25th. 

Boating Savings.com has a event on Black Friday as well. Check out their great deals.

Amazon.com Black Friday always has the best prices and the greatest deals on the net. Check out their Marine Electronics section.

Overton's is a major supplier of boating and marine equipment. Check out their Black Friday specials. Everyday free shipping, no minimum order.

Island Nautical  also know as the New JSI Marine Supply is another one of my favorite marine stores. Check out their wide variety of marine supplies.

APPs On SALE

There are a ton of navigation apps going on sale on Black Friday also. Most of these are for land navigation but they might be useful on a road trip.

• Garmin Street Pilot for the iPhone on sale for $24.99 was 49.99
• Magellan Roadmate North America $44.99 was of $59.99 
• Magellan RoadMate USA  $34.99 was of $49.99 
• Magellan RoadMate Canada  $29.99 was of $34.99 
• CoPilot Live USA for iPhone  $2.99
• CoPilot Live North America for iPhone  $9.99
• CoPilot Live HD North America app for iPad  $19.99 
• NAVIGON Mobile Navigator iPhone USA  $29.99 was $49.99 
• NAVIGON Mobile Navigator iPhone $19.99 was $29.99
• TomTom US, Canada, or Mexico  $34.99 Nov. 26-30)

Good luck to all you shoppers who are going to brave the stores on Black Friday! May the force be with you. You will not see me fighting over the Tickle Me Elmo dolls, I will be home working on another great blog entry.

If you know of any great deals on Marine hardware or electronics, let me know and I will post them here!

~~~Sail On~~~ /)

Mark