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'Hell on Wheels' season 5: Closing the door on season 4, looking ahead
For the first time in about a month or so, we're looking tonight at a TV schedule that does not include "Hell on Wheels." The Western is off the air now until next fall, which is when you are going to have the first seven of the show's final fourteen episodes on the air. It's a sad state of affairs for new programming tonight without the show, likely made even worse by the sad state of affairs for the past few days with many shows in repeats.
Before we get too far into this article, we want to send a little reminder your way that if you missed it this week, we had a lengthy conversation with executive producer John Wirth that is so great, we had to split into two parts to cover everything.
The video below was released by AMC earlier in the week, and we find it a nice way to put a pin on season 4. Wirth, many of the other producers, and the cast including Anson Mount all sit down for a discussion about what it was like going through the story this year, and the difficulty that came with filming two very important moments: The death of Elam Ferguson, and also the hanging of Ruth. These were both daring moves, and they send the show on a trajectory that ends with Cullen Bohannon in California, working with the team from the Central Pacific for the first time.
Moving into next season, the video reminds you that you are going to have the gift of a new perspective, as well as many new characters who are going to inhabit this part of the world. While this may still be "Hell on Wheels," so much of the surroundings will have changed. Be prepared for that, and stay tuned: We'll have more coverage as it comes out in the months ahead.


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'Give them something where they're going to feel a sense of pride and accomplishment'
A lot of employers today are looking for new avenues of talent, and one of the best ways to accomplish this is by implementing a robust co-op program, according to one recruiting expert.
"Everybody's talking about building a diverse workforce, bringing in young talent and new ideas and new concepts and new ways of thinking and [they are a] very tech-savvy generation, there's a lot that they bring from that perspective but just the enthusiasm: they're coming there to learn," says Zak Michalyshyn, talent acquisition lead at Knak, an email building platform company in Ottawa.
"They want to get as much out of that opportunity to work at your company as you are trying to get out of out of them as well so it's a mutual benefit to everybody."
Knak began its journey as a co-op employer almost by accident when it "stumbled" into hiring a student developer to help out the 77-person company.
"He blew everybody's socks off; he showed just what he was capable of doing. He had a sense of excitement and passion that I don't think they expected from a co-op student," says Michalyshyn.
That was about a year and a half ago, which prompted the company to expand its efforts.
Building a pipeline
While tech employers such as Knak traditionally employs software developers, it has now increased its areas of coverage, says Michalyshyn.
"We've hired people to come in and contribute to some of the campaigns that we're doing and building; we've also hired people in marketing-design roles where they've come in and are doing graphic design and things like that."
After experiencing success with about seven or eight students, Michalyshyn is "pushing into this next round of co-op hiring to get managers thinking about some of the departments that haven't done it before, and to start thinking about the efficacy of having a student come in and building that talent pipeline for the future."
Remember to integrate and onboard students as soon as possible, says another developer in Victoria who has had great success with co-op hiring to address the labour shortage.
Steps to co-op success
So, what is the first step needed to ensure program success?
"Know the problem you're trying to solve," says Michalyshyn.
"Whether that's additional bandwidth, whether you just want to help educate this next graduating class of students, whether you're trying to build a talent brand and you're trying to get your name out there to a number of future employees and in the market that you're serving — understand what your real challenges and try to address that."
The federal government recently made it easier for employers to hire foreign students.
Once these students have been installed at the workplace, don't simply give them make-work projects, says Michalyshyn.
"Give them meaningful work. Be very thoughtful around what they're coming in to do and give them something where they're going to feel a sense of pride and accomplishment at the end of their co-op.
"Whether that's writing code, [whether] that's going to go into a production environment, and a customer is going to use that feature they built, and they're going to give feedback on that feature, or it's a marketing campaign to try to generate leads and being an active part in that — we feel that they've learned, from their feedback, that they've gotten a pretty rich experience through it."
Giving them a real project to tackle will pay dividends in the students' cohort, he says.
"They're going to go tell their friends about how much of a great employer you were and how much fun they had the organization."
For graduate students, 90 per cent of those who participated in a co-op program gained full-time employment afterward, compared to 83 per cent of students who didn't have any co-op experience, according to 2015 data from Statistics Canada.
Keep students updated
To ensure the students get the most out of a co-op program, provide regular updates of their progress.
"They're looking for feedback; they're looking for professional growth, they want that from their employer. The thing to avoid is just treating them differently than you would any other employees," says Michalyshyn, and don't forget to invite those students into corporate social events to install a sense of engagement.
And when the students leave the organization, it's crucial for future success of the co-op program to talk to them candidly before they leave, he says.
"Those students that you're talking to, they're on the front line, they know how to engage [and] how to find additional students. One of our co-op students told us: 'Anytime you're trying to hire a co-op, come to me, and I'll throw it into our Discord channel,' which was filled with students that are looking for internship programs."
"Talk to your students, understand what their experience was; understand how you can make it a more rich experience for them. Use that feedback and implement it into your co-op program," says Michalyshyn.


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Systems || Chassis || Single Board || LCD Workstation || Power Supply || BackPlane || Miscellaneous
power by
The compact size color DSTN or high brightness (200cd/m˛)/long life-time (25,000 Hrs) color TFT LCD of AMB-527 series is a new version of AMB-520 series which integrates a 640 x 480 display resolution and provides a complete man-machine interface. It is constructed with a high quality plastic front panel NEMA 4/12 which meets the touchest industrial and environmental protection standards. The AMB-527 series offers a space for a 3.5" HDD, an all-in-one CPU board (486DX4-100 CPU & 8MB DRAM), CHIP F65545 LCD/CRT controller, 4 serial ports, a bi-directional parallel port and provide the whole system with a 30 CFM cooling fan. Available option items for this series are a Pentium all-in-one SBC (Pentium 133MHz CPU & 16MB DRAM), a 56 key keyboard (AMB-109), touchscreen and DC power supply are available for this series (ask dor additional price table).
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© 1999 Arise Computer Inc. All rights reserved. All product names, registered trademarks, and trademarks are the property of their respective owners. Specifications are subject to change without notice.


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10 Jan What's the Difference Between Vinyl Fencing and Composite Fencing? Insights from a Fence Company in Des Plaines, Illinois
Posted at 08:04h in Residential Fencing 0 CommentsAre you planning on installing a new fence in 2022? If so, two of the most popular synthetic materials you may want to consider are vinyl and composite. While the two materials are similar, there are a few key differences that set them apart. Are you interested in learning about the differences? If so, you've come to the right place. This fence company in Des Plaines, Illinois is going to explain the differences between vinyl fencing and composite fencing below.


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Conflicts and disasters remain prevalent in low- and middle-income countries, and injury remains a leading cause of death worldwide. The objective of this study was to describe the operative procedures performed for injury-related pathologies at facilities supported by Médecins Sans Frontières (MSF) to guide the planning of future responses.
A retrospective review of a prospectively collected database of all MSF procedures performed between July 2008 and June 2014 for injury-related indications was completed. Individual data points included country of project and date of procedure; age, patient sex, and the American Society of Anesthesiologists' score of each patient; indication for surgery, including mechanism of injury; operative procedure; operative urgency; operative order; type of anesthesia; and intraoperative mortality. Injury severity was stratified according to operative order and urgency.
A total of 79,715 procedures were performed in MSF projects that met the inclusion criteria. Of these, 35,756 (44.9%) were performed specifically for traumatic indications across 17 countries. Even after excluding trauma centers, 29.4% (18,329/62,288) of operative cases were for injuries. Operative trauma procedures were performed most commonly for road traffic injuries (29.9%; 10,686/35,756). The most common procedure for acute trauma was extensive wound debridement (31.6%; 3,165/10,022) whereas burn dressings were the most frequent planned reoperation (27.1%; 4,361/16,078).
Trauma remains an important component of the operative care provided in humanitarian assistance. This review of procedures performed by MSF in a variety of settings provides valuable insight into demographics of trauma patients, mechanisms of injury, and surgical capabilities required in planning resource allocation for future humanitarian missions in low- and middle-income countries.
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World Health Organization. Injuries and violence: the facts. 2010. Available from: http://www.who.int/violence_injury_prevention/key_facts/en/.
- The injury chart book: a graphical overview of the global burden of injuries.World Health Organization, Geneva2002 (Available from:)
- An estimation of the global volume of surgery: a modelling strategy based on available data.Lancet. 2008; 372: 139-144
- Operative mortality in resource-limited settings: the experience of Medecins Sans Frontieres in 13 countries.Arch Surg. 2010; 145: 721-725
- Surgical care during humanitarian crises: a systematic review of published surgical caseload data from foreign medical teams.Prehosp Disaster Med. 2012; 27: 184-189
- Prioritizing injury care: a review of trauma capacity in low and middle-income countries.J Surg Res. 2015; 193: 217-222
- Surgeons without borders: a brief history of surgery at Medecins Sans Frontieres.World J Surg. 2010; 34: 411-414
- Surgical skills needed for humanitarian missions in resource-limited settings: common operative procedures performed at Medecins Sans Frontieres facilities.Surgery. 2014; 156: 642-649
- Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo.Confl Health. 2010; 4: 6
- Hospital-based trauma registries in Uganda.J Trauma. 2000; 48: 498-502
- Is the Kampala trauma score an effective predictor of mortality in low-resource settings? A comparison of multiple trauma severity scores.World J Surg. 2014; 38: 1905-1911
Article info
Publication history
Accepted: December 24, 2014
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.


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Published by Editions Sivilixi - France
Luxury box with interpretation book on English.
Внимание: Последни наличности!
Срок на наличността:
|Cards in deck
Editions Sivilixi created a new boxed set with 110 page book on English.
The "Tarot by Jacques Vieville" is a reproduction of a 17th century Parisian tarot, originally dating from between 1643 and 1664.
It beautifully captures the look and effect of the original woodblock prints, which are on display in the Biblioteque Nationale in Paris.
2 additional presentation cards are included (one in English, one in French) that gives brief historical and current production information. Sturdy, thick card stock with semi-gloss finish and square corners.
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Il Fantastico Viaggio Di Un Manichino Da...
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Published by Editions Sivilixi - France
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EXCLUSIVE : The Euro 2020 Final, which featured a dramatic England penalty defeat to Italy and chaos as thousands of un-ticketed fans attempted to storm Wembley Stadium, is to be charted in a Netflix feature documentary from My Daughter's Killer producer Rogan Productions . Airing later this year, Netflix's as-yet-untitled doc will examine one of the biggest days in English football history through the eyes of those who were there via user-generated content, archive and interviews. The game was England's first major football final since winning the World Cup in 1966 and took place on home turf, with the majority of the delayed tournament played in the UK. And while on the pitch a dramatic match ended in a heartbreaking penalty defeat to Italy, there was plenty of drama off it. Thousands of people without tickets tried to storm the national 90,000-seater stadium and more than 2,000 gained access to Wembley without tickets, according to a review carried out … [Read more...] about Netflix Greenlights Feature Documentary On Dramatic Euro 2020 Wembley Final Between England & Italy
Fatima Salaria To Exit 'The Apprentice' Indie Naked
Fatima Salaria is exiting Fremantle -backed The Apprentice indie Naked after three years in post. The former BBC and Channel 4 commissioner has been MD since 2020 and will leave in the spring, with her replacement appointed in due course. Salaria has overseen a period of growth during her tenure in which Naked merged with fellow Fremantle label Boundless and was responsible for the likes of BBC Three's The Rap Game, Netflix's Snowflake Mountain and ITV's Ghislaine, Prince Andrew and the Paedophile . Other notable successes include the Cara Delevingne-helmed Planet Sex for BBC Three and Hulu. Fremantle UK CEO Simon Andreae said the team will "miss her greatly." "It's been wonderful to see Naked grow and expand under her leadership – she has helped set a new path for the company and she leaves with a raft of exciting new projects in the pipeline for Naked," he added. Salaria said she is "incredibly proud of everything we have achieved both on and off … [Read more...] about Fatima Salaria To Exit 'The Apprentice' Indie Naked
Saudi Freestyle Wrestling, Feelgood Hit 'Sattar' To Get U.K. Release As Front Row Strikes Deal With Odeon Cinemas
EXCLUSIVE: Saudi feelgood comedy-drama Sattar , which has enjoyed a record-breaking theatrical run at home, will hit U.K. cinemas next month in a release spearheaded by MENA region distributor Front Row Filmed Entertainment . Sattar , which is set in the world of freestyle wrestling, will be only the second Saudi Arabian film to be released theatrically in the U.K. after Haifa al-Mansour's ground-breaking 2012 international breakout Wadjda . The film will launch on around 10 U.K. screens in London and other major U.K. cities, including Manchester, Liverpool, Cardiff, Edinburgh, Birmingham and Leeds, on February 10. Front Row, which has struck a direct distribution, revenue-sharing deal with Odeon Cinemas , is aiming to catch the wave of the film's success in Saudi Arabia . The target audience is Saudi Arabian and Gulf citizens living in the U.K. but Front Row expects it to appeal to a wider Arabic-speaking audience as well as local spectators without … [Read more...] about Saudi Freestyle Wrestling, Feelgood Hit 'Sattar' To Get U.K. Release As Front Row Strikes Deal With Odeon Cinemas


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Knowing what I know about gender Dynamics and the overall destiny of our once great Western Civilization, I can't help but wonder at times if I'm losing touch with the human condition. There are occasions more and more now where I feel like Dr Manhattan from Watchmen-gradually losing touch with even the basic faults of humanity.
The realization hit when I observed a rather smart grasshopper hitching a ride on my car windshield this morning. Since I was on my way to work, I realized I had more respect for that grasshopper then I do my own, human compatriots. Three of my immediate coworkers are females, and so predictable and banal that watching paint dry in Somalia holds more charm then their presence.
Even the men I know seemingly have succumbed to the base instincts of life. My close friend has all but given himself to pussy despite knowing the risks. Few men around haven't repeated his mistake, which makes respecting others somewhat tough. I used to wonder why it was that cops could be such jerks, but now I get it..... When you see people continually fucking themselves over in the stupidest of ways over and over, you just want to check out.
Amazing how knowledge can set you free, not just from the chains of ignorance and your own fault, but even from the human condition itself in some ways.


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This is probably the closest in a while to the end of a season ending that I've been able to finish on a timely basis and blog my final thoughts. Nineteen of the shows I'm watching finished up for the summer, with only four continuing on into the fall. The summer was full of its fair share of surprises, from Aldnoah.Zero's and Zankyou no Terror's endings to Nozaki-kun's and Sabagebu!'s brilliant comedy.
Tag: Kuroshitsuji
Cirque du Kuroshitsuji
Blazing rings of fire, whips and wild cats, acrobats, and clowns–circuses have long been places of mystery and thrills. What began as Roman structures for naval battle reenactments, shows, and races later became the romanticized traveling tents many people think of first these days. I have never personally attended a circus, but have always been intrigued with the idea of running away to join one like many of the kids did in the books I read. Could I fly on the trapeze? Or perhaps befriend a lion? Even now as an adult, I have no idea what area I would have fallen into, though I like to imagine a variety of circus names I might have chosen.
Summer 2014 Set Menu (really, mid-season thoughts)
Summer is in full swing, and I've got the ridiculous shoe tan to prove it (thanks, TOMS). Along with the insistent sunshine and 80-90 degree weather, this summer has proven to be significantly busier than the previous, with friends' weddings, festivals every weekend–currently it's SeaFair here in Seattle–hiking, and a whole slew of new anime to watch. I've downloaded the VLC app to my iPhone to try and keep up with the shows while on my commutes to and from work. So far, this is what I have pinned down for my Summer Set Menu, and included are some mid-season thoughts:
Read More »
Marina Eats: Sebastian and Kazuma Demand All Your Kare Pan!
This is a meal that's been a long time in coming, since I've been wanting to eat it ever since I first saw it featured in Yakitate!! Japan (2004). It was its overflowing kindness in Kuroshitsuji (2008), however, that really made me determined to try it for myself.
The Sweets and Curry of Kuroshitsuji
Kuroshitsuji is not an anime about food, but it certainly presents its fair share of Victorian-era English and Indian culinary delights! By all rights, this post should really be two separate posts, but given my laziness, I've decided to slap the two together.


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SANTICHEN – Michael, 76, of Johnstown, died January 16, 2023. Born August 3, 1946, in Johnstown, the son of John Sr. and Julia (Bodensky) Santichen. Preceded in death by his parents; brothers, John, Jr. and Charles. Survived by his loving wife of 54 years Patricia (Silka) Santichen; sisters-in-law, Cindy Silka and Janet Santichen; and nieces, Susan and Amy; and nephew, Bill. Also survived by numerous great-nieces and nephews. Michael was a Marine Corp Veteran of the Vietnam War. He retired from Penelec with over 20 years of service. Michael enjoyed going to casinos, playing the lottery, poker games with the guys at Graystone but mostly he loved his nieces and nephews. Friends will be received from 3-7 p.m. Thursday at the Francis G. Ozog Funeral Home, Inc., where funeral service will be held Friday at 10 a.m. Committal will take place at Grandview Cemetery with military honors by Conemaugh Valley Detachment #287 Marine Corps League.
To send flowers to the family or plant a tree in memory of Michael Santichen, please visit our floral store.


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Saved by a heartbeat
As a researcher at NASA's Jet Propulsion Laboratory, Jim Lux works on technology designed to track distant planets.
"NASA has a long history; we do remote sensing," Lux said. "We are used to detecting small motions from a long way away."
But he also heads up a project called "FINDER."
"With Finder, what we are doing is we are using the same techniques to look for very small motions from your heartbeat at a somewhat shorter distance," Lux said.
FINDER stands for "Finding Individuals for Disasters and Emergency Response." It fits into a suitcase and can detect when someone is buried alive under collapsed buildings … by sending out a radar signal.
"It reflects back from the rubble and anybody who is buried in the rubble," Lux said. "The rubble is not moving but the person who is alive is; they are breathing and their heart is beating and it is making their body move a very small amount. We look for motion that is characteristic of heartbeats."
In about 30 seconds, by using the distinct signature of the human heartbeat, the machine can show the number of people still alive to a depth of 30 feet. At least that's what the lab tests showed.
But it wasn't until the earthquake in Nepal that FINDER got its first real-world test.
Four victims, who had been entombed at two different sites in Nepal — were detected by FINDER's rubble-penetrating radar — and rescued.
For a certain NASA scientist who most days is staring off into space — that felt pretty good.
"It is one of the most gratifying experiences of my life," Lux said.
Not a bad day at the office.
- Tune in to KIRO Newsradio weekdays at 5am for Dave Ross on Seattle's Morning News.


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National health reform is designed to reduce the number of uninsured adults. Currently, many uninsured Americans receive care at safety-net health care providers such as community health centers (CHCs) or safety-net hospitals. This project examined data from Massachusetts to assess how the demand for ambulatory and inpatient care and use changed for safety-net providers after the state's health care reform law was enacted in 2006, which dramatically reduced the number of individuals without health insurance coverage, says Leighton Ku of George Washington University and his co-authors.
Policy Bulletin
Publish date: 24 August 2011
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The views expressed in the article are the author's and are not necessarily shared by the members of the Foundation. This article may be republished without prior consent but with acknowledgement to the author.


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Pet Food Munchy Chew Sticks – Chicken – 1 KG Chicken 1kg Dry Dog Food (Pack of 1)
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Item Weight:1 kg
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Under the threat of rain all afternoon, the Madison Mallards saw a two-game winning streak come to an end with a 4-1 loss to the Alexandria Beetles. The loss dropped the Mallards record to 10-14.
The Beetles scored three times in the third inning against Madison pitcher Adam Mills (pictured left). It was all Alexandria would need. Derek VanBuskirk led off with a single. He scored after Preston Land doubled. With one out Caleb Curry singled, moving Land to third. After Curry stole second, Jermaine Curtis flew out to center field with Land scoring on the sacrifice fly. Danny Worth's single scored Curry and gave the Beetles a lead they wouldn't relinquish.
Both teams scored in the ninth. Jonathan Greene gave the Beetles a 4-0 lead with a single that scored Curtis from second base.
The lone Mallards run came in the bottom of the ninth against Alexandria reliever Matt Chambless. Gary Arndt led off the inning with a walk. After Randy Molina lined out to third, Ryan Bond singled with Arndt moving to third. Spencer Steedley then grounded out to first, allowing Arndt to reach the plate and make the final score 4-1.
Mallards pitcher Adam Mills battled the Beetles all nine innings. The UNC-Charlotte product allowed 10 hits and four earned runs. He struck out three and didn't walk any Beetles.
The Mallards only accumulated four hits against three Alexandria pitchers. Steedley had two of the hits. Bond and Mike Rohde had the others.
The Beetles won the season series against Madison, three games to one. It's only the second time in team history the Mallards had a losing regular season mark against the Beetles. In 2002, Alexandria won seven of eight against Madison. Last season, the Mallards won three of four.
After an off day Monday, the Mallards will travel to Thunder Bay for the final regular season meetings against the Border Cats. Eryk McConnell will start for Madison on Tuesday night. You'll hear the games on Madison's Fox Sports Radio, 100.5 FM. or online at www.mallardsradio.com. Pregame coverage both nights begins at 5:50 p.m. with the first pitch at 6:05.
The next Mallards home game is Thursday, June 29 against the Brainerd Blue Thunder. It's Pepsi Baseball Glove Night. The first 1,000 fans (14 & under) will receive a free baseball glove. For tickets, call the Mallards at 608.246.4277 or go online to www.mallardsbaseball.com.


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Past Event
Once Upon A Doodle – Paw Patrol
Monday August 21
Price: $20.00 (Pre-registration is required)
Spots Open: 4
3422 Lake Shore Blvd W, Toronto, ON, M8W 1N3
Price: $20.00 (Pre-registration is required)
Spots Open: 4
Story time and hands-on creative fun for pre-schoolers! We'll start by reading a favourite storybook together and then we'll have fun painting a themed pottery piece. Today we will be reading a Paw Patrol Adventure and painting dog figurines
$20 +tax per child with caregiver/parent. Ages 1 – 5 are welcome.
PrePayment is required in order to register – Complete the form below, or call the studio at 416-238-7608.


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Tinnitus retraining therapy is a form of treatment that tries to retrain the nerve pathways associated with hearing that may allow the brain to get used to the abnormal sounds. Habituation allows the brain to ignore the tinnitus noise signal, and it allows the person to become unaware that it is present unless they specifically concentrate on the noise. This treatment involves counseling and wearing a sound generator. Audiologists and otolaryngologists often work together in offering this treatment.
Can an iPhone app truly relieve tinnitus? Believe it or not, the answer is yes. The ReSound LiNX2 app utilizes a combination of sound therapy and relaxation exercises to reduce the severity of tinnitus. The convenient app can be used in combination with hearing instruments, which are small but strong. This groundbreaking program transforms your iPhone into a remote control for your hearing aid.
Once the music package (MP3 player preloaded with assigned music tracks and headphones) was ready, participants were briefed on safe listening levels, and were instructed to complete a weekly log book to record their listening duration and frequency. The algorithms which modified the music provided to participants are built into proprietary software that was developed internally by Sound Options Tinnitus Treatments Inc. The modified and placebo music packages consisted of 4 hours of classical music.
Tinnitus is commonly accompanied by hearing loss, and roughly 90% of persons with chronic tinnitus have some form of hearing loss (Davis and Rafaie, 2000; Lockwood et al, 2002). On the other hand, only about 30-40% of persons with hearing loss develop tinnitus. According to Park and Moon (2004), hearing impairment roughly doubles the odds of having tinnitus, and triples the odds of having annoying tinnitus.
If you have tinnitus, you might be feeling frustrated and helpless, but there is hope! The first step is to consult a hearing care professional at one of our consumer-reviewed clinics. There are also audiologists who specialize in managing tinnitus and many non-medical ways to help you regain your quality of life. Learn more through the links here and, when you're ready, let us help you connect with a professional in your area.
The degree of loudness or annoyance caused by tinnitus varies greatly from one individual to another. Loudness and annoyance do not always covary. An individual with loud tinnitus may not be troubled, while an individual with soft tinnitus may be debilitated. Most individuals with subjective tinnitus have hearing loss that shows up in a standard clinical audiogram. Tinnitus can sometimes worsen or sometimes improve over time.
Why is tinnitus so disruptive to sleep? Often, it's because tinnitus sounds become more apparent at night, in a quiet bedroom. The noises of daily life can help minimize the aggravation and disruptiveness of tinnitus sounds. But if your bedroom is too quiet, you may perceive those sounds more strongly when you try to fall asleep—and not be able to drift off easily.
Dr. Julie Prutsman's team of audiologists offer a higher standard of expertise. She has been deeply involved with tinnitus for more than 15 years, long before effective treatments had been developed beyond hearing aids and maskers. Dr. Julie also studied under one of the industry's most respected and leading medical experts, Dr. Pawel Jastreboff, and she has personally trained each and every one of her doctors.
If your tinnitus is a symptom of an underlying medical condition, the first step is to treat that condition. But if the tinnitus remains after treatment, or if it results from exposure to loud noise, health professionals recommend various non-medical options that may help reduce or mask the unwanted noise (See Masking Devices below). Sometimes, tinnitus goes away spontaneously, without any intervention at all. It should be understood, however, that not all tinnitus can be eliminated or reduced, no matter the cause.
Copyright ©2019 NORD - National Organization for Rare Disorders, Inc. All rights reserved. NORD is a registered 501(c)(3) charity organization. Please note that NORD provides this information for the benefit of the rare disease community. NORD is not a medical provider or health care facility and thus can neither diagnose any disease or disorder nor endorse or recommend any specific medical treatments. Patients must rely on the personal and individualized medical advice of their qualified health care professionals before seeking any information related to their particular diagnosis, cure or treatment of a condition or disorder.
Tinnitus is commonly described as a ringing in the ears, but it also can sound like roaring, clicking, hissing, or buzzing. It may be soft or loud, high pitched or low pitched. You might hear it in either one or both ears. Roughly 10 percent of the adult population of the United States has experienced tinnitus lasting at least five minutes in the past year. This amounts to nearly 25 million Americans.
Medications, Prescription Drugs and Food Additives. Other external irritants that can cause tinnitus are over the counter medications and prescriptions. Even something as simple as aspirin can generate tinnitus. I have experienced this throughout my lifetime. I take aspirin only when I absolutely need it. Certain antibiotics and other prescription drugs are also known to cause tinnitus. Two very common ones that have shown to cause tinnitus are quinine and chloroquine which are in malaria medications. Certain diuretics and cancer medications can also cause tinnitus. Although not a drug, NutraSweet has been linked to tinnitus and a whole host of side effects in clinical studies.
Patulous Eustachian tubes can be associated with tinnitus. The Eustachian tube is a small canal that connects the middle ear to the back of the nose and upper throat. The Eustachian tube normally remains closed. In individuals with a patulous Eustachian tube, the tube is abnormally open. Consequently, talking, chewing, swallowing and other similar actions can cause vibrations directly onto the ear drum. For example, affected individuals may hear blowing sounds that are synchronized with breathing.
Tinnitus is commonly described as a ringing in the ears, but it also can sound like roaring, clicking, hissing, or buzzing. It may be soft or loud, high pitched or low pitched. You might hear it in either one or both ears. Roughly 10 percent of the adult population of the United States has experienced tinnitus lasting at least five minutes in the past year. This amounts to nearly 25 million Americans.
We are all different and you may find you prefer one type of relaxation over another. You may find a class that teaches a type you like. However, you may not be able to get to classes or you may just prefer to do something yourself. Using some simple techniques regularly may help you to improve your quality of life and make a real difference to living with tinnitus. It does take practice to develop good relaxation techniques, and what may help one day, may not do so the next – so don't give up if at first it does not seem to help.
If cerumen (more commonly known as ear wax) accumulates in your ear canal, it can diminish your ability to hear. Your auditory system may overcompensate for the loss, fabricating noises that do not exist. Your audiologist can safely remove the buildup, and in most cases, this will immediately alleviate your tinnitus. However, sometimes ear wax buildup causes permanent damage, resulting in chronic tinnitus.
Glenn Schweitzer is an entrepreneur, blogger, and the author of Rewiring Tinnitus and Mind over Meniere's. He is passionate about helping others who suffer from tinnitus and vestibular disorders and volunteers as an Ambassador Board Member for the Vestibular Disorders Association (VEDA). Through his blogs, he continues raise awareness for tinnitus, Meniere's disease, and other vestibular disorders, spreading his message of hope to those in need.
There are two types of tinnitus: subjective tinnitus and objective tinnitus.[3] Tinnitus is usually subjective, meaning that there is no sound detectable by other means.[3] Subjective tinnitus has also been called "tinnitus aurium", "non-auditory" or "non-vibratory" tinnitus. In very rare cases tinnitus can be heard by someone else using a stethoscope, and in less rare – but still uncommon – cases it can be measured as a spontaneous otoacoustic emission (SOAE) in the ear canal. In such cases it is objective tinnitus,[3] also called "pseudo-tinnitus" or "vibratory" tinnitus.
Sound waves travel through the ear canal to the middle and inner ear, where hair cells in part of the cochlea help transform sound waves into electrical signals that then travel to the brain's auditory cortex via the auditory nerve. When hair cells are damaged — by loud noise or ototoxic drugs, for example — the circuits in the brain don't receive the signals they're expecting. This stimulates abnormal activity in the neurons, which results in the illusion of sound, or tinnitus.
Most of the causes of tinnitus alter neurological activity within the auditory cortex, the portion of the brain responsible for hearing. The transmission of sound is interrupted, so some of the neural circuits fail to receive signals. Instead of causing hearing loss, as you might expect due to the lack of stimulation, the neural circuits begin chattering. First, they chatter alone. Then, they become hyperactive and synchronous. When we experience this deviation, our brains attempt to compensate for the change by interpreting the neurological activity as sound. This can resemble ringing, buzzing, hissing, whistling, or roaring, amongst a variety of other noises.
The treatment group (245 patients) received some elements of standard care (such as a masking device and hearing aid if needed), but also received CBT. The CBT included an extensive educational session, sessions with a clinical psychologist and group treatments involving "psychological education" explaining their condition, cognitive restructuring, exposure techniques, stress relief, applied relaxation and movement therapy.
Traumatic brain injury, caused by concussive shock, can damage the brain's auditory processing areas and generate tinnitus symptoms. TBI is one of the major catalysts for tinnitus in military and veteran populations. Nearly 60% of all tinnitus cases diagnosed by the U.S. Veterans Administration are attributable to mild-to-severe traumatic brain injuries.
Persistent tinnitus may cause anxiety and depression.[14][15] Tinnitus annoyance is more strongly associated with psychological condition than loudness or frequency range.[16][17] Psychological problems such as depression, anxiety, sleep disturbances and concentration difficulties are common in those with strongly annoying tinnitus.[18][19] 45% of people with tinnitus have an anxiety disorder at some time in their life.[20]
The exact biological process by which hearing loss is associated with tinnitus is still being investigated by researchers. However, we do know that the loss of certain sound frequencies leads to specific changes in how the brain processes sound. In short, as the brain receives less external stimuli around a specific frequency, it begins to adapt and change. Tinnitus may be the brain's way of filling in the missing sound frequencies it no longer receives from the auditory system.
It is important to note that existing hearing loss is sometimes not directly observable by the patient, who may not perceive any lost frequencies. But this this does not mean that hearing damage has not been done. A trained audiologist or other hearing health professional can perform sensitive audiometric tests to precisely measure the true extent of hearing loss.
It is important to note that existing hearing loss is sometimes not directly observable by the patient, who may not perceive any lost frequencies. But this this does not mean that hearing damage has not been done. A trained audiologist or other hearing health professional can perform sensitive audiometric tests to precisely measure the true extent of hearing loss.
As an initial test of our treatment, we first conducted a small pilot study to see if there were measurable benefits within 3 to 6 months of using this therapy. While we did not inform participants of whether they would receive a treatment or unaltered music, every participant in fact received a treatment. Participants reported a drop in scores on the Tinnitus Handicap Inventory (THI) within 3 months of using their personalized sound therapy for about 2 hours a day. THI is a psychometrically robust and validated questionnaire that assesses the impact of tinnitus on daily living and the degree of distress suffered by the tinnitus patient. Furthermore, we saw increased benefits after 6 months of treatment use (Figure 1). This data suggested that our treatment may be engaging brain plasticity in a positive manner, thereby gradually reducing tinnitus over time. Armed with this information, we designed a more rigorous trial that is very uncommon among research in tinnitus therapies.
Think about your breathing. Notice that it has a natural rhythm. Try to breathe in a steady, even rhythm. It helps to breathe in through your nose, hold your breath for a moment and then breathe out through your mouth. Wait a moment before breathing in again. Every time you breathe out, try to release a little bit of your tension. Do this for a few minutes, until you feel ready to move on to the next step.
Some tinnitus sufferers have experienced relief through hearing aids, but studies indicate that such benefits are limited to those with low-frequency tinnitus.8 For those with a tinnitus pitch above 5–6 kHz or those with a hissing or buzzing tinnitus, the benefits of hearing aids are more limited or even nonexistent. This makes sense from a neuroscience point of view, as the hearing aid will typically not be making up for hearing loss at frequencies above 6–8 kHz; this prevents any possible effects on tinnitus types that are caused by changes to higher frequency regions in the auditory system. While hearing aids are essential to improving the lives of the hearing impaired, they are not typically the best option for tinnitus; especially when used alone.
Medications, Prescription Drugs and Food Additives. Other external irritants that can cause tinnitus are over the counter medications and prescriptions. Even something as simple as aspirin can generate tinnitus. I have experienced this throughout my lifetime. I take aspirin only when I absolutely need it. Certain antibiotics and other prescription drugs are also known to cause tinnitus. Two very common ones that have shown to cause tinnitus are quinine and chloroquine which are in malaria medications. Certain diuretics and cancer medications can also cause tinnitus. Although not a drug, NutraSweet has been linked to tinnitus and a whole host of side effects in clinical studies.
Experts recommend that patients with severe tinnitus become educated about tinnitus and how they best deal with its symptoms. This can include learning about biofeedback in order to control stress and your reaction to tinnitus sounds, talking with a counselor, or joining a support group. Coping strategies are most useful for managing emotional side effects of tinnitus, such as anxiety, trouble sleeping, lack of focus and depression.
White Noise Machines. These devices do a great job of simulating the sound of everything from ocean waves, to rain, to a thunder storm, to a crackling fire to an oscillating fan to just plain old static. The result is that your brain focuses on the sounds around you instead of the ringing in your head. You can even download apps on your iPhone that do the same thing so that you can always have a noise machine with you wherever you go. The constant background noise can not only bring back nostalgic feelings of joy, if you used to site around a crackling fire on holidays with your family, but also allow you to forget about your tinnitus.
Over the last 40 years of treating patients suffering from tinnitus, there's been one over the counter medication that has shown the greatest promise. While it doesn't provide relief for everyone, I continue to see an 87% efficacy rate in my patients. The treatment, which does not require a prescription, is known as Tinnitus Control and is available online at http://www.tinnituscontrol.com
Hearing loss: Probably the most common cause for tinnitus is hearing loss. As we age, or because of trauma to the ear (through noise, drugs, or chemicals), the portion of the ear that allows us to hear, the cochlea, becomes damaged. Current theories suggest that because the cochlea is no longer sending the normal signals to the brain, the brain becomes confused and essentially develops its own noise to make up for the lack of normal sound signals. This then is interpreted as a sound, tinnitus. This tinnitus can be made worse by anything that makes our hearing worse, such as ear infections or excess wax in the ear.
A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. The National Institutes of Health recommend about 7-9 hours of sleep each night for older, school-aged children, teens, and most average adults; 10-12 for preschool-aged children; and 16-18 hours for newborns. There are two stages of sleep; 1) REM sleep (rapid-eye movement), and 2) NREM sleep (non-rapid-eye movement). The side effects of lack of sleep or insomnia include:
Psychological research has looked at the tinnitus distress reaction (TDR) to account for differences in tinnitus severity.[18][21][22][23] These findings suggest that at the initial perception of tinnitus, conditioning links tinnitus with negative emotions, such as fear and anxiety from unpleasant stimuli at the time. This enhances activity in the limbic system and autonomic nervous system, thus increasing tinnitus awareness and annoyance.[24]
Antidepressants are occasionally associated with tinnitus (Robinson, 2007). For example, Tandon (1987) reported that 1% of those taking imiprimine complained of tinnitus. In a double-blind trial of paroxetine for tinnitus, 3% discontinued due to a perceived worsening of tinnitus (Robinson, 2007). There are case reports concerning tinnitus as a withdrawal symptom from Venlafaxine and sertraline (Robinson, 2007). In our clinical practice, we have occasionally encountered patients reporting worsening of tinnitus with an antidepressant, generally in the SSRI family.
It is possible that the most common cause of pulsatile tinnitus is sigmoid sinus diverticulum and dehiscence, which can be collectively referred to as sinus wall abnormalities or SSWA. The sigmoid sinus is a blood carrying channel on the side of the brain that receives blood from veins within the brain. The blood eventually exits through the internal jugular vein. Sigmoid sinus diverticulum refers to the formation of small sac-like pouches (diverticula) that protrude through the wall of the sigmoid sinus into the mastoid bone behind the ear. Dehiscence refers to absence of part of the bone that surrounds the sigmoid sinus in the mastoid. It is unknown whether these conditions represent different parts of one disease process or spectrum, or whether they are two distinct conditions. These abnormalities cause pressure, blood flow, and noise changes within the sigmoid sinus, which ultimately results in pulsatile tinnitus. Narrowing of the blood vessel that leads into the sigmoid sinus, known as the transverse sinus, has also been associated with pulsatile tinnitus.
Seek out cognitive-behavioral therapy. Cognitive behavioral therapy, or CBT, involves working with a clinician (or independently, with a clinically-developed self-treatment program) to re-frame negative thoughts, emotions, and behaviors. CBT is effective with a wide range of physical and mental health conditions, including stress, anxiety, and depression. CBT is also highly effective in treating insomnia and other sleep problems. And research shows CBT can help improve the management of tinnitus.
Tinnitus can occur as a sleep disorder - -this is called the "exploding head syndrome". This most often occurs while falling asleep or waking up. It is a tremendously loud noise. Some theorize that this syndrome is due to a brief seizure in auditory cortex. It is not dangerous.(Green 2001; Palikh and Vaughn 2010). Logically, anticonvulsants might be useful for treatment.
Widex employs fractal tone technology, so that the sounds you hear are predictable but not repeating. Your audiologist can choose between an assortment of "musical tones" known as "Zen styles," which are random and chime-like. Your audiologist can adjust the tones' pitch, tempo, and volume. If employed correctly, Widex Zen Therapy can help re-wire your brain and make your tinnitus less noticeable.
Tinnitus can be extremely frustrating and can leave you feeling overwhelmed and unsure about your next steps. Remember that you are not alone - tinnitus, while not well-understood, is common. Make an appointment with a hearing care professional near you, preferably one who specializes in tinnitus treatment. Be prepared to discuss your symptoms in detail so you can get relief and regain your quality of life.
Patulous Eustachian tubes can be associated with tinnitus. The Eustachian tube is a small canal that connects the middle ear to the back of the nose and upper throat. The Eustachian tube normally remains closed. In individuals with a patulous Eustachian tube, the tube is abnormally open. Consequently, talking, chewing, swallowing and other similar actions can cause vibrations directly onto the ear drum. For example, affected individuals may hear blowing sounds that are synchronized with breathing.
Smoking. Contrary to popular belief, there are some external irritants that can cause tinnitus. For example, Nicotine has been proven to be an irritant that can cause someone to develop a ringing in their ears. Smokers may find that their chances of developing the condition may be higher than someone who is a non-smoker. If you're suffering from tinnitus right now, and you're a smoker, please quit as soon as possible. If that's just not an option for you right now, be sure to at least pick up an over the counter tinnitus treatment that will dramatically reduce the ringing in your ears.
Seek treatment for hearing problems. If you're experiencing difficulty hearing, talk to your physician and seek help from an otolaryngologist (an ear, nose throat specialist) or an audiologist. In addition to addressing any underlying health issue and improving your quality of life, improving your hearing can make tinnitus less noticeable and less bothersome, during the day and at night when you're trying to sleep.
Most cases of tinnitus are unfortunately thought to be difficult to treat, and sometimes severe tinnitus cannot be treated at all when permanent and irreversible damage to the ears or nerves has occurred. That being said, many patients find natural tinnitus treatment methods and coping strategies to be very helpful in allowing them to adjust to the changes that tinnitus brings. Here are six of those tinnitus treatment options:
Some patients choose to get involved in "tinnitus retraining," which involves wearing a device in the ears that provides soothing music or noise, along with undergoing counseling. The goal is to help your body and brain learn to get accustomed to tinnitus noise, which reduces your negative reactions to unwanted sounds. Support and counseling during the process can be helpful for reducing anxiety. Researchers are now learning more about the benefits of coherent cognitive behavioral therapy interventions to help treat distress associated with tinnitus. (3)
ABR (ABR) testing may show some subtle abnormalities in otherwise normal persons with tinnitus (Kehrle et al, 2008). The main use of ABR (ABR test) is to assist in diagnosing tinnitus due to a tumor of the 8th nerve or tinnitus due to a central process. A brain MRI is used for the same general purpose and covers far more territory, but is roughly 3 times more expensive. ABRs are generally not different between patients with tinnitus with or without hyperacusis (Shim et al, 2017).
While there may be a wide range of causes, an important underlying factor for the development of tinnitus is brain plasticity.5,7 This property allows the brain to change and adapt, and it is essential to how we learn. Unfortunately, in some cases, such as with hearing loss, the auditory part of the brain may be altered as brain plasticity tries to compensate for the abnormal auditory inputs. This response leads to changes in brain activity in the auditory system (e.g., the auditory cortex) that can create a phantom percept: tinnitus. As such, while tinnitus may begin a problem at the auditory periphery, it persists because of changes throughout the auditory system. Treating tinnitus may require addressing both the initiator (e.g., hearing loss) and the driver (changes in the auditory brain).
Paquette et al (2017) reported a prospective study of 166 patients who had brain surgery involving removal of the medial temporal lobe. The prevalence of tinnitus increased from approximately from 10 to 20% post surgery. This study did not include a control -- a natural question would be -- suppose a different part of the brain were removed. One would also think that drilling of the skull from any source might increase tinnitus. We are presently dubious that the medial temporal lobe suppresses tinnitus.
Traumatic brain injury, caused by concussive shock, can damage the brain's auditory processing areas and generate tinnitus symptoms. TBI is one of the major catalysts for tinnitus in military and veteran populations. Nearly 60% of all tinnitus cases diagnosed by the U.S. Veterans Administration are attributable to mild-to-severe traumatic brain injuries.
Subjective tinnitus is the most common type and accounts for 95 percent of cases. Only you can hear it and it's usually caused by exposure to excessive noise. It can appear suddenly and may last three months (acute) to 12 months (subacute), or longer. Subjective tinnitus is often accompanied by hearing loss due to hair cell nerve damage. The severity of symptoms varies from patient to patient, and largely depends on your reaction to the noise.
Age-Related Hearing Loss: Also known as presbycusis, age-related hearing loss results from the cumulative effect of aging on hearing. This permanent, progressive, and sensorineural condition is most pronounced at higher frequencies. It commonly impacts people over the age of 50, as all people begin to lose approximately 0.5% of the inner ear's hair cells annually starting at age 40.
If you are living with tinnitus, contact the Sound Relief Hearing Center. We are the tinnitus experts you need to experience the best possible outcome with your tinnitus treatment. To learn more about us, please browse our website or give us a call at 720-259-9962. You can also schedule an appointment online to meet with one of our tinnitus specialists. We look forward to hearing from you!
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Tinnitus might also get worse with age and is most common among older adults who suffer from general hearing loss. Some 27 percent of older and elderly adults report having tinnitus, many of them seemingly due to factors like loud workplaces. (9) The elderly commonly experience tinnitus and hearing loss due to symptoms associated with circulatory problems, inflammation and nerve damage.
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Your doctor will try to determine what is causing the condition. If it is not due to a medication side effect or a general medical condition (such as high blood pressure), he or she may refer you to an otolaryngologist (an ear, nose, and throat doctor) or an audiologist (hearing specialist). It is especially important to see an otolaryngologist if you experience tinnitus in only one ear, tinnitus that sounds like your heartbeat or pulse (pulsatile tinnitus), tinnitus with sudden or fluctuating hearing loss, pressure or fullness in one or both ears, and/or dizziness or balance problems. Unless the cause of the tinnitus is obvious on physical examination, a hearing test is usually required.
Many drugs have been studied for treating tinnitus. For some, treatment with low doses of anti-anxiety drugs -- such as Valium or antidepressants such as Elavil -- help reduce tinnitus. The use of a steroid placed into the middle ear along with an anti-anxiety medicine called alprazolam has been shown to be effective for some people. Some small studies have shown that a hormone called misoprostol may be helpful in some cases.


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The Pouch is an easy, all-in-one bag to keep your cards and cash organized and on hand. An attached metal keyring takes the Pouch from your bag to keys with ease.po
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1989 · 1 hr 36 min
Not Rated4.541%59%
Masahiro Kai has made it to the finals of the Free Fighting Championship. In flashback, he remembers training Ryu Tenmei for the event. Ryu makes it to the final bout against the reigning champ, Chang Lee. After Lee kills Ryu, Kai sinks into alcoholism, tangling with a gang of Americans, until he decides to go back into training and defeat Chang Lee himself.
Directed ByShuji Goto
Written ByYoshiaki Kashigawa
StudioKurata Film Company
Cast of Bloodfight
Yasuaki KurataMasahiko Kai
Simon YamRyu Tenmei
Meg Lam Kin-MingSuzie Wong
Anzu LawsonMilly McKenzie
Bolo YeungChong Lee
Shinya OnoHyuga Ryoichi
John LadalskiJack O'Brien
Stuart SmithGang Leader
Ken BoyleHank Chow
Takaaki NakamuraLin Keisei
Sindy LimGirl of The Stall
Cristina LawsonMilly McKenzie
Richard FooManager of The Cheap Restaurant
Masanari NasuStreet Gang #1
Tadashi SatoStreet Gang #2
Masaru YamashitaStreet Gang #3
Kazuhiko ShimizuStreet Gang #4
Strong KongoFree Fighting Players #1
Raja LionFree Fighting Players #2
Kazumi KotaniFree Fighting Players #3
Sho TagayaFree Fighting Players #4
Katsuyuki ImamuraFree Fighting Players #5
Tatsuro KoikeFree Fighting Players #6
Moriaki SakaiFree Fighting Players #7
Ron NaguvuFree Fighting Players #8
Chalee Lao ChaofaFree Fighting Players #9
Tamotsu KurataJudge of The Free Fighting
Kazuaki ShimazakiJudge of The Free Fighting
Marie NoemiGirlfriend of Chong Lee
Toshio KumadaCameraman #1
Hiroe YonezawaCameraman #2
Eleonore BjerlemoPressman #1
Tomoko OtaniPressman #2
Kentetsu KawamotoPressman #3
Michiko KakimotoPressman #4
Asami MiuraPressman #5
Tetsushi KajiuraPressman #6
Nobuhisa UeharaPressman #7
Kouichi ChibaPressman #8
Misako NagashimaPressman #9
Chan Fei-LungStall Keeper


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Alterior - British Millerain Shop Jacket - Black/Navy
Alterior - British Millerain Shop Jacket - Black/Navy
British Millerain Shop Jacket
A 1940's French inspired coverall jacket, made with a water resistant cotton twill by UK textile specialists, British Millerain. The cloth features a luxurious double faced quality that offers a unique colour blocking. Sporting a raglan sleeve construction and relaxed fit throughout. Finished with a utility chest pocket for tools and pens, front patch pockets, and toonie buttons. Handmade by Alterior.
- Handmade in Vancouver, Canada
- British Millerain Twill (Made in UK)
- Water resistant
- Raglan cut
- Patch pockets
- Metal button closure
Allow up to 4 weeks for production if item is not in-stock.
Issey is 5'8", 140lbs and wears a Medium.