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Say Something (A Great Big World song)
"Say Something" | |||||||||||
Single by A Great Big World and Christina Aguilera | |||||||||||
from the album Is There Anybody Out There? | |||||||||||
Released | November 4, 2013 | ||||||||||
Format | Digital download | ||||||||||
Recorded | 2013 (re-recorded) | ||||||||||
Genre | Indie pop | ||||||||||
Length | 3:49 | ||||||||||
Label | |||||||||||
Writer(s) |
Producer(s) | Dan Romer | ||||||||||
A Great Big World singles chronology | |||||||||||
"Say Something" is a song by American pop duo A Great Big World, released as the lead-single from their debut album, Is There Anybody Out There? (2013). Originally being released as a solo single from band member Ian Axel's solo album This Is the New Year in 2011, the song was released as a single by the band on September 3, 2013, via Epic Records. Following its usage on American reality TV show So You Think You Can Dance, the track gained attention from singer Christina Aguilera, who wanted to be featured on the song. Quickly afterwards, Aguilera appeared on the re-recorded version of "Say Something", released on November 4, 2013.
Composed by Ian Axel, Chad Vaccarino and Mike Campbell, "Say Something" is a downtempo indie pop piano ballad which talks about a breakup, where the lover is implored to make a statement that could potentially reverse plans, with the singers expressing humility, sadness and regret. In the single version with Aguilera, she plays a ghost of the lover to whom the song is addressed as she traces the steps of the lead vocal. The song was critically praised for its powerful lyrics, the emotional composition and Aguilera's vocal delivery.
"Say Something" did not sell significantly until the re-recorded version was available; it debuted at number 16 on the Billboard Hot 100 chart after A Great Big World and Aguilera performed the song on The Voice, while eventually peaking at number 4. It also topped the Australian charts, becoming their first number-one single (and Aguilera's third) and reached the top-ten in most countries. A music video was released on November 19, 2013. It features the trio singing as people "act out the heartbreaking lyrics." To further promote "Say Something", A Great Big World performed the track on The Voice and at the American Music Awards of 2013 with Aguilera.
Background and release[edit]
"Say Something" was originally released on February 8, 2011 on band member Ian Axel's solo album This Is the New Year with the song featuring harmonies by guest vocalist Jenny Owen Youngs, but the track went largely unnoticed until it received attention after being used on the TV series So You Think You Can Dance on season 10's semi final episode contemporary dance routine by the eventual champion Amy Yakima. This sparked a chain reaction that eventually made its way to Christina Aguilera.[1] "'Say Something' was danced to on So You Think You Can Dance almost two months ago, and so many people responded to it," Axel tells Billboard. "In that whole process, someone on our team played it for someone on Christina's team, and we got a call that Christina wanted to record it, and then, literally a week later, we were in L.A. recording it with her."[1] The pair considers Aguilera's set of pipes "one of the top voices in the world," says Chad Vaccarino, and re-recorded "Say Something" with her in two hours. "We look at Christina as this icon who can say anything and make it sound amazing," says Vaccarino.[1]
About approaching to the duo to re-record the track, Aguilera said, "Somebody sent me the song (...) and it's just the most simplest song that doesn't have to fit a formula to be heard and to be appreciated, so I just heard it and I've never done anything like this before and I was just like, 'You know', I just started to hear a harmony part over it and I was like, 'get in touch with these guys and see if they wanna get in the studio and sit behind the piano and just vibe together and see what happens...' and we did, and they're so humble, so sweet, so down to earth, and I'm all about that and supporting that, and we came together so organically and it was fun."[2] Aguilera also added, "It's so quiet and still and steady and in a way pleading," she describes the song. "I'm only taking on projects that feel good to me and represent, as always, a purpose of the here and now in my life."[3]
Composition and lyrics[edit]
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"Say Something" was written by Ian Axel, Chad Vaccarino, and Mike Campbell while production was handled by Dan Romer.[4] Sonically, the indie pop, piano ballad[5] is underlined by a piano and string arrangement, which was performed by Los Angeles string players Mark Robertson, Andrew Duckles, and Vanessa Freebairn-Smith.[4] Lyrically, the song talks about letting go to the one you love with the singers evoking the emotion felt when choosing after they left a failed relationship even though love still remains, with the lover imploring to make a statement that could potentially reverse plans.[4] "Say something, I'm giving up on you/ I'm sorry that I couldn't get to you," Ian Axel and Christina coo."[6]
For Bill Lamb of About.com, the chorus "Say something, I'm giving up on you", "is brilliant."[4] Lamb also explained the song, writing that, "instead of being filled with anger and desperation, it is a song expressing a powerful combination of humility, sadness and regret."[4] The song was written at a time when both members were experiencing individual heartbreak. "Writing the song was part of the healing process," says Axel. "Whenever we perform it, it's like revisiting the scar. It's always a part of me, and I can always go there and feel it."[1] Lewis Corner of Digital Spy noted that with its "stripped-down melody and emotive lyrics", the song becomes the antithesis of the club-thumping blow-outs radio currently prefers."[6]
Critical response[edit]
"Say Something" received universal acclaim from music critics. Bill Lamb of About.com gave the song 4.5 out of 5 stars, praising its "powerful lyrics, Aguilera's delicate vocals added to the mix" and the "emotional piano and strings arrangement," pointing out that, "At a time in which pop music is lacking in emotional ballads, 'Say Something' sounds just right." Lamb also praised Aguilera for "adding a unique resonance sounding almost as if she is the ghost of the lover to whom the song is addressed as she traces the steps of the lead vocal." Lamb also praised her for "keeping the power of her voice in check and instead sings delicately with a breathy tone of loss."[4] Rick Florino of Artist Direct gave the song 5 out of 5 stars, writing that the song is "Oscar-worthy", with "a cinematic heft to the track that makes it utterly vivid and vibrant." Florino also praised Aguilera's performance, calling it "one of her best ever, fortifying the hook and harmony masterfully."[7] Lewis Corner of Digital Spy praised Aguilera for "reminding us why she always sounds infinitely better when heading up a ballad", calling it "a beautifully simplistic ode to heartache that evidently connects."[6]
Robert Copsey also of Digital Spy called it "one of her most understated outings in recent memory, and it's all the better for it."[8] Jon O'Brien of Yahoo! Music noted that the song features Aguilera's "most restrained and indeed impressive vocal in years", calling the song " as emotive as it is theatrical."[9] Melinda Newman of HitFix praised Aguilera for "show[ing] admirable restraint vocally, beautifully pairing with Axel's vocals."[10] Sam Lansky of Idolator wrote that the song "was already pretty heartrending, but Aguilera's vocals provide some lovely support and additional pathos; it's a relief to hear that she enriches, rather than overwhelms, the track."[5] Bradley Stern of MuuMuse praised the "slow, sad piano melody", the "mournful strings," calling it "a haunting production – made even better by the Stripped diva, proving once again that less is often more." Stern also praised Aguilera for showing a simple side of her voice, writing that she "doesn't even have her own verse or chorus – she resigns to delivering subtle, yet effective, backing vocals for the entirety of the re-recording. It's only in the song's final few moments that she allows that powerhouse pipes to blow in the background. And those whispers at the very end? 'Say something, I'm giving up on you…' Gulp."[11]
Chart performance[edit]
United States[edit]
"We still can't even believe that this happened. We can hardly put it into words. Not only did we get to perform on The Voice, but we were honored to do so alongside one of the best voices in the world, 'Christina Aguilera'. We're grateful to all of our fans around the globe who have connected with the song so closely."[9]
The original version of the song had sold only 52,000 downloads before the version with Christina Aguilera was released, according to Nielsen SoundScan.[12] After the performance on The Voice to a much wider audience, the song quickly shot into the upper reaches of the iTunes Songs list, reaching number 2, behind Eminem's "The Monster" in its first hours.[1] A day later, on November 7, 2013, the song managed to reach the number-one spot, remaining at the top for two consecutive days.[13][14][15] "Say Something" debuted at number 16 on the Billboard Hot 100 chart, following the impact of the performance on The Voice, as the song started at number-one on Digital Songs with 189,000 sold, with the remix featuring Aguilera accounting for 86% of the song's overall download sales in the chart's tracking week.[16] The song was also a success on the Canadian Hot 100, debuting at number 9 and peaking at number one.[17]
After the performance on the AMAs, the song jumped to number 3 on the Digital Songs chart, with 197,000 copies.[18] It also jumped from number 18 to number 10 on the Billboard Hot 100 chart, becoming A Great Big World's first top-ten single and Aguilera's 11th top 10 and second in 2013 (with the other being "Feel This Moment" at number eight), becoming the second time she achieved multiple top 10s in a single year, with the first being in 2000, when 'What a Girl Wants' (number-one for two weeks), 'I Turn To You' (number three) and 'Come On Over Baby (All I Want Is You)' (number-one for four weeks), all from her self-titled debut album, reached the top tier. The song is also Aguilera's first top 10 with lead billing since October 2008, when her single "Keeps Gettin' Better" debuted at its number seven peak.[19]
"Say Something" also became Epic's first top-ten hit since 2008 with You Found Me by The Fray.[19] "Say Something" peaked at number 4 on the chart in the sixth week of release, with 39 million radio plays and sales of 233,000 copies for the week.[20] The following week, the song sold 355,000 downloads and climbed to number 14 on Radio Songs, although it fell to number five.[21] In February 2014, the song reached the Radio Songs top 10, becoming the band's first top 10 and Aguilera's ninth, marking her first Radio Songs top 10 in a lead role since "Beautiful" in 2003.[22] The song was certified triple platinum on March 5, 2014, and it has sold over 3 million copies as of February 2014.[23]
Australia and Europe[edit]
In Australia, "Say Something" debuted at number 47 on the week of December 29, 2013. Later, it re-entered at number 45, on January 19, 2014. The song went to jump from number 50 to number 9, on the week of February 2, 2014, until it reached the top of the ARIA Charts on the week February 16, 2014. It became A Great Big World's first number-one single and Aguilera's third number-one single (the last being "Beautiful" in 2003).[24] The song became Aguilera's 18th Top 10 single in Australia, her last entry was on the Pitbull song "Feel This Moment" which made it to number six in March 2013.[25] In New Zealand, the single debuted at number 18, on December 16, 2013, while on February 10, 2014, the song reached a peak of number two; Aguilera's highest charting-single since her collaboration with Maroon 5 in "Moves Like Jagger" (2011), and her 14th top-five single.[26]
Elsewhere in Europe, the song managed to become a huge success. In Austria, the song managed to reach a peak of number 4[27] while in Norway, the song reached number 8[28] and in Sweden, "Say Something" became a success, peaking at number 4.[29] In other countries, "Say Something" was a moderate success, where in Spain, it peaked at number 24,[30] in Switzerland, the song reached a peak of number 31[31] and in France, the song is currently at number 29, as of March 1, 2014.[32] In United Kingdom, "Say Something" debuted at number 4 and thus becoming Aguilera's 24th Top 40 hit and A Great Big World's debut in the official singles chart.[33]
Music video[edit]
A music video was already shot on November 8, 2013, with Christina posting to her Twitter, Facebook and Instagram page a picture of her standing next to a piano, where the duo is playing the track.[34][35][36] The music video, which was shot in Los Angeles, was released on November 19, 2013, exclusively on Entertainment Tonight, while VEVO will premiere the video on November 20, 2013.[37] The video features Aguilera in a minimalistic black dress and natural make-up, reminiscent of her "Beautiful" days, according to MTV's Natasha Chandel.[38] In the video, the trio perform the ballad as people — a child whose parents won't stop fighting, a young couple lying coldly side by side, an older man bidding his dying wife goodbye — act out the heartbreaking lyrics.[39]
The video received widespread acclaim from critics, due to its simplicity and honesty. For Jason Lipshut of Billboard Magazine, "Aguilera and AGBW's Ian Axel look utterly sorrowful as they croon the break-up ballad together, with Axel carefully pounding away at the grand piano and Aguilera appearing on the verge of tears as the song reaches its climax. Meanwhile, various tear-inducing images accompany the majestic track, often in slow motion – most strikingly, an older man climbing into a hospital bed with his peaceful female counterpart and emitting a silent shout."[40] Peter Gicas of E! Online praised Aguilera's emotion on the video, writing that she "serves up a certain subtleness to the clip, which is definitely appropriate given the tone of both the ballad and the video itself."[41] Bradley Stern of MuuMuse agreed, writing that, "Armed with nothing else but a piano and an old bed frame by her side, the 'Lotus' legend bares her soul and gives you pure Stripped-era vulnerability, conjuring the simple-yet-effective one-take video for 'The Voice Within.' No over-the-top diva theatrics, no wigs — just raw emotion and a genuinely powerful performance."[11]
John Walker of MTV Buzzworthy called the video "equal parts tragically beautiful and beautifully tragic. Like, hand us a bucket, because we are ugly-crying from our eyes, noses, mouths, ears, and at least 17 other places where tear ducts biologically shouldn't be located.[42] Mike Wass of Idolator also praised the video, writing that, "In keeping with the song's soft and subtle tone, the visual is understated and classy. It centers around a bed and the universality of its occupants' grief. Interspersed with those scenes is footage of the New York-based duo at the piano and Xtina looking utterly perfect in a sleek black dress. Grab a tissue and watch the emotional clip up top."[43] Natasha Chandel of MTV praised "a rare moment, when Xtina breaks down on camera as the hook, 'Say something, I'm giving up on you' crescendos, exposing a tender side to the singer that we haven't seen since her album 'Stripped'.[38]
Live performances[edit]
On November 5, 2013, on the fourtheenth episode from the fifth season of The Voice, Christina Aguilera (one of the competition's coaches) performed "Say Something" with A Great Big World. The performance consisted in a piano, some strings and a keyboard for instrumentation, while Aguilera "reining in her voice's natural power", according to Billboard's Jason Lipshutz.[1] Christina was wearing white t-shirt, jeans and a woolly hat.[44] The performance was lauded by critics and other artists, such as OneRepublic, Christina Perri, Ingrid Michaelson, Cee Lo Green and Carson Daly.[9] Caila Ball of Idolator wrote that, "She was legendary, obviously."[45] Michelle Stark of Tampa Bay Times wrote the performance "gives us all of the goosebumps."[46] British newspaper Daily Mail wrote that Christina "gave the competitors a master class in subtlety in her touching duet."[44] Douglas Cobb of Las Vegas Guardian Express called it "a very emotional, low-key, cool performance. It was a very tender, touching song — Christina did great, as usual, singing it."[47] Bradley Stern of MuuMuse called the performance "perfect", writing that, "Christina keeps it as stripped as the studio version, allowing her naturally beautiful vocals to sound a whole lot more vulnerable than usual. The result? One powerful, devastating performance – you'll be seeing your reflejo in the tears streaming down your face in no time."[48]
A Great Big World & Aguilera also performed the song at the 2013 American Music Awards on November 24, 2013.[49] With her hair in a braid and wearing a muted black dress, Aguilera sang an original verse midway through the performance, which included a string section and a fairly bare stage. With A Great Big World's Chad Vaccarino manning the keyboard, the group's Ian Axel sat at the grand piano and stamped his feet furiously as 'Say Something' approached its emotional climax," according to Billboard's Jason Lipshutz.[49] Lindsay Dreyer of Wetpaint wrote that "Taking her rightful place center stage in a floor-length black dress and braided updo, the 32-year-old pop diva harmonized perfectly with the group's lead singer Ian Axel, who worked the piano with passion and poise. Xtina's rich yet breathy tone offered just the right amount of strength and vulnerability — a side of Christina we haven't seen in a really long time." Dreyer finished the review stating, "If tonight's AMA performance is any indication, Christina is on the brink of a major music comeback — and we can't wait!."[50] The band also performed the song at the 2013 Victoria's Secret Fashion Show on December 10, 2013.[51] However, Aguilera did not perform the song with them as a duet, due to scheduling conflicts of The Voice.[52]
Cover versions[edit]
Alex & Sierra version[edit]
American indie pop duo Alex & Sierra performed the song twice on third season of The X Factor (U.S.), where they were contestants and eventually won the show. During the sixth week, the duo performed the song for the first time, with Sierra on the piano and Alex on guitar.[53] The performance was praised by the judges, with Kelly Rowland, one of them, feeling like she was watching an awards show performance. Catriona Wightman of Digital Spy called it "pretty simple, but showed how genuinely talented they are."[53] The cover version of the song surpassed Christina Aguilera and A Great Big World's version on iTunes, climbing to number 1 the morning after they sang it onstage.[54] Series creator and head judge Simon Cowell, who mentored the group, claimed that the duo success is proof that the show is still capable of turning small-town kids into bankable stars.[54] The duo performed the song once again on the finale of the show, eventually winning the competition.[55]
Lee Holyfield, Country music star and Daughter of Country Music legend Wayland Holyfield covered this song for Crazy Hearts Nashville in 2014
Pentatonix version[edit]
Pentatonix released a cover of the song on February 24, 2014. It had 4,000,000+ views on YouTube as of February 28, 2014 and was mentioned on A Great Big World's Facebook page.
Gale Franklin version[edit]
Gale Franklin has released a version of this song, available on Spotify.
Track listing and formats[edit]
- Digital download (solo version)
- "Say Something" – 3:53
- Digital download (duet version)
- "Say Something" (with Christina Aguilera) – 3:49
- CD single
- "Say Something" (with Christina Aguilera) – 3:49
- "Say Something" – 3:53
Charts and certifications[edit]
Weekly charts[edit]
Release history[edit]
Country | Date | Version | Format | Label |
United States[79] | September 3, 2013 | Solo | Digital download | Epic |
Germany[80] | November 4, 2013 | Duet | Sony | |
United States[81] | Epic | |||
United Kingdom[82] | February 16, 2014 | Duet and solo | Digital download | Epic |
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- ^ "Canadian single certifications – A Great Big World – Say Something". Music Canada. Retrieved February 21, 2014.
- ^ "NZ Top 40 Singles Chart – 17 February 2014". Recorded Music NZ. Retrieved February 14, 2014.
- ^ "Sverigetopplistan: A Great Big World & Christina Aguilera - Say Something" (To access certification, one must search (Sök) for "Say Something" or "Say Something A Great Big World" and click the "Visa" button.) (in Swedish). Sverigetopplistan. Grammofonleverantörernas förening. Retrieved 2014-02-07.
- ^ "American single certifications – A GREAT BIG WORLD & CHRISTINA AGUILERA – Say Something". Recording Industry Association of America. If necessary, click Advanced, then click Format, then select Single, then click SEARCH
- ^ "Amazon.com: Say Something: A Great Big World: MP3 Downloads". Amazon.com. Retrieved February 10, 2014.
- ^ "Say Something feat. Christina Aguilera: A Great Big World: Amazon.de". Amazon.com. Retrieved Februar 10, 2014.
- ^ "Amazon.com: Say Something feat. Christina Aguilera: A Great Big World". Amazon.com. Retrieved Februar 10, 2014.
- ^ "iTunes - Say Something - Single - A Great Big World". iTunes. Retrieved February 10, 2014.
External links[edit]
- "Say Something" audio (solo version) on YouTube
- "Say Something" music video (duet version) on YouTube
Preceded by "Tomorrow" by Tate Stevens |
The X Factor winner's song (Alex & Sierra version) 2013 |
Succeeded by N/A |
- Singles certified double platinum by the Australian Recording Industry Association
- Singles certified quadruple platinum by the Canadian Recording Industry Association
- Singles certified platinum by Recorded Music NZ
- Singles certified gold by the International Federation of the Phonographic Industry of Sweden
- Singles certified triple platinum by the Recording Industry Association of America
- 2013 singles
- Christina Aguilera songs
- Epic Records singles
- 2013 songs
- Pop ballads
- Canadian Hot 100 number-one singles
- Number-one singles in Australia
- Billboard Adult Top 40 number-one singles


text:
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text:
Keynote speech by Diane Abbott MP, Shadow Minister for Public Health
In her first major speech on public health since being appointed Shadow Public Health Minister, Diane Abbott will redefine the Labour Party's position on public health and children's health.
Monday 05 March, 11.00 - 12.00
IPPR offices, 14 Buckingham St, 4th Floor, London, WC2N 6DF
In light of recent figures which reveal that 19% of year-six pupils are obese, Diane Abbott MP will call for a 'revolution' in approaches to public health and an end to what she refers to as the current 'chips and Playstation 3 culture'. Ms Abbott will use the speech to outline her distinct philosophy on public health and her intention to vastly raise the political profile of children's health issues, and address the thinking behind the government's approach to 'nudging' and 'responsibility deals.'
To register your attendance please RSVP to email@example.com or call 020 7470 6148.


text:
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The intricacy of those incidents which defy the narrator's extrication, is not illy figured in that bewildering intertanglement of all the yards and anchors of the two ships, which confounded them for the time in one chaos of devastation.
Israel Potter
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text:
GoldLink Songs
GoldLink - The Heart
On The Heart Part 2, the opening track off senior mixtape (O)verly (D)edicated, Kendrick Lamar set complex concepts aside to deliver some off-the-cuff bars about his spirituality, his approach to the craft and his experiences...Read More
GoldLink x BMB - Playah
As you may have deduced from the freaky bars he spit on his last feature, On&On (Remix), GoldLink is a certified Playah. On his latest single, a collaboration with Russian beatsmith BMB, the Virginia buzzmaker emphasizes...Read More
GoldLink - On&On (Remix)
Way back in April, we featured a smooth cut from Snakehips titled On & On. Personally, I gave the song five stars and thought there was no way it could get any better… then I heard GoldLink's On&On (Remix)....Read More
GoldLink - Electronic Relaxation
Though J. Cole recently brought the sample back into the public consciousness with Forbidden Fruit, a Kendrick Lamar-assisted standout off his sophomore set, he's only the latest of many to draw inspiration from jazz...Read More


text:
I'm thinking seriously of going down the path of 'proper' cycling shoes and cleats, but it seems to be harder to find information on the various shoes and their advantages than buying the bike to start with.
I have looked at one pair of NorthWave Revolution 2001s, does anyone know much about this shoe?
Many thanks


text:
From a restaurant/brewery... to a veterinary facility... to something akin to a Wisconsin-like 'cheese castle' store... the Times today reports the city of Hammond is looking at a variety of proposals for the former site of an apartment complex at the corner of Kennedy Avenue and Borman Expressway. That's where the River Park Apartments stood for years, eventually becoming the site of many police calls, before being demolished in 2006. The development area is now known as Oxbow Landing.
LAURA WALUSZKO Region News Team |
SCOTT ROSENBERG Region News Team |
BRENT BROWN Region News Team |
JAY STEVENS Region News Team |
KARL BERNER Region News Team |
ANNIE FOX Region News Team |
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text:
ENID, Okla. —
Funeral for Elwin "E.L." Lee Baker, 94, will be 2 p.m. Friday, July 19, 2013, at Anderson-Burris Funeral Home Chapel, with Pastor Dan O'Daniel officiating. Burial will be in Waukomis Cemetery.
E.L. was born to Harry and Amanda (Ott) Baker on April 1, 1919, in Waukomis, and passed away Tuesday, July 16, 2013, in Enid.
E.L. grew up in Waukomis and graduated from Waukomis High School.
On July 22, 1939, he married Dorotha Johnson in Waukomis. They made their home on a farm north of Covington. They lived there for five years before moving to a farm east of Garber. They raised cattle and operated a dairy for many years, and also raised racing quarter horses.
E.L. was a longtime member of AQHA and was racing secretary of Garfield Downs in Enid for many years.
He was a member of Chisholm Trail Cowboy Church and loved watching church on TV if he couldn't attend.
E.L. is survived by two daughters, Kondra Wedel and husband Delmar of Garber, and Sheryl Powell and husband Marvin of Covington; eight grandchildren; 17 great-grandchildren; seven great-great-grandchildren; brother, Bill Baker of Enid; and sister, Shirley Scott of Yukon.
He was preceded in death by his wife, Dorotha; his parents; son, Bill; grandson, Lance; one sister, and two brothers.
Memorials may be made to Cowboy Church.
Condolences online at www.andersonburris.com.
(Submitted by family)
Death Notices
Elwin 'E.L.' Lee Baker
Published 7-18-13
- Death Notices
Colin Smith Sr.
Memorial service, 1 p.m. Monday, March 10, 2014, at Anderson-Burris Funeral Home.
Patricia Davis
Patricia Davis, 66, died Tuesday, March 4, 2014, in Tulsa, Okla. The family will receive visitors from 5-7 p.m. Sunday, March 9, at Strode Funeral Home, Stillwater.
Maxine Hoots
Funeral services will be held for Maxine Hoots at the Canton Christian Church at 1 p.m. on Monday, March 10, 2014, with Pastor Steve Driskill officiating.
Wilbur Platt
A memorial service for Wilbur Platt, age 81, will be held at a later date.
Dale Duffy
February 7, 1953 – March 5, 2014
Ruth Reimer
December 22, 1946 – March 4, 2014
Harold R. Cellan
January 28, 1932 – March 6, 2014
Carl Grant Freeman
Service pending with Ladusau-Evans Funeral Home.
Jessica Mitts
Service pending with Ladusau-Evans Funeral Home.
Violet Chaloupek
Service pending with Haigler-Pierce Funeral Home, Canton.
- More Death Notices Headlines
Colin Smith Sr.


text:
The quality of the hand hooked rug I purchased is excellent. The colors are perfect. Sometimes it is hard to judge the color of a product on the computer screen but this rug is as seen on the monitor. As usual, your service is excellent and I will definitely be ordering more products from you.
It came quickly and is a beautiful rug. The colors are vibrant and the edge is finished nicely. I got a 4' round non-skid pad as well, which I recommend.
This rug I purchased is beautiful and looks great on my hardwood floors. It's very well made and VERY stain-resistant. I spilled a half glass of cranberry juice on it and my husband picked up the whole rug to bring it on our porch to shake off the excess liquid and as he was doing so, all the juice dripped right off without absorbing into the rug and left no stain at all. Perfect when there's a 4 year old boy in the house!!
I ordered this rug for my Mom's kitchen. The colors were beautiful and a lovely accent for her kitchen. Great quality and value, the price was very fair as wells. My Mom loves it
Great rug, love it they look great on my hardwood floor, the colors are beautiful and very comfortable, great rug, great price, will definately reccoimend this rug will not regret it.
I was so pleased when I opened the package and saw how nice the rug looked and how flat it laid on the floor. The colors were good. My daughter came in and said she liked this area rug better than the one I had there before. It has been in use now for a few weeks and still looks great.
Beautiful round rug, and great quality. BUYERS! PAY ATTENTION!! The blue is a baby blue, but it still looks great in my foyer! Very happy with this....
This rug has vibrant colors and a lot of blue in it. If you don't want a lot of blue don't order this rug. Sometimes it's hard to tell from pictures.
the colors were not as bright as in the pic but it is still pretty. the rug started to unravel after 2 weeks and I sent it back. kinda disappointed.
LOVE LOVE LOVE -Absolutely beautiful! Brighter than the picture
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text:
The Pernod Ricard team were in London today (February 18) to flesh on the bones for their half year interim results which were announced last week.
Using William Grant's notes, Kinsman has made 100 bottles of the whisky, which will not be sold. The whisky marks 100 years since its was first created and Kinsman was also able to use samples of the 100 year old whisky to perfect the recipe.
The Speyside style is said to be "rich" and "honeyed".
The bottles will sit in the family archive alongside the blending book for future generations.
Related articles:


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text:
Contoh Descriptive Text tenang Ibu
I think that my mother is a beautiful person. She is not tall but not short, and she has curly hair and brown. Her eyes color are like honey and her color skin color light brown, and she has a beautiful smile. Her weight likes 120 lbs.
She is a very kind person. She is very lovely, friendly, patient, and she loves to help people. I love my mom, because she is a good example to me. She loves being in the Church, and she loves sing and dance too.
She is a very good child, wife and mother. She always takes care of her family. She likes her house to be clean and organized. She a very organized person, and all things in the house are in the right place. She doesn't like messes.
She always has a smile on her face. She is so sweet and lovely. I like when I am going to sleep or went I wake up or when I am going to go to some places, she always give me a kiss, and when the family have a problem she always be with us to helps us and to give us all her love.
Semoga contoh descriptive text tentang ibu ini bisa membuat kita semakin mengerti cara membuat descriptive text.


text:
These cushions are a great value. I priced several others online and this was the best deal. It isn't easy to find U shaped cushions these days. I really like the tropical print. The background color looks blue on the screen but is actually black. It looks great with my settee set. The cushions are thick and well made. This was just what I was looking for.
I placed these on white wicker furniture and the color contrast and the richness of the colors look great!
These cushions are not only extremly soft to sit on but very pretty on my front porch wicker set. It just so happens to match the colors of my exterior in regards to my home--with that being said they have not faded or turned their orginal color. Overall do not hesitate to buy this set if this is the color scheme you're looking for. 100% satisfied with my purchase~~
absolutely beautiful, looks great on my wicker set. It is exactly as pictured, and made to last for years.
I purchased the stripe cusions rather than the floral. I like the colors and the csions seem to be well made and are certainly soft with what seems to be a good fiber fill. All in all I am pleased with this purchase
These are very pretty cushions. Bought them for my wicker set I also bought from overstock. My wicker set is white and the colors really pop on this set with the white. Quite happy overall with my purchase; love the free shipping on all my items and overstock is FAST shipping!
Love them! Highly recommend them and very cushy as well!
Usually leaves our warehouse in 1-2 business days. *
Items must be returned in new or unused condition and contain all original materials included with the shipment. More details
FINAL SALE EXCLUSION: Items marked as FINAL SALE are not returnable unless the problem you experience is the result of our error.
Our standard shipping method is ground shipping. We also offer expedited shipping for most items. Your final shipping cost and estimated delivery timeframe will be available at checkout.
Standard shipping details
Expedited shipping details
* For your safety, some orders go through our loss prevention department. If we select your order for this process, we will immediately notify you that there may be up to a 3-day delay on your order.
** Most Oversize orders are delivered within 1-4 weeks. Some orders may take 6 weeks to be delivered.


text:
This Deluxe Drag Mat is manufactured by Fliteline in Florida.
It is the "king" of all packing drag mats with a sun cover, knee pad, pocket and riser holders.
The Deluxe Drag Mat is 21" wide by 33" tall with two 15" wide by 22" tall sun flaps. This packing drag mat works with just about every size of sport skydiving rig.
Note: ChutingStar stocks this drag mat in solid black for immediate shipment. Custom coloring of a Deluxe Drag Mat is available with a 4-week turnaround time. Contact us for more info on custom color drag mats.
Customer Reviews
1 Item(s)
- Great quality & light weight Review by olee
Quality Durability Price
1 Item(s)
Additional Info
Manufacturer | Fliteline |
Dimensions | No |
Compartments | Sun cover, velcro riser holders and a pocket for pullup cords. |
Volume | No |
Sizes Available | No |


text:
Thomas Wailgum's article, "Out of sight, out of control," in the May 1 issue of CIO magazine was an excellent illustration of why telecommuting can be a dismal failure. Wailgum imagines scenarios like a remote colleague who "seems distracted" on a phone call, presumably by texting on her BlackBerry, and how it's best to "'accidentally' shut down her BlackBerry service" in response. The message is clear: Remote workers just won't do the work you want them to do (at least so long as you distrust them).
At first I thought Wailgum might be joshing us, humorously holding up anti-patterns in management of remote workers (indeed, in any type of management), but I'm sad to conclude that he's serious. What's clear by the end of the article is that Theory X management, suboptimal for knowledge workers in general, is doomed to failure when applied with extra vigor to those workers that don't benefit from overview of his watchful eye. I imagine Wailgum in the 90s, assigning his IT staff to a search-and-destroy mission for C:\WINDOWS\SOL.EXE, secure in the knowledge that he's removed the siren call of Solitaire, preventing all slacking of his peons. Then, as now, his expectations of his grunts slacking during the day are sure to come true.
No one denies that telecommuting has its own challenges. It's radically different from life in a cube farm, and yet both rely on one concept to get the most from those on your team: You must expect the best from your team, and trust them to do it. Many of the challenges are the same. Just as people game the system to make it look like they didn't come in late to the office, people can use automated scripts to check and receive email to simulate their "being at work." The answer isn't to make the command-and-control system harder to get around, but to throw the system away.
People do their best work not because they have to, but because they want to, and it's a rare IT professional who wants to do their best work under the iron fist of someone who looks to Dilbert's Pointy-Haired Boss for inspiration. When telecommuting works, as it does for so many of us, it's a thing of beauty. Mr. Wailgum, I invite you to work with your team, not against them, and see what magic comes out of a team that doesn't have to be a slave to geography.


text:
Self-controlled dorsal penile nerve stimulation to inhibit bladder hyperreflexia in incomplete spinal cord injury: a case report.
ABSTRACT Intermittent catheterization is not always successful in achieving continence in spinal cord injury (SCI) and often requires adjunctive methods. Electric stimulation of sacral afferent nerves reduces hyperactivity of the bladder. This report describes application of self-controlled dorsal penile nerve stimulation for bladder hyperreflexia in incomplete SCI. The patient was a 33-year-old man with C6 incomplete quadriplegia who managed his bladder with intermittent self-catheterization and medication. Despite this, he continued to have reflex bladder contractions that he could feel but could not catheterize himself in time to prevent incontinence. We performed cystometry with dorsal penile nerve stimulation and analyzed data of home use of stimulation. During cystometry, the suppressive effect of electric stimulation on hyperreflexic contractions was reliable and reproducible. The patient could start stimulation on sensing bladder contraction, and the suppression of reflex contraction lasted several minutes after stopping brief stimulation. When using stimulation at home, the rate of leakage between catheterization decreased, and catheterized volume increased significantly.
- Transactions of the American Association of Genito-Urinary Surgeons 02/1971; 63:92-6.
Article: Management of the neuropathic bladder by clean intermittent catheterisation: 5 year outcomes.
[show abstract] [hide abstract]
ABSTRACT: Based on a telephone interview and medical record review of the urological outcomes among 40 spinal cord injury patients with a neuropathic bladder at discharge who were an average of 60 months post-injury and who were all initially managed by chronic clean intermittent catheterisation (CCIC), the following conclusions were made: Over 80% of patients using CCIC at discharge continued to use it, suggesting low morbidity and high patient acceptance; Urological complications in patients using CCIC were more frequent in the lower urinary tract than in the upper urinary tract, were more frequent in men than women, and had a low morbidity; Urological complications and hospitalisations were more frequent among the 41% of patients using CCIC who had frequent SxUTIs; SxUTIs were common in patients using CCIC but rates may be comparable with other methods; Although 44% of CCIC patients were hospitalised at least once in 5 years for urological complications, this is comparable to reported multi-centre outcomes in the U.S.A. (Young, 1982).Paraplegia 05/1987; 25(2):106-10. - [show abstract] [hide abstract]
ABSTRACT: The primary goal of bladder management in the patient with a spinal cord injury is to achieve adequate bladder drainage, low-pressure urine storage, and low-pressure voiding. This will help prevent urinary tract infections, bladder wall damage, bladder overdistention, vesicoureteral reflux, and stone disease. Bladder retraining is indicated in all patients with disorders of the spinal cord and the brain. The basic aim is to provide bladder drainage without indwelling catheters and, if possible, without leg bags. Bladder retraining is usually begun with intermittent catheterization, with the use of alpha blockers to improve drainage in patients who are wearing leg bags or with anticholinergic drugs to improve continence. However, bladder retraining may be contraindicated in patients with vesicoureteral reflux or stone disease and in patients with impending renal failure. It is therefore important to evaluate all patients with neurogenic bladder using urodynamics, nuclear scanning, renal ultrasound, and voiding cystourethrography. In patients with stone disease, intravenous urography may also be required. Understanding of the basic neurologic lesion and bladder dysfunction is therefore vital to bladder retraining or transurethral surgery to provide adequate voiding. The regular periodic follow-up of all patients is vital to protect renal function.Urologic Clinics of North America 09/1993; 20(3):423-34. · 1.39 Impact Factor
Page 1
Self-Controlled Dorsal Penile Nerve Stimulation to Inhibit
Bladder Hyperreflexia in Incomplete Spinal Cord Injury:
A Case Report
Young-Hee Lee, MD, PhD, Graham H. Creasey, MD
ABSTRACT. Lee Y-H, Creasey GH. Self-controlled dorsal
penile nerve stimulation to inhibit bladder hyperreflexia in
incomplete spinal cord injury: a case report. Arch Phys Med
Rehabil 2002;83:273-7.
Intermittent catheterization is not always successful in
achieving continence in spinal cord injury (SCI) and often
requires adjunctive methods. Electric stimulation of sacral af-
ferent nerves reduces hyperactivity of the bladder. This report
describes application of self-controlled dorsal penile nerve
stimulation for bladder hyperreflexia in incomplete SCI. The
patient was a 33-year-old man with C6 incomplete quadriplegia
who managed his bladder with intermittent self-catheterization
and medication. Despite this, he continued to have reflex blad-
der contractions that he could feel but could not catheterize
himself in time to prevent incontinence. We performed cys-
tometry with dorsal penile nerve stimulation and analyzed data
of home use of stimulation. During cystometry, the suppressive
effect of electric stimulation on hyperreflexic contractions was
reliable and reproducible. The patient could start stimulation on
sensing bladder contraction, and the suppression of reflex con-
traction lasted several minutes after stopping brief stimulation.
When using stimulation at home, the rate of leakage between
catheterization decreased, and catheterized volume increased
Key Words: Bladder, neurogenic; Case report; Electric
stimulation; Hyperreflexia; Rehabilitation; Spinal cord injuries;
Urinary incontinence.
© 2002 by the American Congress of Rehabilitation Medi-
cine and the American Academy of Physical Medicine and
is a major problem in patients with suprasacral spinal cord
injury (SCI). The therapeutic goal is to establish a low-pressure
compliant bladder and periodic emptying with low urethral
resistance. Periodic complete emptying of the bladder with
clean intermittent catheterization is one of the effective ways to
manage patients with detrusor hyperreflexia and incontinence.1
It has been reported that 80% of patients on clean intermittent
catheterization who were followed for 5 years continued on
intermittent catheterization, suggesting low morbidity and high
LADDER HYPERREFLEXIA with resultant incontinence
patient acceptance.2However, intermittent catheterization does
not always result in continence.3Pharmacologic treatment with
anticholinergic agents helps prevent incontinence but cannot
always counteract the activity of the bladder, and some patients
do not tolerate the side effects of the drugs.4Adjunctive meth-
ods, such as the use of an external collecting bag5or increasing
the frequency of catheterization,6are often needed to keep a
patient dry and socially active. Despite a low rate of compli-
cations in both upper and lower urinary tract, 15 years of
follow-up data of bladder management methods revealed a
significant decrease in the use of intermittent catheterization
and a concomitant increase in the use of condom drainage.7
Incontinence between catheterizations may be 1 reason for this
trend in bladder management.
Another management option for incontinence is electric
stimulation. Electric stimulation of sacral afferent nerves has
frequently been shown to reduce incontinence in selected pa-
tients with urge incontinence.8It has been applied by stimulat-
ing the anus or vagina, pudendal nerves,9or the sacral nerves
in the spinal canal.10This stimulation reduces hyperactivity of
the bladder in some patients, although the mechanism is not
well understood. Electric stimulation to inhibit hyperreflexic
contraction has also been used with SCI patients. There are 2
types of application for SCI patients. One expects a therapeutic
effect to continue after some treatment period; the other ex-
pects an immediate, direct suppressive effect on hyperreflexic
contraction of the bladder. Some reports on therapeutic effects
have shown favorable results in urodynamic study after 4 to 16
weeks of stimulation,11,12but the rate of achievement of com-
plete continence was less than 20%. Studies in which a direct
immediate effect of stimulation was expected have shown a
consistent suppression effect on provoked reflex contraction13
and have reported the optimal stimulation parameters.14How-
ever, no clinical trials using this technique have been reported.
This case report describes for the first time the application of
self-controlled dorsal penile nerve (DPN) stimulation for blad-
der hyperreflexia in a patient with incomplete suprasacral SCI.
The patient was a 33-year-old man who had had C6 incom-
plete quadriplegia (American Spinal Injury Association15class
C) for 9 years after a motorcycle crash. He was healthy before
injury. Manual muscle test for upper extremities showed grade
4 for wrist extensor, elbow extensors, and finger flexors, bilat-
erally. He also had grade 3 finger abductors on the left hand, so
he could perform intermittent catheterization by himself with
that hand. The strength of other muscles below these was less
than grade 3. Pain and touch sensation was decreased below
C8, and perineal sensation was preserved. Voluntary anal con-
traction was minimal. Anal tone and all the sacral reflexes were
increased moderately.
At the initial urodynamic study, he was self-managing his
bladder with intermittent catheterization every 3 to 4 hours and
had been taking oxybutynin chloride 25mg/d for 1 year. He did
not try percussion or the Crede ´ maneuver. The average volume
From the Department of Rehabilitation Medicine, Wonju Christian Hospital, Yon-
sei University Wonju College of Medicine, Wonju, Korea (Lee); and Department of
Physical Medicine and Rehabilitation, MetroHealth Medical Center, Case Western
Reserve University, Cleveland, OH (Creasey).
Accepted in revised form March 9, 2001.
No commercial party having a direct financial interest in the results of the research
supporting this article has or will confer a benefit upon the author(s) or upon any
organization with which the author(s) is/are associated.
Reprint requests to Young-Hee Lee, MD, Dept of Rehabilitation Medicine, Wonju
Christian Hospital, Yonsei University Wonju College of Medicine, 162 Ilsan-Dong,
Wonju 220-701, Korea, e-mail: email@example.com.
Arch Phys Med Rehabil Vol 83, February 2002
Page 2
of urine drained by catheter was about 200mL. He reported
occasional leakage between catheterization during the day and
night. He used a condom catheter at night and while he was out
of his home. He could feel the sensation of bladder contraction
just before urination, but it was so urgent that he could not
maintain continence before starting catheterization. He had
intermittent headaches and paresthesias when the bladder was
full and drainage was delayed. Renal function was normal.
Radiologic study revealed no urinary stone, reflux, or urethral
Urodynamic Study 1
The first urodynamic study was performed to confirm the
effect of DPN stimulation on provoked reflex contraction (fig
1). Standard water cystometry, which involved simultaneous
measurements of intravesical pressure, intrarectal pressure, and
the subtracted detrusor pressure (Pdet), was performed with the
patient supine. The fill rate was 35mL/min through a urethral
catheter with normal saline at room temperature. Blood pres-
sure was monitored during the test. There was initial reflex
contraction when infused volume reached 214mL (fig 1A).
Peak pressure was 91.8cmH2O. Infusion was stopped and
120mL of saline was removed to abolish the reflex contraction
(fig 1B). Rapid infusion of 120mL saline provoked a reflex
contraction (fig 1C). We repeated removal and infusion of
60mL saline again to confirm reproducibility of provocation
(fig 1D). The patient reported the sensation of contraction
every time reflex contractions occurred. After confirming the
reproducibility of provoked reflex contraction, stimulation to
suppress the provoked reflex contraction was applied with an
Empi FOCUS? neuromuscular electric stimulation system.a
The DPN was stimulated by using round surface electrodes of
1cm diameter. The cathode was placed proximally and the
anode distally on the dorsum of the penile shaft 2cm apart.
Stimulation parameters were biphasic rectangular pulses of
25-Hz frequency, 250-?s pulse width. Stimulation intensity
was twice the threshold of the pudendoanal reflex. When a
contraction was clearly provoked, as identified by the Pdet
exceeding 15cmH2O, stimulation was started and continued for
1 minute (fig 1E). Detrusor pressure was suppressed to its
initial level and remained stable for 136 seconds after stopping
stimulation. As detrusor pressure rose again, by provocation or
spontaneously, we applied stimulations on 3 more occasions
(fig 1F). The suppressions were consistent, but the duration of
suppression after stopping stimulation was shortened compared
with the initial trial.
Two more stimulations were started by the patient when he
sensed bladder contraction (fig 1G). He could feel a sense of
bladder contraction at an early stage of Pdetrise. The durations
of suppression after stopping stimulation were 209 and 100
seconds, respectively. The reflex contraction then recurred, and
in the absence of stimulation, persisted until we drained 275mL
of fluid (fig 1H).
Urodynamic Study 2
The second urodynamic study was performed to identify the
effect of brief intermittent stimulation on reflex contraction
during slow filling to simulate physiologic conditions (fig 2).
Saline was infused at a rate of 30mL/min until the infused
volume reached 100mL and then at 3mL/min. While the blad-
der was slowly filled, the patient applied stimulation for 1
minute whenever he felt a sensation of contraction. The first
contraction occurred when 141mL of saline was infused and
was effectively suppressed by stimulation. The second contrac-
tion followed 257 seconds after stopping stimulation. The
suppression effect of the second stimulation lasted 260 sec-
onds. All the subsequent contractions also were suppressed
effectively by stimulations, but the duration of effect became
shorter according to the increasing volume infused. The patient
began to feel fullness and flushing, and blood pressure rose to
164/100mmHg when 200mL of saline was infused. We emp-
tied his bladder immediately, draining 300mL of fluid.
Home Use
We suggested that the patient use DPN stimulation in addi-
tion to intermittent catheterization to control urgency inconti-
nence at home. He placed electrodes on the dorsum of the penis
and the stimulator on his waist with a belt clip. He started
stimulation on sensation of bladder contraction and continued
it 30 to 60 seconds. He used stimulation only when it was
needed to control voiding during the daytime. For 3 weeks, he
wrote a brief voiding diary, which is the currently accepted
means of assessing responses to sacral afferent nerve stimula-
tion. The diary included the time of sensation of bladder
contraction and catheterization, presence of leakage, and vol-
ume of urine catheterized. He recorded 66 catheterizations,
excluding the first catheterization after awakening. On 12 oc-
casions, he started stimulation when he felt the bladder con-
tracting and was incontinent on only one of those occasions.
On 5 occasions, he did not stimulate when he felt the bladder
contracting, and on every occasion, he was incontinent before
he had time to catheterize. The average volume of urine ob-
tained on catheterization was 205.0 ? 55.3mL when he did not
use stimulation before catheterization. The catheterized volume
markedly increased to 352.9 ? 36.7mL when he used DPN
stimulation before catheterization. The interval between cath-
Fig 1. Cystometry with provo-
cation and DPN electric stimu-
lation. Provocations by rapid
infusion of 60mL saline were
reproducible. Six stimulations
suppressed reflex contraction
effectively. Note the better sup-
pressive effect by last 2 stimu-
lations, which were started
when patient felt sensation of
contraction. See text for details
and annotations A through H.
ELECTRIC STIMULATION FOR INCONTINENCE IN SCI, Lee
Arch Phys Med Rehabil Vol 83, February 2002
Page 3
eterizations was also prolonged from 242.1 ? 59.0 minutes to
284.2 ? 108.6 minutes with use of stimulation (table 1). He
chose to continue to use self-controlled DPN stimulation after
the trial because he was confident that with it he could maintain
continence. He felt less need to limit his fluid intake. He has
also reduced his use of a condom and leg bag when going out
of the house.
It has been known for many years that detrusor instability
can be improved by electric stimulation of pudendal afferent
fibers.16,17Stimulation of large sacral afferents has produced
acute inhibition of detrusor hyperreflexia by pudendal-pelvic
spinal reflex pathways.18Experimental and clinical studies
have shown that maximal electric stimulation induces pro-
nounced and lasting bladder inhibition in non-SCI bladder
dysfunction.19This technique is becoming popular as a man-
agement option for patients with urge incontinence from idio-
pathic bladder instability, and a variable success rate of treat-
ment has been reported.9Recently, stimulation with implanted
electrodes on sacral roots for long-term use has been intro-
Limited experience exists in the use of electric stimulation in
the treatment of neurogenic bladder of SCI.14,20-22Applications
to inhibit hyperreflexic contraction in SCI can be classified into
2 groups, namely, application in which a therapeutic effect
lasting after some treatment period is expected, and application
in which an immediate, direct suppression effect on hyperre-
flexic contraction of the bladder is expected.
Ishigooka et al20applied sacral root stimulation to 4 SCI
subjects by using percutaneous electrodes. Although 3 of the
patients had a subjective improvement of incontinence after 4
weeks of stimulation, only 1 became continent. Pre ´vinaire et
al14reported a significant acute effect of pudendal nerve stim-
ulation to increase bladder capacity in 9 of 10 patients with
SCI. However, in a subsequent study23after 4 weeks of treat-
ment with the same technique, they were unable to show
therapeutic effects on cystometric bladder capacity, micturition
frequency, or voided volumes. Short treatment time (20min/d)
might be a factor in unsuccessful results. As these reports
indicate, the applications expecting long-term therapeutic ef-
fects did not show consistent results.
On the other hand, the immediate suppression effects of
stimulation on hyperreflexia in SCI were consistent and reli-
able.13,14,21Hyperreflexic contractions in suprasacral SCI were
suppressed effectively by either electric stimulation of the
pudendal nerve14or magnetic stimulation of the sacral roots.13
Wheeler et al21reported that the cystometric bladder volume
during DPN stimulation also increased in all 6 patients tested
by 27% to 150% of the prestimulation volume.
Whereas the acute inhibitory effect of electric stimulation
can be explained by inhibitory spinal reflexes,15,24the delayed
therapeutic effect is less understood. Short-term persistence
could be caused by activation of the spinal opiod system.25The
explanation for prolonged persistence is less clear. Optimal
parameters of DPN stimulation have not been studied exten-
sively, but it has been reported that a current strength of twice
Fig 2. Cystometry with stimu-
lation during slow filling. Pa-
tient controlled stimulation by
sensation of contraction. Note
the duration of lasting suppres-
sive effect after stopping stim-
ulation, which became shorter
according to the increasing vol-
ume infused.
Table 1: Clinical Data From Voiding Diary
Patterns of Voiding
Not Using
(n ? 54)
(n ? 12)
Interval between catheterization
during daytime (min)
Urine volume catheterized (mL)
Leakage before catheterization,
when patient felt sensation of
242.1 ? 59.0
205.0 ? 55.3
284.2 ? 108.6
352.9 ? 36.7
100% (5/5)8.3% (1/12)
ELECTRIC STIMULATION FOR INCONTINENCE IN SCI, Lee
Arch Phys Med Rehabil Vol 83, February 2002
Page 4
the bulbocavernosus reflex threshold was required for effective
Some patients with incomplete SCI can feel the sensation of
reflex bladder contraction but may have urgency followed by
incontinence. Our patient could feel the sensation of bladder
contraction, and he could also perform catheterization by him-
self. He took oxybutynin chloride to increase bladder capacity,
but it was not sufficient to control urgency or incontinence. He
reported that there was always a considerable amount of leak-
age before catheterization if he felt the sensation of contraction,
so he performed catheterization on the basis of time and
amount of fluid intake sometimes unnecessarily soon and
sometimes too late.
After confirming the reliability and reproducibility of the
immediate suppressive effect of DPN stimulation, we per-
formed a cystometric test with 3mL/min filling rate, which was
closer to the physiologic condition. We evaluated how long the
suppressive effect lasted after brief (1min) stimulation con-
trolled by the patient. We found that the effect of stimulation
initially lasted more than 4 minutes, which was sufficient to
prepare catheterization. We suggested that he use it at home as
an adjuvant method to control voiding.
Our patient used stimulation when he needed to control
urgency, to prolong the catheterization interval, or to allow him
to increase fluid intake. This may be the main reason why there
was only a 42-minute prolongation of catheterization interval
but a remarkable increase in catheterized volume.
The mean catheterized volume when using stimulation was
larger than the volume at first reflex contraction during urody-
namic tests. This might be because the physiologic environ-
ment was different from the experimental setup in terms of
filling rate,26position of the patient,27and the temperature of
fluid.28A catheter in the bladder during urodynamics might
also be a factor.
Although there are no reports about autonomic dysreflexia
caused by DPN stimulation in SCI, autonomic dysreflexia
during electroejaculation performed by using a rectal probe has
been reported.29There was no stimulation-induced autonomic
dysreflexia in our case, although there was autonomic dysre-
flexia when the bladder, containing a large volume, contracted
in the absence of inhibition by stimulation.
Our patient reported leg muscle contraction during stimula-
tion, which was not strong enough to interfere with the cathe-
terization procedure. He also reported minor technical prob-
lems, such as arrangement of cables and difficulties in keeping
the electrode attached for long periods.
Management of voiding difficulties in suprasacral SCI is
highly varied, even in patients with the same neurologic injury
level. It is affected by severity of spasticity, dyssynergia, and
coexisting abnormalities in the lower urinary tract. It is also
affected by nonneurourologic factors such as gender, personal
characteristics, economic status, familial supports, activities in
society, and other factors. The management plan for neuro-
genic bladder should therefore be individualized. Although the
inhibitory function of the sacral afferent pathway stimulation to
the hyperreflexic bladder is well known, individually designed
test protocols to identify the results of specific goals are nec-
essary. As this report shows, the voiding parameters in daily
life differ from those in the laboratory. Standard urodynamic
studies may be too provocative. It is for this reason that clinical
responses, as determined by voiding diaries, are currently the
accepted means of assessing responses to DPN stimulation.
Ambulatory monitoring of detrusor pressure may be more
informative and show better correlations.
This case report shows the feasibility of using self-controlled
DPN stimulation to inhibit hyperreflexic contraction of the
bladder in incomplete SCI as an adjuvant method of inconti-
nence management. Similar study of different levels and se-
verity of SCI is in progress. This technique may also be useful
in patients without SCI who suffer from urgency, frequency, or
urge incontinence. Further development of electrodes and ef-
fective, efficient location of stimulation is also needed.
Self-controlled DPN electric stimulation is a simple, nonin-
vasive technique that may improve bladder capacity and con-
tinence in selected SCI patients with bladder hyperreflexia.
This technique has the potential to minimize fluid intake re-
striction, to avoid unnecessary catheterization, and to reduce
the need for urine collection devices.
1. Lapides J, Diokno AC, Silber SJ, Lowe BS. Clean, intermittent
self-catheterization in the treatment of urinary tract disease. J Urol
2. Maynard FM, Glass J. Management of the neuropathic bladder by
clean intermittent catheterization: 5 year outcomes. Paraplegia
3. Perkash I. Long-term urologic management of the patient with
spinal cord injury. Urol Clin North Am 1993;20:423-34.
4. Cardenas DD. Neurogenic bladder: evaluation and management
approach. Phys Med Rehabil Clin North Am 1992;3:751-63.
5. Lloyd LK. Long-term management of neurogenic bladder: an
eclectic approach. Phys Med Rehabil Clin North Am 1993;4:329-
6. Maynard FM. Long-term management of neurogenic bladder:
intermittent catheterization. Phys Med Rehabil Clin North Am
7. Stover S, DeLisa J, Whiteneck G. Spinal cord injury: clinical
outcomes from the Model Systems. Gaithersburg (MD): Aspen;
8. Bosch JL, Groen J. Sacral (S3) segmental nerve stimulation as a
treatment for urge incontinence in patients with detrusor instabil-
ity: results of chronic electrical stimulation using an implantable
neural prosthesis. J Urol 1995;154:504-7.
9. Ohlsson BL, Fall M, Frankenberg-Sommar S. Effects of external
and direct pudendal nerve maximal electrical stimulation in the
treatment of the uninhibited overactive bladder. Br J Urol 1989;
10. Schmidt RA, Jonas U, Oleson KA, et al. Sacral nerve stimulation
for treatment of refractory urinary urge incontinence. Sacral Nerve
Stimulation Study Group. J Urol 1999;162:352-7.
11. Ishigooka M, Hashimoto T, Sasagawa I, Nakada T, Handa Y.
Electrical pelvic floor stimulation by percutaneous implantable
electrode. Br J Urol 1994;74:191-4.
12. Ishigooka M, Hashimoto T, Hayami S, Suzuki Y, Nakada T,
Handa Y. Electrical pelvic floor stimulation: a possible alternative
treatment for reflex urinary incontinence in patients with spinal
cord injury. Spinal Cord 1996;34:411-5.
13. Sheriff MK, Shah PJ, Fowler C, Mundy AR, Craggs MD. Neu-
romodulation of detrusor hyper-reflexia by functional magnetic
stimulation of the sacral roots. Br J Urol 1996;78:39-46.
14. Pre ´vinaire JG, Soler JM, Perrigot M, et al. Short-term effect of
pudendal nerve electrical stimulation on detrusor hyperreflexia in
spinal cord injury patients: importance of current strength. Para-
plegia 1996;34:95-9.
15. Ditunno JF Jr, Young W, Donovan WH, Creasey G. The interna-
tional standards booklet for neurological and functional classifi-
cation of spinal cord injury. Paraplegia 1994;32:70-80.
16. Godec C, Cass AS, Ayala GF. Bladder inhibition with functional
electrical stimulation. Urology 1975;6:663-6.
17. Plevnik S, Homan G, Vrtacnik P. Short-term maximal electrical
stimulation for urinary retention. Urology 1984;24:521-3.
18. Lindstrom S, Fall M, Carlsson CA, Erlandson BE. The neuro-
physiological basis of bladder inhibition in response to intravag-
inal electrical stimulation. J Urol 1983;129:405-10.
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19. Fall M, Lindstrom S. Electrical stimulation: a physiologic ap-
proach to the treatment of urinary incontinence. Urol Clin North
Am 1991;18:393-407.
20. Ishigooka M, Suzuki Y, Hashimoto T, Sasagawa I, Nakada T,
Handa Y. A new technique for sacral nerve stimulation: a percu-
taneous method for urinary incontinence caused by spinal cord
injury. Br J Urol 1998;81:315-8.
21. Wheeler JS Jr, Walter JS, Zaszczurynski PJ. Bladder inhibition by
penile nerve stimulation in spinal cord injury patients. J Urol
22. Shah N, Edhem I, Knight SL, Cragg MD. Acute suppression of
detrusor hyper-reflexia with detrusor-sphincter dyssynergia by
electrical stimulation of the dorsal penile nerves in patients with a
spinal injury. Eur Urol 1998;33:60.
23. Pre ´vinaire JG, Soler JM, Perrigot M. Is there a place for pudendal
nerve maximal electrical stimulation for the treatment of detrusor
hyperreflexia in spinal cord injury patients? Spinal Cord 1998;36:
24. Tanagho EA, Schmidt RA. Electrical stimulation in the clinical
management of the neurogenic bladder. J Urol 1988;140:1331-9.
25. de Groat WC, Kawatani M, Hisamitsu T, et al. The role of
neuropeptides in the sacral autonomic reflex pathways of the cat.
J Auton Nerv Syst 1983;7:339-50.
26. Klevmark B. Motility of the urinary bladder in cats during filling
at physiological rates. I. Intravesical pressure patterns studied by
a new method of cystometry. Acta Physiol Scand 1974;90:565-77.
27. Susset JG. Cystometry. In: Krane RJ, Siroky MB, editors. Clinical
neuro-urology. 2nd ed. Boston: Little, Brown; 1991. p 163-84.
28. Nanninga JB, Kaplan P. Cystometry and periurethral striated
muscle electromyography using cold and room temperature fluid.
Urology 1979;13:342-4.
29. Halstead LS, VerVoort S, Seager SW. Rectal probe electrostimu-
lation in the treatment of anejaculatory spinal cord injured men.
Paraplegia 1987;25:120-9.
a. Empi Inc, 599 Cardigan Rd, St Paul, MN 55126-4099.
ELECTRIC STIMULATION FOR INCONTINENCE IN SCI, Lee
Arch Phys Med Rehabil Vol 83, February 2002


text:
Contact: Michele Walker, 919-715-4074
Oct. 6 N.C. Coastal Resources Commission Science Panel Meeting Location Changed
RALEIGH – The location for the Oct. 6 public meeting of the N.C. Coastal Resources Commission's Science Panel on Coastal Hazards has been changed.
The panel will now meet in the seminar room of the UNC Institute of Marine Science, 3431 Arendell St., Morehead City.
The location was originally scheduled for the state Division of Coastal Management's offices in Morehead City, but the venue was changed to the UNC Institute of Marine Science to accommodate more people.
The panel, which provides scientific advice to the N.C. Coastal Resources Commission, will meet from 10 a.m. – 3 p.m.
The meeting is open to members of the public who wish to listen to the discussion, but there will not be a public comment period.
The group's agenda includes:
A discussion of the Coastal Area Management Act's permitting process for terminal groins, and the issues associated with monitoring these structures for adverse impacts.
A discussion of public comments received regarding the N.C. Coastal Resource Commission's draft sea level rise policy and the science panel's 2010 report on sea level rise in North Carolina.
Created by the state Coastal Resources Commission in 1997, the 13-member science panel is composed of coastal engineers and geologists.
# # #
Last Modified: September 29, 2011
N.C. Division of Coastal Management . 400 Commerce Ave . Morehead City, NC 28557 1-888-4RCOAST . Email Us


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Maplewood Barn Radio Theatre: "Mr. Clackworthy Tells the Truth"
By Maplewood Barn Radio Players
Welcome to another edition of Maplewood Barn Radio Theatre.
In this episode, we bring you a humorous piece of caper fiction called "Mr. Clackworthy Tells the Truth," by Christopher B. Booth.
It was first published in the Oct. 19, 1920, issue of "Detective Story" magazine.
We hope you enjoy our presentation of the story.
The players:
- Mr. Clackworthy: Michael Tuley
- Early Bird: Joe Bogue
- Mr. Prindivale: David McSpadden
- Mrs. Cartwright: Alana Barragan-Scott
- Dawes, Mr. Bascom: Darren Hellwege
- Maid, Mrs. Bascom: Patricia Humphrey
- Narrator: Byron Scott
- Script adaptation for radio: Dave Collins
- Engineer: Darren Hellwege
- Editing/production: Amy Humphrey
- Podcast publisher: Kellie Kotraba


text:
Paragon Carousel will host its annual Spooktacular Halloween Costume Party Sunday from noon to 3 p.m., with a costume parade at 2 p.m. The carousel will be decorated for the holiday and its Wurlitzer band organ will play Halloween music. The party will mark the end of operations for this season, with the 85th season starting on Easter weekend of 2013.
© Copyright 2014 Globe Newspaper Company.


text:
Mamma Mia: The Movie Swedish Premiere Gallery
The four members of pop group Abba were reunited at the Swedish premiere of Mamma Mia: The Movie on July 5, 2008. The film, which features 22 of their songs, stars Meryl Streep, Pierce Brosnan and Colin Firth – all of whom were also in attendance. Thousand of fans cheered Benny Andersson, Bjorn Ulvaeus, Anni-Frid Lyngstad and Agnetha Faltskog down the red carpet in Stockholm, while Lyngstad and Faltskog even had time to dance and embrace with Meryl Streep. Check out photos from the event…
Roll your mouse over the left and right-hand sides of the image and then click to view more pictures.
Read our review of Mamma Mia: The Movie or our interviews with Meryl Streep or Pierce Brosnan, Colin Firth and Stellan Skarsgard
Alternatively, view photos of the London world premiere or the Greece photo call or from the movie itself
Recent Galleries:
- Sin City: A Dame To Kill For - First-look Photo Gallery
- The Grand Budapest Hotel Photo Gallery
- 300: Rise Of An Empire Photo Gallery
- Transformers: Age of Extinction - Character Poster Gallery
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- The Book Thief - Photo Gallery
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- A Conversation with John Travolta Photo Gallery
- The Quiet Ones Poster Gallery
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text:
Science Cafes are informal discussions with scientists about how science affects our lives. Purdue researchers introduce topics and the audiences take part in the discussion through questions, comments and ideas.
Held monthly, the programs become a chance for people to come together, learn about science and do it in a fun and non-intimidating atmosphere.
More >>
Speaker: Dr. Megan McCrory, assistant professor of nutrition science and psychological science
Time: 6:30 p.m.Date: Tuesday, April 16Location: K. Dees Coffee & Roasting Co., 1016 Main St., Lafayette
Dr. McCrory will talk about new diets that pop up year after year. She'll address how eliminating specific foods impacts weight. Do we all lose weight the same way? What's the best way to shed those unwanted pounds?


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Traditions Pocket Cleaning Kit 44, 45 Caliber Black Powder Revolvers
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The statements and opinions expressed within Customer Reviews reflect each author's personal perspective and do not imply endorsement by MidwayUSA, its Employees or any other organization. Customers should in no way infer that MidwayUSA has validated review information as safe, accurate or appropriate.
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We reserve the right to correct typographic, photographic and/or descriptive errors.


text:
Now see our gallery of booth cars and babes from the SEMA 2013 show from Las Vegas.
Watch as three BMW E92 M3 Coupes perform in the 2013 Beijing Air Show.
A BIMMERPOST member brings us some great first day coverage from the SEMA 2013 show.
Parts 2 and 3 will come tomorrow.
From AUTOcouture:
A couple of our shop cars are on 20″ HRE wheels. Black and Yellow is on S101′s in gun metal and Sal's Melbourne is on brushed P101′s. We tried to avoid civilization by getting out into the sticks a little bit.
Follow this M3POST member's great European Delivery journal from a 17 day adventure through Europe. Make sure your bandwidth is free as there are hundreds of photos to view!
The E9x M3 generation is about to come to an official end, as BMWNA confirms that the E93 M3 Convertible (the only E9x M3 still being made) ends production this month.
Per BMWNA announcement:
M3 Coupe and Convertible
There won't be a 2014 M3 Coupe and Convertible in the US market, production of the M3 Coupe ended in June 2013 while the M3 Convertible will be produced until October 2013.
Evolve held an open house day at their new premises this past Saturday. A great mix of cars turned up including E92 M3s (even an E91 M3), E46 M3s including a few CSLs, E36 M3s including some GT2s, E60 M5s, E39 M5s and an E34 M5.
Check out some sights inside.
Check out the first San Marino Blue Individual M3 that we have seen.
This is a custom order E93 M3 convertible in San Marino Blue Individual exterior with Fox Red interior.


text:
End of Watch has a running time of and is rated R by the MPAA for strong violence, some disturbing images, pervasive language including sexual references, and some drug use.
RottenTomatoes: 85%
SYNOPSIS: A powerful story of family, friendship, love, honor and courage, End of Watch stars Gyllenhaal and Peña as young Los Angeles police officers Taylor and Zavala as they patrol the city's meanest streets of south central Los Angeles.
Giving the story a gripping, first-person immediacy, the action unfolds entirely through footage from the handheld HD cameras of the police officers, gang members, surveillance cameras, and citizens caught in the line of fire to create a riveting portrait of the city's most dangerous corners, the cops who risk their lives there every day, and the price they and their families are forced to pay.
The cast includes Jake Gyllenhaal, Michael Peña, Anna Kendrick, America Ferrera, Frank Grillo, Cody Horn and David Harbour.
- Watch NowTrailer "#2"
- Watch NowRed Band Trailer
- Watch NowTrailer


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Informatics Systems
JGI publishes all its sequenced genomes on its Genome Portal. Here you can download sequence files, BLAST against a particular genome, and view annotations. Advanced tools, including genome, GO, KEGG, and KOG browsers, are available for eukaryotes. JGI's Genome Browser lets you browse through JGI-predicted genes, view sequences, and study detailed alignments with nucleotide and amino acid sequences from relevant sequence databases. The JGI Mycocosm web-portal provides data access, visualization, and analysis tools for comparative genomics of fungi. Mycocosm enables users to navigate across sequenced fungal genomes, and to conduct comparative and genome-centric analyses of fungi and community annotation. |
The Integrated Microbial Genomes (IMG) system serves as a community resource for comparative analysis and annotation of all publicly available genomes from three domains of life, in a uniquely integrated context. IMG with Microbiome Samples (IMG/M) provides tools for analyzing the functional capability of microbial communities based on their metagenome sequence, in the context of reference isolate genomes included from the IMG system. IMG Education Site (IMG/EDU) provides training and teaching support for genome analysis applied to the annotation of microbial genomes. IMG Expert Review (IMG/ER) provides support to individual scientists or groups of scientists for functional annotation and curation of microbial genomes of interest, usually prior to their release to Genbank. Additionally, IMG with Microbiome Samples Expert Review (IMG/M-ER), and IMG for the Human Microbiome Project (IMG-HMP). |
VISTA is a comprehensive suite of programs and databases for comparative analysis of genomic sequences. There are two ways of using VISTA - you can submit your own sequences and alignments for analysis (VISTA servers) or examine pre-computed whole-genome alignments of different species. Group lead, Inna Dubchak | The Phytozome project organizes the proteomes of green plants into gene families defined at nodes on the green plant evolutionary tree. You can study the evolutionary history of a gene of interest from one of the included proteomes or place a gene from a different plant in the most appropriate gene family. Alternatively, you can BLAST search and browse the genomes of any of the included green plants. Phytozome makes it easy to move back and forth between organism-centric and gene family-centric views. |
GenePRIMP (Gene PRediction IMprovement Pipeline) is a pipeline that consists of a series of computational units that identify erroneous gene calls and missed genes and correct a subset of the identified defective features. The input to GenePRIMP needs to be a file of gene calls in GenBank or EMBL format. As its output, GenePRIMP generates reports of identified gene prediction anomalies. | FAMeS provides access to simulated datasets and aims to facilitate standardized benchmarking of tools for metagenomic analysis. To evaluate methods currently used to process metagenomic sequences, simulated datasets of varying complexity were constructed by combining sequencing reads randomly selected from 113 isolate genomes. These datasets were designed to model real metagenomes in terms of complexity and phylogenetic composition. |
"Gap Resolution" software (available for academic use): Gap Resolution was developed by DOE Joint Genome Institute to improve Newbler genome assemblies by automating the closure of sequence gaps caused by repetitive regions in the DNA. If you are interested in acquiring this software, please contact email@example.com For more information, download the poster. |
"Polisher" (available for academic use): Polisher is a software package designed to facilitate the error correction of an assembled genome using Illumina read data by automatically correcting consensus errors and/or suggesting primer walking reactions to improve the base quality. If you are interested in acquiring this software, please contact email@example.com For more information, download the poster. |
"Rnnotator" software: To address challenges related to comprehensive annotation and quantification of transcriptomes, Rnnotator was developed by a team at the JGI to provide an automated software pipeline that generates transcript models by de novo assembly of RNA-Seq data without the need for a reference genome. It is freely available to academic users by request: email@example.com |


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