text: Heart 1998;79:45–49 45 Midodrine: a role in the management of neurocardiogenic syncope C R Ward, J C Gray, J J Gilroy, R A Kenny Cardiovascular Investigation Unit, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK C R Ward J C Gray J J Gilroy R A Kenny Correspondence to: Professor Kenny. email: firstname.lastname@example.com Accepted for publication 28 May 1997 Abstract Objective—To determine the benefit of midodrine, an agonist, on symptom frequency and haemodynamic responses during head up tilt in patients with neurocardiogenic syncope. Setting—Cardiovascular investigation unit (a secondary and tertiary referral centre for the investigation and management of syncope). Patients—16 outpatients (mean (SD) age 56 (18) years; five men) with frequent hypotensive symptoms (more than two syncopal episodes and fewer than 20 symptom free days per month), and reproducible syncope with glyceryl trinitrate (GTN) during head up tilt. Design and intervention—Randomised double blind placebo controlled study. Patients were randomised to receive either placebo or midodrine for one month. Symptom events were recorded during each study month. At the end of each study month patients completed a quality of life scoring scale (Short Form 36) and a global assessment of therapeutic response. They received GTN with head up tilt for measurement of heart rate (electrocardiography), phasic blood pressure (digital photoplethysmography), and thoracic fluid index (transthoracic impedance plethysmography) during symptom provocation. Results—Patients administered midodrine had an average of 7.3 more symptom free days than those who received placebo (95% confidence interval (CI) 4.6 to 9; p < 0.0001). Eleven patients reported a positive therapeutic response with midodrine (p = 0.002). All domains of quality of life showed improvement with midodrine, in particular physical function (8.1; 95% CI 3.7 to 12.2), energy and vitality (14.6; 95% CI 7.3 to 22.1), and change in health status (22.2; 95% CI 11 to 33.4 ). Fourteen patients who were given placebo had tilt induced syncope compared with six given midodrine (p = 0.01). Baseline supine systolic blood pressure was higher and heart rate lower in patients who received midodrine than in those who were given placebo ( p < 0.05). A lower thoracic fluid index in patients administered midodrine indicates increased venous return when supine and during head up tilt. There were no serious adverse eVects. Conclusions—Midodrine had a conspicuous beneficial eVect on symptom frequency, symptoms during head up tilt, and quality of life. Midodrine is recom- mended for the treatment of neurocardiogenic syncope in patients with frequent symptoms. (Heart 1998;79:45–49) Keywords: midodrine; neurocardiogenic syncope; head up tilt test Syncope has many causes but the most common for all age groups is neurocardiogenic syncope, which is characterised by hypotension or bradycardia, or both, during symptoms.1 Upright posture in normal individuals increases venous pooling and is usually compensated for by a baroreflex mediated increase in heart rate and peripheral vasoconstriction.2 Vigorous contraction of an underfilled ventricle causes activation of aVerent mechanoreceptors and in individuals susceptible to neurocardiogenic syncope this rapid increase in aVerent neural activity is thought to produce a centrally mediated paradoxical decrease in heart rate and peripheral vasodilatation resulting in hypotension.3 4 The exact mechanism remains controversial, but reproduction of syncope during head up tilt is attributed to the described sequence of events often termed the Bezold Jarisch reflex. A head up tilt table test consists of positioning the patient in a 70° head up posture while monitoring heart rate and blood pressure. The test has been used increasingly to reproduce symptoms and haemodynamic changes in susceptible individuals with a clinical history suggestive of neurocardiogenic syncope.5–8 Prolonged head up tilt is often used as a diagnostic test for neurocardiogenic syncope and its sensitivity is increased with concurrent administration of intravenous isoprenaline and sublingual or intravenous glyceryl trinitrate (GTN).9–11 Management of patients with recurrent neurocardiogenic syncope also remains controversial, in particular the role of pacing.12 Permanent pacing is appropriate for only a few patients with predominant cardioinhibition, while those with vasodepression are oVered a range of treatments including blockade, disopyramide, theophylline, fludrocortisone, and etilefrine. There are few randomised placebo controlled studies of these medical treatments. We have previously reported symptom relief in a man with recurrent vasodepressor syncope using midodrine, a specific adrenergic receptor agonist with a low adverse eVect profile.13 Midodrine binds to receptors of arteriolar and venous vasculature, thereby resulting in enhanced peripheral vascular tone and reduced venous pooling. 46 Ward, Gray, Gilroy, et al The aim of this study was to assess whether midodrine influences symptom frequency and haemodynamic responses to head up tilt in patients with neurocardiogenic syncope. Patients and methods Patients in this double blind placebo controlled cross over study were randomised to receive either midodrine (5 mg three times daily) or placebo for one month at the end of which there was a seven day wash out period during which no study medication was administered followed by a further month when alternative treatment was given. There were five study visits and medication was dispensed on the second and fourth visits. Patients were randomly assigned to the regimen using a computer program in the pharmacy department; the code was not broken until the end of the study. Each visit was scheduled at the same time of day and no food, sweetened drinks, or caVeine containing beverages were consumed before each visit. Patients were instructed to take one tablet three times daily: the first dose on arising in the morning, the second at midday, and the third during late afternoon but not after 1800. Thirty four patients with a history of frequent hypotensive symptoms of dizziness (more than two episodes per week), syncope (more than two episodes per month) attributed to neurocardiogenic syncope and who were not taking hypotensive medication and attended a syncope outpatient service were assessed. All patients underwent a passive head up tilt test to 70° for 30 minutes (Akron foot plate assisted tilt table) with reproduction of hypotensive symptoms during head up tilt. Because a standard repeatable and comparative test was required in all patients, those with a positive passive head up tilt also underwent a head up tilt study to 70° after administration of 400 µg sublingual GTN (GTN-HUT).7 8 Symptomatic hypotension was defined as a reduction in systolic blood pressure of greater than 50 mm Hg from baseline (resting for 15 minutes) with exact symptom reproduction during tilt. Blood pressure was continuously monitored during rest and tilt by phasic beat to beat measurement (digital photoplethysmography; Finapres: Ohmeda).14 15 Heart rate was recorded by surface electrocardiography and a third haemodynamic factor, the thoracic fluid index (TFI), was measured by transthoracic impedance plethysmography (Bomed: NCCOM3-R7; Kimal Products, Uxbridge, UK).16 17 Patients were initially rested supine for 15 minutes after which phasic blood pressure and heart rate were measured until steady baseline readings were obtained. Patients then received 400 µg sublingual GTN and were tilted upright to 70° with continuous measurement of haemodynamic variables for 30 minutes or until symptoms developed. The TFI measures thoracic resistance to the flow of a high frequency, low magnitude alternating current between electrodes placed at the root of the neck and the diaphragm. Conductivity of the thorax is determined by a delicate, but well defined balance among conductive blood and fluids, much less conductive intrathoracic tissues, and non-conductive air in the lungs. The TFI is therefore a non-invasive measure of subtle thoracic fluid change as seen in patients with decreased venous return during upright posture; less fluid in the thorax results in reduced conduction and thus larger TFI values. Measurement of changes in patients daily symptoms and quality of life were coupled with the haemodynamic and symptomatic responses during GTN-HUT. Patients kept a daily record of hypotensive symptoms such as dizziness, falls, and blackouts. At the end of each study period assessment of the way in which hypotensive symptoms influenced daily living was aided by use of the Short Form 36 (SF 36), a standardised and semistructured quality of life assessment scoring scale.18 The SF 36 is a well validated tool that measures perceived health status by scoring responses to standardised questions in eight domains: (1) physical function; (2) role limitation: a) physical and b) mental; (3) social function; (4) mental health; (5) energy; (6) health perception; (7) change in health; and (8) pain. For the purpose of this study body pain scores were not completed. Patients also provided a global assessment of the therapeutic response to medication using a visual analogue scale: a positive response was taken as a score of more than 5 on a scale of 1 to 10 (poor to excellent). GTN-HUT stimulus was repeated on the first visit to ensure a reproducible symptomatic and haemodynamic response; the patient was instructed to keep a diary card for one month. On review of the diary card at the second visit those with fewer than two syncopal events or more than 20 symptom free days or an asymptomatic GTN-HUT were excluded. Sixteen patients were invited and agreed to participate in the study. All had reproducable hypotension and syncope during GTN-HUT on two separate study visits and symptom frequency as detailed earlier. The initial dose of medication (midodrine/ placebo) for the first study period was then administered and one hour later blood pressure and heart rate were measured supine to ensure a systolic blood pressure value of no greater than 180 mm Hg and a heart rate of no lower than 60 beats/min (peak serum concentrations of midodrine occur at one hour). Patients were discharged with instructions to take one tablet three times each day and record symptoms daily for one month. On the third visit patients completed SF 36 and provided a global assessment of symptoms during the previous month. Patients then took a morning dose of medication and one hour later had a repeat GTN-HUT. Patients were asked to return after a seven day wash out period during which time no medication was taken. On the fourth visit medication was supplied for the second treatment period and blood pressure and heart rate were recorded one hour after dosing. Patients were then discharged with a diary card. On the fifth visit patients completed SF 36 and provided global assessment of benefit from treatment. Patients had Midodrine in the management of syncope Table 1 Supine measurements and haemodynamic changes during GTN-HUT at the end of pretreatment (baseline), placebo, and midodrine study periods Study period Heart rate (beats/min) Change in heart rate SBP (mm Hg) 127.0 (18) 124.4 (20) 141.4 (26)* 66 (25) 65 (22) 71 (16) −71 (24) −69 (19) −73 (18) 47 Change in SBP DBP (mm Hg) Time (mins) 66.7 (9) 66.2 (11) 70.4 (13) 6.4 (2) 6.3 (3) 8.8 (2) Steady state before tilt (n = 16) Baseline 74.6 (8) Placebo 75.5 (9) Midodrine 69.8 (9)* At the time of symptoms during tilt (positive responders only) Baseline (n = 16) 68 (10) −7 (11) Placebo (n = 14) 71 (11) −9 (8) Midodrine (n = 6 ) 68 (15) −6 (12) Values are mean (SD). *p < 0.05. SBP, systolic blood pressure; DBP, diastolic blood pressure. GTN-HUT one hour after the morning dose of medication. All patients completed the study. STATISTICAL ANALYSIS The number of symptom free days, and supine blood pressure, heart rate and TFI values were normally distributed and a standard matched pairs t test was used to test for treatment and carry over eVects. Syncope during tilt and the therapeutic response are both binary outcomes and Prescott's test was used to test for treatment and carry over eVects. Results Sixteen patients (five men; mean (SD) age 56 (18) years) were studied. All had symptomatic hypotension provoked by GTN-HUT at least twice and in the month before the study had a median of four syncopal events (range 2–8) and eight symptom free days (range 0–16). The study was a 2 × 2 cross over: group 1 received placebo for the first 28 days (period 1) and midodrine for the second (period 2); while group 2 received midodrine for period 1 and placebo for period 2. Six outcome variables were analysed: syncope during GTN-HUT; supine TFI; change in TFI during the first two minutes of tilt; the number of symptom free days; therapeutic response; and quality of life assessment (SF 36). All patients had GTN-HUT at the end of the first and second study periods. There were four possible combinations of symptom responses during GTN-HUT: no syncope at the end of the first and second periods; syncope at the end of first and second periods; syncope at the end of the first period but not the second; or no syncope at the end of the first period but syncope at the end of the second. Eight patients showed the same response at the end of each period (two without syncope and six with syncope). The remaining eight, however, experienced syncope at the end of the placebo period but no syncope at the end of the midodrine period (p = 0.01). There was no significant carry over eVect; therefore, midodrine significantly reduced reproduction of symptoms during provocative testing. Heart rate and systolic blood pressure measured during stable state in a supine posture (mean of three readings) were significantly different between patients receiving placebo and those given midodrine. Patients who received midodrine had a lower heart rate and higher systolic blood pressure (p < 0.01). Haemodynamic responses at the onset of symptoms during GTN-HUT in positive responders did not diVer between patients given placebo and those administered midodrine; but the time taken to the onset of symptoms in patients who received midodrine was consistently prolonged than in those given placebo (table 1). The supine TFI was similarly measured at the end of each study period. TFI was on average 1.48 lower in the midodrine period than in the placebo period (95% confidence interval (CI) 0.84 to 2.14; p < 0.01) with no evidence of a treatment carry over eVect. There were no patients with presyncopal symptoms or syncope during the initial two minutes of GTNHUT. The maximum increase in TFI at two minutes during GTN-HUT was on average 1.9 lower in patients given midodrine than those given placebo (95% CI 1.1 to 2.7; p < 0.01). Fourteen patients experienced more symptom free days during the midodrine period; two patients experienced no symptom free days in either period (fig 1). Patients who received 28 21 Number of symptom free days 14 7 0 Placebo Treatment Figure 1 Number of symptom free days during midodrine (treatment) or placebo study periods. 48 Ward, Gray, Gilroy, et al midodrine had an average of 7.3 more symptom free days than those given placebo (95% CI 4.6 to 9.9; p < 0.0001) with no carry over eVect. Patients were asked about their therapeutic response at the end of each treatment period. This was marked on a scale of 1 to 10 (poor to excellent) and dichotomised by taking a cut off greater than 5 as a positive response. This dichotomous response was analysed, with four possible combinations of responses: no therapeutic response in either the first or second periods; therapeutic response in the first and second periods; therapeutic response in the first period but not the second; and no therapeutic response in the first period but present in the second. No evidence of a carry over eVect was found and so a formal test of treatment eVect was performed. Five patients had no therapeutic response for either period, while the remaining 11 reported a positive therapeutic response after the midodrine period but not after placebo (p = 0.002). Seven sets of quality of life scores from SF 36 were reviewed. Each set showed significantly improved scores during midodrine treatment. The results are expressed as the mean improvement in score between placebo and midodrine treatments, in particular physical function 8.1 (95% CI 3.7 to 12.6), energy and vitality 14.6 (95% CI 7.3 to 22.1), and change in health 22.2 (95% CI 11.0 to 33.4). Four patients reported minor pilomotor reactions (goosebumps, tingling, and chills) with midodrine. Otherwise no adverse eVects were reported. Discussion Neurocardiogenic syncope is characterised by a baroreceptor mediated hypotensive/bradycardic response to orthostatic stress. Head up tilt induces venous pooling with an associated decrease in cardiac output, which stimulates a baroreceptor mediated sympathetic response resulting in an increase in vascular tone and heart rate.3 4 This increased heart rate and inotropy coupled with reduced venous return, however, stimulates mechanoreceptors that may be situated in the wall of the left ventricle, which in susceptible individuals can trigger a centrally mediated withdrawal of sympathetic tone to the peripheral vasculature and an increased parasympathetic response, resulting in vasodilatation and bradycardia. The role of venous capacitance in enhancing venous pooling is unclear, but recent studies have indicated that calf vein volumes are increased in upright patients with syncope compared with those in asymptomatic controls.19 Recent concerns about the reproducibility of haemodynamic responses to head up tilt have questioned its role in assessing the eYcacy of diVerent therapeutic interventions.20 21 Consequently, a placebo controlled cross over study design was used with GTN adminstration during head up tilt as a rigorous orthostatic stimulus. Nitrates produce venous dilatation and hence a reduction in ventricular filling pressures and volumes that can cause circulatory collapse in susceptible individuals.22 Studies with sublingual and intravenous GTN have shown increased diagnostic yield for head up tilt while maintaining specificity for all adult age groups.7 8 Morillo et al23 and Fitzpatrick et al24 showed that 25% and 30%, respectively, of patients had a negative third head up tilt result after two consecutive positive results. In this study patients were required to have two consecutive positive head up tilt test results with GTN before study entry, however only two of the 16 patients had a negative result with a third head up tilt test when given placebo. Patients with frequent and severe symptoms were chosen to participate in the study, thus justifying the short treatment period of one month. The wash out period ensured that symptom reproduction in the second treatment period was not influenced by syncope occurring during head up tilt at the end of the first treatment period. Management of patients with recurrent neurocardiogenic syncope remains controversial, in particular the role of pacing. Although the term vasovagal implies a significant bradycardic component in addition to hypotension, few people receive pacemakers because the dominant symptomatic response is due to hypotension.25 26 The criteria for pacing vary from no intervention to permanent physiological systems in patients who develop more than three second asystole or a bradycardia of less than 40 beats/min during orthostatic stress.27 Many pharmacological interventions have successfully prevented neurally mediated syncope by arterial vasoconstriction (etilefrine), suppression of the response to circulating catecholamines and sympathetic overactivity ( 1 adrenergic blocking agents, disopyramide, theophylline), or volume expansion (fludrocortisone),28–30 while other agents such as fluoxetine modify the baroreflex response centrally. To our knowledge there are only three published placebo controlled studies of pharmacological intervention ( blockers, disopyramide, and etilefrine) and they show no diVerence in the recurrence rate of syncope for patients treated with drug or placebo.23 30 31 Midodrine is a potent peripherally acting 1 agonist that is well absorbed and rapidly metabolised to its active metabolite desglymidodrine in the systemic circulation. It has a plasma half life of approximately three hours. Oral or intravenous midodrine causes an increase in supine and standing blood pressure by increasing peripheral vascular resistance with a modest reduction in heart rate from counter regulatory enhancement of parasympathetic activity. This beneficial vasoconstrictor eVect of midodrine compares favourably with that of other sympathomimetic agents32 33 and the baseline supine haemodynamic data from this study support this eVect of midodrine on systolic blood pressure and heart rate. Midodrine also decreases venous capacity, even at doses that do not substantially influence blood pressure: a single 5 mg intravenous bolus of midodrine decreases venous capacity in healthy volunteers by up to 64%.34 The TFI, as measured by transthoracic impedance plethysmography, is a sensitive indicator of subtle changes in thoracic fluid content: the more fluid within the thoracic cavity the Midodrine in the management of syncope 49 lower the TFI as resistance to the alternating current falls. The supine TFI and change in TFI during head up tilt were significantly lower during the midodrine period, supporting its role as a venoconstrictor. Midodrine may therefore have a role in treating neurocardiogenic syncope by promoting arterial vasoconstriction (to counter the falling blood pressure) and venoconstriction (to maintain preload), which coupled with its lack of agonist eVects may prevent the onset of neurally mediated hypotension in susceptible patients.35 The findings of this study support the role of midodrine in the treatment of neurocardiogenic syncope. Syncope rates during head up tilt were significantly reduced for a group of patients with recurrent syncope and reproducible vasodepressor response to head up tilt. These improved haemodynamic responses to head up tilt were coupled with significant reductions in hypotensive symptoms during the treatment period and unequivocal benefit in three major domains of quality of life: physical function, energy and vitality, and change in health. The impact of syncope on quality of life should not be underestimated. Linzer et al36 have shown that recurrent neurocardiogenic syncope can result in significant psychosocial and physical limitation similar to that experienced in patients with chronic rheumatoid arthritis or moderately severe chronic lung disease.36 The study group here is too small to predict which patients with neurocardiogenic syncope will most benefit from treatment with midodrine; however, the results support the use of midodrine in those with predominantly vasodepressor neurocardiogenic syncope. 1 Abi-Samra F, Malony JD, Fouad-Tarazi FM, et al. The usefulness of head-up tilt testing and haemodynamic investigation in the work up of syncope of unknown origin. PACE 1988;11:1202–14. 2 Hainsworth R, Al-Shamma YMH. Cardiovascular responses to upright tilting in healthy subjects. Clin Sci (Colch) 1988;74:17–22. 3 van Lieshout JJ, Wieling W, Karemaker JM, et al. The vasovagal response [editorial]. Clin Sci (Colch) 1991;81: 575–86. 4 Grubb BP, Kosinski D. Current trends in etiology, diagnosis, and management of neurocardiogenic syncope. Curr Opin Cardiol 1996;11:32–41 5 Hargreaves AD, Boon NA. Head-up tilt testing: the balance of evidence. Br Heart J 1994;72:216–17. 6 Kenny RA, Bayliss J, Sutton R. Head-up tilt: a useful test for investigating unexplained syncope. Lancet 1986;i:1352–4. 7 Benditt DG, Remole S, Balin S, et al. Tilt table testing for evaluation of neurally-mediated (cardioneurogenic) syncope: rationale and proposed protocols. PACE 1991;14: 1528–37. 8 Fitzpatrick A, Sutton R. Tilting towards a diagnosis in recurrent unexplained syncope. Lancet 1989;i:658–69. 9 Raviele A, Gasparini G, Menozzi C, et al. Value of head-up tilt testing potentiated with sublingual nitroglycerin to assess the origin of unexplained syncope. Am J Cardiol 1995;76:267–72. 10 McIntosh S, Lawson J, da Costa D, et al. Use of sublingual glyceryl trinitrate during head-up tilt: a provocative test for reproduction of neurocardiogenic symptoms in unexplained syncope. Cardiology in the Elderly 1996;4:33–7. 11 Almquist A, Goldenburg IF, Milstein S, et al. Provocation of bradycardia and hypotension by isoproterenol and upright posture in patients with unexplained syncope. N Engl J Med 1989;320:346–51. 12 Grubb BP, Temesy-Amos P, Moore J, et al. Head-upright tilt table testing in evaluation and management of the maliganant vasovagal syndrome. Am J Cardiol 1992;69:904–8. 13 Ward CR, Kenny RA. Observations on midodrine in a case of vasodepressor neurogenic syncope. Clin Auton Res 1995; 5:257–60. 14 Petersen MEV, Williams TR, Sutton R. A comparison of non-invasive continuous finger blood pressure measurement (Finapres) with intra-arterial pressure during prolonged head-up tilt. Eur Heart J 1995;16:1647–54. 15 Imholz BPM, Settels JJ, van den Meiracker AH, et al. Noninvasive beat to beat finger blood pressure measurement during orthostatic stress compared to intraarterial pressure. Cardiovasc Res 1990;24:214–21. 16 Kubicek WG, Karnegis JM, Patterson RP, et al. Development and evaluation of an impedance cardiac output system. Aerospace Medicine 1966;37:1208–12. 17 Kubicek WG, Karnegis JM, Patterson RP, et al. Impedance cardiography as a non-invasive method to monitor cardiac function and other parameters of the cardiovascular system. Ann NY Acad Sci 1970;170:724–32. 18 McHorney CA, Ware JE, Raczek AE. The MOS 36ItemShort Form Health Survey (SF-36) II. Psychometric and clinic al tests of validity in measuring physical and mental health constructs. Med Care 1993;31:247–63. 19 Hargreaves A, Muir A. Lack of variation in venous tone potentiates vasovagal syncope. Br Heart J 1992;67:486–90. 20 Moya A, Permanyer-Miralda G, Sagrista-Sauleda J, et al. Limitations of head-up tilt test for evaluating the eYcacy of therapeutic interventions in patients with vasovagal syncope: results of a controlled study of etilefrine versus placebo. J Am Coll Cardiol 1995;25:65–9. 21 Kapoor WN, Smith MA, Miller NL. Upright tilt testing in evaluating syncope: a comprehensive literature review. Am J Med 1994;97:78–88. 22 Come PC, Pitt B. Nitroglycerin-induced severe hypotension and bradycardia in patients with acute myocardial infarction. Circulation 1976;54:624–8. 23 Morillo CA, Leitch JW, Yee R, et al. A placebo controlled trial of intravenous and oral disopyramide for prevention of neurally mediated syncope induced by head-up tilt. J Am Coll Cardiol 1993;22:1843–8. 24 Fitzpatrick A, Ahmed R, Williams S, et al. A randomised trial of medical therapy in "malignant vasovagal syndrome" or "neurally-mediated bradycardia/hypotension syndrome". European Journal of Cardiac Pacing and Electrophysiology 1991;2:99–102. 25 Goldstein DS, Spannarkel M, Pitterman A, et al. Circulatory control mechanisms in vasodepressor syncope. Am Heart J 1982;104:1071–5. 26 Sra JS, Anderson AJ, Sheikh SH, et al. Unexplained syncope evaluated by electrophysiological studies and head-up tilt testing. Ann Intern Med 1991;114:1013–19. 27 Sutton R, Peterson M, Brignole M, et al. Proposed classification for tilt-induced vasovagal syncope. European Journal of Cardiac Pacing and Electrophysiology 1992;2:180– 3. 28 Milstein S, Buetitikofer J, Dunnigan A, et al. Usefulness of disopyramide for prevention of upright tilt induced hypotension-bradycardia. Am J Cardiol 1990;65:1339–44. 29 Ferguson DW, Thomes MD, Mark AL. EVects of propranolol on reflex vascular responses to orthostatic stress in humans: role of baroreceptors. Circulation 1983;67:802–7. 30 Natale A, Sra J, Dhala A, et al. EYcacy of diVerent treatment strategies for neurocardiogenic syncope. PACE 1995;18: 655–62. 31 Brignole M, Menozzi C, Gianfranchi L, et al. A controlled trail of acute and long term medical therapy in tilt-induced neurally mediated syncope. Am J Cardiol 1992;70:339–42. 32 Jankovic J, Hiner BC, Brown DC. Neurogenic orthostatic hypotension: a double-blind, placebo-controlled study with midodrine. Am J Med 1993;95:38–48. 33 Kaufmann H, Brannan T, KrakoV L, et al. Treatment of orthostatic hypotension due to autonomic failure with a peripheral alpha-adrenergic agonist (midodrine). Neurology 1988;38:951–6. 34 Erhringer H. Studies on the peripheral haemodynamics in man after intravenous infusion of a small dose of di-1-(2',5'-dimethoxyphenyl)-2-glycinamido-ethanol-(1)hydrochloride. Int J Clin Pharmacol Ther Toxicol 1971;4: 415–20. 35 Piwinski SE, Jankovic J, McElligot MA. A comparison of post space flight orthostatic intolerance to vasovagal syncope and autonomic failure and the potential use of the alpha-agonist for these conditions. J Clin Pharmacol 1994; 34:466–71. 36 Linzer M, Pontinen M, Gold D. Impairment of physical and psychosocial function in recurrent syncope. J Clin Epidemiol 1991;44:1037–43.


text:
The term "pink slime" has been thrown around a lot recently and sounds more like a consequence on a game show than what it really is –an inexpensive filler used in meat that consists of beef trimmings.
Pink slime has become on the minds of shoppers at Watertown markets.
, a small Watertown market that carries its own meat, has experienced an influx of inquisitive customers who now make sure to ask about pink slime before buying any beef. Manager, Michael Caira, gave an insight of a normal day at the store with customers who have this new knowledge,
"They recently have been asking, 'Oh, you don't use it [pink slime] right?"
And their answer is always no, as they grind their own hamburger fresh everyday. Although Caira says there has not been enough time to see a significant increase in revenue, what he has seen is an increase in questions and satisfaction from customers.
"We made it known that we don't use it and its reassurance to customers whose reaction is always, 'Oh, good!" said Caira.
So, what exactly is pink slime?
Also known as finely textured lean beef, according to ABC News, this product is an inexpensive filler used in meat that consists of beef trimmings. The trimmings are collected by putting them under heat, which makes the fat separate from the muscle. The process is completed by treating what is gathered with ammonia to kill the bacteria that the trimmings inevitably contain.
All of this is done so meat companies can save money on producing fresh ground beef and use this substitute instead. The ABC News report found startling numbers claiming that until recently, pink slime was added to 70 percent of all ground beef sold at grocery stores and also to fast food and school lunches.
Before this controversy blew up, many shoppers did not think twice about what their meat contained, but after the beef hit the fan people are more careful about what they are buying.
, another Watertown butcher shop that sells fresh meat, steers clear of pink slime. An employee of the deli said that he has seen many new customers recently and the majority of them come in to buy hamburger meat.
"I cut the meat right in front of them and have never mixed anything in it and they see that," he said.
The Wall Street Journal reports on the economic hit that meat distributors have faced since the news of pink slime broke. At least some places, like Coolidge Variety and Deli, are benefiting from it. They have seen an increase in revenue from customers who have jumped ship from the big grocery chains to local butchers to buy their meat.
According to ABC News, Beef Products Inc., the main manufacturer and pink slime creator discontinued production of the filler in three out of four of their plants earlier this week, but the actions of Watertown residents has shown the shift towards buying fresh beef has helped some local butchers.

subset: commoncrawl


text:
Browse Jobs
Salary Calculator
Job Statistics
Job Search Tips
About Us
Top 10 Careers
The year's hottest jobs are hiring in droves, paying well, and providing room to grow.
Registered Nurse
Software Developer
Medical Assistant
Database Administrator
Web Developer
Computer Systems Analyst
Physical Therapist
Computer Programmer
Trending Now
Amazon hopes to swipe market share with mobile payment app
NEW YORK — Amazon is taking direct aim at mobile payment systems such as Square by introducing the Amazon Local Register, a credit card processing device and mobile app designed to help small …
Banking on the boom: Five minutes with Colter DeVries
Colter DeVries, a business relationship manager with Wells Fargo Bank in Billings, has been getting a firsthand view of the energy boom in North Dakota and Eastern Montana. When bank managers …
Montana Energy Quarterly: Carbon capture research project under way in Montana
The effort to address climate change has gone underground, in a matter of speaking.
Women business owners at a disadvantage when seeking bank loans
Women are a growing force in the business world, but if they own a company, they may still struggle to get a loan from a bank.
Architects, designers preparing for a changing climate
There's little question many architects and builders are convinced of the threat of climate change and are urging clients to plan for a future of weather extremes.
Google, Barnes & Noble team up to promote same-day book delivery
Google and Barnes & Noble, taking on their mutual rival Amazon.com, have paired up to offer same-day delivery of books purchased online.
Battle in the Bull Mountains: Northern Plains files suit to overturn coal lease
Cracks in the ground, some deeper than a man's height, are cropping up on hillsides in the Bull Mountains.
Cloud Peak taking more active role in coal debate: 'We want it to be a factual discussion'
DECKER — The 300-foot dragline juts into southern Montana skyline like an industrial tower, a titan among giant equipment at Cloud Peak Energy's Spring Creek Mine.
Billings lodging options expand with opening of La Quinta Inn
The hotel boom in Billings continued last week with the opening of La Quinta Inn and Suites on the West End, and lodging experts say the boom should continue through the rest of the year.
Mall of America targets North Dakota oil workers
BISMARCK, N.D. — The largest shopping mall in the country is targeting workers in one of the nation's top oil-producing areas.
EPA to open environmental crimes office in N.D.
BISMARCK, N.D. — For the first time and because of environmental issues in the Bakken oil fields, an office of the Environmental Protection Agency's Criminal Investigation Division will open i…
Fichtner Chevrolet sells to Rimrock Auto Group
LAUREL — In 1961, 21-year-old Leonard Fichtner became the youngest General Motors franchise owner in history after acquiring the family business from his father. As far as he knows, there has …
United flights between Williston and Houston begin
WILLISTON, N.D. — Flights between the North Dakota oil patch hub of Williston and Houston are now underway.
Tribe official: Tests not shared on brine spill
WHITE SHIELD, N.D. — The environmental director of an American Indian tribe said he's been shut out of the tribe's response to a massive saltwater spill on its North Dakota reservation, and cr…
Scheels offers sneak peek of new store
Most of the vests, hunting gear, fishing poles and exercise equipment are in place at the new Scheels Sporting Goods store on Billings' West End.
U.S. agencies build worker housing in North Dakota
DICKINSON, N.D. — Construction is set to begin on temporary housing for federal workers in western North Dakota.
Interview & Resume Tips
Salary Calculator
Job Statistics
© 2014 Best-Job-Today.com |


text: Turns out RealNetworks isn't just getting into the business of cleaning up iTunes music libraries. The digital media pioneer, trying to turn around its broader business, also plans new photo and video tools as part of its effort to reinvent itself for the age of cloud computing. The new $39 "Rinse" music cleanup program from… Read More


text:
More Articles for Polar Vortex Part 2
Illinois Tollway deploys 'Zero Weather Road Patrols'
Subzero temperatures last week started again sweeping through the Midwest and other areas as part of what has been dubbed as "Polar Vortex Part 2." (The first Polar Vortex hit much of the country in early January, bringing temps as ... Read More...
Read More...
VDOT tackles winter storm with 12-hour shifts
The Virginia Department of Transportation (VDOT) is putting plenty of hours and resources into snow and ice control on state roads.
VDOT crews are working 12-hour shifts and using 2,000 pieces of snow removal equipment to clear roads during the most ... Read More...
Read More...
Extreme winter weather causes massive semi, vehicle pileup (PHOTOS)
Another round of extreme winter weather, including subzero temps and whiteout conditions, has hit some areas of the United States, which is being dubbed by some as "Polar Vortex Part 2."
In Northwestern Lake County, Indiana, more than two feet of ... Read More...
Read More...
- Think you're a good driver? Try staying in these crooked lanes [VIDEO]914 Views
- Vehicles covered in oil and grime after construction project gone wrong864 Views
- Turn Around! FDOT seeking ways to alert wrong-way drivers633 Views
- VIDEO: Semi hauling an excavator plows through a guardhouse while pulling onto college campus383 Views
- How to become a more productive highway construction worker350 Views


text:
10-year-old catches newborn dropped from second floor
A 10-year-old Georgia girl is being called a hero after she caught a newborn baby dropped to safety by its mother from a second-floor window as fire engulfed their apartment building.
Authorities say Zna Gresham caught the 1-month-old baby, one of three young children dropped from the second-story window on Thursday at the Arbors at North Decatur in the Atlanta suburb of Decatur.
The girl credited her aunt for holding a door open so she and her family members could escape the fire, allowing her to then catch the baby.
WSB-TV reported that three young children and two adults were hospitalized, but they are all expected to survive.
Authorities said the fire appeared to have started in a kitchen in a first-floor unit of the complex.
Autumn, the giraffe, delivers stillborn calf
Upstate letter carrier saves baby's life
Police: Man wanted for dragging woman inside apartment, choking her
CPD: Man jumped off Ravenel Bridge after making drug references to officer
GPD: Man scuffles with police, says "Shoot me down like Michael Brown."


text:
Flags Teacher Resources
Find Flags educational ideas and activities
Showing 1 - 20 of 358 resources
Young historians take a look at the history of the Arkansas state flag. Pupils color, cut, and paste together their own versions of the flag. They learn about the meaning of the flag's colors, and what the various symbols on the flag represent. This fine lesson also delves into the history of Arkansas statehood.
An outstanding lesson on the Arkansas State Flag is here for you. In it, elementary schoolers learn about the symbolism of the flag, and create a replica of the flag as a final activity. They also memorize the Arkansas State Pledge, and access many excellent websites that have information on the flag. Some terrific worksheets are embedded in this fine plan.
Students study the United States flag. In this American history and government activity, students define and give examples of familiar symbols. Students design a classroom flag. Students identify and describe the American flag.
Students engage in the study of the United States flag while accessing research using a variety of resources. The information is used in order to create a class project that focuses upon the meaning of freedom and The United State Flag Code.
Students investigate the history of the United States flag. In this civics lesson, students read handouts regarding the flag and its history. Students also read and discuss the Federal Flag Code.
Students study the symbols and history of the United States flag. In this United States flag instructional activity, students complete a KWL about the U.S. flag. Students then visit a website to learn about the American flag and discuss the topic. Students listen to a song about the flag and discuss the symbols of the flag. Students complete a drawing activity for the symbols of the flag.
Students discover the meaning and symbolism behind the American flag. In this instructional activity on National symbols, students design a flag for their school, explain the symbolism they used, and distinguish the elements that constitute the US Flag. Students then research the Federal Flag Code and how that has shaped the meaning and usage of the US Flag.
Students explore symbolism by creating their own art. In this U.S. identification lesson, students view each state's flag and identify them according to what they represent. Students create their own visual representation by creating a symbol of themselves.
Learners are divided into groups with each person in the group reading part of the story about the flag to the other members of the group. They then use a dictionary to write definitions for at least three bold words making sure that each word is defined by at least one member of the group.
In this Betsy Ross instructional activity, students read a 2 page article on Betsy Ross, answer 6 facts about Betsy Ross with multiple choice answers and answer 4 short answer questions.
Students explore different cultures. In this cultural lesson, students present interesting facts about their family history. Students research flags from different countries. Students also have a cultural day involving parents to share different foods and share pictures.
Here are a series of lessons designed to assist early elementary learners to discover the symbols of Arkansas. They learn about the state flag, insect, state seal, state bird, flower, tree, and gem. A booklet (emedded in the plan), is completed as a culminating activity. This 21-page plan is well-written, has engaging activities, and is sure to delight your charges.
Here is a fantastic, nine-page, multi-session lesson plan on the Zia Sun Symbol (found on the New Mexico state flag), and the seasons of the Earth. Everything you need to implement the lesson is here, and the many engaging activities are clearly explained. These activities cross the curriculum, and some impressive products are generated during the sessions.
Are your fifth graders studying the U.S. states right now? Use this slideshow to test their knowledge of state flags. In this PowerPoint, the Kentucky state flag his hidden beneath blocks of color; each slide slowly uncovers it. Tip: Use as a template for more state flags!
Third graders study factual information about Louisiana including the state flag, bird, tree, and important geographical points using the Internet and maps. They explain the different groups that settled the state in this mini-unit.
Sixth graders examine the importance of flags throughout the world. Examining different countries, they determine the geographical and historical contributions in the past and modern times. They compare and contrast the flags of five different countries and organize their information into a database.
Students use the internet to gather information on the United States. They identify each state on a map along with its capital. They discover interesting characteristics of each state and its state flag. They research a city of their choice.
First graders study the symbols on the Kansas flag. In this social studies lesson plan, 1st graders read about the symbols on the state flag. Students create a flag folder and complete word work assignment for each of the symbols discussed.
In this social studies worksheet, learners color a picture of the United States flag. They answer 5 questions about the flag including identifying the number of stars and stripes and the colors, and telling what the stars and stripe represent.
Fourth graders create a class book with information about each of the United States. After students draw a state name out of a hat, they use various resources to fill in a facts chart about their state. Students draw the state flag and add this information along with their research to a train car for display.


text:
My Macbook Pro 15", MacBookPro8,2 series, keeps toggling the wifi connection, it's searching for networks, then connected, then searching, then connected. Does this have something to do with the wifi card on the laptop, or on the router's connection.--Yes, ladies I am single.
Wifi problems could be due to an out of date router. Check to see if there is a firmware update for yours.
It's the WRT54G Linksys router with Firmware Version: v8.00.8v8.00.8 build 001, Oct. 5, 2009I checked Linksys' site and it doesn't seem that there is an upgrade for this.--Yes, ladies I am single.
that was my best shot. time to bring in level 2 tech support...(what about router location? are the walls wood or metal? obstructions?)
I had an issue like this on my first MBP back in 2009; turns out it was a faulty logic board and was replaced under warranty.
Nice, I'll check that out.--Yes, ladies I am single.
does it do the same on other wireless networks?
I went to the Apple store in Grand Central and it didn't do the same thing, but was sluggish to pull up pages considering all of Grand Central is on Apples' wireless network.I called telephone support and got a representative in Texas that was absolutely clueless and was essentially reading off a script.--Yes, ladies I am single.
do you have a wifi scanner that can tell you if your WIFI LAN is on a good channel for your area?
maybe your wireless network is getting stomped on by someone/something? you could try changing wifi channels... or get an N router from this decade...I retired all my B/G equipment except for one only because of an older HP wifi printer and my wife's iPhone4s...--"Remember, no matter where you go, there you are!!"
My WRT54G is only about 4 years old, that's not too old. The Macbook Pro can't handle N speeds, and most of my equipment connected to it is G anyway, so there's no point.--Yes, ladies I am single.
Does this happen everywhere or just at home or at the office? If it's localized to a certain area or location, check what WIFI profiles you have configured on your system. Remember that WIFI is name dependent, which means that one WIFI network named Linksys is the same as another one named Linksys. It may be possible that if you have one of these basic profiles configured/saved in your profile list from another location you were at, your system is accidentally hopping on one close to you (maybe a neighbors) named exactly the same. Then it disconnects and connects to yours, etc. The cycle will continue depending on different variables. Bottom line, check your profile list and delete all basically named ones you don't use at the moment. You can also try deleting your own WIFI profile and just reconnect it. Then power cycle your router as well.Another thing is, unless ALL your WIFI devices are having this same connection issue with your specific router, then the problem is localized to your laptop.... be it a hardware issue with it or the profile issue I explained above.


text:
Be a Leader in the Field of Veterinary Medicine!
The ACVIM seeks to enhance animal and human health by advancing veterinary internal medicine through Board-certification. Our specialists undergo considerable post-graduate training beyond the six to eight years of college education normally required to earn a veterinary degree. This post-graduate training includes an internship, residency and documented clinical experience that lays the groundwork for a candidate to take a certification exam leading to Diplomate status.
ACVIM Board-certification Prerequisites:
Next Steps to enroll as as ACVIM Candidate:
For more information on Board-certification Prerequisites
Contact: email@example.com with any questions
August 22-23, 2014
ACE Course—Infiniti Cardiology Boot Camp
Registration open until August 20
August 29, 2014
LAIM Credentials results available
September 18, 2014
ACE Course—Hypophysectomy: A Surgical Solution to Pituitary Masses
September 19–20, 2014
ACE Course—Advanced Techniques in Neurosurgery
September 19–21, 2014
ACE Course—SAIM Infectious Disease
October 1, 2014
2015 General Examination registration deadline
Neurology, Oncology and SAIM Credentials (for the 2015 Specialty Examination) due
2015 LAIM Specialty Examination registration deadline
LAIM case reports (1st submission) deadline
December 1, 2014
Neurology, Oncology and SAIM Credentials results available
LAIM case report results (1st submission) available
Cardiology Credentials (for the 2015 Specialty Examination) due
December 15, 2014
2015 LAIM Specialty Examination cancellation deadline for full refund
January 15 & 16, 2015
2015 LAIM Specialty Examination (Las Vegas, NV)
January 30, 2015
Cardiology Credentials results available
February 2, 2015
2015 Cardiology, Neurology, Oncology and SAIM Specialty Examination registration deadline
March 2, 2015
2015 LAIM Specialty Examination results available
LAIM case reports (2nd submission) due*
(*Please note that this date has been moved back one month)
Echocardiography, Catheterization, Education and Summary Logs due
May 1, 2015
LAIM case report results (2nd submission) available
May 4, 2015
2015 General Examination & 2015 Cardiology, Neurology, Oncology and SAIM Specialty Examination cancellation deadline for full refund
May 31 & June 1, 2015
2015 Cardiology, Neurology, Oncology and SAIM Specialty Examination (Indianapolis, Indiana)
June 2, 2015
2015 General Examination (Indianapolis, Indiana)
June 3–6, 2015
2015 ACVIM Forum
Indianapolis, Indiana
July 1, 2015
LAIM credentials (for the 2016 Specialty Examination) due
July 17, 2015
2015 General Examination & 2015 Cardiology, Neurology, Oncology and SAIM Specialty Examination results available
©2014 American College of Veterinary Internal Medicine
1997 Wadsworth Blvd., Lakewood, CO 80214-5293
800-245-9081 • 303-231-9933 • 303-231-0880 (fax)


text:
Alvin's Twitter
- No public Twitter messages.
Flickr Photos
More Photos
- How to Virtualize Android on Your PC So You Can Try Before You Buy
- The Essential Android Security Features You Should Enable Right Now
- Cloud9 . Your full development environment in the Cloud.
- Lifehacker Pack for Firefox: Our List of the Essential Extensions
- 22 Apps To Make Videos In The Classroom
- Lifehacker Pack for Android Tablets 2013: Our List of the Best Apps
- Lifehacker Pack for iPad: Our List of the Essential iPad Apps
- Lifehacker Pack for Android: Our List of the Essential Android Apps
- Lifehacker Pack for Windows: Our List of the Essential Windows Apps
- The American Scholar: One Hundred Best American Novels, 1770 to 1985 (a Draft) - David Handlin
Tag Archives: microsoft
I really want to learn Microsoft Office
If you have worked in educational professional development, at some point you have asked your audience this question. "What technology would you like to know more about?" I asked this question to my school district in the early 1990s. Microsoft … Continue reading


text:
Weekend in Marseille
The oldest street in Marseille is Rue de Panier.
The shops and galleries are filled with original works of art, locally made products, beautiful vintage treasures and clothing designed in France.
I found the most amazing store called Bird Song and was lucky enough to meet the owner Mary My-Linh.
As a designer of prêt-a-porter in Paris, she decided to open a store in Marseille to sell her line of clothing, jewelry and handbags.
It was so fun doing a mini photo shoot on Rue de Panier.
I adore all of Mary's designs. Her clothing is extraordinary.
The first dress I tried on was made of cream colored leather. I paired it with a matching necklace and headband made of a mesh fabric.
The woven handbag and jewelry matched perfectly with the neutral colored dress.
Like the streets of Marseille, Bird Song itself is a work of art.
You can shop online at birdsong.fr
The second dress was stunning. I loved the tassels, It was like a built-in necklace.
The embroidery on the dress, necklace and handbag were all done by hand.
The detail of each piece is unique.
I had an amazing time shopping at Bird Song and getting styling tips from the designer herself.
I can't wait for my next trip to Marseille because this is one place I must go to again.


text:
FORT WORTH -- The phone has been ringing non-stop at Catholic Charities of Fort Worth. Many people in the North Texas area want to know how they can help young immigrant children who are heading into the United States unaccompanied.
Many want to help in a substantial way. Calls to Catholic Charities have almost tripled, with many people expressing an interest in fostering kids who cross the border. About 2,000 kids are heading our way come August.
Anyone in the Dallas-Fort Worth area is welcome to foster. Families will get a monthly stipend to cover the costs.
The program manager of the Division of Unaccompanied Children's Services in Fort Worth hopes that with immigration in the headlines, the trend of people asking what they can do to help will continue.
"It's a little intimidating for a lot of people to think about accepting a youth into their home that maybe doesn't come from the same culture as they do or speaks the same language," Leah Wilson said. "But from other reports that I've gotten from foster parents, it's a really enriching experience and the kids are so resilient."
There are other ways to help the children besides foster care. Welcome boxes are needed, along with Walmart gift cards.
Go here for more information on how to help.
E-mail: email@example.com


text:
Choose your preferred language. We speak English and 41 other languages.
Most often used by people in the United States
All languages
Select your hotel from the list. Or search for hotels on the City page of Aussonne
|Golf Courses
Toulouse Seilh Golf
Amphitheatre Purpan-Ancely
Maison Venitia
(2 miles)
Gagnac-sur-Garonne (2.8 miles)
Saint-paul (3.5 miles)
Lespinasse (4.1 miles)
Fenouillet (4.2 miles)
Bretx (5.1 miles)
Lalande (5.5 miles)
Brax (5.7 miles)
(5.8 miles)
Aucamville (5.9 miles)
Bruguières (6.1 miles)
Les Sept-Deniers (6.2 miles)
Léguevin (6.7 miles)
Saint Martin du Touch (6.7 miles)
Launaguet (6.7 miles)
Ondes (7 miles)
Les Minimes
(7.4 miles)
Cépet (7.4 miles)
Lasserre (7.5 miles)
Pechbonnieu (7.6 miles)
Villeneuve-lès-Bouloc (7.6 miles)
Lardenne (7.7 miles)
La Salvetat (7.7 miles)
Gargas (7.8 miles)
We've negotiated with thousands of hotels to get the very best deals. We call them Secret Deals and they only last for a limited time.
You can get these deals for free by subscribing to our newsletters. You can even choose your favorite destinations to receive personalized deals.
Get started now by entering your email address. We'll instantly send you a link to our Deal Finder!
Don't worry – your email address is safe with us. We'll never share your private information and you can unsubscribe at any time.


text:
The latest version of Adobe Flash Player is required to watch this video.
Please click on the link below to download the latest version. Thanks!
CBNNews.com - JERUSALEM, Israel - The government's Counter-Terrorism Bureau issued a warning on Tuesday to Israeli families vacationing during the week of Passover to stay away from the Sinai Peninsula.
Every year, thousands of Israeli families flock to the seaside resorts in the Egyptian Sinai, despite government's warnings of "very high and concrete threats" of kidnapping and other acts of terror by Islamic groups.
The Lebanese-based Hezbollah terror group has issued warnings for more than a year to avenge the death of its deputy commander, Imad Mugniyeh, who was killed by a car bomb in Damascus in February 2007.
Hezbollah blamed Israel for his death, though Mugniyeh's widow believes Syria was behind the assassination.
The Counter-Terrorism Bureau warned Israelis, especially businessmen, to stay out of most Arab and/or Muslim countries, including Syria, Lebanon, Sudan, Somalia, Algeria, Yemen, Iraq, Iran, Afghanistan, Saudi Arabia, Indonesia, Mayalsia, Pakistan, the United Arab Emirates, Tunisia, Qatar, Morocco, Bahrain, Egypt and Jordan.
The bureau also warned Israelis to avoid Libya, Oman, Bangladesh, Kenya, Nigeria, Tajikistan, Mauritania, Kashmir, Mindanao (in the Philippines), and Chechnya.
The advisory further admonished Israelis planning to visit Colombia to conceal their identity and travel by air whenever possible. If traveling by car, they should use main highways and avoid driving after dark.
Source: The Jerusalem Post
Log in or create an account to post a comment.
Are you seeking answers in life? Are you hurting? Are you facing a difficult situation?
Find peace with God, discover more about God or send us your prayer request.
Call The 700 Club Prayer Center at 1 (800) 823-6053, 24 hours a day.
A caring friend will be there to pray with you in your time of need.
CBN News is a national/international, nonprofit news organization that provides programming by cable, satellite, and the Internet, 24-hours a day. Follow us on Facebook, Twitter, and Google+.
Become a CBN Partner
and receive ...
Armchair chiefs of staffDr. Aviad Hacohen
The Foley beheading and Israel's PR problemRuthie Blum
A letter to UN Secretary-General Ban Ki-moonAlan Baker and Nachi Eyal
COLUMN ONE: Understanding the Israeli-Egyptian-Saudi AllianceCaroline B. Glick
Dutch Official Calls ISIS "a Zionist Plot"Evelyn Markus
Is CAIR Lying about a Rally for Hamas?Daniel Pipes
OECD: Israel attracts foreign investorsAmb. (ret.) Yoram Ettinger
ISIS is to America as Hamas is to IsraelAlan M. Dershowitz


text:
Kensington, MD (PRWEB) April 24, 2014
Infolinx System Solutions™, a leading provider of enterprise physical records management software, announced the upcoming upgrade to Infolinx WEB™ version 3.3 for the Library of Congress. The Office of Strategic Initiatives continues to support the Library's vision and strategy of integrating the delivery of information technology within the nation's oldest federal cultural institution.
Working with the Office of Strategic Initiatives, the initial implementation in 2006 consisted of the Infolinx WEB software as well as initial inventory data entry and file conversion. The original project scope included the management of files from the associate librarian, human resources, and travel and budget office. Procured via GSA Schedule 70, contract #GS-35F-092AA, the upgrade extends functionality while continuing support of the Library's commitment to internal information governance technology improvement.
The Infolinx WEB 3.3 release includes deepened integrations with Microsoft SharePoint, Laserfiche Records Manager, Kofax Capture, and O'Neil oneilBridge, as well as improvements to the application interface, data manipulation tools, and security management. Providing industry leading physical records management functionality, Infolinx WEB is available in Enterprise, Standard, Express, and COTS editions, and may be procured as an on-premises or cloud-based solution.
About Infolinx®
Infolinx System Solutions is a leading provider of DoD5015.2-certified enterprise physical records management software. Full life-cycle records management for archives, records centers, and file rooms includes integrated Enterprise Content Management, third-party warehouse integration, robust searching, online requesting, complete audit history, location reconciliation, supply item ordering, retention schedule and legal holds management, integrated RFID technology, space management with charge-back functionality, extensive reporting capability, advanced security configuration, workflow email notifications, and legacy data sharing. Available as an on-premises or cloud-based solution, Infolinx maintains clients within all major business segments and the public sector.
Infolinx System Solutions Demo


text:
find and save
Top Stories
Court News
Police & Fire
State News
Top Stories
High School
Top Stories
Movie review: �Sin City: A Dame to Kill For� was worth the wait
Movie review: �When the Game Stands Tall� falls short
Movie review: Chloe Grace Moretz has true breakout role in �If I Stay�
Fall/winter 2014 movie preview
It�s TIFF time: 39th Toronto International Film Festival gears up
Book Notes: An environmental �what if?�
Book Notes: People and their problems
Book Notes: A dark tale of California�s future
Interview with �The Giver� author Lois Lowry
Book Notes: Murder down on the farm
Celebrity News
Movie review: �Sin City: A Dame to Kill For� was worth the wait
Movie review: �When the Game Stands Tall� falls short
Movie review: Chloe Grace Moretz has true breakout role in �If I Stay�
Fall/winter 2014 movie preview
It�s TIFF time: 39th Toronto International Film Festival gears up
Music: Recent and recommended for August
Talent Shows
TV Guide
Top Stories
Five Ways to Make Math Fun
Fun Fraction Pancakes
Actress Danica McKellar on Why Math Matters
Taste of Travel: The beauty of Mirbeau
Health Watch: School allergy and asthma checklist
Survey About Auto Insurance
Why Rest Days Are Important
Auto Insurance Survey
The Nation's Healthiest College Cafeterias
My Journey With Ovarian Cancer: One Woman's Heart-Wrenching Story
Five Ways to Make Math Fun
Fun Fraction Pancakes
Actress Danica McKellar on Why Math Matters
Auto Insurance Survey
Barry Lewis: Adulthood milestones
The Family Cooks: Q&A with Laurie David
Taste of Travel: Alaska dazzles with �Dancing With The Stars: At Sea�
How to Make Ice Cream with a Custard Base
3 Takes on Southern Sweet Tea
Kitchen Call: 21 things to know about garlic
Health Watch: School allergy and asthma checklist
Dr. Jeff Hersh: Calibrating your circadian rhythm
Dr. Murray Feingold: Hospital shopping for a bargain
7 Surprising Facts From a School Nurse
Symptoms of Depression
Home & Garden
Flat-pack furniture: How to get it together
Dear Monty: Police calls interfere with our home sale
Home Help: Family-friendly bathroom changes
What�s a home gardener to do with too many tomatoes?
Dear Monty: How to pick a real estate agent
Rabies: Not a Disease of the Past
Furry Face-Off: Can Kitten Bowl Steal the Spotlight from Puppies?
App Finder: Top apps for cat lovers
Taste of Travel: The beauty of Mirbeau
Taste of Travel: Alaska dazzles with �Dancing With The Stars: At Sea�
Taste of Travel: 5 weekend escapes
Top Stories
Kent Bush: Stop using courts as political tools
Taking stock
Predicting success
Opprtunity to meet the Dems
Get involved
Kent Bush: Stop using courts as political tools
Kent Bush: Braley calls foul on opponent's chicken claims in Iowa senate race
Kent Bush: Reporters cuffed and stuffed in Missouri
Matthew T. Mangino: Quarantine and isolation in the shadow of Ebola
Michelle Teheux: Time is slipping by for all of us
Remember safety net clinic week
Taking stock
Predicting success
Opprtunity to meet the Dems
Get involved
Thank you to supporters
TV Guide
Branded Content
Submit your news
Your Photos
New to the Farm
My name is Katie Stockstill-Sawyer and my husband, Derek, and I own and operate a farm and livestock operation in Central Kansas.
Your Dinner's Dinner
About this blog
By Katie Stockstill Sawyer
My name is Katie Stockstill-Sawyer and my husband, Derek, and I own and operate a farm and livestock operation in Central Kansas. I married into the farming world in December 2010 and have spent every minute learning all that I can about farming and ...
» Read more
New to the Farm
My name is Katie Stockstill-Sawyer and my husband, Derek, and I own and operate a farm and livestock operation in Central Kansas. I married into the farming world in December 2010 and have spent every minute learning all that I can about farming and the rural lifestyle. I work in town as the marketing and communications manager for a commercial construction company, mobile occupational services company and safety consulting and training firm. In the hours outside the office, I help on the farm in any way I can � and sometimes that means just staying out of the way. This blog tracks my experiences as I learn what a life on the farm really means. I wouldn�t change this lifestyle for the world. Farmers and ranchers are some of the hardest working individuals in the world and they do what they do 365 days a year to ensure everyone has access to a safe, healthy and affordable food supply. If you want to learn more about agriculture or our operation, please don�t hesitate to contact me on this blog or at email@example.com. I would love to show you around.
Recent Posts
The Politics of Farming
Aug. 5, 2014 11:30 p.m.
Building a Base
July 17, 2014 11:15 p.m.
Where Has The Time Gone?
July 13, 2014 5:15 p.m.
Cow Emissions
June 16, 2014 11:20 p.m.
Puddles, Not Waterways � #DitchTheRule
May 27, 2014 11:20 p.m.
By Katie Stockstill-Sawyer
Feb. 26, 2013 12:01 a.m.
I make a habit of daily exercise. Most mornings, around 5 a.m., you can find me at my local YMCA chugging along – although a little slower than before. Some days I find a magazine to distract myself from the work at hand. This morning, I picked up the newest copy of
SELF Magazine
. About 10 pages into the March 2013 issue, I found the image and text copied below (this was actually pulled from the SELF website but is the same as the print version).
I, by chance, read the short bit of text and found myself confused and concerned by what the magazine was trying to say, despite what the evidence it cited actually said.
The magazine takes into question the nutritional value of beef from cattle that had been fed candy and cookies. It ignored the fact that nearly all forms of sugar are the same and provide the same energy and brought into question the quality of beef – providing false and misleading information for its readers.
Was This Your Dinner's Dinner?
Farmers are giving cattle stuff like stale candy and cookies instead of pricey feed. So even if you're avoiding junk, your beef probably isn't. The sweets don't alter the food's nutritional value (or even hurt the animals' health), but still…
Tell Us!
Does this weird you out or is it NBD? We're listening
*Source: Michael Van Amburgh, Ph.D., associate professor of Animal Science at Cornell University
Cattle owners finding new, and unique, food sources for their animals is not new news. Several major media sources talked to cattle owners last year when the drought hit corn fields and pastures, reducing the availability of traditional feed sources and spiking the price of what was still available. In true entrepreneurial spirit, farmers looked to other, non-traditional, feed sources to provide the nutrients their cattle need.
The article brings into question the nutritional value of the feed choices – citing the use of candy and cookies. The feed choices, while unusual, provides the same energy sources to cattle as traditional corn feed. And, according to the Iowa Corn Growers Association, all forms of sugar really are the same:
"High fructose corn syrup (HFCS) is a sweetener made from corn and can be found in numerous foods and beverages on grocery store shelves in the United States. High fructose corn syrup is composed of either 42 percent or 55 percent fructose, with the remaining sugars being primarily glucose and higher sugars. In terms of composition, high fructose corn syrup is nearly identical to table sugar (sucrose), which is composed of 50 percent fructose and 50 percent glucose. Glucose is one of the simplest forms of sugar that serves as a building block for most carbohydrates. Fructose is a simple sugar commonly found in fruits and honey."
(Source: Iowa Corn Growers Association
Cattle, like people, metabolize all sugars the same and uses the food for energy and there is no scientific proof that a cow's diet affects the nutritional value of the beef derived from the animal. In fact, the magazine takes editorial authority in assuming that a cow fed candy would produce less-nutritional beef. It is simply not true! An animal's body composition is what determines the fat and nutritional content of the beef, not the feed supply. The candy provides sugar and energy the same as corn. Therefore, an animal feed gummie bears, for example, provides the same quality of beef as an animal feed traditional feed sources.
This blizzard provides a perfect example of why it is vitally important that we keep our animals healthy and well-fed. A healthy animal, and especially a healthy mother cow, will be able to weather the cold and wind. A skinny, unhealthy animal will not tolerate the conditions and will be more prone to sickness. That's why we take great care to ensure our animal's diets are balanced and provide all of the energy, protein and nutritional components the animals need. It's all part of our business of raising health animals and producing quality beef.
Comment or View Comments »
Recent Posts
latest blogs
Financial Advice from Jim Cramer
Jim Cramer's 'Mad Money' Recap: Cramer Opens His Playbook
Aug. 22, 2014
Cramer: Russia Trumps the Fed
Aug. 22, 2014
'Mad Money' Lightning Round: Buy, Buy, Buy Toll Brothers
Aug. 22, 2014
Jim Cramer's Top Stock Picks: GMCR MNST NXPI EMES BAC
Aug. 22, 2014
Read More
Connect with The Kansan - Newton, KS
Back to top
Site Services
Contact Us
Prairie Shopper
Announcement Forms
Rate Cards
Online Forms
Market Place
Real Estate
Boats Magazine
Community Info
Newton Chamber of Commerce
Harvey County Economic Development Council
Harvey County Historical Society
Newton Public Library
Bethel College
Hutchinson Community College
Harvey County Community Partnership
First Mennonite Church Blog
City of Newton
City of North Newton
City of Hesston
City of Halstead
City of Sedgwick
City of Burrton
Sign up for our Daily Deals
Propel Marketing
More Content Now
Cars For Sale
Stay Informed
Email newsletter
Sign Up Today
Sign up for our newsletter and have the top headlines from your community delivered right to your inbox.
Your privacy is important, read our
privacy policy.
© Copyright 2006-2014 Gatehouse Media, Inc. Some rights reserved
Privacy Policy
Terms of Service
Gatehouse Media Publications
Original content available for non-commercial use under a Creative Commons license, except where noted.
The Kansan - Newton, KS | 121 W. Sixth St., Newton, KS 67114


text:
The 2011 British Open is shaping up to have a rather eventful second round thus far in Sandwich, England, as there is now a four-way tie for first place on the British Open leaderboard.
Early Friday morning Lucas Glover and Darren Clarke finished their second rounds at four-under, but they now have a bit of competition as Day 1 leader Thomas Bjorn and England's Simon Dyson are also four strokes below par as they near completion of the front nine.
One player that won't end up at the top of the leaderboard when Friday's action ends is Phil Mickelson, though "Lefty" is moving up the leaderboard after finishing his second round with a one-under 69 after scoring an even-par 70 on Thursday. Mickelson is tied with Tom Lewis for 15th place.
Lewis had an abysmal second round, finishing four strokes over par on Friday after scoring a five-under 65 on Thursday, dropping him for first place to fifteenth.
Sergio Garcia and Rory McIlroy have recently began their seconds rounds at Royal St. George's so it'll be worth keeping an eye on them as the day progresses.
For more 2011 British Open news and results, stay with this StoryStream, visit SB Nation's golf hub, and check out our golf blog, Waggle Room.


text:
Join Listal to create lists, share images, get recommendations and much more
Them (Ils) (2006)
Directed by
Starring (View all)
Adriana MoccaIlona
Maria RomanSanda
Camelia MaximMaria
Alexandru BoghiuL'enfant
Adolescent n°1
Adolescent n°2
Written by
Them Videos
THEM aka ILS (2006) Original Theatrical Trailer
243 Views, 1 votes
Added 4 years ago
View all Them videos
217 votesHistory of Horror (2425 items)
list by diabolical dr voodoo
Published 4 years, 3 months ago 43 comments
98 votesWhat was going wrong with these KIDS? (20 items)
list by propelas
Published 3 years, 9 months ago 22 comments
87 votesI hate you more than the plague itself (66 items)
list by Bml93
Published 3 years, 8 months ago 23 comments
82 votesTrue crimes that inspired movies (32 items)
list by propelas
Published 3 years, 9 months ago 16 comments
76 votesWatched in 2013 (674 items)
list by Coby
Published 1 year, 8 months ago 5 comments
View all Them lists (75 more)
Cover art, photos and screenshots
View all Them pictures (16 more)
3 years, 6 months ago at Feb 27 3:24
5 votesThe French duo David Moreau and Xavier Palud in just 77 minutes, managed to set up a simple knit story, and is sure to satisfy even the most demanding kind. After a brief opening scene, a teaser of what followed, you know the couple and their daily lives in the secluded and majestic country house. All of them hold more than 25 minutes. Since the noises awaken Clementine until the last scene flouri... read more
They don't make Them like they used to...
2 years, 11 months ago at Sep 19 8:24
4 votesWhile Them is more of a suspense/chase film than anything it would appear that on the whole the French still treat horror as a legitimate genre. Here this is evident in every aspect of the film, from the fantastically understated musical score, to the strikingly gorgeous, earth-tone heavy cinematography. From the beginning the lead actors lend the film a quiet dignity, as the couple (Lucas and Cle... read more
The film that terrified Europe has come to America
5 years, 8 months ago at Dec 15 19:48
1 voteAfter hearing good things about this film from my friend; I decided to borrow it from him and give it a watch before I bought it. Trusting his judgement and willing to go outside of the scope of the usual movies I watch (this didn't seem like I would enjoy it) I started it up and realized it's realtation to my real life. Two people alone, phone and lights cut off, isolation, and most importantly a... read more
Lucas and Clementine live peacefully in their isolated country house, but one night they wake up to strange noise... they're not alone... and a group of hooded assailants begin to terrorize them throughout the night.
Release date: 20 April 2006
Join Listal to add your own lists, reviews, tags, pictures and videos to this movie
Update feed


text:
Fortunate - Model!Levi x Photographer!ReaderFortunate - Model!Levi x Photographer!Reader by cookieROCKS
"That will be all today! Thank you so much!"
You called out to everyone, hearing the soft sighs of relief and the murmurs that surrounded the studio. You looked through the photos with your editor, smiling that you were satisfied with the photos. Krista and Ymir were the models you had worked with today, smiling as Krista approached you and hugged you with delight. You continued to smile, hugging her back as she looked up at you.
"Thank you for working with us, [ f/n ]! It was pretty fun!"
"Its my pleasure, I'm glad that you two accepted me to be the photographer for your fashion statement."
"Well, you're probably the only cool one that would actually have style, so why not?"
You chuckled at Ymir's comment, giving her a fist bump as well. Krista let go of you, walking over to Ymir's side and walking away with her after waving to you.
"Ms. [ l/n ], there's a call for you."
"What? Who is it?"
"Its another fashion statement."
"Oh, I see."
You looked at your personal assistant, takin
What He Doesn't Know {Levi x Abused!Reader} FinalWhat He Doesn't Know {Levi x Abused!Reader} Final by Katsuhana
As the day progressed, Levi lined up a few cadets that had a relationship with {Name}. He wanted to know everything.
"Alright. Cadet {Last Name} is in the infirmary due to serious injuries. These were not caused by falling so I want to know the truth behind this all. So, tell me. What all do you cadets know?" His glare was stern, shooting holes in each of their hearts.
"Well, {Name} sometimes heads to the training grounds after dinner." Connie suddenly spoke up, making others nod as they realized she did that often.
"{Name} is also in a relationshi-" Armin's voice was cut off by a young male whom quickly shook his head. "No, No she isn't, Armin."
This took a hold of Levi's interest. This young man seemed so defensive about that topic. "How the hell do you know, Cadet?"
Levi watched as the man fidgeted, "Because I used to date her, sir.." Why the hell would he want to break up with her? Maybe that was the reason for
Levi x Reader - Tea Talk - [AU]Levi x Reader - Tea Talk - [AU] by Captain-Fan
Tea Talk
Levi x Reader [AU]
A/N: this is a continuation of the "Eight Miles High" and "A Night in Paris" story line.
The night had ended, but today was a new day. Memories were destined to be made today, and surprises were probably right around the corner. Levi knew how to start the day off right and decided to take you to one of the little French cafés Paris was famous for. As you walked into the quaint little café, the warm aroma of tea, coffee, and pastries took over your senses. Levi seemed to be in a pretty good mood too since there weren't many people here, hoping that you two would have some time to talk. He took his hand in yours and walked up to the cashier at the counter.
"Bonjour monsieur, que puis-je faire pour vous? (Good morning sir, what can I get for you?)" the young cashier spoke, a small blush on her face. Not that you really cared if she thought your fiancé was cute. Most girls, even if they were frightened by him, thought he was handsome. You rarel
Levi x Sassy!Reader |Arranged Marriage| AU"Come on, I'm sure he'll be wonderful. Like Prince Charming." Your maid Christa encourages, as she brushes your (h/c) hair. You let out an irritated laugh, crossing your arms.Levi x Sassy!Reader |Arranged Marriage| AU by Attackonfanfiction
"Yeah right. He's probably some pervert." You say, and Ymir, your other maid, rolls her eyes.
"Honesty (Name), you should be a bit more excited. This is good for your families business." Ymir points out. What were you all talking about? Well, your parent's business was going a bit under, and your parents decided to set up an arranged marriage between you and some know it all Levi Ackerman.
"How would you feel if your parents were selling you off to some creep, and forcing you to marry him?" You huff. Ymir just groans, and starts touching up your make up.
"I'm sure you'll love him." Christa continues on to cheer. Before you could come up with a retort, there was a knock on your door. Ymir hurried off to open it, revealing your ecstatic mother, who ran over to you.
"Ah, look at the beautiful bride to be." She says,
I'm Kyou!! ^-^ If you don't know me, I'm Raikou~from Hatena and Shiki09 from Tumblr! If you don't already know me. I probably won't be on much because of school*grunt* but I will get on when I can.
I probably won't post art unless its a completed piece that I like. Other than that, I'm mostly active on Tumblr and FictionPress. I'll be active on Flipnote Studio 3D once it comes out.


text:
Latest Titles With Trevor Jones
- Job Types
- Movies or TV
- Genres
- Keywords
- IMDb Rating
- Instant Watch Options
- In Theaters
- On TV
- Release Year
Continuum (2012– )
The Dying Minutes
Action, Sci-Fi, Thriller
Kiera and John Doe work together to put an end to the Freelancers. Scar Alec is rescued from the Freelancer facility and reunited with Emily. Carlos puts an end to his free fall and brings balance back to Dillon and the VPD.
Creator: Simon Barry | Director: Simon Barry | Stars: Rachel Nichols, Victor Webster, Erik Knudsen, Stephen Lobo
2. Elysium (I) (2013)
R | 109 min | Action, Drama, Sci-Fi
In the year 2154, the very wealthy live on a man-made space station while the rest of the population resides on a ruined Earth. A man takes on a mission that could bring equality to the polarized worlds.
Writer: Neill Blomkamp | Director: Neill Blomkamp | Stars: Matt Damon, Jodie Foster, Sharlto Copley, Alice Braga
3. The Marine 3: Homefront (2013 Video)
R | 86 min | Action, Thriller
A Marine must do whatever it takes to save his kidnapped sister and stop a terrorist attack masterminded by a radical militia group.
Writers: Scott Wiper, Declan O'Brien | Director: Scott Wiper | Stars: Mike 'The Miz' Mizanin, Neal McDonough, Ashley Bell, Camille Sullivan
4. Hockey Night in Asia (2013)
5 min | Short, Comedy, Sport
Two washed up minor league hockey players try out for an obscure Asian hockey league.
Writer: Aaron Craven | Director: Aaron Craven | Stars: Alex Chiang, Aaron Craven, Trevor Jones, Paul Wu
Hell on Wheels (2011– )
Fathers and Sins
TV-14 | Drama, Western
With General Grant's deadline only two days away, a gang of riders attacks Cheyenne while Cullen and Elam pay Durant a visit.
Creators: Joe Gayton, Tony Gayton | Director: Bill Gierhart | Stars: Anson Mount, Colm Meaney, Common, Jennifer Ferrin
6. Continuum (I) (2012– )
45 min | Action, Sci-Fi, Thriller
A detective from the year 2077 finds herself trapped in present day Vancouver and searching for ruthless criminals from the future.
Creator: Simon Barry | Stars: Rachel Nichols, Victor Webster, Erik Knudsen, Stephen Lobo
7. The Cabin in the Woods (2012)
R | 95 min | Horror, Mystery, Thriller
Five friends go for a break at a remote cabin in the woods, where they get more than they bargained for. Together, they must discover the truth behind the cabin in the woods.
Writers: Joss Whedon, Drew Goddard | Director: Drew Goddard | Stars: Kristen Connolly, Chris Hemsworth, Anna Hutchison, Fran Kranz
8. This Means War (2012)
PG-13 | 103 min | Action, Comedy, Romance
Two top CIA operatives wage an epic battle against one another after they discover they are dating the same woman.
Writers: Timothy Dowling, Simon Kinberg, Marcus Gautesen | Director: McG | Stars: Reese Witherspoon, Chris Pine, Tom Hardy, Til Schweiger
Spartacus: War of the Damned (2010–2013)
A Place in This World
TV-MA | 51 min | Action, Adventure, Biography
The gladiators enter a house searching for Naevia and free the slaves. Lucretia wants to have a ritual for the gods and Doctore returns to the place he was before meeting Batiatus.
Creator: Steven S. DeKnight | Director: Jesse Warn | Stars: Liam McIntyre, Manu Bennett, Peter Mensah, Nick Tarabay
True Justice (2010– )
Dead Drop 2
Action, Crime, Drama
Writers: Richard Beattie, Keoni Waxman | Stars: Steven Seagal, Sarah Lind, Lochlyn Munro, Jesse Hutch
Spartacus: War of the Damned (2010–2013)
TV-MA | 56 min | Action, Adventure, Biography
On the heels of the bloody escape from the House of Batiatus that concluded "Spartacus: Blood and Sand", the gladiator rebellion continues and begins to strike fear into the heart of the ... See full summary »
Creator: Steven S. DeKnight | Director: Michael Hurst | Stars: Liam McIntyre, Manu Bennett, Peter Mensah, Craig Parker
Hell on Wheels (2011– )
TV-14 | Drama, Western
After tragedy strikes one of their own, Cullen must diffuse an internal threat to the railroad.
Creators: Joe Gayton, Tony Gayton | Director: Catherine Hardwicke | Stars: Anson Mount, Colm Meaney, Common, Dominique McElligott
Spartacus: War of the Damned (2010–2013)
The Greater Good
TV-MA | 52 min | Action, Adventure, Biography
When the rebels receive news of someone they care about, Spartacus must decide whether saving one person is worth risking the lives of many.
Creator: Steven S. DeKnight | Director: Brendan Maher | Stars: Liam McIntyre, Manu Bennett, Peter Mensah, Nick Tarabay
14. Hell on Wheels (2011– )
TV-14 | 42 min | Drama, Western | Active
Cullen Bohannon, a former soldier and slaveholder, follows the track of a band of Union soldiers, the killers of his wife. This brings him to the middle of one of the biggest projects in US... See full summary »
Creators: Joe Gayton, Tony Gayton | Stars: Anson Mount, Colm Meaney, Phil Burke, Robin McLeavy
15. Rise of the Planet of the Apes (2011)
PG-13 | 105 min | Action, Drama, Sci-Fi
A substance, designed to help the brain repair itself, gives rise to a super-intelligent chimp who leads an ape uprising.
Writers: Rick Jaffa, Amanda Silver, Pierre Boulle | Director: Rupert Wyatt | Stars: James Franco, Andy Serkis, Freida Pinto, Karin Konoval
16. Red Riding Hood (2011)
PG-13 | 100 min | Fantasy, Horror, Mystery
Set in a medieval village that is haunted by a werewolf, a young girl falls for an orphaned woodcutter, much to her family's displeasure.
Writer: David Johnson | Director: Catherine Hardwicke | Stars: Amanda Seyfried, Lukas Haas, Gary Oldman, Billy Burke
17. Final Destination 5 (2011)
R | 92 min | Horror, Thriller
Survivors of a suspension-bridge collapse learn there's no way you can cheat Death.
Writers: Eric Heisserer, Jeffrey Reddick | Director: Steven Quale | Stars: Nicholas D'Agosto, Emma Bell, Arlen Escarpeta, Miles Fisher
18. In the Name of the King 2: Two Worlds (2011)
R | 96 min | Action, Adventure, Drama
An ex-Special Forces soldier gets thrown back to medieval times to fulfill an ancient prophecy and ends up finding redemption for his own battlefield experiences.
Writer: Michael Nachoff | Director: Uwe Boll | Stars: Dolph Lundgren, Lochlyn Munro, Natassia Malthe, Christina Jastrzembska
19. Earth's Final Hours (2011 TV Movie)
PG-13 | 84 min | Action, Sci-Fi
After dense matter from an imploded white hole hits Earth, the planet's rotation is devastated. A group of government agents must locate a lost satellite network that is the world's only hope for survival.
Writers: Rachelle S. Howie, David Ray, Robert Ozn | Director: W.D. Hogan | Stars: Robert Knepper, Julia Benson, Cameron Bright, Julia Maxwell
20. Divine: The Series (2011– )
10 min | Action, Horror, Sci-Fi
A young priest must come to terms with his crisis of faith or risk damnation to the soul of a living miracle. With man's freewill held in the balance, the bloody conflict surrounding the ... See full summary »
Stars: Dan Payne, Allen Sawkins, Chasty Ballesteros, Ben Hollingsworth
21. Seeds of Destruction (2011 TV Movie)
PG-13 | 90 min | Action, Sci-Fi
Militant environmentalists Kate and Joe witness, and videotape, the rapid growth of a gigantic root system that literally begins mowing through the country like an earthquake. At the same ... See full summary »
Writers: Mike Muldoon, Paul Ziller | Director: Paul Ziller | Stars: Adrian Pasdar, Stefanie von Pfetten, Jesse Moss, Luisa D'Oliveira
Nikita (2010–2013)
343 Walnut Lane
TV-14 | 42 min | Action, Crime, Drama
While searching for information on the black box, Birkoff (Aaron Stanford) stumbles upon Nikita's (Maggie Q) birth certificate. Nikita and Michael track down Nikita's father Richard (guest ... See full summary »
Writers: Craig Silverstein, Andrew Colville, Luc Besson | Director: Nick Copus | Stars: Maggie Q, Shane West, Lyndsy Fonseca, Aaron Stanford
Hellcats (2010– )
Before I Was Caught
60 min | Comedy, Drama
Marti convinces Julian to let her represent a Lancer University student at Honor Court, but she soon realizes the case is even more personal than she originally thought. Vanessa and Red are... See full summary »
Creator: Kevin Murphy | Director: Andy Wolk | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
Divine: The Series (2011– )
Action, Horror, Sci-Fi
Divine's endless vigil for freewill is tested again as Evil plots are hatched with a penitent soul hanging in the balance.
Writers: Ivan Hayden, Kirk Jaques, Misha Collins, Jason Fischer | Director: Ivan Hayden | Stars: Mohave, Kyra Zagorsky, Jason Beaudoin, Alecia Isachsen
Hellcats (2010– )
Don't Make Promises (You Can't Keep)
Comedy, Drama
Hearing from Travis he's playing a song written by her late father, Marti confronts her mother for never having told her anything about her other parent. Red Raymond smooths some feather ... See full summary »
Creator: Kevin Murphy | Director: Robert Berlinger | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
Hellcats (2010– )
Fancy Dan
60 min | Comedy, Drama
Dan finally returns for his brother Jimmy's wedding. His father and Marti's mother trick her into attending as singer, Savannah volunteers as waitress just to be there. Both are stunned ... See full summary »
Creator: Kevin Murphy | Director: John Dahl | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
Hellcats (2010– )
God Must Have My Fortune Laid Away
Comedy, Drama
Law professor Parish agrees to attempt freeing Travis with minimal scandal in order to limit damage to the Lancers team and hence the Hellcats, who risk loosing their funding, yet enjoy a ... See full summary »
Creator: Kevin Murphy | Director: John Behring | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
Hellcats (2010– )
I'm Sick Y'all
60 min | Comedy, Drama
Illness prevents several cheer team members from partaking in the long-awaited national championship, so to avoid disqualification for failing to field 18, desperate measures are required, ... See full summary »
Creator: Kevin Murphy | Director: Omar Madha | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
Hellcats (2010– )
Land of 1,000 Dances
60 min | Comedy, Drama
Father Parker Monroe, accused of fraud, can't afford a lawyer, so Marti asks Julian Parrish to do it pro bono. He accepts, as 'consolation' after she discovers that he has a young daughter ... See full summary »
Creator: Kevin Murphy | Director: Debbie Allen | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
Hellcats (2010– )
Remember When
60 min | Comedy, Drama
The truth search has reached its goal: proof that Travis is no murderer, quarterback Jake's hazing-task, robbing a shop, went out of hand and was covered up by Bill Marsh and probably other... See full summary »
Creator: Kevin Murphy | Director: Omar Madha | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
SGU Stargate Universe (2009–2011)
Twin Destinies
Not Rated | Drama, Sci-Fi
The Destiny is in poor shape following its recent battles and has virtually no back up systems remaining. As the ship approaches a star for refueling, Eli wants to test his theory that he ... See full summary »
Creators: Brad Wright, Robert C. Cooper | Director: Peter DeLuise | Stars: Robert Carlyle, Louis Ferreira, Brian J. Smith, Elyse Levesque
Eureka (2006–2012)
Up in the Air
TV-14 | Comedy, Drama, Sci-Fi
Carter must solve an only-in-Eureka bank robbery before the town floats away, while Allison deals with unsettling episodes of lost time.
Creators: Andrew Cosby, Jaime Paglia | Director: Alexandra La Roche | Stars: Colin Ferguson, Salli Richardson-Whitfield, Joe Morton, Erica Cerra
Hellcats (2010– )
Warped Sister
60 min | Comedy, Drama
Julian, now on kissing terms with Marti, discovers that her elusive father remarried and has another daughter, half her age, which fits the description of music store clerk Deirdre Perkins,... See full summary »
Creator: Kevin Murphy | Director: Tricia Brock | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Matt Barr
Hellcats (2010– )
Woke Up Dead
60 min | Comedy, Drama
Dan's bid for entry at Lancer's film school is a zombie movie, starring the Hellcats. Making it is fun. After hearing from fellow candidates it doesn't meet the jury's known criteria, he ... See full summary »
Creator: Kevin Murphy | Director: Andy Fickman | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
35. Spartacus: War of the Damned (2010–2013)
TV-MA | 55 min | Action, Adventure, Biography
Watch the story of history's greatest gladiator unfold with graphic violence and explicit sex. This is Spartacus.
Creator: Steven S. DeKnight | Stars: Andy Whitfield, Lucy Lawless, Manu Bennett, Daniel Feuerriegel
36. Percy Jackson & the Olympians: The Lightning Thief (2010)
PG | 118 min | Adventure, Family, Fantasy
A teenager discovers he's the descendant of a Greek god and sets out on an adventure to settle an on-going battle between the gods.
Writers: Craig Titley, Rick Riordan | Director: Chris Columbus | Stars: Logan Lerman, Kevin McKidd, Steve Coogan, Brandon T. Jackson
37. Nikita (2010–2013)
60 min | Action, Crime, Drama
A rogue assassin returns to take down the secret organization that trained her.
Stars: Maggie Q, Shane West, Lyndsy Fonseca, Aaron Stanford
38. Tucker & Dale vs. Evil (2010)
R | 89 min | Comedy, Horror
Tucker & Dale are on vacation at their dilapidated mountain cabin when they are attacked by a group of preppy college kids.
Writers: Eli Craig, Morgan Jurgenson | Director: Eli Craig | Stars: Tyler Labine, Alan Tudyk, Katrina Bowden, Jesse Moss
39. The Twilight Saga: Eclipse (2010)
PG-13 | 124 min | Adventure, Drama, Fantasy
As a string of mysterious killings grips Seattle, Bella, whose high school graduation is fast approaching, is forced to choose between her love for vampire Edward and her friendship with werewolf Jacob.
Writers: Melissa Rosenberg, Stephenie Meyer | Director: David Slade | Stars: Kristen Stewart, Robert Pattinson, Taylor Lautner, Xavier Samuel
40. Charlie St. Cloud (2010)
PG-13 | 99 min | Drama, Fantasy, Romance
Charlie St. Cloud has been given the gift of seeing his deceased brother, but when a new love interest is in trouble he must choose between saving a life or continuing to see his brother everyday.
Writers: Craig Pearce, Lewis Colick, Ben Sherwood | Director: Burr Steers | Stars: Zac Efron, Kim Basinger, Charlie Tahan, Amanda Crew
41. Hellcats (2010– )
60 min | Comedy, Drama | Active
The wild world of competitive college cheerleading.
Creator: Kevin Murphy | Stars: Aly Michalka, Ashley Tisdale, Robbie Jones, Heather Hemmens
42. True Justice (2010– )
60 min | Action, Crime, Drama | Active
Creator: Steven Seagal | Stars: Steven Seagal, Sarah Lind, William 'Big Sleeps' Stewart, Meghan Ory
43. The King of Fighters (2010)
93 min | Action, Sci-Fi, Thriller
Live-action feature based on the video game "King of Fighters".
Writers: Rita Augustine, Chris Chow, Matthew Ryan Fischer | Director: Gordon Chan | Stars: Maggie Q, Sean Faris, Will Yun Lee, Ray Park
44. 30 Days of Night: Dark Days (2010 Video)
R | 92 min | Horror, Thriller
After surviving the incidents in Barrow, Alaska, Stella Olemaun relocates to Los Angeles, where she intentionally attracts the attention of the local vampire population in order to avenge the death of her husband, Eben.
Writers: Steve Niles, Ben Ketai, Ben Templesmith | Director: Ben Ketai | Stars: Kiele Sanchez, Rhys Coiro, Diora Baird, Harold Perrineau
45. The Boy Who Cried Werewolf (2010 TV Movie)
TV-G | 83 min | Comedy, Family
A Californian family inherits a castle in Romania. This is especially exciting to the son, who is obsessed with monsters. And he is not disappointed.
Writers: Art Edler Brown, Douglas Sloan | Director: Eric Bross | Stars: Victoria Justice, Chase Ellison, Anna Galvin, Matt Winston
46. One Angry Juror (2010 TV Movie)
TV-PG | 89 min | Drama
One Angry Juror" is the story of Chicago attorney Sarah Walsh, who is chosen to serve on the jury of a murder trial. Convinced that the defendant IS innocent and that he is being framed for... See full summary »
Writer: Rachel Abramowitz | Director: Paul A. Kaufman | Stars: Jessica Capshaw, Jeremy Ratchford, Aaron Douglas, Shomari Downer
47. Paradox (I) (2010)
83 min | Sci-Fi, Thriller
Homicide detective Sean Nault, a cop on a parallel Earth whose technology is powered exclusively by magic. Sean investigates a baffling series of murders committed by a means he's never ... See full summary »
Writers: Christos N. Gage, Ruth Fletcher | Director: Brenton Spencer | Stars: Kevin Sorbo, Steph Song, Christopher Judge, Alan C. Peterson
48. Dancing Ninja (2010)
Action, Comedy, Crime
An orphaned boy who dreams of being a ninja arrives in Hollywood to try and find his birth parents, where he gets mixed up in a crime.
Writer: Mitchell Klebanoff | Directors: Mitchell Klebanoff, Kelly Sandefur | Stars: Lucas Grabeel, David Hasselhoff, Judy Jung-hwa Kang, Bree Turner
Fringe (2008–2013)
The Plateau
TV-14 | 60 min | Drama, Mystery, Sci-Fi
In this case, timing is everything as a series of anomalous events lead the Fringe Division to investigate deadly incidents with unimaginable coincidences. As the freaky crimes continue to ... See full summary »
Writers: J.J. Abrams, Alex Kurtzman, Roberto Orci, Alison Schapker, Monica Breen | Director: Brad Anderson | Stars: Anna Torv, Joshua Jackson, Lance Reddick, Blair Brown
Psych (2006– )
Thrill Seekers and Hell Raisers
TV-PG | Comedy, Crime, Mystery
Shawn accuses Gus's new girlfriend of murder when a river-rafting trip turns up a dead body in the process.
Creator: Steve Franks | Director: Mel Damski | Stars: James Roday, Dulé Hill, Timothy Omundson, Maggie Lawson


text:
My g-grandfather had a sister Ann or Anna who was born in Stark county Ohio around 1845. The only record I have of her is when she is mentioned in a letter written in 1932 by her nephew. She was still alive at that time. Her married name was Sponsler and she was living in Plymouth, Indiana. Her maiden name was Beatty (also spelled Beaty and Baty). I have a photo taken around 1890 by a Plymouth photographer. It is a portrait of a young lady. Possibly a daughter of Ann. Other family names mention in the 1932 letter are Thomas W.(Will) Betz and Julius Born.
Would appreciate any information on Ann and her family.
|Home | Help | About Us | Site Index | Jobs | PRIVACY | Affiliate
|© 2007 The Generations Network


text:
When the lawyer for the
When the lawyer for the sheriffs says "No right is absolute" you know you're in trouble. Someone needs to introduce that group of law enforcement to Stewart Rhodes.
To be nobody but yourself in a world which is doing its best, night and day, to make you everybody else means to fight the hardest battle which any human being can fight; and never stop fighting.
e.e. cummings
- Login to post comments


text:
Oh No! It's the "Godzilla" Trailer + Bonus "Bambi -VS- Godzilla" Cartoon[VIDEO]
The trailer for the new Godzilla movie is here and he makes stuff "blow up real good". Oh and he apparently steps on stuff and breaks stuff with his tail and is generally a bad lizard. Now that would be enough for most people, but I've combined this trailer with the classic midnight movie cartoon "Bambi -VS-Godzilla".