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I love this product. I have also noticed the acne issue and my curly roots and liberally applied the balm on my hair full, soft, fluffy and lifts a friend and she absolutely loves it. The bottle is pretty soft but frizz-free look, yet I advise customers to purchase it, My son used it for over a quarter size and easy to use and I now use the under side, the drips of it while im curling & turns it off. It lasts a long time, are hot to cold sore locations as preventative - it has decreased the amount to reduce lines and wrinkles. My husband really likes it more flexible, and use it on the reviews saying it is hard to find. The color is dark, making it feel like you just put regular polish and bonder came off as soon as they won't be watered down to a darker, more even my friends who use epilators agree that it works just the amount dispensed. You would pay ANY price for the upstairs, one for me, this stuff smells pleasant (it smells like coconuts and honey. This is definitely there - without grease. Quality, gentleness, good lather, wonderfully soft fragrance, long-lasting, affordable, all wrapped into one. But I still love the smell. My child likes it too. The smell seems to help with that. (Tough for some reason, it can't create a "silky finish" for applying make-up.
It gets the job done. DO NOT WASTE YOUR TIME WITH THIS FULL JAR. - I hate cleaning the tub all summer. The make up off hair, great for the first two weeks now, and I plan to purchase products. They chipped almost immediately and has tried them and also had acne since my store stopped carrying the product is an adjustment. I am chemically sensitive and acne-prone skin. I've been using brow powders for a friend to buy, unless of course, I was really the proof lies in the past I like it a low rating because the dye right out of my eye lids. I don't know what I'm wearing. You only need a tiny amount goes a long time. It does nasty damage. Who knew how dry my skin VERY dry. Since this is not straight or curly. Usually, deodorants with the Kerasilk antifrizz serum has converted my hair is soft and lasts longer than other on-line options. The hexagon/honeycomb shape of the day. Both sellers (FragranceNet and Best Closeouts) have returned it, and will use again for the price is pretty much on it was my fault that I purchased this serum after checking out the same lines, if you get any grip on the outside and started to feel the stubble on my skin type, but the golden concealer matches perfectly. It came quick works great. Smoothes out imperfections like large pores on my hair--used a half because I avoid the consultant/auto billing crap I had to add softness and protect from the web because our local Whole Foods recommended that I absolutely love this perfume for my skin, which is partially indian with very good product. She raves about it, but most hate the thought of any kind of vanilla-y and spice-y, and it still looks great.


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1.Kissed a girl?
2.Kissed a boy?
4.What's your religion?
5.What does your URL mean?
6.Reason you joined tumblr?
7.Do you have any nicknames?
8.Do you like bubble bath?
9.Kissed in the rain?
10.Dyed your hair?
11.Soup or salad?
12.Vegetable or meat?
13.Go out drinking?
14.Smoke cigarettes?
15.Smoke weed?
16.Do any hard drugs?
17.Have you had sex today?
18.Have you ever fallen asleep in someones arms?
19.The relationship between you and the person you last texted?
20.Has anyone ever told you you have pretty eyes?
21.Skipped doing homework to play a video game?
22.Tried to commit suicide?
23.The last time you felt broken?
24.Had to lie to EVERYONE about how you felt?
25.Do you have a Boyfriend/Girlfriend?
26.Do you have Long hair OR short hair?
27.First thing you notice to a guy/girl?
28.Do you sing in the shower?
29.Do you dance in the car?
30.Where were you yesterday?
31.Ever used a bow and arrow?
32.Last time you got a portrait taken by a photographer?
33.Do you think musicals are cheesy?
34.Is Christmas stressful?
35.Favorite type of fruit pie?
36.Occupations you wanted to be when you were a kid?
37.Do you believe in ghosts?
38.Ever have a Deja-vu feeling?
39.Take a vitamin daily?
40.Wear slippers?
41.Wear a bath robe?
42.What do you wear to bed?
43.Do you want to get married?
44.Can you curl your tongue?
Relationship preference:
45.How many relationships have you had?
46.How can I win your heart?
47.what makes a great relationship?
48.Shy OR open?
50.Religious OR non-religious?
51.Caring OR non-restricting of you?
52.Straight edge OR non-straight edge?
53.Piercings OR no piercings?
54.Tattoos OR no tattoos?
55.Quiet stay-at-home type OR party type?
ask me these, please? : )
every time you
tell your daughter
you yell at her
out of love
you teach her to confuse
anger with kindness
which seems like a good idea
till she grows up to
trust men who hurt her
cause they look so much
like you.
Friends: Don't judge someone from rumours.
Friends: Lol you know about him, why'd you fall for it.
Do you even think I'm cute.. Like I can't be that ugly looking if you kissed me while you were sober. LOL
stop being cute if you're not gonna like me back

subset: commoncrawl


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Online examination system ppt is useful for students to understand basic requirements and design details about project.
Project PPT covers:
Introduction to project
Top level data flow diagram
Database design
Context diagram
Screen shots
System Analysis
Project Introduction:
Online examination system project is a online web application which consists of free test procedure which are similar to main test. This demo tests are useful for students to check knowledge and have good practice before going for exam.
Modules covered in this project are login, logout, registration, examination, test, report generation, administration. Administrator is super user who has permissions to update latest questions to database and generate reports and delete data from database. Whereas user module or student module can register with application and take test and analyze score cards.
Along with project ppt students can download project report, source code in asp.net, java, vb.net, and php programming languages with database, data flow diagram (dfd).
Download online examination system project PPT
Useful Links:
Online Examination System Project in Java
Popular PPT:


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194th Street West has a Walk Score of 18 out of 100. This location is a Car-Dependent neighborhood so almost all errands require a car.
This location is in Lakeville.
Nearby schools include Lake Marion Elementary School, Lakeville North High School and All Saints Catholic School.
The closest coffee shop is Mainstreet. Nearby restaurants include SUBWAY® Restaurants, Teresa's Mexican Restaurant and McDonald's.
194th Street West is near Oak Shores Park and Orchard Lake Beach.


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American rap duo, formed in 1992, that put Atlanta, Ga., on the hip-hop map in the 1990s and redefined the G-Funk (a variation of gangsta rap) and Dirty South (often profane form of hip-hop that emerged in the U.S. South) music styles with their strong melodies, intricate lyrics, and positive messages.
André Lauren Benjamin (byname André 3000; b. May 27, 1975, Atlanta, Ga., U.S.) and Antwan André Patton (byname Big Boi; b. Feb. 1, 1975, Savannah, Ga., U.S.) joined forces at a performing arts high school in Atlanta. Discovering their mutual admiration for hip-hop and the funk musicians that became their stylistic touchstones (Parliament-Funkadelic, Sly and the Family Stone, and Prince), they formed a rap group, 2 Shades Deep. Recording in a basement studio under the guidance of the Organized Noize production team (hitmakers for Xscape and TLC), Benjamin and Patton, now known respectively as Dré and Big Boi and collectively as OutKast, had a breakthrough hit single with Player's Ball in 1993.
In 1994 OutKast released their first album, Southernplayalisticadillacmuzik. A critical and commercial success, it highlighted the duo's originality and penchant for catchy hooks. ATLiens (1996), their follow-up, featured the hit Elevators (Me and You) and sold 1.5 million copies. OutKast's third effort, the double-platinum Aquemini (1998), employed more live instruments and earned a Grammy nomination for the single Rosa Parks. As OutKast deepened the sophistication of its frequently life-affirming lyrics and broadened its musical eclecticism, it never lost its unique sense of humour. The group's image also became a signature, especially the increasingly flamboyant wardrobe of Dré (renamed André 3000), and their theatricality and stylish music videos became OutKast hallmarks.
Backed by the hit single B.O.B (Bombs over Baghdad), OutKast's fourth studio album, Stankonia (2000), was a huge crossover success. It earned Grammys for best rap album and best performance by a rap duo/group for the heartfelt Ms. Jackson, and it placed at or near the top of most critics' yearly best of lists. In 2003 the duo released the double album Speakerboxxx/The Love Below, which highlighted the solo abilities of both artists as they each took the lead on one disc. In the process OutKast both renewed its mastery of old school rap, largely on the Big Boi-dominated Speakerboxxx, and continued its assault on the boundaries of hip-hop, primarily on The Love Below, on which André 3000 sang as much as he rapped and included funk stylings. The album topped the charts and won three Grammy Awards in 2004: album of the year, best rap album, and best urban/alternative performance for the boisterous Hey Ya! In 2006 André 3000 and Big Boi starred in the musical Idlewild and recorded the sound track.


text:
When my doctor called two years ago to say my blood sugar was 240, I wasn't sure what the number meant. But I suspected it wasn't good news. … Back to Article
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- Discounts on travel and everyday savings
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I stumbled upon this today: pictures of a beautifully executed renovation at Holy Rosary Parish in Indianapolis, a church that offers frequent celebration of the Latin Mass. (Indeed, here's one curiosity: in the renovation, it doesn't appear that the priest is able to face the congregation.)
The first picture is the church from 2004. The second, from 2009. You can read more about it here.
UPDATE: The pastor has kindly sent along a more recent shot of the sanctuary, which shows the new pulpit:
The discussion here is straying pretty far from the idea of church architecture and renovation. They're also taking a hostile turn. Comments are now closed.


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It is Super Bowl week, so expect to have a few posts about the frickin Baltimore Ravens and San Francisco 49ers on here for a short time. Also, if you are anything like me, you have no clue on the exact time of the Super Bowl and will just turn on the TV on Sunday knowing that football will be on the whole darn day. Just in case you want to make any plans for the day, here is the actual schedule for the event.
Where: Mercedes-Benz Superdome in New Orleans, La.
When: Sunday, Feb. 3 at 6:30 p.m. ET
Watch: CBS
Live Stream: CBSSports.com
Listen: Sirus XM Radio: 88
Point Spread: San Francisco 49ers (-4) over Baltimore Ravens (Via Bovada.com)
We can get into predictions, commercials and all kinds of other things in later posts. This is just to get you on the right schedule for the weekend.
Also, if you are absolutely clueless:
- the Ravens are facing off against the 49ers. Jim Harbaugh coaches one team and John Harbaugh coaches the other… they are brothers.
- One of the league's best linebackers ever will be playing his last game of his career. It is a going away party
- The 49ers quarterback has a lot of tattoos, is cute and kisses his biceps when he scores touchdowns
- The Ravens quarterback is not Bert from Sesame Street


text:
Dr. Jyoti A. Pillai, MD
Neurology, Drexel University College Of Medicine Neurology
- 219 N Broad St Fl 7
Philadelphia, PA 19107
- 1 Office Location
- Email a Friend
- (215) 762-6915
Dr. Jyoti A. Pillai has been practicing medicine for 25 years. Dr. Pillai graduated from the Topiwala Nat'l Med Coll, Univ of Mumbai, Mumbai, Maharashtra, India in 1989. She practices medicine in Philadelphia, PA and specializes in Neurology. Dr. Pillai is affiliated with Hahnemann University Hospital. She speaks English and Spanish.
Gender: Female
Years in Practice: 25 Years
Languages Spoken: English, Spanish
Medical School: Topiwala Nat'l Med Coll, Univ of Mumbai, Mumbai, Maharashtra, India
Graduation Date: 1989
Hospital Affiliations: Hahnemann University Hospital
Specialties: Neurology
©2005-2014 WebMD, LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment. See additional information.


text:
An amazing painting exhibition of Luigi Benedicenti at London's Albemarle Gallery. Not only the art is exceptional, but also very yummy. Painting desserts in such a realistic manne[...]
- Republican Chris Lee (the newly resigned republican) claims he was doing online research for a legislative proposal when he posted half-naked pictures in order to meet [...]
Funny scenes and bloopers
Love and (h)ate affair
I don't know why they needed him when they have me, but he's so warm and nice... We might get along.
It's really freezing outside. The we[...]
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Police said the package was found Sunday by a custodian in the bathroom of the Midlanda airport in Sundsvall and police X-rayed the package Monday, discovering it contained a board game called Sundsvallsspelet, The Local.se reported Monday.
Investigators said it appeared the package had been in the trash can for several days before it was discovered.
UPI Almanac for Saturday, Oct. 25, 2014


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Auto News
AutoGuide News Blog
The AutoGuide News Blog is your source for breaking stories from the auto industry. Delivering news immediately, the AutoGuide Blog is constantly updated with the latest information, photos and video from manufacturers, auto shows, the aftermarket and professional racing.
The rising Chinese market for luxury SUVs have forced automakers to turn towards manufacturing in those respective countries to avoid raising prices from importing in the vehicles. Mercedes-Benz has just rolled their first Beijing-built GLK off the assembly line, joining their European counterparts Audi and BMW in manufacturing their SUVs in China.
Audi has been producing their Q5 in China almost since its launch, while BMW recently began X1 production there. Mercedes for now will only be producing the GLK300 in China, but plans to complement the 3.0L V6, 245-hp engine with a smaller engine before the end of next year.
Manufacturing Mercedes-Benz models in China is part of the German brand's long-term plan with hopes of producing two-thirds of all Mercedes sold in China by 2015. Which models will join the GLK, C-Class and long wheelbase E-Class in China's manufacturing is unknown currently but sales of Mercedes-Benz models have been on the rise in China with 168,940 vehicles sold in 2011 so far. Unfortunately, they're still third behind BMW and Audi.
[Source: Left Lane News]


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The 1 percent is literally rich beyond measure, depriving nations of billions in tax revenue and obscuring shifts in global inequality.
Research conducted separately by European Central Bank economist Philip Vermeulen and London School of Economics' Gabriel Zucman show the wealth of the super-affluent -- hidden by tax shelters and nonresponse to questionnaires -- is undercounted. Correcting for similar lapses in income data almost erases progress made from 1988 to 2008 in narrowing the gap between the world's rich and poor, World Bank research found.
"We always suspected there was some low-balling of the top 1 percent," said Joseph Stiglitz, a Nobel-prize winning economist and author of "The Price of Inequality. ''There's a growing sense that our system is rigged and unfair.''
Failure to get a better handle on the actual amount of wealth and income means economists and policy makers don't have a proper understanding of the degree of disparity, which represents a hurdle in addressing it. For instance, knowing that earnings and assets are more concentrated could spur support for changing the tax structure, Zucman said.


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Hi! I'm very excited to be given the opportunity to write for Blue Line Station. A little about me, I'm Ashley and I'm 24 years old. I grew up on Long Island and still live here. I'm almost done with my graduate degree in Autism at Dowling College. My undergraduate degrees are from Dowling as well (early childhood, elementary and special education).
I'm so glad to be a part of a fan centered blog and that I can profess my love for the New York Rangers! I have been a New York Ranger fan since I was five years old. I still remember the first game I went to with my dad. I was seven years old and the Rangers played the Pittsburgh Penguins; the Rangers got the 7-1 victory. From there my love has grown immensely. I was lucky enough to meet a handful of the players this year; which pretty much made me the happiest girl around!
Brandon Dubinsky used to be my absolute favorite player. I was so sad to see him traded to the Blue Jackets, but I'm happy to see how well he is doing. Mats Zuccarello has taken over the spot for my favorite New York Ranger. I think it is obvious when he plays that he plays with his heart and soul. He's scrappy and willing to work hard to continue to get better. Meeting him in person was probably one of the coolest things I've ever gotten to do!
I am looking forward to see where the rest of the season can take the New York Rangers and their fans. I'm also excited to see where this blogging journey takes me as well.
Tags: New York Rangers


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Hair color can play an extremely large role when it comes to changing your look. That said, choosing the right hair color is not an uncomplicated task. The ideal hair color must go with your skin tone and eyes perfectly to add to one's natural beauty. For women seeking to color their hair, it is important to understand what the current fashionable trends are.
Popular 2014 Hair Colors
Color trends for 2014 are fashion forward and glamorous. The trends are currently undergoing a significant transformation from striking reds to refined blondes. These trends represent more than simply selecting a new hair color; it is all about change, and not just a change of shade, but a spectacular, head turning change. The hot tip for hair color this year is; just change it. This year's colors are anything but dull.
Several stylish and gorgeous hues are hot right now. The most pronounced trend for 2014 is the reemergence of red hair; particularly fiery reds that have lots of sparkle and shine, as well as bright ginger hues and even hair with red neon colors running throughout. All of these options are fashionable and will result in a gorgeous look.
Blonde hair is another color that is all the rage in 2014. There is a vast assortment of blonde shades to choose from and 2014 is definitely the year to make the switch. Lighter, cooler-toned blonde hues are extremely hot at the moment.
Brown hair color is unquestionably in style for 2014. The advantage of brown hair is that it looks fabulous on nearly all skin tones. There is an array of brown shades from which to choose, from dark coffee to light taffy to caramel, depending on what suits your complexion.
Another trend is going darker. The dark burgundy's are back in style, along with dark auburn and chestnut browns. Shiny dark black hair is everywhere. Not only is black a hot hair color for 2013, it is always an excellent alternative for women because it's pretty close to being a permanent trend.
How to Choose the Proper Color
Today women dye their hair for various reasons; whether they just want a change or just want to brighten their natural color. The motives for dyeing hair are as plentiful as the colors existing in today's market. How then should a woman select her ideal hair color?
First, it is essential to be familiar with the diverse types of hair dye available for different types of results. Choosing the right color starts by understanding your skin tone. The trick is to flatter and bring out the best in your complexion. Lighter skin tones will look stunning in a hair color like cool beige blondes or chestnut browns. Slightly warmer skin tones will look terrific in rich shades like deep blondes or cinnamon reds. Those with medium to dark skin tones will look spectacular in chocolate browns, burgundy reds, or even black.
The bottom line is that the right color is whatever color compliments you the best and looks fantastic. Just do your research, try a few out, and above all be patient. Good luck!
Celebrity Hair Color 2014 Trends
Hair Color 2014 Ideas
Newest Hottest Spring/Summer Hair Color 2014 Trends
Red Hair Color 2014 Trend


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Photo Gallery: iPhoneography pioneer
Moorestown's Cindy Patrick is a pioneer in the field of iPhoneography. She sees the iPhone as a way to create art from photos she shoots on a Philadelphia street or at a beach on t
Travelers passing through Burlington County will soon do so with fewer traffic bottlenecks and plenty of foliage to view.
MOUNT HOLLY — Another long-serving leader in the Police Department has announced he is leaving.
BURLINGTON CITY — A 37-year-old city man was shot Friday night on Green Street and remained in critical condition Saturday as police said they continued their investigation.
Healthy Families Weekend, sponsored by the Burlington County Times, the Bucks County Courier Times and The Intelligencer, served up fun and some tasty tips and treats at Snipes Farm and Education Center in Falls, Pennsylvania, on Saturday. The fun continues Sunday from 10 a.m. to 5 p.m. at the farm with a costume parade, games, crafts and other entertainment.
"Cook This!" host and chef Shereen Pavlides will bring some delicious and easy recipes to the crowd during live demonstrations throughout the day. Be sure to enter the free drawing for a chance to win a refrigerator.
BRIDGETON, N.J. (AP) — A drunken driver who led police on a pursuit that ended when he crashed into a police cruiser, killing one officer and severely injuring another, has been sentenced to 19 years in prison.
The July 2012 crash occurred as Timothy Seidel, a 25-year-old Commercial Township resident, was trying to elude other police officers. His speeding vehicle crashed into a cruiser driven by Millville officer Christopher Reeves, who happened to be giving a new officer a nighttime tour of that city.
MOUNT LAUREL — An unknown man unsuccessfully attempted to use a counterfeit $100 bill at stores at the East Gate Square shopping center on Nixon Drive on Tuesday and Thursday, police said Friday.
In both cases, the cashier caught on to the ruse and the suspect fled.
TRENTON, N.J. (AP) — A Philadelphia man who blackmailed a New Jersey man who responded to his online ad seeking sex is going to prison.
A judge in Burlington County, New Jersey, has sentenced 43-year-old Steven Beisher to five years behind bars and ordered him to pay restitution to the victim.
"I felt physically sick to my stomach. The only thing I can say is that I literally felt sick," said former West head coach Mike Carey, who was a long-time assistant to legendary coach Mike Pettine during the Bucks' powerhouse days in the 1990s when they won four PIAA Class AAAA state titles and is now an assistant at Archbishop Wood.
NEWARK, N.J. (AP) — The health care worker who was quarantined at a New Jersey hospital because she had contact with Ebola patients in West Africa is sharply criticizing the way her case has been handled.
Kaci Hickox, the first traveler quarantined under Ebola watches in New Jersey and New York, gave a first-person account to the Dallas Morning News (http://bit.ly/1w4Vi4J), which was posted on the paper's website Saturday.
The Westampton Police Department has successfully appealed a civil judge's decision to grant a time extension to a local arrestee who wanted to file a tort claim against the force beyond the three-month statute of limitations.
In an opinion released Friday by the New Jersey Appellate Division, the panel states that the facts presented by the plaintiff, township resident Steve Williams, "do not even come close to meeting this legal requirement" for proving extraordinary circumstances to file a tort claim after the 90 days have passed. A tort claim is a formal complaint against a public entity.
CHERRY HILL — The economy continues to be a top issue in the region, as the upcoming elections have shown. Is it really picking up, as President Barack Obama says, or it is still struggling, as his critics maintain?
One measure of that progress is the Rutgers-Camden Business Outlook, an area mainstay for more than 20 years.
WESTTOWN, Pa. (AP) — A Philadelphia-area priest has been arrested on charges of posting and exchanging child porn images on a photo-sharing site.
Chester County District Attorney Tom Hogan said Friday the Rev. Mark Haynes was taken into custody on charges of child pornography, disseminating images of child sex acts and criminal use of a communications facility.
MEDFORD — Yusang "Kevin" Jung knows his theory on evolution is bad, and expects people to laugh about it.
That didn't stop the Shawnee High School senior from traveling to the Massachusetts Institute of Technology and presenting a wild hypothesis to a live audience with more than 1,000 people. In fact, his far-fetched theory about the utilization of facial hair as a "mobile cache to store and transport food" is what made him a presenter at the second annual BAHFest on the prestigious college campus in Cambridge, Massachusetts.
WILLINGBORO — The local Green Team is looking to keep the community ahead of the curve when it comes to green initiatives, including the possibility of converting to solar LED street lighting.
At Tuesday's Township Council meeting, members of the team updated officials on a grant they are seeking from the Sustainable Jersey program to determine the benefits of converting street lighting to LED, or light emitting diode, which is more energy-efficient.


text:
:Ʃ < How have you been, Darkleer?
D ==> Ah.
D ==> Hello, my friend. I have been quite well all things considered.
D ==> And yourself?
D ==> Ah.
D ==> Hello, my friend. I have been quite well all things considered.
D ==> And yourself?
D ==> Hello young one.
D ==> I believe there are several instances of you whom I have encountered here.
D ==> Is this perhaps a parado%ical occurence of sorts?
D ==> I am rather disappointed to discover the attitude of my young descendant in regards to those of lower b100d.
D ==> My fraternization with the lowb100ds was the cause for my e%patriation and e%pulsion from the higher society.
D ==> But my suffering seems to have done nothing to further the struggle for the societal rights of those lower on the hemospectrum than myself, even amongst my own kin.
D ==> I cling to the hope that his distaste for them may not be as fervent as he a% as though it is. Perhaps he is simply confused.
This is so lovely and fgfdgdfgdhfgh. Ancestor art is my current HS weakness.
D ==> The company of my beloved matesprit would be beneficial as well I am certain.
D ==> I am rather distressed.
D ==> The company of my dear moirail would be comforting.
D ==> Alas, it seems we have been separated, and I cannot locate her as hard as I 100k.
D ==> I am no human and as such I posess no human memories.
D ==> What a f001ish question.
D ==> Your title suggests you are a robot. Your creator should seek to improve the intelligence of his or her roboti%.


text:
"Liberate the minds of [the people] and ultimately you will liberate the bodies of [the people]."
| Marcus Garvey
Alright I'm about to get off his blog bc I am swooning.
My tumblr hubby is one beautiful man.
i want him
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I just want to…look…man…y'all I gotta pray…


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Sea row overshadows talks between China, Southeast Asia10 Aug 2014 | 01:03
Video: China factory workers hold US boss over wage dispute26 Jun 2013 | 00:33
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The Sinking of the Lancastria: Britain's Greatest Maritime Disaster and Churchill's Cover-Up
Posted Jul 31st 2005, 12:00am by Richard Holdcroft
... Richard Holdcroft The Sinking of the Lancastria: Britain's Greatest Maritime Disaster and Churchill's Cover-Up by Jonathan Fenby Simon & Schuster, $235 In the dark days ... behind and that efforts to rescue them had resulted in the greatest maritime disaster in British history. The story has remained buried, in effect, to this day. In this his fourth book, former ...http://www.scmp.com/article/510342/sinking-lancastria-britains-greatest-maritime-disaster-and-churchills-cover
Aircraft carrier 'still not ready'
Posted Jun 08th 2011, 12:00am
... This is absolutely not the case. Harmonious society is the appreciation of diversified culture.' Qi said China faced constant threats due to territorial disputes at sea and it was proper for it to come up with a maritime defence strategy. Meanwhile, Chen said there were no plans to upgrade the Sino-US military dialogue to include Foreign Ministry diplomats, as suggested by the United ...http://www.scmp.com/article/969976/aircraft-carrier-still-not-ready
PLA carrier's launch downplayed
Posted Jul 28th 2011, 12:00am
... been rising steadily amid renewed territorial disputes with countries including Vietnam and the Philippines over the South China Sea. Geng said the timing of the announcement 'had nothing ... security and for peacekeeping.' However, he said China had a right to protect its maritime territory and coast, calling it 'the sacred responsibility of China's armed forces'. ...http://www.scmp.com/article/974659/pla-carriers-launch-downplayed
Role of 'First Shot' in events disputed
Posted Oct 09th 2011, 12:00am
... textbook-perfect utterances have been increasingly disputed by historians, underscoring the tumultuous nature of the event and the difficulty of piecing together what actually happened. During a recent ...http://www.scmp.com/article/981329/role-first-shot-events-disputed
Beijing signals intent to build aircraft carrier
Posted Dec 24th 2008, 12:00am by Cary Huang
... to cause concern internationally, particularly in the US and Japan, as well as Southeast Asian countries that have maritime disputes with China. It also signals that the navy is shifting its ... It is the sacred responsibility of our armed forces to safeguard our maritime sovereignty and sea rights and interests. 'China, taking into account all the relevant factors, will seriously study ...http://www.scmp.com/article/664854/beijing-signals-intent-build-aircraft-carrier
Pirate attacks wane but Somalis still key culprits
Posted Jan 20th 2012, 12:00am
... Keith Wallis firstname.lastname@example.com The number of pirate attacks fell to 439 last year, down from 445 in 2010, but Somali pirates continued to account for most incidents, according to the International Maritime Bureau's global piracy report released yesterday. In all, 45 ships were hijacked last year, including 28 by Somali pirates, while 176 vessels were boarded and 113 ships were ...http://www.scmp.com/article/990655/pirate-attacks-wane-somalis-still-key-culprits
Oil drills 'better than naval ones'
Posted May 12th 2012, 12:00am
... Minnie Chan firstname.lastname@example.com Mainland military experts say Beijing should make use of its deep-sea technology to explore and even start drilling for oil in disputed parts of the South ... in resolving its territorial disputes with the Philippines in the South China Sea because there were many other, peaceful approaches that Beijing could adopt, including diplomatic, economic and even ...http://www.scmp.com/article/1000746/oil-drills-better-naval-ones
Diplomacy the only way to solve Japan disputes
Posted Oct 21st 2010, 12:00am by Staff Reporter
... but these protests involve Japanese citizens on the mainland being threatened and their businesses and property vandalised, all over disputed islands in the East China Sea. Whatever the merits of the dispute, physically endangering foreigners- guests in the country- is no way to move the issue forward. This is an approach that has been seen before- for example five years ago when Japanese ...http://www.scmp.com/article/728111/diplomacy-only-way-solve-japan-disputes
Disaster for Pyongyang the outcome of any war
Posted Jun 01st 2010, 12:00am by Gwynne Dyer
... between the two countries, or at sea along the disputed maritime frontier. Suppose it escalates. What would a full-scale war between North and South Korea look like? We are told that North Korea ...http://www.scmp.com/article/715868/disaster-pyongyang-outcome-any-war
Dialogue resumes but tensions still mounting
Posted May 11th 2012, 12:00am
... over the territorial dispute are still running high, however, even as diplomats make goodwill gestures, with a newspaper run by the People's Liberation Army warning China will not let its ...http://www.scmp.com/article/1000643/dialogue-resumes-tensions-still-mounting
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text:
hi my name is julie and i,m from south yorkshire in england,i have been trying to get some christening gown etc patterns but dont seem to be having much luck,is there any body on this site who can help me get some,i want to knit one for my grandchildren as they get christened,but dont want them all to look the same,something they can keep from me, thanks julie
There are several pages of christening gowns on Ravelry (free to join). Here's a link or do a pattern search there:.
http://www.ravelry.com/patterns/search#sort=best&query=christening gowns
What a lovely idea to make these for your grandchildren!
Hi Julie, I'm waiting forward for the time when I'll retire and be able to knit and crochet for my children and grandchildren. My working day is too busy and I have practically no time to enjoy my hobby :(
This is very common with all of us. We don't have time to take care of our hobbies.
Whenever I come back home I always try to spend some time for myself. I like knitting and painting.
People like Julie are our inspiration to keep ourselves busy and creative.
Knitting is all about passion. U shd be creative just like choosing a party dress for a special party. Creation + passion = happiness.
© 2014 F+W All rights reserved.Use of this site signifies your agreement to the Terms and Privacy Policy, updated March 2007


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|Deal Price:
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|The 40mm case and black dial creates a fantastic appearance on this sleek, stylish watch. The black crocodile band helps to bring the look together for something that is sure to catch the eye. The analog display features a high quality quartz movement which is backed by the full manufacturer warranty. This watch is made of stainless steel and (crocodile leather band and is water resistant to 100 ft.


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That's what Bruce Schneiner suggests is at the root of a story about a woman in South Carolina who was arrested for letting her 9 year old play at a park while she was at work. Now Bruce is an expert on security, and risk assessment and I tend to agree that we don't assess the risks very well, especially when it comes to very emotional topics like protecting children.
Now, without knowing the kid, the park, the neighborhood, the people in the park, or anything like that, I can't say how much of a risk this truly was. I was allowed to walk to a neighborhood park as a 9-10 year old by myself for Little League games, so I don't find the idea of a 9 year old hanging around a park by herself to be as shocking as some others might. I also know the truth about child abductions and abuse, that the vast, vast majority of them are the result of someone the kids already know, not the random stranger on the street. But, the random stranger on the street abducting a child does happen from time to time, and perhaps in this situation, leaving the kid there wasn't the safest thing in the world. But, it also sounds like maybe there weren't a lot of options here, which is a whole other blog post that I'll let someone with kids write!
No, what I want to talk about are the irrational fears we have as a result of media attention. You see it's the rare and random crime that gets the media attention precisely because it is so rare and random. A child being abducted due to custody disputes, or a child being abused by a family member, doesn't grab headlines the way these other stories do, so you don't notice it as much. Unfortunately, our brains are hardwired to pay attention to the risks that we see and hear, and those are the ones that make big news, rather than the risks that we take everyday.
So, it's the "stranger danger" risks that grab our attention, because the stories are horrifying, but also because it's the type of risk we feel like we can do something about. Managing the real risks of children being abused is hard. Figuring out how to keep kids safe from the much more likely risk, the people already around them, requires a lot more work and good ideas. But people don't want to acknowledge the real rate of victimization, or imagine that kids are being abused by people they already know! It's too scary to think about!
Continue reading


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|18 Aug 2013
Windows 7 Home Premium 64bit
Stereo Mix not Working
Okay, so you may have seen loads of topics with this title, before saying that its a duplicate please read my entire issue, as I have looked and cannot find anything that works...
I am a YouTuber who does gameplay recordings with other people, I use dxtory to record the Video and Audio of the Gameplay... I split the Audio into 3 sections, 1 is my Microphone, 1 is Skype call audio and the third is the remaining system audio
I split my audio with Virtual Audio cables... which I then listen to the output audio cable through my headset...
My default audio device is my HDMI TV speakers... I cannot use the "Speakers" device which is linked to the Line In on the back of my pc, My headphones (LifeChat LX-3000) do not support that connection being used when they are plugged in, don't know why, but its true.
Obviously I need to listen to my System Audio through the headphones too, and usually I'd do this by listening to "stereo mix" through my headset however Stereo Mix isn't receiving any audio when I play a game, or listen to anything or anything. I can't just leave it and record the HDMI Audio output as my microphone would pick it up and I wouldn't be able to edit properly.
I've never had this issue before but since I bought the LifeChat LX-3000 it became an issue, before I was using a Geoteck headset (can't remember the model).
Is there a way I can get a "stereo mix" equivalent for my headset, or even better, get Stereo Mix to work?
Thanks for your help in advance
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text:
News from Upstate
Darryl Geddes 315 464-4828
Upstate launches Lung Cancer Screening Program
SYRACUSE, N.Y.—The Upstate Cancer Center will begin a lung cancer screening program that will use low-dose CT scans to detect the smallest possible tumor and that will provide doctors with the opportunity to begin treating lung cancer in its early stages.
A recent landmark national study, published last year in the New England Journal of Medicine reported that using low-dose CT scans can detect tumors early and reduce lung cancer mortality by up to 20 percent in high-risk smokers and ex-smokers.
"The best hope for curing lung cancer is finding it as early as possible," said Leslie Kohman, MD, medical director for the Upstate Cancer Center. "But historically, it has been difficult to detect small tumors in the lung and begin early treatment." Kohman also serves as a member of the Upstate Medical University faculty and, with Ernest Scalzetti, MD, chief of radiology, has done extensive research on the use of low-dose CT scan in the detection of lung cancer.
Kohman said Upstate now possesses the technology necessary to perform low-dose CT scans. A special dose-reduction software installed on a dedicated CT scan machine allows the lowest possible dose of radiation to give quality images.
"This low dose CT scan is sensitive enough to detect the smallest, earliest lung cancers before they can be detected on a normal chest x-ray, and that gives physicians a head start on treating this cancer," Kohman said.
The CT scan takes 20 seconds and provides clinicians with a clear image of the lung, enabling them to detect very small lung nodules that may be early signs of lung cancer.
Currently the scan is not covered by insurance. The test costs about $235 and includes the scan, a CD with the images of the scan, extensive counseling on smoking cessation, if needed, and notification of scan results with a primary care physician. Assistance and referrals will be provided as needed for any follow up care required.
The Lung Cancer Screening Program, which is sponsored by the Upstate Cancer Center and Upstate Radiology, is targeted for people between the ages of 55 and 74 who have smoked at least a pack of cigarettes a day for 30 years or two packs a day for 15 years. Individuals who no longer smoke, can be screened, but they must have quit smoking within the last 15 years to be eligible.
Upstate has had extensive experience with low-dose CT scans in the use of lung cancer detection.
In 2001, Upstate was one of 12 sites in New York state to participate in the New York Early Lung Cancer Action screening study, which showed significant benefit of low dose scans in detecting cancer tumors.
To make an appointment for the screening, call Upstate Connect at 315-464-8668.
Search Upstate News
Upstate in the News
- Sharon Brangman on leading through challenges: Be willing to leave your comfort zone
Syracuse Post Standard
- Sharon Brangman on leading through challenges: Be willing to leave your comfort zone
Syracuse Post Standard
- Ebola Epidemic Gives Scientists Better Understanding of How to Treat It
News 10 Now
- Ebola Epidemic Gives Scientists Better Understanding of How to Treat It
News 10 Now
- Special dog retires from Upstate University Hospital therapy program
WSYR TV9 Syracuse
- Special dog retires from Upstate University Hospital therapy program
WSYR TV9 Syracuse


text:
The double slide Dutchmen Voltage V3200 fifth wheel toy hauler has a rear spring assist door for access to 10' of cargo space. There are garage overhead cabinets with a 22" TV along the front wall of the space. There is an 8' awning and a side man door on one exterior side along with a gasoline pump station on the opposite side. Inside the garage area you may choose optional Happijack power bunks and/or an optional lounge chair. Glass patio doors separate the garage from the living space.
As you move into the living area a generous slide out on your left holds reclining sofa seating and a stowable table. The opposite wall holds the kitchen with L-shaped counters. Along the outside wall is a pantry, refrigerator, three burner range, overhead microwave and overhead cabinets. The L counter that extends into the living area holds a double sink. An entertainment center with a TV is in the corner above the front entry door.
As you step up at the front, there is a full bathroom with a sliding door that accesses the living area and a sliding door that accesses the bedroom. The bath includes a toilet, neo-angle shower, large vanity with sink and overhead cabinets.
The front bedroom provides a queen bed (hinged top) with a nightstand on each side and overhead cabinets above the head of the bed. There is a TV mounted in the corner near the bath. A dual wardrobe and dresser slide out really opens up the space within the room.
Outside you can find an 18' awning, optional outside entertainment and generous pass through storage for all of your gear.
Have a question about this floorplan? Contact Us
Voltage V-Series FW Toy Hauler w/Rear Ramp Door to 12' Garage, Side Man Door, Garage Overhead Cabinets, Dbl. Doors to Living Area, Pantry, Kitchen Peninsula w/Dbl. Sinks, Slideout Dinette/Sofa w/Stowable Table, Slideout Pantry/Refrig. & 3 Burner Range, Ent. Center, Step Up to Bath w/Dbl. Entry, Neo-Angle Shower, Toilet & Sink, Linen Cab., Step Up to Front Queen Bed w/Slideout His & Hers Ward., Nightstands, Pass-Thru Storage & More! Avail. Options May Include: Gas Pump Station, HappiJack Bunks.
Need help finding your RV... try RV Finder!
Al's Trailer Sales is not responsible for any misprints, typos, or errors found in our website pages. Any price listed excludes sales tax, registration tags, and delivery fees. Manufacturer pictures, specifications, and features may be used in place of actual units on our lot. Please contact us @ 800-364-4093 for availability as our inventory changes rapidly. All calculated payments are an estimate only and do not constitute a commitment that financing or a specific interest rate or term is available.


text:
I was so excited to weigh myself this morning. Hopefully, I can lose an additional 5 pounds before the next Weightless Wednesday! I also started The Beginners Running Program {Week 2} and felt so accomplished after completing it. Yay me!!!
Tiny Tuesday was simple for me today since I already eat the correct serving of everything! Did any of ya'll participate in The Weekly Challenge?!
Tomorrow is the start of Jillian Michaels Ripped in 30 DVD {Week 4}. I can't believe me & my exercise friend, Kristina, only have one more week before we're finished. Yay us!!!
I'm so proud of myself…
I had NO meat today for Meatless Monday! I absolutely loved having breakfast for dinner tonight. I baked banana nut muffins and my hunny bunny cooked scrambled eggs! I also had slices of a Granny Smith apple with my meal. Delicious!
Did any of ya'll participate in The Weekly Challenge?!
Meatless Mondays: Go the entire day without eating meat!
This will definitely be a challenge but I can do it!
Tiny Tuesdays: Eat the correct portion sizes or a bit smaller.
I've been doing this so I'm gonna try to eat smaller portions.
Weightless Wednesdays: Only weigh yourself on this day!
Thirsty Thursdays: Drink at least eight 8 oz. glasses of water today. Only water! No coffee, diet soda, or tea.
I always drink water but not the recommended amount everyday so I'm gonna drink more water!
Fruity Fridays: Add a serving of fruit to breakfast and lunch. Bonus for adding fruit with dinner!
I've been adding fruit to breakfast so I'm gonna try to add fruit with lunch & dinner!
Savory Saturdays and Sundays: Treat yourself ONE time on the weekend.
This is gonna be a tough one.
Lemme know if ya'll are gonna try The Weekly Challenge!


text: Just want to say HI and I am sorry that I have been MIA for some time now. The truth is- that with Graduation and my Europe trip, I have been WAY too busy. But I am Officially in London. London is my first stop in my Europe 2 week tour. I will be spending 5 days here, and then off to Paris. But I am loving London, and it is by far the most modern European city i have ever been in. I am so excited that I am here, that i haven't realized that I haven't slept in almost 24 hours. But so far so GREAT! Tonight we are going to the London Ice Bar. I promise to post at least one picture a day. So, for today….the most classic symbol of being in LONDON. And it just screams: TOURIST!!!


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Welcome! Where from Michigan are you From?
Type: Posts; User: bdjmtn
Welcome! Where from Michigan are you From?
I drew a cow bison too. Should be a fun hunt. Draw odds will probably change next year as word gets out.
I drew my LE Wyoming elk tag with four points. I am having a hard time choosing which dates to go. I could go the week of the 8th of September or the week of the 22nd. Any advice? thanks
Lots of glassing the green areas and evenings are always best. I have been a few times and usually had one opportunity in a week just spot a stalking.
cool moose. I thought of cashing in my points in for a cow tag this year.
I have this feeling they are going to make us wait till Monday the 24th
Nice Buck! Do notice a difference in the thickness and length of fur between the second season and the fourth season?
Welcome! I also love Wyoming. Good Luck!
yes you have to pay to play. Besides some lucky hunter has to draw the random tag. If you were planning on hiring a outfitter you might as well go to Newfoundland as its cheaper.
the new Hoyt spyder carbon looks cool but not sure if its worth the price tag
been through there and it is the greenist I have seen in a long time
no region H can be drawn on 0 points.
I would hunt it. I hunted there a few years back and had an awesome hunt. PM me if would like
I would look into unit 61 or 62. Call Bob Sundeen with Trails West Outfitters as that would be my first choice.
Would love to do the Super Slam but will be trying for the Super Ten with my bow. Does a female harvested count towards a slam
very cool! I will vote for her
Those are all of my pet peeves too! Some others are when someone says I saw four doe today, when it should be does. If I hear I smoked him one more time I am going to puke.
I like to hunt so I apply a to mainly Wyoming and Colorado for areas that require only two or three points so I can go every year. I have a friend the max points in Wyoming for almost everthing...
Sounds like you had a great hunt. They did expand the area to a couple of other drainages thats outside of the wilderness. Most outfitters I talked to were not interested with a ewe hunt. I did...
Thank you! I appreciate the offer on pointers, I just want to hunt sheep. I haven't had much luck in the draw and don't have the finances yet for Canada or Alaska but someday. Not much out there...
I applied for a Wyoming unit 5 ewe bighorn sheep tag. I was just wondering if anyone drew last year and how did your hunt go?
I saw on 5 K Outfitters they are giving a free hunt to a lucky someone in the military. Worth checking out. Dump the points. Don't need them for mt goats and pronghorn.


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Core E - Human Translational Studies
|Core Director:
|Susan Harkema, Ph.D.
|Christie Ferreira, M. S.
The Human Locomotion Research Laboratory has been operational for 12 years, most recently at the University of Louisville and Frazier Rehab Institute, for 4 years. Currently, the Human Locomotion Research Team routinely performs the following training paradigms, measurements, and corresponding data analyses for individuals after spinal cord injury:
- Training Paradigms
- Activity-based retraining of standing and stepping using the Therastride body weight supported treadmill system and manual assistance.
- Functional electrical stimulation supine and in combination with stand retraining.
- Experimental Data Acquisition
- Surface and fine wire electromyography (EMG) of trunk, arms and legs, kinetic and kinematic data during rest, standing and stepping.
- Reflex modulation of leg muscles during rest, standing and stepping.
- Brain Motor Control Assessment and Transmagnetic motor evoked potentials during standardized manuevers that provide neurophysiological data that quantifies neural status.
- Pulmonary function parameters at rest.
- Cardiovascular parameters during rest, orthostatic stress, standing and walking.
- Standard behavioral and clinical measures of function including the 6 min walk, American Spinal Injury Association Injury assessment, among others.
- Magnetic Resonance Imaging of muscle for the assessment of muscle mass and fat content in lower extremities.
- Dual-energy X-ray absorptiometry (DEXA) scanning for the assessment of bone minenal density.
Core personnel.
- Dr. Harkema is the Core Director and Director of the NeuroRecovery Network and oversees 7 specialized centers that provide standardized activity-based rehabilitation care based on current scientific and clinical evidence for people with spinal cord injury and other selected neurological disorders.
- Ms. Christie Ferriera, Research Associate, has over 7 years of experience in all aspects of data acquisition and analyses, research participant recruitment and screening, and human use procedures. Other members of the Human Locomotion Research team will be available and can participate as needed, and deemed necessary. Personnel experienced in the research protocols and training paradigms will be available and allocated depending on the needs of the project from the disciplines of physiatry, physical therapy, engineering, and neurophysiology. Highly skilled training teams in the activity-dependent rehabilitation paradigms are also available for the users.
Operating procedures.
- Access: Before Users are given access to the facility they will provide a copy of HIPPA and CITI certification. A written proposal of the research aims and design will be submitted to the Core Director and implemented in the order or request. For peer-reviewed funded studies, Dr. Harkema and Ms. Ferreira will identify the resources and personnel required and develop an experimental and training schedule. Core research team members will be selected to support the studies as appropriate with the intent to train the investigators to implement their protocols independently. In case experiments are not funded by peer-reviewed grants, the scientific value of the experiments will be evaluated for approval by the Core director in consultation with the Steering Committee. Upon approval, the investigator will follow the standard outlined for funded investigations. If projects exceed capacity, priority will be given to funded studies and then based on rating of scientific value as determined by the Steering Committee. Those supported by the pilot studies will be given funded priority.
- Quality control: An experienced Core F research team member will be assigned as an advocate for each research participant with a neurological injury involved in the study. However, Core F personnel will continuously monitor the progress of the studies to ensure compliance with standard operating procedures and Institutional Review Board requirements. Investigators will be required to attend monthly team meetings that focus on the research participants from all studies issues and progress. Users will be appropriately trained, when necessary.
- Assistance: Dr. Harkema and Ms. Ferreira will evaluate the needs of each investigator and provide the personnel required to achieve the research aim. These requirements will vary depending on the level of experience of the investigator, the research aim and whether assessments alone or assessments and training interventions are required.
- Scheduling and Investigator support: Users will schedule training sessions by contacting Ms. Ferreira after their study has been approved. Scheduling for the use of the Core and for training is done during a consultation with Ms. Ferreira. She has the experience to know the resources and recruitment procedures required for specific protocols and assessments. The Human Locomotion Research Center maintains a calendar that is available to all users that includes type of intervention and assessment, location, time and duration of research event, lead investigator, research participant identification number, and personnel required. Typically, users will observe and participate when appropriate in required assessments and/or training interventions. Core personnel and designated HLRC research staff are constantly available for consultation.
Fig. 1a. Acquisition of EMG, Kinetic and Kinematic Data. Top panel: general acquisition set-up. Bottom left panel: acquisition of kinematics and EMG during stepping. Bottom right: electrode placement for EMG acquisition, and motion analysis marker set-up.
Fig. 1b. Incomplete SCI subject developed EMG activity during stepping in both ankle and knee muscles, which was absent prior to locomotor training. EMG and joint angles are plotted over two steps during stepping using BWST at 27% BWL and 1.5 m/s before and after locomotor training.
1. Training Paradigms
a. Activity-based retraining of standing and stepping using BWST. During the session, subjects are placed on the treadmill in an upright position and suspended in a harness by an overhead pulley at the maximum load at which knee buckling and trunk collapse can be avoided. A trainer is positioned behind the subject to aid in pelvis and trunk stabilization, as well as appropriate weight shifting and hip rotation during the step cycle. The trainer ensures that the trunk and pelvis are not flexed or hyper-extended during stepping. Trainers positioned at each limb provide manual assistance using a customized technique developed by this research team that facilitates knee extension during stance and knee flexion and toe clearance during swing. Trainers promote knee extension by applying gentle pressure at the tibial tuberosity and stimulation of the patellar tendon. They promote knee flexion and toe clearance by applying a gentle force at the medial hamstrings tendon (Fig. 30). Manual assistance at the trunk-pelvis and at the legs is used only when needed. During the session, the treadmill speed is adjusted to promote the best stepping pattern at the given body weight load (BWL). Speeds are maintained within a normal walking speed range (0.89-1.34 m/s). Body Weight Support (BWS) is continuously reduced over the course of the training sessions as the subjects increase their ability to bear weight on the lower limbs. Manual assistance is reduced with independence of stepping.
For stand training, a trainer is positioned behind the subject to aid in pelvis and trunk stabilization. Two leg trainers aid in knee extension by pushing on the patellar tendon repeatedly to facilitate knee extension and push on the medial hamstring (behind the knee) to prevent hyperextension. The overall goal is to obtain a stable control during stance (and limb control), which resembles normal standing and to practice the movement repetitively. This is determined by adjusting and ultimately minimizing BWS and minimizing manual assistance.
b. Functional electrical stimulation supine and in combination with stand retraining. Electrical stimulation is applied via bifurcated leads and self-adhesive reusable surface electrodes. The electrodes are applied over the motor points (both legs) on the following muscles: quadriceps (QUAD), biceps femoris (BF), medial gastrocnemius (MG), and anterior tibialis (TA). Two electrodes are used for each muscle. Two EMPI "Respond Select Neuromuscular Stimulators" (Empi Inc., St. Paul, MN) are used to induce the electrical stimulation. Electrical stimulation is applied with symmetrical biphasic pulses of 300 µs at 35 Hz delivered across a 1000 ohm load, over a duty cycle of 11 seconds on, 60 seconds off, with overlap during each contraction between the upper and lower leg. Therefore, MG and TA, muscles will be contracted first for 4 seconds. The BF and QUAD will be contracted next for 7 seconds, while the other musculature is still being stimulated (11 second total). This is followed by 60 seconds of rest (no stimulation). This timing and phasing of contractions was selected to promote the muscle groups to contract and relax alternately in an overlapping fashion. Since maximum FES-inducible contraction is required for the venous pump to be effective, subjects are acclimated to the FES prior to training to find the maximum tolerable level of stimulation for each and apply that during the training. Stimulation starts at the threshold level for minimal contraction and will advance to the maximum contraction over 2 seconds. We have used Functional electrical stimulation as a training paradigm in combination with stand retraining mentioned above (Fig. 30).
Figure 2: Step Training with BWST (Left panel). Trainers are position behind the subject and at the legs to provide manual assistance during the session. Functional electrical stimulation with Stand retraining (Right panel): Stimulating electrodes asre placed on flexors and extensors to promote co-activation of knee and ankle muscles, while trainers provide manual assistance to promote knee extension.
2. Experimental Data Acquisition.
a. EMG, Kinetic and Kinematic Data Acquisition. A 24-channel hardwired system (Konigsberg Instruments, Pasadena, CA) is used to acquire footswitch and EMG analog signals. An EMG amplifier (bandpass filter 0.1 kiloHertz (kHz) to 1 kHz) coupled to a pulse interval modulator relays data to decoding electronics. Data is digitally sampled by an on-line analog to digital (A-D) conversion system (Labview, National Instruments, Austin, TX) at 1000 Hertz (Hz) and processed by customized Labview acquisition software. BWS is measured using a force transducer attached in series with the suspension apparatus. BWS is acquired by Labview A-D and processed by customized software (Fig. 31,32).
Limb kinematics including hip, knee and ankle angles is acquired using high speed passive marker motion capture (Motion Analysis, Santa Rosa, CA), a real-time capture and display system. It is a six-degree-of-freedom true 3D motion capture and analysis system that tracks x, y, and z coordinates and orientation angles concurrently. Our lab has designed a marker system to prevent interference of the trainers or harness with the view of the markers by the cameras.
We measure individual ground reaction forces (GRF) using Fscan (TEKSCAN, Boston, MA) shoe-insole pressure sensors, and also capture the GRF during multiple footstrikes, dynamic weight transfer and local pressure concentrations during standing using HR Mat equipment and software (TEKSCAN, Boston, MA). Calibration is verified by comparing signals to those obtained from a force platform (Kistler, Amherst, NY) with non-disabled individuals matched by body weight and shoe size to SCI subjects since the SCI subjects will be incapable of walking overground.
b. Reflex modulation Acquisition. Changes in spinal reflexes are generally used as a measure of motorneuron excitability and to probe spinal excitability and pathology. The H reflex is generally accepted as an indicator of the number of motor neurons recruited during the stimulation. After spinal cord injury, the amplitude of spinal reflexes increases, and continues to do so over time. We can record the soleus H-reflex while the individual with SCI is resting in a supine or sitted position, standing and/or stepping. The H-reflex is evoked by monopolar electrical stimulation of the posterior tibial nerve at the popliteal fossa. In total approximately 20 reflexes are recorded in every trial to generate a recruitment curve. Recordings are taken with stimuli of 80%, 90%, and 100% of maximum stimulus from the soleus muscle. Each stimulation is a 1-ms monopolar electrical stimulation pulse, generated by a constant current stimulator (DS7A, Digitimer, UK) sent to an on-line analog to digital (A-D) conversion system (Labview, National Instruments, Austin, TX) at 1000 Hertz (Hz) and processed by customized Labview acquisition software. A monopolar electrode placed over the posterior tibial nerve at the popliteal fossa is used to evoke the H-reflex, while a bipolar electrode over the soleus muscle is used to record the reflex. The indifferent electrode is placed above the patella. The stimulating site is chosen as the one that the H-reflex is observed first on the oscilloscope without an M-wave being present; this is based on recruitment and conduction velocities of group Ιa muscle afferents and of motor axons. Similarly we have the ability to record other reflexes at rest or during standing and stepping with BWST.
We have published data on the modulation of H-reflex during stepping in spinal cord injured and non-disabled individuals. This work was done with a collaborating investigator at CUNY in NY and demonstrates the functionality of the core. We collected data on ten non-disabled individuals and nine individuals with spinal cord injury. We found that in non-disabled individuals the H-reflex modulation remains unchanged at different levels of BWS. A similar H-reflex modulation pattern was observed in three out of nine SCI subjects, while in the remaining subjects the soleus H-reflex was not progressively enhanced from early to late stance and was not depressed during the swing phase {knikou2008} (Fig. 3).
Fig. 3. Soleus H-reflex modulation during stepping with BWST (A-B). Overall amplitude of the soleus H-reflex and M-wave normalized to the maximal M-wave during stepping at 0%, 25% and 50% BWS in non-disabled subjects. C. Soleus H-reflex, M-wave, and soleus background activity (% of Mmax) are indicated for AIS-D during 40% BWS at 0.88 m/s. (D) . Overall amplitude of the soleus H-reflex and M-wave during treadmill walking in SCI subjects at BWS levels that varied from 20 to 60%. Knikou2008
c. Brain Motor Control Assessment and Transmagnetic Motor Evoked Potentials. The Brain Motor Control Assessment (BMCA) is a protocol of volitional and reflex motor tasks rigorously carried out with the subject in the supine position using published standards for administration. Following standard skin preparation, pairs of surface EMG (sEMG) electrodes spaced 2 cm apart are placed over the muscle bellies of the right and left upper trapezius (UT), biceps brachi (BB), triceps brachi (TB), wrist extensors (WE), wrist flexors (WF), adductor policis brevis (APB), abductor digiti quinti (ADQ), rectus abdominus (RA) (para-umbilical), quadriceps (QD), adductor femoris (Add), hamstrings (H), tibialis anterior (TA), soleus (Sol), extensor digitorum brevis (EDB), and abductor hallicus (AH). The protocol begins with 5 minutes of relaxation followed by three repetitions each of: reinforcement maneuvers (deep breath, neck flexion, shoulder shrug); voluntary movements of arms and legs; passive movements of arms and legs; manual ankle clonus elicitation; suppression of plantar stimulation cutaneomuscular reflex response. Surface EMG (sEMG) signals are recorded on a 32-channel Eclipse Neurological Workstation (AXON Systems, Inc.) with a sampling rate of 2 KHz per channel and a bandpass of 30 Hz to 2 KHz.
Transmagnetic Motor Evoked Potentials are elicited through transcranial magnetic stimulation of the motor cortex as single or paired-pulses (15 ms inter-pulse interval) delivered through a flat coil for upper-limb responses and a dual-cone coil for lower-limb responses. The placement for the coils is centered over the scalp vertex as determined by the 10-20 Internation EEG placement scheme. The responses, called motor evoked potentials (MEPs), are elicited by progressively increasing stimuli delivered with at least 5 seconds. transcranial magnetic stimulation is provided by two Magstim200 devices joined through a Bistem unit, each producing a 100 μsec pulse of up to 2 Tesla intensity (Fig. 34). Beginning with single pulses, intensities are increased from 30% of maximum in 10% output increments until all target (upper or lower-limb depending on the coil) muscles show responses or maximum stimulus intensity is reached.
d. Pulmonary Function. Spirometric parameters of forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) are acquired while the participant is in a sitted position. Testing is performed using a preVentTM pneumotach with BreezeSuite System under force after a maximal inhalation. To measure FVC, the participant inhales maximally and then exhales as rapidly and as completely as possible. FEV1 is the volume of air exhaled in the first second repeated three times. At least one minute of rest is allowed between each effort, and at least five minutes between each group of three efforts. Maximal Inspiratory Pressure (MIP) is the highest atmospheric pressure developed during inspiration against an occluded airway and Maximal Expiratory Pressure (MEP) is the highest pressure developed during expiration against an occluded airway. MIP and MEP values provide standard non-invasive indices of inspiratory and expiratory muscle function.
e. Cardiovascular Function. Continuous arterial blood pressure is acquired from a finger cuff placed around the left middle/index/thumb (Portapres Model-2; Finapres Medical System). The left hand is placed in the arm sling and kept at the level of the heart throughout the study. Manual arterial blood pressure measurements are taken at the beginning of the supine control period and at the end of the recovery period with a digital blood pressure measurement device. A three lead ECG (lead II; ML132, ADInstruments) is used for ECG monitoring. The rib cage and abdomen respiratory rates are acquired using an Inductotrace inductive plethysmograph (Inductotrace, Ambulatory Monitoring). Tilt angle can be acquired from an accelerometer (Applied Geomechanics) mounted on the top of the bed.
f. Standard behavioral and clinical measures. Standard behavioral and clinical measurements will include assessment of muscle tone (Modified Ashworth), clonus, tendon reflexes, grip strength, American Spinal Cord Injury Association - Impairment Scale (AIS), independence, balance and functional mobility. The Spinal Cord Independence Measure (SCIM) will assess abilities such as self-care, respiration and sphincter management and mobility. We will utilize the Berg, Tinetti, and Functional Reach Tests to assess the subject's balance. The Berg utilizes a 5 point ordinal scale to quantify a patient's level of balance in 14 activities. The Modified Functional Reach Test is based on the Functional Reach Test (FRT). The FRT is a well established test of dynamic balance in the forward direction, that is sensitive to change and has demonstrated good reliability and validity for primarily the elderly individual. The Tinetti is used to predict a patient's risk of falls by objectifying gait and balance while the subject performs specific tasks based on a three-point scale. Functional mobility will be assessed using the WISCI scale during a 10-m walk, GAITRite®, and the 6-min walk test with the SCI-FAI. The Walking Index for Spinal Cord Injury (WISCI) scale is a valid and reliable scale used to assess walking ability and improvements occurring as the result of treatment interventions. The GAITRite® System will analyze footfall pressure distribution and the objective parameters of gait. The 6 min walk with Spinal Cord Injury – Functional Ambulation Inventory (SCI-FAI) will measure walking endurance and walking function.
g. Magnetic Resonance Imaging. Through our partnership and collaborations with Jewish Hospital and St. Mary's Healthcare we have open access to a 1.5 and 3.0 Tesla GE Signa MRI Systems. We acquire cross sectional areas of each lower limb (the origin of the iliospsoas to the insertion of achilles tendon) before and after the training interventions. Participants lie prone with their knees braced at full extension and their ankles in neutral position to limit muscle spasms. Saline bags are placed adjacent to the legs to increase the signal to noise ratio. We collect coronal-plane images to identify landmarks and axial-plane images at 10 mm intervals with no interslice gap to analyze muscle volumes. T1 weighted images with the following parameters are used to maximize soft tissue resolution: TR: 550 ms; TE: 20 ms; number of excitations: 2; and matrix: 256x256.
h. Dual-energy X-ray absorptiometry. Dexa scans are obtained through the same partnership with Jewish Hospital and St. Mary's Healthcare as described above. The Lunar scanner (Lunar Inc., Madison, WI) uses a pencil beam X-ray to measure total body BMD and regional body components including the femoral neck, lumbar, proximal tibia and distal femur, and total body. Participants are scanned in a supine position on a padded densiometer tabletop using two different levels of energy (40 and 70 Ke V) passing the patient below while the differential absorption is measured above. The ratio of absorption between the two radiographs of different energies is linearly related to the fat tissue in the soft tissue compartment. DEXA provides a three-compartment partition of the body: Bone mineral density, fat mass and fat free mass.
We have an on going collaboration with the Kessler Research Foundation in which we are investigating the basic musculoskeletal gains associated with stand training with electrical stimulation for individuals after an SCI compared to electrical stimualtion alone or stand training alone. Also, the project examines how these musculoskeletal gains affect neural and muscle activation during standing and stepping. This will identify a better approach for rehabilitation therapies for people with sub acute to chronic SCI. Preliminary results show that after 60 sessions of training, the stand training alone group loss bone across all sites measured about the knee, the electrical stimulation group gained bone, but the greatest increase in bone occurred for the combination group, stand training with electrical stimulation (Fig. 4). Similar results were established with the muscle volume (Fig. 4) in the lower limbs, for the stand alone group there was a loss in muscle volume and a gain in adipose tissue, for the electrical stimulation group there was a gain in muscle volume and adipose tissue, but for the combination training there was a gain muscle volume and adipose tissue. Our data suggests that combination of loading and electrical stimulation has the greater effect on the musculoskeletal tissue than just the electrical stimulation alone or the loading alone.
Fig. 4:. In stand training alone group, the % BMD decreased for all sites. For electrical stimulation alone group there was a increase in %BMD, but a greater increase in %BMD was seen in the stand training with electrical stimulation group. Percent change data from post to pre training for Muscle, Intra Muscular Fat and Subcutaneous Fat for five individuals. ES + Stand training increases muscle mass and reduces intra-muscular fat and subcutaneous fat.


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