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60-degree wraparound tube truss clamp securely mounts lighting fixtures to truss tubes.
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Black Par 56 kit - Includes Bulb and Gels!
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Africa + Middle East
Samburu Serena Safari Lodge
Rustic shingled cottages on the edge of the Northern Frontier District, home to the Grévy's... More
San Camp
The middle of nowhere, recast as one of the sexiest places on earth? Only in... More
Sanbona Wildlife Reserve
Cape 62 is a 200-mile scenic drive that starts in Cape Town and heads west... More
Sanctuary at Ol Lentille
The Kenya of Isak Dinesen may be a thing of the past, but a private... More
Sanctuary Baines' Camp
Set along the Boro River in Botswana's Okavango Delta, Abercrombie & Kent's intimate eco-lodge is... More
Sanctuary Chief's Camp
Sanctuary Chobe Chilwero
Sanctuary Olonana
Watch hippos from your private veranda at this luxurious camp. ... More
Savute Elephant Camp
Set alongside the wildlife-rich savannas of Chobe National Park, this luxury tented camp has something... More
Saxon Hotel, Villas and Spa
Latticed shutters, 10 acres of landscaped gardens, and an air of tranquility create a sense... More
Selous Game Reserve
Tanzania's 17,000-square-mile Selous Game Reserve is one of the largest in the world. With a... More
Serena Mountain Lodge
A timber lodge set 6,000 feet up in Mount Kenya's rain forest canopy. Room to... More
Serengeti Serena Safari Lodge
Dotting a tree-lined ridge in the Serengeti, the whimsical mushroom-shaped buildings of the Serengeti Serena... More
Serengeti Sopa Lodge
Secluded hotel with African interiors set in an acacia grove overlooking the plains.... More
Serra Cafema Camp
The main lodge sits on stilts in an oasis of green albida trees above the... More
Shamwari Game Reserve
Seven lodges on a conservation-conscious Big Five preserve that's home to dozens of big cats. ... More
Shamwari Townhouse
Shangri-La's Barr Al Jissah
This three-hotel resort, set on 124 acres around a private bay on the Gulf of... More
Sharq Village & Spa
Sheikh Hamad bin Khalifa al-Thani, the emir of Qatar, oversaw the construction of this 174-room... More
Tune in on Wednesdays at 10PM ET for Top Chef: Boston, the 12th season of Bravo's Emmy-Award winning, hit reality series.


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Make It
Family DIY fun crafts and projects
Apr 17, 2012
Craft Roundup: Projects to Get You Inspired
Have you and the kids seen Caine's Arcade? This 9-year-old LA boy's creation is paying for his future college education – and getting us in a DIY mood!
Lish Dorset
(page 4 of 6)
Easy DIY No-Sew Felt Flower Bracelets
Let budding fashionistas create their own jewelry with a free pattern and tutorial from Merriment Design.


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Eivind Funnemark returns to Daughters of Norway
Thursday, March 27th, 2014
Issue 13, Volume 18.
Funnemark was born in Telemark, Norway and was 14 years old when World War II started. He started helping out with the courier service for the Norwegian underground at an early age and eventually had to flee to Sweden for fear of being discovered and placed in a slave labor camp. He now lives in San Juan Capistrano with his wife, Berit, who founded Hulda Garborg Lodge.
Following the program, there will be a potluck lunch at noon and a business meeting at 12:45 p.m. All women of Scandinavian heritage are welcome to attend the Daughters of Norway meetings at the Rainbow Valley Grange Hall, 2160 Rainbow Valley Blvd.
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Two words I hate: Beach Book. They conjure someone emptying his or her brain into a bucket, running mindlessly toward the ocean, towel and "lite read" in hand, as if sun and sand somehow rob us of our sense.
If you want "light," make it light in weight, as in these new paperback releases of 2013 hardcover books:
"A House of Sky" (Scribner, $16), by Amanda Lindhout and Sara Corbett, is the true story of Lindhout's capture in Somalia by masked men who hold her hostage for 460 days. She survives on memory, pluck and hope. "Beautiful, devastating and heroic," writes Elizabeth Gilbert ("Eat, Pray, Love.").
And speaking of Gilbert, her novel, "The Signature of All Things" (Penguin, $17), is the 19th-century tale of Alma Whitaker, who is deep into the mysteries of evolution, when she falls in love with a man who draws her in the opposite direction – toward the spiritual and magical. "A hot-blooded book," says the New York Times.
Set in Mississippi in 1927, "The Tilted World" (Morrow, $14.99), is a novel by husband and wife duo Beth Ann Fennelly and Tom Franklin. Franklin is an award-winning mystery writer, and Fennelly, a poet, heads the MFA program at Ole Miss in Oxford. You'll find moonshine, mayhem, mystery and a baby abandoned in the middle of a crime scene.
Now for two hefty hardbacks:
Meryl Gordon's "The Phantom of Fifth Avenue: The Mysterious Life and Scandalous Death of Heiress Huguette Clark" (Grand Center, $28) unlocks the mystery of why this extraordinarily wealthy woman spent her twilight years secluded, eating sardines from a can and watching reruns of "The Flintstones."
Helen Rappaport's "The Romanov Sisters: The Lost Lives of the Daughters of Nicholas and Alexandra" (St. Martin's, $27.99), which Kirkus Review calls "an absorbing account of the making of a queen through her awful, protracted grief."
A few of my old favorites:
"Poets in Their Youth: A Memoir," by Eileen Simpson. Ex-wife of John Berryman, Simpson captures the promise and excitement of such poets as Berryman, Randall Jarrell, Robert Lowell, Delmore Schwartz, Jean Stafford, Dylan Thomas.
"Crossed Over: A Murder, A Memoir," by Beverly Lowry. In the sad aftermath of her teenage son's 1985 death, Lowry befriends convicted murderer Karla Faye Tucker. A fascinating look at a young woman Lowry found easy to love.
"On Kissing, Tickling and Being Bored: Psychoanalytic Essays on the Unexamined Life," by Adam Phillips. The chapter, "Worrying and Its Discontents," gives the 1755 definition of "worry" – "To tear or mangle as a beast tears its prey."
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Flying Lotus – Such a Square
Moog has unveiled a brandnew synthesizer, the Sub Phatty, and Los Angeles' Flying Lotus received a prototype some months ago. Watch the animated video by lilfuchs that showcases an original composition by Lotus, built primarily using sounds from the new synth. You can also download a copy of the tune over at Pitchfork.« Jonti – Daytrotter Session Real Scenes: Johannesburg »


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Would you be overcome with regret?
In a 60 Minutes show that aired December, 19, 2010, I met six people who have Superior Autobiographical Memory. They have the rare ability to vividly remember every detail of their lives since they were young children. Correspondent Lesley Stahl would throw out a date—say, April 12, 1992—and they were able to tell her what they wore, what they ate, what they did, who they talked to, who broke their heart.


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VitaGlo Reviews
About VitaGlo
Vitaglo is a website which sells discounted natural foods and products. The website states that it is based in central New York and has been the leader in vitamins, supplements, herbs and natural foods in the area for over 20 years.
The company currently offers over 25,000 items online and a vast variety of brands and products which they claim is the best and largest selection at affordable prices.
Brand names sold on Vitaglo.com are: NOW, Source Naturals, Natures Way, Emergen-C, New Chapter, Garden of Life, Natures Plus, and many more.
Vitaglo.com also offers coupons and discount codes to use at checkout.
Vitaglo.com ships all orders for free if your order is over $50.00. If not, a $10 Shipping & Handling fee will be applied. International orders will be shipped at the customer's expense.
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18 'VitaGlo' Reviews
Accurate and speedy service!!
"On 8/28/14 I ordered 4-2.7 lbs of Garden of Life Raw Meal Meal Replacement-Raw Cacao flavor. It is now 9/4/14, and I have ACTUALLY received exactly what I ordered. The only thing to complain about regarding my order is that 2 out of the 4 of the product's jars were dented so it was deformed looking. However, the safety seal was intact, the product's expiration date was 2 years from now so it's still good in my book!I'll admit I was panicking after placing my order because I didn't know about the past bad customer service from this site's owner but I got exactly what I ordered in a timely manner. I would suggest that anyone that is wary about using Vitaglo for their product needs to use a credit card for all purchases so that if something were to happen, you can always put the purchase on dispute and not worry about paying for what you did not get."
10 days later, no status, no tracking.
Emails ignored, i called CS and as soon as I said "I placed an order well over 10 days ago" the man interrupted me and said "I cant deal with this now, call back later"
SCAM. Charged but never sent order! DO NOT ORDER FROM THEM!
Placed an order for 10lb of chia seeds 15 days ago. Have emailed, called, & never heard anything. Will be calling credit card this morning to put the charge into dispute & get our money back. Should have read reviews before ordering...seems like this is a common problem. Think of all the people who don't bother to leave bad reviews...you know there are plenty more. Worthless company. I will support our local health food store...I should have known better.
My suggestion, if you do decide to try ordering, is to use your credit card. NEVER send a check or pay with another method. This way you have recourse if they ignore you, take your money, & send you nothing in return.
Awful customer service, never received product
I ordered a product and never received. I have emailed and get no response......I called and get no answer. Stay away from!
Rude like Hell
Do not do business with this company. My credit card was charged for merchandise that was never shipped. When I tried to cancel my order, they hung up on me. They hung up on me 4 times!! They make you feel like you just talk to a devil. I believe that this company is a SCAM!!! Beacuse you will not get an email response, and you will get hung up on if you call. It happen to me 20 mins ago!


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G-FEST XXI's Artists feature Godzilla-sized Talent!
Here are some of the great works of art featured at this year's G-FEST!
"The Monster Show!" Book Review
Terror from Beyond the Daves is pleased to welcome guest writer, and winner of our "Hidden Horror Contest," Mark Spangler!
Book Review: "The Monster Show"
By Mark Spangler
"All monsters are expressions or symbols of some kind of birth process, however distorted or bizarre." So says David J. Skal in the opening sentence of chapter ten in his book "The Monster Show" (W.W. Norton & Company). Don't let the name fool you. Like many a horror film ("I Married A Monster From Outer Space" comes to mind), there's much more substance lurking behind the exploitative title than the name – or any name – could possibly indicate. The subtitle, "A cultural history of horror" is a much more accurate depiction of what the reader will find in these well-researched and analyzed 432 pages. From a fun-filled exploration of teen-oriented films on the 50's drive-in circuit to an examination of the role that horror film escapism played in helping to digest the real-life calamities of 20th century war, this book runs the gambit from the terrific terrors of the silver screen to a common-sense analysis of why these motion pictures are not only fun, but of vital importance to the culture. No stop is ignored in this horrific journey and we joyfully ride along with Mr. Skal as he explores the brilliance and tragedy of director Tod Browning's early film work, the European influence on early-American horror cinema, freakshow biographies, , monster-comedy, and two monster kid classics; "Famous Monsters of Filmland" and Aurora model monster kits (I had the Mummy). We also visit the artistry of make-up professionals throughout the history of the film industry, reflect upon the horror-inspired artwork of Diane Arbus, visit the late and beloved Forrest J. Ackerman in his "Ackermansion", examine technical tidbits of films old and new and finally end up with the real-life terrors of HIV, the Gulf War and Oprah.
Book Review: You Won't Believe Your Eyes
There are so many movie guides out there today that it is really difficult at times to choose which ones we should buy. They range in quality from very good (like Bill Warren's "Keep Watching The Skies") to dreadful (like Rob Craig's "It Came From 1957") but at least one thing can be said, movies from the 1950's are getting more coverage than ever. When it comes to movies, my favorites all came from the 1950's. No other time period has been more prolific when it comes to monster and science fictions films. Though many of these films are now considered classics, there were many stinkers as well. At least most of these stinkers have their own charm and are still fun to watch even today. The book I am reviewing today, "You Won't Believe Your Eyes: A Front Row Look at the Sci-Fi/Horror Films of the 1950s", by Mark Thomas McGee and R.J. Robertson, covers these movies in a way not really seen before, which is why I highly recommend it.
Movie Review: BENEATH Is Much Deeper Than Just A Monster Movie (And That Is Not Necessarily A Good Thing)
I have been reading about this film for some time now, both in Fangoria and HorrorHound magazines. For the most part the reviews have been favorable and I am always up for a new monster movie. This is not your typical monster on the loose film and to be honest, I wish it was. The movie I am talking about is BENEATH, directed by Larry Fessenden.
"Beast with a Million Eyes" provides even MORE laughs!
I hope everyone's been enjoying Terror Dave Albaugh's retrospective on '50s Science fiction films. I know he's got a lot more in the works and has been doing a great job at highlighting those old classics many of us grew up watching via Creature Features or horror hosted shows. The hope is that the series will either inspire you to watch them again or, if you're unfamiliar, discover these gems for the very first time.
Today I'd like to spotlight an old sci-fi film too but, unlike the previous entries, one that proves not everything in the fabulous '50s was stellar. The other night I was scrolling through the latest offerings on Netflix stream when I came across a film I hadn't seen since I was a kid. The movie is Beast with a Million Eyes but, after I re-watched it, was ready to the curse the two I had!
Welcome to another edition of "Alien Invasion Films of the 1950s!" I was excited when Terror Dave Albaugh asked me to guest author today's selection as it happens to be one of my favorites…and often disregarded. I guess that's to be expected when a film is pegged with a sensationalistic moniker designed to attract 1958 teenagers like I Married a Monster from Outer Space, but don't let it fool you. This movie is one of the genre's best entries and absolutely worth watching regardless of its tabloid title.


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Frost & Sullivan: With 90 Percent Of US Population Owning A Smartphone By 2018, Consumers Require Broader Protection
MOUNTAIN VIEW, Calif., Nov. 19, 2013 /PRNewswire/ -- The average smartphone user now consumes more than 2 gigabytes of mobile data every month and has more than 100 applications on his or her device. With smartphones emerging as the primary device for the consumption and creation of digital media, consumers are increasingly looking to protect, manage, optimize and enhance their mobile device experience. In order to address this market reality, leading carriers are moving from simply offering handset insurance to providing comprehensive, integrated mobile protection plans that include device insurance, data protection, and premium technical support.
New research from Frost & Sullivan's Next Generation of Handset Protection is Mobile Protection: From Handset Protection to Mobile Technology Support and Beyond market insight finds that more than 80 million mobile phone "incidents" occurred in the U.S. in 2013. This translates to approximately one in four users having their device lost, stolen or damaged. While protecting the device is important, consumers are also looking to protect their data and manage their mobile application experience. This research analyzes the forces driving the expansion of the traditional handset protection category and identifies the pillars of comprehensive "next generation" mobile protection.
For more information on this research, please email Britni Myers, Corporate Communications, at firstname.lastname@example.com.
The proliferation of higher priced smartphones and correlating mobile security threats led to a surge in the awareness and popularity of handset protection services. Frost & Sullivan research suggests consumers inherently expect ongoing support from their carrier for the full gamut of mobile device and support issues. Retail store and technical support representatives are challenged to provide the elevated assistance needed to address the more sophisticated, complex and multi-functional mobile devices and applications. One of the ways in which carriers can support the different mobile protection requirements is by implementing an ongoing support model that provides utility across the consumer's entire journey with their device.
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text:
allsun Hotel Rossella(4.5 stars)Tamarell s/n - Urbanizacion El Dorado View on map
Show on map:
- Hotel
- Things to do and see
Hotel review overview
Gladly again!
- Recommended hotel
- Families
- Translated
- Beach holiday
- October 2013
Well arranged hotel, children were quickly. Apartment spacious and always clean. The average age of the guests was mixed. From babies to retirees. read hotel review
Good to very good hotel with minutes drawbacks
- Recommended hotel
- Friends
- Translated
- Proof of booking
- Beach holiday
- October 2013
Smaller, fully renovated good to very good hotel. I think the hotel has exclusive german speaking guests with all-inclusive. In the hotel no branding with an all-inclusive bracelet instead. Wireless internet costs extra (for 5 €on the day, wochentarife with i believe 2 0 €cheaper) is almost a joke for those wireless needs. A safe for about 1 €on the day could be rented. When enabled, it is on the hotel premises available. Our holiday was in the northern autumn holidays, so there were from all age areas tourists in the hotel. read hotel review
Super holiday, super hotel
- Recommended hotel
- Families
- Translated
- Proof of booking
- Beach holiday
- October 2013
The hotel was in this year renovated a great hotel mainly german guests read hotel review
Clean, renovated & family friendly hotel
- Recommended hotel
- Families
- Translated
- Beach holiday
- September 2013
Very clean and child-friendly hotel. Mainly for families. read hotel review
Practical instructions and suggestions
- Recommended hotel
- Couples
- Translated
- Beach holiday
- September 2013
The rossella is a very recommendable hotel, in particular, through its warm and motivated staff convinced us. We had booked all inclusive and were very satisfied with it. read hotel review
Information about allsun Hotel Rossella
Hotel Information
Hotel description
Hotel description
- Address::Tamarell s/n - Urbanizacion El Dorado
Email: firstname.lastname@example.com
Phone: 0034971810646
Hotel amenities
- Total number of rooms: < 200
- Terrace
- Playground
- Lift
- Number of lifts: 2
- Central heating
- Air conditioning
Room amenities
- Additional childrens' bed
- Phone
- Satellite TV
- Central heating
- Minibar
- Safe
- Balcony
- Terrace
- Bathroom
- Shower
- Electronic room keys
- Inside access
- Wake up call/Alarm clock
- Connecting rooms
- Restaurant
- Hotel bar
- Number of hotel bars altogether: 1
- Breakfast buffet
- Packed lunches
A choice of sports
- Fitness centre
- Outdoor pool
- Hiking
Other hotel information
- 24 hour reception
- Evening programs and entertainment
- Babysitting/Child services
- Kids club (6-9 years)
- Check out no later than: 12:00
- German
- Cash payment
- English
- Car hire
- Information desk
- Wifi
- Newspaper
- Laundry service
Nearby - Hotels and Things to do
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text:
Based in Los Angeles USA, Steve Wantania is a Fashion, Headshot, Still Photographer Unit for Films and Celebrity Event Photographer.
For concerts photography works, Steve has photographed a wide variety of bands that include: Black Eyed Peas, Willie Nelso, Alicia Keys, Ludacris, Bobby Brown and others.
Beside Photography Steve also work as a Music Video Director and Filmmaker.
Contact Steve at;
Email; firstname.lastname@example.com


text:
Hotels in Westchester Los Angeles
5400 W Century Blvd Los Angeles CA 90045
Located a mere four blocks from Los Angeles International Airport, and close to all the Los Angeles area beaches and attractions, the Westin Los Angeles Airport is the perfect place to conduct business while finding time to relax and get away.
5985 W Century Blvd Los Angeles CA 90045
The elegant, full service Crowne Plaza Hotel Los Angeles International Airport is located on Century Blvd., less than a mile from the LAX terminals.
6101 W Century Blvd Los Angeles CA 90045
A modern LAX hotel, the Sheraton Gateway raises the bar on Los Angeles airport hotels with sophisticated accommodations and a location within easy reach of the Disney Concert Hall, Dodger Stadium, Beverly Hills and Getty Center.
9750 Airport Blvd Los Angeles CA 90045
The Four Points by Sheraton LAX is a Los Angeles airport hotel offering a wealth of tempting amenities, including 24-hour amenities like a business center, airport shuttle service, a fitness center, room service and more.
6225 W Century Blvd Los Angeles CA 90045
Offering the closest accommodations to LAX, the Radisson Hotel Los Angeles Airport is a modern hotel located just one block from LAX and within easy reach of a multitude of popular Los Angeles attractions.
5711 W Century Blvd Los Angeles CA 90045
The Hilton Los Angeles Airport hotel is a contemporary and beautifully appointed hotel offering accommodations complete with fluffy, luxurious bedding, light wood furnishings, ample workstations, high-speed Internet access and televisions.
9801 Airport Blvd Los Angeles CA 90045
With a location just minutes from Route 405 which leads into downtown LA, this LAX Hotel is the closest Embassy Suites to Santa Monica and Venice Beach, Marina Del Rey, Beverly Hills, Hollywood and Downtown Los Angeles.
5855 W Century Blvd Los Angeles CA 90045
8639 Lincoln Blvd Los Angeles CA 90045
9620 Airport Blvd Los Angeles CA 90045
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text:
Introduction to A. Stockham's Tokology
|←Introduction to the Peasant Stories of S. T. Semenof
|Introduction to A. Stockham's Tokology
by , translated by Nathan Haskell Dole
|Modern Science→
THE book here presented does not belong among the vast throng of books of every kind, from those treating of philosophy and science to those treating of art and practical life, books which in differing words, in differing combinations and modifications, utter and reiterate the same familiar old commonplaces.
This book is one of those rare ones which treat, not of what every one is talking about and is necessary to no one, but of something which no one talks about, and is important and necessary to every one.
It is important for parents to know how to behave themselves so as, without excessive suffering, to bring into the world pure and healthy children and it is still more important for the prospective children themselves to be born under the best conditions,—as it says in one of the epigraphs of this book: To be well born is the right of every child.
This book is not one of those that are read merely so that no one may say, "I have not read it," but it is one of those the reading of which leaves something behind, compelling people to change their lives, to correct what was incorrect in them, or at least to think about it.
This book is entitled "Tokology," the science of the birth of children. There are all kinds of very strange sciences, but no such science as this; and yet, next to the science of how to live and how to die, this is the most important of sciences.
This book has had a great success in America, and has had a wide and important influence on American mothers and fathers. In Russia it ought to exert a still greater influence, the question of refraining from tobacco and all kinds of stimulating beverages, beginning with alcohol and ending with tea, the questions of nutrition without taking the lives of animals, vegetarianism, the questions of sexual restraint in family life, and many others, some of them already settled, others still under discussion, and evoking an enormous literature in Europe and America, have with us scarcely, as yet, been touched upon; and therefore Dr. Stockham's book is especially important for us: it immediately transports the reader into a new world of vital human impulse.
In this book every thoughtful woman—it is especially designed for women—will find first and foremost that there is not the slightest necessity for her to continue living so blindly as old women and young girls have been living, but that she may and must find better ways of living, using for this purpose science, the experience of people, and her own free thought; and as a first example of such a method of treatment she will find in this book many precious counsels, and hints which will make life easier for herself, for her husband, and for her children.
February 14, 1890.
|This is a translation and has a separate copyright status from the original text. The license for the translation applies to this edition only.


text:
TNT's 2011 NBA Playoffs Most Watched In Cable History
TNT's coverage of the 2011 NBA Playoffs was the most-watched in cable television history, capped off by a 6.3 U.S HH rating and 10.4 million total viewers for Game 5 of the Eastern Conference Finals between the Chicago Bulls and Miami Heat.
The network set records for ratings and viewership, averaging a 3.5 U.S. HH Rating (+25 percent), 5,534,000 total viewers (+29 percent), and 3,999,000 households (+26 percent) during their 40-game coverage.
In addition, the Heat-Bulls series was the most-watched Conference Finals in cable television history, averaging a 6.2 U.S. HH rating, (+29% year-over-year), 10,413,000 Total Viewers (+33%) and 7,190,000 Households (+30%).
"This was one of the most thrilling seasons in NBA history, leading to record-breaking ratings and enormous success for TNT," said David Levy, president of sales, distribution and sports, Turner Broadcasting System, Inc. "From the tip-off of our 52-game regular season to All-Star Weekend to TNT's coverage of 40 Playoff games, this NBA season was about setting new records and creating winning nights of television. Through a multiplatform strategy, we also achieved more than great ratings. We used all of our television, broadband and mobile assets to connect everywhere our audiences watch the NBA, building the largest possible viewership across all platforms."


text:
Nearly $48 million have been pledged by Premier Christy Clark to fund the new mental-health facility at Vancouver General Hospital (VGH). The overall cost of the building would be $73 million. The new building would replace the old current building, which has been in service of nearly seven decades and would be demolished.
According to Clark, the estimated time to finish the new building is three years and the process would start once the plans are finalized in the later part of this year. She also added that it is a very positive step and with the coming of this new facility, there would be reductions in the cost undertaken by the patients by combining the services provide to in-patient as well as out-patients.
It would also enable better care to patients and their families and a healthy environment for those with mental illness. With the help of outstanding team of professionals, the care services would also get the much needed boost.
This project has delayed for a long time, due to which, the government has been criticized a lot. Last year, Joseph Segal donated money for the project, after he was hospitalized at VGH following a stroke. Although three years is long, it is a step in a positive direction.
US News
New Zealand
- Finally a $7 Billion Settlement for Citigroup
- Discussions In Progress for Merger of Tobacco Businesses: Reynolds to Acquire Lorillard
- Amazon Seeks Permission to Fly Drones for Delivery of Packages from FAA
- Wells Fargo Reports a Profit
- Abbott hits JV deal with Fonterra to operate diary farms in China


text:
The Kentucky Neuroscience Institute (KNI) integrates the expertise of the University of
Kentucky's neurology and neurosurgery physicians and researchers. KNI is a regional
referral center dedicated to providing comprehensive care to our patients. Physicians
and scientists from both disciplines work collaboratively to find the causes and design
new treatments for neurological disorders.
Neurosurgeons and neurologists at KNI provide diagnosis and management of a wide
spectrum of neurological conditions involving the brain, spine and nervous system.
We are comprised of a highly experienced team of physicians that can treat children
and adults. Our team of world-renowned clinicians uses the most advanced surgical
and medical treatments for brain diseases and disorders. UK is on the cutting edge
of patient care and is taking the next step by putting the power of an entire team of
specialists to work on your condition.
UK is first in the U.S. to conduct trial of new Parkinson's disease treatment A clinical trial being conducted at UK is investigating a new treatment strategy for Parkinson's disease that, if successful, could drastically change future treatment of the disease and possibly halt or reverse brain degeneration. UK is the first in the U.S. to conduct the clinical trial.
Craig van Horne, MD, associate professor of neurosurgery in the College of Medicine and principal investigator of the clinical trial, came to the Kentucky Neuroscience Institute only two years ago, but he is already making significant contributions to research and patient care related to Parkinson's disease. If successful, this procedure could significantly change the treatment of Parkinson's disease and could have an impact on other neurodegenerative disorders as well. Learn more.
UK HealthCare's Stroke Program has received the American Heart Association/American Stroke Association's Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award. The award recognizes the program's commitment and success in implementing excellent care for stroke patients, according to evidence-based guidelines. Read more about the Gold Plus Award »
Stroke patients at the Kentucky Neuroscience Institute have access not only to the region's top doctors, but also to the most advanced medical technology. The stroke center at UK Chandler Hospital was the first in the region to be designated as a Comprehensive Stroke Center.
LEXINGTON, Ky. (Dec. 22, 2014) – UK HealthCare has temporarily amended its inpatient hospital visitation policy to be proactive in helping protect the health and well-being of patients and health care workers during this flu season. Visitation restrictions are in effect as of 7 a.m. Monday, Dec. 22.
The measures include:
o No visitors under the age of 12
o No visitors with any symptoms of flu-like illness
o Only two visitors will be permitted in a patient's room at one time
o Visitors may be issued masks or other protective clothing for use when visiting
o Additional restrictions may be in place in special care units such as women's and children's units, critical care and oncology units.
o Compassionate visitation exceptions will be made on a case-by-case basis.
"Due to an increasing number of flu cases in Kentucky, UK HealthCare will be instituting these procedures designed to help protect patients, visitors and staff from exposure to the flu and are in effect at all UK HealthCare inpatient units including University of Kentucky Chandler Hospital, Kentucky Children's Hospital, UK Good Samaritan Hospital and Eastern State Hospital," said Kim Blanton, enterprise director for infection prevention and control at UK HealthCare.
Last week, the Centers for Disease Control and Prevention reported that the flu was widespread in 29 of the 54 states and territories that it tracks -- including Kentucky. This time last year, it was widespread in only four.
It is still recommended everyone six months of age and older who hasn't received a flu shot yet, receive one, Blanton said. "A flu vaccine is still the first and best way to prevent influenza," she said.
Flu symptoms can include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Flu antiviral drugs are available and work best for treatment when they are started within two days of getting sick. However, starting them later can still be helpful, especially if the sick person has a high risk health condition or is very sick from the flu.
MEDIA CONTACT: Kristi Lopez, 859-806-0445 or firstname.lastname@example.com
LEXINGTON, Ky. (Dec. 8, 2014) — Celeste Shearer beat leukemia at the age of 5 only to develop crippling seizures as a child. By the time she was in high school, the Hart Countian was having three to four seizures a month. Many of them were "clustered," meaning she'd have several over the space of a day or two, with dormant periods in between.
Epilepsy is a common neurological condition where electrical disturbances in the brain can cause seizures. Outward signs of a seizure are extremely varied, but might include twitching, repeated blinking of the eyes or rapid eye movement, garbled speech or other speech difficulties, or a loss of consciousnesss. Nearly 3 million Americans have epilepsy, and upwards of 30 percent of those people are severely affected.
Epileptics cannot drive for safety reasons, and epilepsy can interfere with schoolwork, extracurricular activities and a social life.
"It's an understatement that I didn't have a normal childhood," Celeste says. "It was difficult to even spend a lot of time at a friend's house or go to a slumber party, because my parents would worry that I might have a seizure."
Celeste tried six different types of medication — both alone and in combinations — to prevent her seizures, without success. The medications also had terrible side effects that left her anxious, angry, depressed, and disinterested in food. At one point she weighed just 80 pounds.
Worst of all, Celeste was an avid performer. The possibility of a seizure was a constant threat for this singer, French horn player, and "Poetry Out Loud" competition finalist.
Her father, Greg Shearer, watched helplessly as Celeste suffered.
"She was so frustrated by her school situation," he said. "She still tried to do marching band and theater, but the seizures would interfere. She had to be carried off the practice field several times."
Then Celeste and her parents met Dr. Sid Kapoor, director of the UK Epilepsy Network. In that first appointment, Kapoor knew immediately that Celeste's epilepsy was refractory, or drug resistant. Celeste's only option was to have surgery to remove the parts of her brain that were causing her seizures.
Usually this surgery involves removing about 4.5 centimeters of tissue from the left side of the brain and 6.5 centimeters from the right.
"It's normal to assume that all patients want the same outcome for their surgery: to preserve the left part of the brain, which controls speech," Kapoor said. "Thankfully, I asked Celeste what was important to her. She made it clear right from the start that her aspirations to become a professional performer meant that she also needed to preserve her ability to sing and perform — which can involve the right side of the brain."
For Celeste, Dr. Kapoor and his team needed to chart new territory: determining how much to take from the right side of the brain without compromising Celeste's ability.
That involved revamping the usual process. The team met to develop a series of complicated tests designed specifically to pinpoint the areas of Celeste's brain that responded to music.
"There were a lot of people involved," Kapoor said. "This went way beyond the usual process for an epilepsy patient."
First, Celeste underwent a functional MRI, during which Kapoor's team played music for her.
Then came highly sophisticated WADA testing. Celeste was kept awake while a catheter was snaked into her skull to deliver a medicine that "disconnects" small parts of the brain for about three minutes.
As the clock ticked, the team asked Celeste to sing. They repeated this process multiple times, using the collected data to map exactly which portions of Celeste's brain to preserve.
"It was an elegant solution to a challenging problem," Kapoor said. "The team worked together so seamlessly, forging new territory, to achieve this goal."
Kapoor and his team ended up taking less tissue from the right side than the usual 6.5 cm. It worked. Within a month, Celeste was seizure free and singing again. In fact, removing the tissue that was short-circuiting her brain and causing the seizures has actually improved her singing ability.
"We asked Celeste to sing for some colleagues, and she chose 'Under the Sea' from 'The Little Mermaid.' Everyone in the room was moved. I don't think there was a dry eye in the house," Dr. Kapoor said.
"The summer after my surgery was the first summer I could be a real teenager," Celeste says. "I could stay up late with friends and not worry about getting overtired, which would bring on a seizure."
Then Northern Kentucky University called offering Celeste a fine arts scholarship. Her dream was back on track.
"We are delighted that Celeste has the opportunity to pursue her dreams of performing on stage," said Greg Shearer. "Even though we have moved to the other side of the state we still go to UK for our major health care needs. I don't think I could trust anyone else."
LEXINGTON, Ky. (Dec. 4, 2014) – UK HealthCare has announced that The Medical Center at Bowling Green has become the newest member of the Norton Healthcare/UK HealthCare Stroke Care Network, a community-based stroke initiative providing the highest quality clinical and educational programs to hospital staff and the community. The Medical Center is the only hospital in south central and Western Kentucky to join the network that includes 25 affiliate hospitals.
"This affiliation with the Norton Healthcare/UK HealthCare Stroke Care Network will enhance The Medical Center's ability to carry out our mission to care for people and improve the quality of life in the communities we serve," said Connie Smith, president and chief executive officer of Commonwealth Health Corporation, parent company of The Medical Center. "Through collaboration with affiliate members, we will ensure patients in South central Kentucky have access to the most advanced stroke treatment and prevention."
As part of the Norton Healthcare/UK HealthCare Stroke Care Network, the medical center will continue to be a first-line stroke treatment center. The collaboration will allow for the sharing of best practices and outcomes data to promote continuous quality improvement in stroke care.
"By educating members of the community and Emergency Medical Services personnel in the region, we work together to provide valuable information about recognizing the signs of stroke and the importance of early treatment," said Dr. Michael R. Dobbs, director of the Norton Healthcare/UK HealthCare Stroke Care Network. "Our affiliate hospitals teach us about their communities and their patients. Meanwhile, we provide access to the resources and knowledge we have as an academic medical center."
The Medical Center is the first hospital that was already designated as a Primary Stroke Center by The Joint Commission before joining the network. Other hospitals in the network obtained their Primary Stroke Center designation after becoming affiliates of the network.
"Primary Stroke Center designation by The Joint Commission is testament to the outstanding stroke care already provided by The Medical Center for stroke prevention, diagnosis and treatment," said Smith. "This affiliation will further enhance the stroke care we provide by allowing us to tap into the resources and expertise of other affiliate members."
Lexington, Ky. (Oct. 31, 2014)- A team from The University of Kentucky's Neurosurgery Residents program placed second in their first year of competition at The Congress of Neurological Surgery Resident Academic Competition. Dr. Steven Grupke and Dr. Farhan Mirza were the two residents selected for the team.
The live competition, which was held at the annual congress in Boston in Oct. 15-22, featured the top nine teams from an initial pool of 105 neurosurgery resident programs from the United States and Canada. The elimination process for the competition began with year-long serious of multiple timed internet quizzes about neurology.
The finals were formatted like a college bowl with rapid-fire questions. Points were awarded to the team who buzzed in first and correctly answered the question. For incomplete or wrong answers points were deducted. In the semifinals, UK dominated Thomas Jefferson and Cedars-Sinai by more than 100 points before losing to Walter-Reed in the finals (1,600-1,100).
"We in Neurosurgery are very proud of this showing and the positive statement this makes about the academic excellence of our program here in Lexington. Our congratulations go out to Drs. Grupke and Mirza, and to Program Director Dr. Thomas Pittman," said Dr. Phillip Tibbs, chair for the Department of Neurology and director of the UK Spine Center. "UK bested 103 of 105 of the teams in the competition, including powerhouses like Yale, Harvard, Duke, and the Mayo Clinic."
The dream team plans to compete in next year's competition.
"Now that they have been exposed to the format in person, who knows what will happen?" said Tibbs.
LEXINGTON, Ky. (Oct. 21, 2014) -- Dr. Ruhel Boparai, resident in the University of Kentucky's Department of Psychiatry, is a contributing author on one of the chapters in "Treatment of Neurodevelopmental Disorders: Targeting Neurobiological Mechanisms."
The book brings advances in genetics, neurobiology, and psychopharmacology to the clinic to enhance treatment for neurodevelopmental disorders.
Boparai assisted in the writing of fourth chapter, entitled "Neurodevelopmental and Neurobiological Aspects of Major Depression: From theory to therapy."
"Significant progress has been made in identifying the neurobiological mechanisms of several disorders," Boparai said. "However, the ability to utilize this knowledge has not been summarized in one place for the practicing clinician. This book will fill that gap by providing the theoretical underpinnings and the latest advances in targeted treatments."
Several neurodevelopmental disorders are reviewed in detail including clinical features and behavioral phenotypes, standard treatments and new targeted treatments based on the latest advances in neurobiology and the animal model studies that have lead to new treatments.
The disorders covered include psychiatric disorders: schizophrenia, depression, autism and ADHD; single gene disorders including Tuberous Sclerosis, Fragile X Syndrome and fragile X- associated disorders, Angelman Syndrome, PKU, and Muscular Dystrophies; and complex genetic disorders such as Down syndrome. This book also highlights the commonalities across disorders and new genetic and molecular concepts.
More information can be found at http://ukcatalogue.oup.com/product/9780199937806.do
LEXINGTON, Ky. (Oct. 2, 2014) — After Cony Puac delivered her daughter Evany, birthing attendants placed the newborn in her arms and cleared the room.
Born in a remote Guatemalan village surrounded by snow-capped volcanoes, even in the first moments of life, children born with facial clefts are ostracized from society. Evany was diagnosed with a severe midline cleft palate by an orthodontist in her community. An opening at the center of her face spanned from her bottom lip to the space between her eyes. On either side of the opening, her eyes were separated by 38 centimeters — 20 centimeters wider than that of an average child's. Evany's nostrils were pushed to the left side of her face in cluster of tissue. At the crown of her head, Evany suffered from several holes in the cranium bone beneath the skin.
Evany also lacked an upper lip, which she needed to receive nourishment early in life through breastfeeding. In order to feed Evany, her parents obtained special bottles designed for children with severe cleft palates from a charity called Evelyn's Baskets of Love and Life. Adapting to her condition, Evany learned to feed herself without a palate by mashing solid foods with her fist and the inside of her mouth. As she continued to grow in her first year, the facial cleft impeded Evany's speech development. Only able to form sounds in the back of her throat, she replaced the word "Papa" with the sound of "a-a."
University of Kentucky pediatric reconstructive plastic surgeon Dr. James Liau said children born with craniofacial cleft palates in countries with limited medical resources are deprived of the chance to live a normal life. Facial clefts and cleft palates are widely misunderstood abnormalities that affect babies across countries and cultures, although environmental conditions and hereditary factors could contribute to the condition. At the University of Kentucky, Liau helps counsel families that have severe facial clefts while babies are still in the womb, and he intervenes as soon as possible after birth. In Guatemala, most rural populations don't have access to surgical experts who can correct these facial abnormalities in children.
"I feel very lucky to have the opportunity to do what I can do," Liau said. "In Guatemala, that's it. Your child dies, or you try to find someone overseas that can help you. It's sad, but it's an unfortunate fact of life."
Liau travels to Guatemala once a year with the Children of the Americas, a nonprofit dedicated to providing medical and surgical services to women and children in rural Guatemala. Liau packs a small surgical kit to perform cleft lip and palate surgeries during his volunteer trips in conjunction with other medical professionals. When he encountered Evany and her family during a trip in January 2014, he knew that correcting Evany's condition would require a major procedure that couldn't safely be performed in Guatemala.
"Her case was pretty severe and pretty dramatic," Liau said of Evany's facial cleft. "It's probably one of the most exotic facial clefts that you'll ever see."
Working with a national network of doctors and volunteers, Children of the Americas, arranged for Evany and her mother to travel to the UK Chandler Hospital for the first, and the most intensive, of three reconstructive surgeries. Evany's craniofacial surgery involved a team of UK HealthCare specialists representing the divisions of anesthesiology, pediatric neurosurgery and pediatric plastic surgery.
Cony Puac and 18-month-old Evany arrived in Kentucky on May 12 and visited the UK Chandler Hospital for a pre-surgery cat scan on May 23. While in the waiting room, the new walker clanged a tambourine and grinned while playing games, oblivious to the impending surgery. Puac, 19, quietly sat with translator Jennifer Christmann, who is also interim director of facilties planning and development at UK HealthCare and volunteers with Children of the Americas.
Puac traveled away from her husband and 3-year-old son in Guatemala to accompany Evany through the surgery. A volunteer family based in New Albany, Indiana, hosted the Guatemalan mother and daughter for several weeks before and after the surgery. While Puac's host family treated her to shoe shopping and Culver's cheeseburgers, she said she missed her home and family.
"She knows she is here for a purpose," Christmann said.
On May 30, Evany underwent a cranial vault reconstruction at the UK Chandler Hospital to bring the orbits of her eyes closer together. Liau worked with UK HealthCare pediatric neurosurgeon Dr. Thomas Pittman to correct Evany's cranial bone structure, laying the groundwork for future soft tissue surgeries. During the surgery, Liau and the plastic surgery team removed a part of her skull, and then united the facial bones at the location where they plan to reconstruct Evany's nose. Evany was held in the pediatric intensive care unit for a few days as part of post-operative protocol.
Walking with more confidence in an examination room two weeks after surgery, Evany recovered with her same playful and sweet spirit as before, which Liau said was a good sign. Her hair would eventually cover a scar left from a line of stitches marking the incision made at the crown of her head. With the adjustments to the orbits of her eyes, Evany was now seeing straight ahead. She inspected Liau as he held her in his lap, speaking in Spanish and calling her "sweet pea." Mom, Cony Puac, was overwhelmed with gratitude to Liau and the surgical team.
"It's a big change, and I am very happy that she's changed." Puac said of her daughter through a translator. "I am very happy (Liau) did such a good job. I am very appreciative and very thankful to him."
Liau said moving the cranial and facial bones into place was the hardest step in Evany's journey. The next two surgeries, which will be performed by Liau in Guatemala, will involve reconstructing the soft tissue features of Evany's face. Liau will use existing tissue to construct Evany's nose and upper lip during the second surgery in January. He will return the following year to perform a procedure that will rebuild the palate. Through the course of two years and three surgeries, Liau hopes to achieve the closest semblance to "normal" for Evany. He believes all children deserve a chance to live a normal life.
"A cleft palate should not keep you from having a healthy, normal, productive life," Liau said. "We are at a stage in cleft care when you should just continue on with what you're supposed to be doing, which is to be happy and have a family and have a life. The ability to do that either here in Kentucky or overseas is something I'm really happy to have."
LEXINGTON, KY. (Sept. 29, 2014) -- We've strayed far from the Dr. Marcus Welby persona -- in popular television, at least. But even Dr. Gregory House, the irascible main character in the Fox television drama, has moments of compassion.
In real life, compassion is still very much an important part of a physician's practice. And there is perhaps no clearer example of a physician's need for compassion than in the treatment of headaches.
Chronic pain -- including headaches -- affects more than 36 million Americans. But the vague nature of symptoms and a lack of patient awareness often inhibit sufferers from seeking help. Furthermore, some doctors aren't completely aware of the full range of pain management options or even that headache pain of unknown origin is a legitimate thing. Sufferers end up limping through life, thinking there's no help for them, maybe even thinking it's all in their head.
Their personal and family lives aren't the only casualties. One study estimates that migraines cost employers $13 billion in lost productivity each year. Tonya Morgan has first-hand knowledge of that.
The 30-year-old chemist had experienced occasional migraines all through college, but one day in 2011 came a headache that wouldn't go away.
"I couldn't even get out of bed, let alone go to work," Morgan remembers. Her pain was so debilitating that her mother moved to Georgetown from Owen County to help out. They visited many doctors for answers, without relief.
Going from full-time work to having no life at all was emotionally devastating for Morgan. "I was so sensitive to noise that I could lie in my bed and hear my mother down the hall eating potato chips. Going to a restaurant, driving, going to church -- all of those became unbearable. I was miserable."
After 11 one-week stints at the Cleveland Clinic, Morgan was told she required extremely risky brain surgery. By now she was being prescribed upwards of 30 different types of medicine a day. "They weren't working," Morgan says flatly.
Instead of the surgery, Morgan ended up seeing Dr. Siddharth Kapoor, director of the Headache Clinic at the Kentucky Neuroscience Institute at UK HealthCare.
"The first thing he said to me was, 'I promise I won't give you any more meds unless we can prove they're working,'" Morgan says. "I could tell immediately that he cared about me and my pain and would do everything he could to fix it."
Dr. Kapoor and his colleague Dr. Jonathan Smith, spend a lot of time with each patient, learning as much as possible about their headaches and finding the most effective way to alleviate them. Others echo Morgan's devotion to these physicians -- their letters of praise are filled with words like "caring," "patient," "empathetic," and "godsend." Many of them say Drs. Kapoor and Smith gave them their personal cell numbers or came in on their lunch breaks to administer a needed treatment. Some of them say they'd never heard of a headache doctor until they met Kapoor and Smith. All of them say they now have their lives back.
"Headache is an extremely complex neurological process, and there usually isn't a quick fix for pain relief," Kapoor says. "Unless you spend a lot of time with each patient, listening to their problems and asking a lot of questions, it's nearly impossible to find the right way to help them."
In Morgan's case, Kapoor tried several options without success. Nerve blocks helped, but with temporary and decreasing effect. After consultation with other UK physicians, Morgan underwent a procedure called radiofrequency ablation, during which high-frequency electric current is targeted at specific nerves in the brain, destroying the tissue responsible for Morgan's headaches. She is now headache free.
"Myths about headache abound," Smith says. "For example, the emphasis of diet as a trigger for migraine isn't panning out. And the theory that migraines are caused by changes in blood vessels in the brain has been debunked."
Smith explains that, historically, the only option for headache relief was symptom management, but new research into understanding headache triggers and the neurological processes involved combined with advances in pain management have leveled the playing field somewhat.
"We can now attack headache on many fronts," says Smith, ticking the options off on his fingers. "We can try to prevent migraines using existing drugs, such as blood pressure or anti-seizure medicines or antidepressants. Botox, which appears to deactivate the pain fibers in the head, offers potential relief. Nerve blocks are useful for acute treatment. If none of those work, there are other options, like Tonya's ablation."
Furthermore, Smith says, there has been more understanding and acceptance of non-medical treatments for headache, such as biofeedback and acupuncture. In other words, he says, "We've come a long way from 'take two aspirin and call me in the morning.'"
Indeed, UK has come a long way as well, with its headache program considered among the top 20 accredited programs in the country. UK HealthCare's Orofacial Pain program, which complements the services of the Headache Clinic, is one of just 12 accredited programs nationally, and the only one in the entire midwest and south.
"Headache is quite complicated, but because we are a multi-disciplinary program, we can coordinate resources to treat the patient," Kapoor says. "We have a range of treatments available for headache sufferers that is unmatched in this area, including the only orofacial pain clinic in the state. With a combination of the right treatments along with lifestyle changes, it can bring about a significant change in the management of headaches."
Morgan has resumed a normal life, driving, working, and attending Zumba classes. Her mother has moved to a new place close by, and now has some freedom to pursue her own personal interests. Both of them have a new appreciation for their good health, which Morgan "pays it forward" by teaching a health class at her church.
"I want everyone to know that headaches are not a life sentence," she says. "There is hope if you get to the right person. I'm living proof of that."
Media Contact: Laura Dawahare, firstname.lastname@example.com
LEXINGTON, Ky. (Aug. 19, 2014) – A new web-based program developed by University of Kentucky Markey Cancer Center researchers will provide a simple, free way for healthcare providers to determine which brain tumor cases require testing for a genetic mutation.
Gliomas – a type of tumor that begins in the brain or spine – are the most common and deadly form of brain cancer in adults, making up about 80 percent of malignant brain cancer cases. In some of these cases, patients have a mutation in a specific gene, known as an IDH1 mutation – and patients who have this tend to survive years longer than those who do not carry the mutation.
Developed by UK researchers Li Chen, Eric Durbin, and Craig Horbinski in collaboration with software architect Isaac Hands of the UK Markey Cancer Center Cancer Research Informatics Shared Research Facility, the program uses a statistical model to accurately predict the likelihood that a patient carries the IDH1 mutation and requires screening.
Gliomas are often tested for IDH1 mutation following surgery to remove the tumor, but undergoing this type of testing often requires stringent insurance pre-approvals due to rising healthcare costs, Horbinski says.
"Currently, there are no universally accepted guidelines for when gliomas should be tested for this mutation," Horbinski said. "Obtaining insurance pre-approval for additional molecular testing is becoming more commonplace, and this program will assist healthcare providers with an evidence-based rationale for when IDH1 screening is necessary."
Additionally, Horbinski notes that the program will help conserve research dollars by helping brain cancer researchers narrow down which specific older gliomas in tumor banks – previously removed in a time before IDH1 testing was routine – should be tested as data for research projects.
Horbinski's research on the program was published in the May issue of Neuro-Oncology. The work was funded through a grant from the National Cancer Institute, the Peter and Carmen Lucia Buck Training Program in Translational Clinical Oncology, and the University of Kentucky College of Medicine Physician Scientist Program.
MEDIA CONTACT: Allison Perry, (859) 323-2399 or email@example.com
LEXINGTON, Ky. (Aug. 11, 2014) – With multiple concussions between the two of them, Dan Han and Lisa Koehl's latest research interest isn't surprising.
"I played competitive soccer through high school and continue to play recreationally," says Koehl, a doctoral candidate in the University of Kentucky's Department of Psychology, "so I have firsthand experience with the dynamics that come into play when a teen suffers a concussion."
As a former high school assistant principal in the Chicago public school system, Han was responsible for overseeing student-athletes' return to school after a concussion. Han left educational administration to pursue his doctorate in neuropsychology. Now director of the Multidisciplinary Concussion Program at UK HealthCare, Han has a reputation for top-notch clinical work and research on concussion.
"There aren't many places in Kentucky where you find a true multidisciplinary concussion program," Han says. "UK HealthCare's Multidisciplinary Concussion Program embraces an interdepartmental group effort -- from neurology, from neurosurgery, sports medicine, physical medicine and rehabilitation, from the trauma team -- we all work together to look at how brain injury affects the cognitive, physical and emotional state of our patients."
This group effort puts the athlete's safety first. For that reason, UK HealthCare's concussion program is the go-to for the athletics programs at Fayette County Public Schools, the University of Kentucky, Eastern Kentucky University, and Kentucky State University, who all rely on the UK Multidisciplinary Concussion Program's clinical expertise in sports concussion for state-of-the-art input to help make decisions affecting an athlete's return to play.
Add to Han's clinical skills a lifelong love of full contact martial arts (Han practices kickboxing and Brazilian jujitsu), and it's easy to see how Han and Koehl are well-suited to study the symptoms of sports concussions.
Drawing from a large UK database of patients with brain injury, Koehl and Han used a subset of 37 athletes aged 12 to 17 to explore post-concussion changes in physical, emotional, and cognitive symptoms over time.
According to Koehl, 22 of the 37 study participants demonstrated post-concussive emotional symptoms. Of those, 23 percent were sensitive to light while 14 percent were sensitive to noise. In comparison, of the 15 teens without emotional symptoms, 13 percent were sensitive to light and no teens were sensitive to noise.
There were no differences between the two groups in factors such as what percentage experienced loss of consciousness, amnesia, nausea and/or headaches, indicating that the groups were likely comparable in the level of severity of concussion.
"We discovered a bidirectional relationship between both emotional symptoms developing in conjunction with physical symptoms, and also emotional symptoms developing because of the physical symptoms," said Koehl.
In other words, said Koehl, "This research gives us a better understanding of the interaction between physical and emotional symptoms in concussion and will allow us to explore ways to help adolescents recover in a more timely fashion."
According to Han, teens in the study who reported anxiety were 55 percent more likely to experience attention difficulties than those without anxiety, while teens with irritability/aggression were 35 percent more likely to self-report problems with attention than teens without irritability.
"While these findings are preliminary and require a larger sample size to predict outcomes with more confidence, we are intrigued by the potential these data offer in terms of providing teens with a better treatment plan based on their unique cognitive, physical and emotional response to concussion," Han said.
"Identifying factors that affect a teen's experience after concussion may help in planning for the appropriate treatment and in making decisions about when to return to play and what accommodations are needed at school during recovery."
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LEXINGTON, Ky. (July 29, 2014) – University of Kentucky Endowed Chair of Neuroscience Dr. Diane Snow was recently elected by her colleagues to serve as president-elect of the National Neurotrauma Society (NNS). With this appointment, Snow will hold the position of president in 2015-2016.
Since joining the NNS in 2003, Snow has championed women's contributions to neurotrauma research and mentorship opportunities for young members of the profession, including students, postdoctoral fellows and young professors. She served as the three-term president of Women in Neurotrauma Research (WINTR), an arm of the NNS that promotes gender equality in neurotrauma research. She also proposed the society's Ask An Expert online database for young professionals and students to make connections with practicing clinicians and researchers who are senior NNS members.
The NNS is a society committed to promoting neurotrauma research, providing a forum for clinicians and supporting members of the profession in their endeavors to discover new treatments for neurotrauma victims. Snow was inducted as president-elect during the society's annual symposium, June 29-July 2, in San Francisco.
Snow graduated with a bachelor's degree in biology and German, and a master's degree in neuroscience from the University of Akron and Northeast Ohio University College of Medicine. She completed her doctorate in neuroscience at Case Western Reserve and postdoctoral work at the University of Minnesota. In 1996, she joined the University of Kentucky as an assistant professor in anatomy and neurobiology and currently serves as an endowed chair and professor of the Spinal Cord and Brain Injury Research Center. She is also the interim director of the UK Honors Program and the director of the Office of Undergraduate Research.
"I'm really looking forward to the opportunity to advance the society by providing a platform conducive for training and sharing of knowledge, in the hopes of finding a cure for people with traumatic brain injuries," Snow said. "Of the many societies I belong to, this is the most nurturing of young scientists and clinicians and is the most interactive. They are always concerned about mentoring and providing opportunities."
Snow's primary duties as president will be fundraising and selecting a site for the 2016 annual meeting. For the first time, the NNS will consider Lexington as one of three possible host sites in 2016.
MEDIA CONTACT: Elizabeth Adams; firstname.lastname@example.com
LEXINGTON, Ky. (April 16, 2014) -- UK HealthCare's Kentucky Neuroscience Institute (KNI) has received the "Get With The Guidelines-Stroke Gold-Plus Quality Achievement Award" for maintaining specific quality measures outlined by the American Heart Association/American Stroke Association for the treatment of stroke patients.
KNI also received the association's "Target: Stroke Honor Roll" for meeting stroke quality measures that reduce the time between hospital arrival and treatment with the clot-buster tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. Stroke patients who receive the drug within three hours of the onset of symptoms may recover more quickly and are less likely to suffer severe disability.
This marks the fourth year that KNI has received this designation.
"This award provides patients with tangible evidence of KNI's commitment to the highest standard of stroke care," said Dr. Michael Dobbs, UK HealthCare's associate chief medical officer and chief of neurological services. "But patients aren't the only ones who benefit. By participating in the 'Get With The Guidelines-Stroke program,' we are able to share our expertise with other member hospitals around the country, including access to the most up-to-date research, clinical tools and resources, and patient education resources."
"What this means for Kentuckians is that the best possible stroke care is available right here in Lexington."
According to the American Heart Association/American Stroke Association, stroke is the number four cause of death and a leading cause of adult disability in the United States. In Kentucky, cardiovascular disease (which includes stroke) is the leading cause of death. On average, someone suffers a stroke every 40 seconds; someone dies of a stroke every four minutes; and 795,000 people suffer a new or recurrent stroke each year.
LEXINGTON, Ky. (April 10, 2014) -- The National Association of Epilepsy Centers (NAEC) has given Level 4 designation to the Comprehensive Epilepsy Center at the University of Kentucky's Kentucky Neuroscience Institute (KNI).
UK is the only Level 4 epilepsy center in the Bluegrass, and among 149 such centers in the United States. Level 4 of epilepsy care is the highest designation level offered by the NAEC.
"KNI has a commitment to providing the highest level and broadest range of treatment for its patients, and the NAEC Level 4 designation is yet another acknowledgement of our success in reaching that goal," said Dr. Michael R. Dobbs, interim chair of neurology and associate chief medical officer for UK HealthCare. "I'm delighted that the program has been recognized for its quality and range of care, and credit justly goes to the multidisciplinary team of physicians, nurses, rehabilitation specialists and staff that makes us worthy of this designation."
A Level 4 center provides the most complex forms of evaluation, including invasive brain monitoring and imaging and neuropsychological evaluation, and offers a broad range of medical and surgical treatment options.
"The epilepsy center has been providing the most comprehensive and specialized care to the people of Central and Eastern Kentucky for more than two decades," said Dr. Meriem Bensalem-Owen, director of KNI's Epilepsy Program. "Our epilepsy clinics, an active surgical program, and clinical trials offer a broad range of advanced forms of therapy for patients with difficult to control seizures. Those, in combination with our neuropsychological expertise and outreach efforts, make us the gold standard for epilepsy care in the bluegrass."
The NAEC is a non-profit group of more than 170 specialized epilepsy centers in the United States with the mission of setting a national agenda for quality epilepsy care.
LEXINGTON, Ky. (April 3, 2014) -- Turning 21 is widely considered a milestone -- a time when life's possibilities appear unlimited. At first, this was not so for Marietta Barton-Baxter. She was diagnosed with multiple sclerosis (MS) at 21. "When I first heard that I had MS, I was scared and angry," Barton-Baxter says. "I felt as if I had been robbed of all my dreams and my future."
But once she adjusted to her new situation, she began to make the proverbial lemonade out of lemons. She has worked at the University of Kentucky for 26 years, and is currently an administrative director for the Regulatory and Clinical Services Cores at the Center for Clinical and Translational Science (CCTS). She and her husband have travelled around the country doing motivational talks for MS patients and their care partners, and she continues to be an MS patient advocate, assisting newly diagnosed MS patients and their families. "It feels good to help patients and their families through the emotional times that come post-diagnosis," she says.
And now, the people at UK who have found her story inspiring have the opportunity to acknowledge her efforts. On May 31, 2014, staff from the UK Kentucky Neuroscience Institute (KNI) and CCTS will join Barton-Baxter at Walk MS Lexington.
"Marietta amazes us with her commitment to helping others at a time when it would be easy to focus on her own health," says Amber Mccormick, the Multiple Sclerosis Coordinator at KNI. "It seems fitting that we honor her efforts this way."
Multiple sclerosis (MS) is an inflammatory disease that damages the insulating covers of nerves in the brain and spinal cord, resulting in physical, mental, and sometimes psychiatric problems. Between 2 and 2.5 million people around the world have been diagnosed with MS, which is twice as common in women as in men. There is no known cure for multiple sclerosis, but there are several medications that can be used to manage symptoms. Barton-Baxter has been taking injections every other day for more than 20 years with tremendous success.
But, Barton-Baxter says, her hope for herself and for others is a cure. Proceeds from Walk MS helps to fund multiple sclerosis research efforts. "I don't want to see anyone else suffer from this debilitating disease," she says.
The Walk MS event will take place on Saturday, May 31 at the RJ Corman Railroad property; 101 RJ Corman Drive in Nicholasville. There are one and three mile course options. Walk registration will begin at 9 a.m.; walk begins at 10 a.m. For more information, contact Amber Mccormick at 859-323-5661 or firstname.lastname@example.com.
LEXINGTON, Ky. (Feb. 24, 2014) -- Leadership from the UK HealthCare's stroke team has been invited to assist The American Heart Association/American Stroke Association in a "prep visit" to the Cleveland Clinic as their stroke center applies for Comprehensive Stroke Center (CSC) designation from The Joint Commission.
Kelley Elkins, UK HealthCare Stroke program coordinator, and Lisa Bellamy, director of education and quality for the UK HealthCare/Norton Healthcare-Stroke Care Network, will travel to Cleveland to share their experience with the CSC application process, which UK HealthCare completed late last year.
The prep visit is funded by the American Heart Association/American Stroke Association and is designed to help institutions applying for CSC designation understand TJC's expectations for accreditation.
"When we were working towards our CSC designation, we received the same type of support from AHA/ASA and from Riverside Methodist Hospital in Columbus, Ohio, which helped us considerably as we prepared for our site visit from TJC," said Elkins. " Interpreting the CSC standards can be challenging, and we hope our experiences can help The Cleveland Clinic achieve their goal of CSC designation."
The invitation comes just two months after UK HeathCare earned its own CSC designation, which is the highest honor TJC awards to stroke centers. UK HealthCare is one of only 63 U.S. institutions with CSC designation.
"It's quite a compliment that we've been asked to do this so soon after our own designation was announced," says Bellamy. "This type of sharing process prevents each institution from having to recreate the wheel, which is also what the Stroke Care Network is about."
The UK HealthCare/Norton HealthCare Stroke Care Network is a unique program dedicated to community education and standards-sharing with affiliate hospitals in Kentucky and West Virginia.
The Joint Commission is the nation's oldest and largest standards-setting and evaluation body in health care. An independent, not-for-profit organization, The Joint Commission evaluates and accredits more than 20,000 healthcare organizations and programs in the US.
LEXINGTON, Ky. (Feb. 20, 2014) -- Dr. Meriem Bensalem-Owen, associate professor of neurology, anatomy and neurobiology and director of UK HealthCare's Epilepsy Program, has been named a fellow of the American Clinical Neurophysiology Society (ACNS), a professional association dedicated to fostering excellence in clinical neurophysiology.
In addition to serving on the society's program committee, the Committee for Continuing Medical Education, and the Website/Social Media Committee, Dr. Bensalem-Owen will co-chair the Mentoring Program of the ACNS.
"This is a great honor for Dr. Bensalem- Owen as she is the first UK faculty member to be named a fellow of this prestigious society," said Dr. Michael Dobbs, associate chief medical officer for UK HealthCare and interim chair for the Department of Neurology. "She has represented herself, the University of Kentucky, and The Kentucky Neuroscience Institute well."
ALS (Lou Gehrig's disease)
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Comprehensive epilepsy program
General neurology
Headache & pain clinic
Memory and aging program
Movement disorders
Multidisciplinary concussion
Neuroinfectious disease
Neuromuscular disease
Pediatric neurology
Kentucky Clinic | Directions »First floor, Wing C (across from Starbucks)740 S. Limestone Lexington KY 40536
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Most commonly, patients are referred through their primary care provider or neurologist.
Please arrive at least 20 minutes before your appointment in order to register and fill out any of the necessary paperwork prior to your appointment. This will assist in ensuring prompt service and visitation with your physician.
When a patient is referred to Kentucky Neuroscience Institute (KNI), diagnosis and treatment are made in a collaborative environment, decreasing the need for multiple visits and consultations.
An emphasis on quality of life factors such as ease of movement and communication maximizes the potential for recovery. Treated as equal partners in care, referring physicians can expect early and ongoing contact with KNI specialists.
Kentucky Neuroscience Institute ClinicKentucky Clinic Directions | Parking »First floor, Wing C (across from Starbucks) 740 S. Limestone Lexington KY 40536-0284
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text:
Fri, Apr 22, 11 at 17:49
|My first bloom- ever, from my hybridization attempts of azalea. I'm really happy with it.
Probably Gibralter x Admiral Semmes
(What I think is) Gibralter is the more orange flower. I think the flowers on my seedling are larger than those on Gibralter!
Follow-Up Postings:
|Very Nice! Here is a photo of admiral semmes:
Your seedling looks a little like the Western species Occidentale which doesn't survive on the East Coast.
|Sorry, the photo of Admiral Semmes is:
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