text:
Otitis media
Otitis media | |
A view of the tympanic membrane showing acute otitis media
Classification and external resources | |
DiseasesDB | 29620 serous, 9406 suppurative |
MedlinePlus | 000638 acute, 007010 with effusion, 000619 chronic |
eMedicine | emerg/351 ent/426 complications, ent/209 with effusion, ent/212 Medical treat., ent/211 Surgical treat. ped/1689 |
NCI | Otitis media |
MeSH | D010033 |
Otitis media (Latin for "inflammation of the middle ear") or tympanitis is the medical term for middle ear inflammation. There are 2 major types of otitis media: acute otitis media and otitis media with effusion. The former is usually symptomatic, especially ear pain (otalgia), whereas the latter is most commonly without acute symptoms. Chronic suppurative otitis media, incorrectly called "chronic otitis media," is less common and is a complication of acute otitis media, and is associated with perforation of the ear drum, with or without drainage; all 3 of these conditions are most frequently associated with hearing loss. Otitis Media is very common in childhood but can occur at any age.
All otitis media is middle-ear disease, but all middle-ear diseases and disorders are not otitis media, such as cholesteatoma, congenital malformations of the middle-ear.
Signs and symptoms[edit]
An integral symptom of acute otitis media is ear pain; other possible symptoms include fever, and irritability (in infants). Since an episode of otitis media is usually precipitated by an upper respiratory tract infection (URI), there often are accompanying symptoms like cough and nasal discharge.[1]
Otorrhea, which is a discharge from the ear, can be caused by acute otitis media with perforation of the ear drum, chronic suppurative otitis media, tympanostomy tube otorrhea, or acute otitis externa. Trauma, such as a basilar skull fracture, can also lead to otorrhea due to cerebral spinal drainage from the brain and its covering (meninges).
The common cause of all forms of otitis media is dysfunction of the Eustachian tube.[2] This is usually due to inflammation of the mucous membranes in the nasopharynx, which in turn can be caused by a viral URI or possibly by allergies.[3] Because of the dysfunction of the Eustachian tube, the gas volume in the middle ear is trapped and parts of it are slowly absorbed by the surrounding tissues, leading to negative pressure in the middle ear. Eventually the negative middle-ear pressure can reach a point where fluid from the surrounding tissues is sucked in to the middle ear's cavity (also called tympanic cavity), causing a middle-ear effusion. This is seen as a progression from a Type A tympanogram to a Type C to a Type B tympanogram.
By reflux or aspiration of unwanted secretions from the nasopharynx into the normally sterile middle-ear space, the fluid may then become infected - usually with bacteria. The virus that caused the initial URI can itself be identified as the pathogen causing the infection in the middle ear.[3]
As its typical symptoms overlap with other conditions, such as acute external otitis, clinical history alone is not sufficient to predict whether acute otitis media is present; it has to be complemented by visualization of the tympanic membrane.[4] Using a pneumatic otoscope with a rubber bulb attached to assess the mobility of the tympanic membrane.
Acute otitis media in children with moderate to severe bulging of the tympanic membrane or new onset of otorrhea (drainage) is not due to external otitis. Also, the diagnosis may be made in children who have mild bulging of the ear drum and recent onset of ear pain (less than 48 hours) or intense erythema (redness) of the ear drum.
To confirm the diagnosis, middle-ear effusion and inflammation of the eardrum have to be identified; signs of these are fullness, bulging, cloudiness and redness of the eardrum.[1] It is important to attempt to differentiate between acute otitis media and otitis media with effusion (OME), as antibiotics are not recommend for OME receive antibiotics.[1] It has been suggested that bulging of the tympanic membrane is the best sign to differentiate AOM from OME [5]
Viral otitis may also result in blisters on the external side of the tympanic membrane, which is called bullous myringitis (myringa being Latin for "eardrum")[6]
However, sometimes even examination of the eardrum may not be able to confirm the diagnosis, especially if the canal is small. If wax in the ear canal obscures a clear view of the eardrum it should be removed using a blunt cerumen curette or a wire loop. Also, an upset young child's crying can cause the eardrum to look inflamed due to distension of the small blood vessels on it, mimicking the redness associated with otitis media.
Acute otitis media[edit]
The most common bacteria isolated from the middle ear in AOM are Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.[1]
Otitis media with effusion[edit]
Otitis media with effusion (OME), also known as serous otitis media (SOM) or secretory otitis media (SOM), and commonly referred to as glue ear,[7] is simply a collection of effusion (fluid) that occurs within the middle-ear space due to the negative pressure produced by dysfunction of the Eustachian tube. This can occur purely from a viral URI, with no pain or bacterial infection, or it can precede and/or follow acute bacterial otitis media.[8] Fluid in the middle ear frequently causes conductive hearing impairment, but only when it interferes with the normal vibration of the eardrum by sound waves. Over weeks and months, middle-ear fluid can become very thick and glue-like, which increases the likelihood of its causing conductive hearing impairment. Early-onset OME is associated with feeding of infants while lying down, early entry into group child care, parental smoking, lack, or too short a period of breastfeeding and greater amounts of time spent in group child care, particularly those with a large number of children, increases the incidences and duration of OME in the first two years of life.[9]
Chronic suppurative otitis media[edit]
Chronic suppurative otitis media involves a perforation (hole) in the tympanic membrane and active bacterial infection within the middle-ear space for several weeks or more. There may be enough pus that it drains to the outside of the ear (otorrhea), or the purulence may be minimal enough to only be seen on examination using the otoscope or more effectively with a binocular microscope by an otolaryngologist. This disease is much more common in persons with poor Eustachian tube function, and very common in certain races such as Native North Americans. Hearing impairment often accompanies this disease.
Adhesive otitis media[edit]
Adhesive otitis media occurs when a thin retracted ear drum becomes sucked into the middle-ear space and stuck, i.e. adherent, to the ossicles and other bones of the middle ear.
Myringitis bullosa in influenza
Long term antibiotics while they decrease rates of infection during treatment, have an unknown effect on long term outcomes such as hearing loss.[10] This method of prevention has been associated with emergence of antibiotic-resistant otitic bacteria. They are thus not recommended.[1]
Pneumococcal conjugate vaccines when given during infancy decrease rates of acute otitis media by 6–7% and if implemented broadly would have a significant public health benefit.,[1][11] Influenza vaccine is recommended annually.[1]
Risk factors such as season, allergy predisposition and presence of older siblings are known to be determinants of recurrent otitis media and persistent middle-ear effusions (MEE).[12] Previous history of recurrence, environmental exposure to tobacco smoke, use of daycare, and lack of breastfeeding have all been associated with increased risk of development, recurrence, and persistent MEE.[13][14] Thus, cessation of smoking in the home should be encouraged, daycare attendance should avoided or daycare facilities with the fewest attendees should be recommended, and breast feeding should be promoted.[13][14]
There is some evidence that breastfeeding for the first twelve months of life is associated with a reduction in the number and duration of OM infections.[15][16] Pacifier use, on the other hand, has been associated with more frequent episodes of AOM.[17]
Evidence does not support zinc supplementation as an effort to reduce otitis rates except maybe in those with severe malnutrition such as marasmus.[18]
Oral and topical pain killers are effective to treat the pain caused by otitis media. Oral agents include ibuprofen, paracetamol (acetaminophen), and opiates. Topical agents shown to be effective include antipyrine and benzocaine ear drops.[19] Decongestants and antihistamines, either nasal or oral, are not recommended due to the lack of benefit and concerns regarding side effects.[20] Half of cases of ear pain in children resolves without treatment in three days and 90% resolves in seven or eight days.[21]
It is important to weigh the benefits and harms before using antibiotics for acute otitis media. As over 80% of acute episodes settle without treatment, about 20 children must be treated to prevent one case of ear pain, 33 children to prevent one perforation, and 11 children to prevent one opposite side ear infection. The harms include, for every 14 children treated one child has an episode of either vomiting, diarrhea or a rash.[22] If pain is present, treatment to reduce it should be initiated.
- Antibiotics should be prescribed for severe bilateral or unilateral disease in all infants and children with severe signs and symptoms, such as moderate to severe ear pain and high fever.
- For bilateral acute otitis media in infants younger than 24 months of age, without severe signs and symptoms, antibiotics should be prescribed.
- When non-severe unilateral acute otitis media is diagnosed in young children either antibiotic therapy is given, or observation with close follow-up based on joint decision making between parent(s)/caregiver in infants 6 to 23 months of age, and if the child worsens or fails to improve within 2 to 3 days antibiotics should be administered.
- In children 24 months or older with non-severe disease can have either antibiotics or observation.
The first line antibiotic treatment, if warranted, is amoxicillin.[1] If there is resistance or use of amoxicillin in the last 30 days then amoxicillin-clavulanate or another penicillin derivative plus beta lactamase inhibitor is recommended.[1] While less than 7 days of antibiotics have less side effects, more than seven days appear to be more effective.[23] If there is no improvement after 2–3 days of treatment a change in therapy may be considered.[1]
A treatment option for chronic suppurative otitis media with discharge is topical antibiotics. A Cochrane review found that topical quinolone antibiotics can improve discharge better than oral antibiotics.[24] Safety is not really clear.[24]
Tympanostomy tube[edit]
Tympanostomy tubes (also called a "grommet") are recommended in those people who have 3 or more episodes of acute otitis media in 6 months or 4 or more in a year, with at least one episode or more attacks in the preceding 6 months.[1] In chronic cases with effusions, insertion of tympanostomy tube into the eardrum reduces recurrence rates in the 6 months after placement[25] but has little effect on long term hearing.[26] A common complication of having a tympanostomy tube is otorrhea, which is a discharge from the ear.[27] Oral antibiotics should not be used to treat uncomplicated acute tympanostomy tube otorrhea.[27] Oral antibiotics are not a sufficient response to bacteria which cause this condition and have significant side effects including increased risk of opportunistic infection.[27] In contrast, topical antibiotic eardrops can treat this condition.[27]
Alternative medicine[edit]
Complementary and alternative medicine is not recommended for otitis media with effusion because there is no evidence of benefit.[8] An osteopathic manipulation technique called the Galbreath technique[28] was evaluated in one randomized controlled clinical trial; one reviewer concluded that it was promising, but a 2010 evidence report found the evidence inconclusive.[29]
Complications of acute otitis media consists of perforation of the ear drum, infection of the mastoid space behind the ear (mastoiditis), and more rarely intracranial complications can occur, such as bacterial meningitis, brain abscess, or dural sinus thrombosis.[30] It is estimated that each year 21 thousand people die due to complications of otitis media.[31]
Membrane rupture[edit]
In severe or untreated cases, the tympanic membrane may perforate, allowing the pus in the middle-ear space to drain into the ear canal. If there is enough of it, this drainage may be obvious. Even though the perforation of the tympanic membrane suggests a highly painful and traumatic process, it is almost always associated with the dramatic relief of pressure and pain. In a simple case of acute otitis media in an otherwise healthy person, the body's defenses are likely to resolve the infection and the ear drum nearly always heals. An option for severe acute otitis media in which analgesics are not controlling ear pain is to perform a tympanocentesis, i.e. needle aspiration through the tympanic membrane to not only relieve the ear pain but to identify the causative organism(s).
Hearing loss[edit]
Children with recurrent episodes of acute otitis media and those with otitis media with effusion or chronic suppurative otitis media, have higher risks of developing conductive and sensorineural hearing loss. Globally approximately 141 million people have mild hearing loss due to otitis media (2.1% of the population).[32] This is more common in males (2.3%) than females (1.8%).[32]
This hearing loss is mainly due to fluid in the middle ear or rupture of the tympanic membrane. Prolonged duration of otitis media is associated with ossicular complications, and together with persistent tympanic membrane perforation contributes to the severity of both the disease and the hearing loss. When a cholesteatoma or granulation tissue is present in the middle ear, the degree of hearing loss and ossicular destruction is even greater.[33]
Periods of conductive hearing loss from otitis media may have a detrimental effect on speech development in children.[34] Some studies have also linked otitis media to educational problems, attention disorders, and problems with social adaptation.[35] Furthermore it has been demonstrated that patients suffering from otitis media have more depression/anxiety-related disorders compared to individuals with normal hearing.[36] Once the infections resolve and hearing thresholds return to normal, childhood otitis media may still cause minor and irreversible damage to the middle ear and cochlea.[37]
Acute otitis media is very common in childhood. It is the most common condition warranting medical therapy in children under five years of age in the US.[38] The acute otitis media incidence rate is 10.85% i.e. 709 million cases each year with 51% occurring in age below five years; chronic suppurative otitis media incidence rate is 4.76% i.e. 31 million cases, with 22.6% of cases occurring annually under the age of five years.[31]
- ^ a b c d e f g h i j k Lieberthal, AS; Carroll, AE; Chonmaitree, T; Ganiats, TG; Hoberman, A; Jackson, MA; Joffe, MD; Miller, DT; Rosenfeld, RM; Sevilla, XD; Schwartz, RH; Thomas, PA; Tunkel, DE (Feb 25, 2013). "The Diagnosis and Management of Acute Otitis Media". Pediatrics 131 (3): e964–99. doi:10.1542/peds.2012-3488. PMID 23439909.
- ^ Bluestone, CD (2005). Eustachian tube: structure, function, role in otitis media. Hamilton, London: BC Decker. pp. 1–219. ISBN 9781550090666.
- ^ a b John D Donaldson. "Acute Otitis Media". Medscape. Retrieved 17 March 2013.
- ^ Laine MK, Tähtinen PA, Ruuskanen O, Huovinen P, Ruohola A; Tähtinen; Ruuskanen; Huovinen; Ruohola (May 2010). "Symptoms or symptom-based scores cannot predict acute otitis media at otitis-prone age". Pediatrics 125 (5): e1154–61. doi:10.1542/peds.2009-2689. PMID 20368317.
- ^ Shaikh, N; et al; (March 28, 2012). "Development of an algorithm for the diagnosis of otitis media.". Academic Pediatrics 12 (3): 214–218. doi:10.1016/j.acap.2012.01.007. PMID 22459064.
- ^ Roberts DB (April 1980). "The etiology of bullous myringitis and the role of mycoplasmas in ear disease: a review". Pediatrics 65 (4): 761–6. PMID 7367083.
- ^ "Glue Ear". NHS Choices. Department of Health. Retrieved 3 November 2012.
- ^ a b Rosenfeld RM, Culpepper L, Yawn B, Mahoney MC; Culpepper; Yawn; Mahoney; Aap (June 2004). "Otitis media with effusion clinical practice guideline". Am Fam Physician 69 (12): 2776, 2778–9. PMID 15222643.
- ^ Owen MJ, Baldwin CD, Swank PR, Pannu AK, Johnson DL, Howie VM; Baldwin; Swank; Pannu; Johnson; Howie (1993). "Relation of infant feeding practices, cigarette smoke exposure, and group child care to the onset and duration of otitis media with effusion in the first two years of life". J. Pediatr. 123 (5): 702–11. doi:10.1016/S0022-3476(05)80843-1. PMID 8229477.
- ^ Leach AJ, Morris PS; Morris (2006). Leach, Amanda J, ed. "Antibiotics for the prevention of acute and chronic suppurative otitis media in children". Cochrane Database Syst Rev (4): CD004401. doi:10.1002/14651858.CD004401.pub2. PMID 17054203.
- ^ Jansen AG, Hak E, Veenhoven RH, Damoiseaux RA, Schilder AG, Sanders EA; Hak; Veenhoven; Damoiseaux; Schilder; Sanders (2009). Jansen, Angelique GSC, ed. "Pneumococcal conjugate vaccines for preventing otitis media". Cochrane Database Syst Rev (2): CD001480. doi:10.1002/14651858.CD001480.pub3. PMID 19370566.
- ^ Rovers MM, Schilder AG, Zielhuis GA, Rosenfeld RM; Schilder; Zielhuis; Rosenfeld (2004). "Otitis media". Lancet 363 (9407): 564–573. doi:10.1016/S0140-6736(04)15546-3. PMID 14962529.
- ^ a b Pukander J, Luotonem J, Timonen M, Karma P; Luotonen; Timonen; Karma (1985). "Risk factors affecting the occurrence of acute otitis media among 2-3 year old urban children". Acta Otolaryngol 100 (3–4): 260–265. doi:10.3109/00016488509104788. PMID 4061076.
- ^ a b Etzel RA (1987). "Smoke and ear effusions". Pediatrics 79 (2): 309–311. PMID 3808812.
- ^ Dewey KG, Heinig MJ, Nommsen-Rivers LA; Heinig; Nommsen-Rivers (1995). "Differences in morbidity between breast-fed and formula-fed infants". J Pediatr 126 (5 Pt 1): 696–702. doi:10.1016/S0022-3476(95)70395-0. PMID 7751991.
- ^ Saarinen UM (1982). "Prolonged breast feeding as prophylaxis for recurrent otitis media". Acta Pediatr Scan 71 (4): 567–571. doi:10.1111/j.1651-2227.1982.tb09476.x. PMID 7136672.
- ^ Rovers MM, Numans ME, Langenbach E, Grobbee DE, Verheij TJ, Schilder AG; Numans; Langenbach; Grobbee; Verheij; Schilder (August 2008). "Is pacifier use a risk factor for acute otitis media? A dynamic cohort study". Fam Pract 25 (4): 233–6. doi:10.1093/fampra/cmn030. PMID 18562333.
- ^ Gulani, A; Sachdev, HS (Jun 29, 2014). "Zinc supplements for preventing otitis media". The Cochrane database of systematic reviews 6: CD006639. doi:10.1002/14651858.CD006639.pub4. PMID 24974096.
- ^ Sattout, A.; Jenner, R. (February 2008). "Best evidence topic reports. Bet 1. The role of topical analgesia in acute otitis media". Emerg Med J 25 (2): 103–4. doi:10.1136/emj.2007.056648. PMID 18212148.
- ^ Coleman C, Moore M; Moore (2008). Coleman, Cassie, ed. "Decongestants and antihistamines for acute otitis media in children". Cochrane Database Syst Rev (3): CD001727. doi:10.1002/14651858.CD001727.pub4. PMID 18646076.
- ^ Thompson, M; Vodicka, TA; Blair, PS; Buckley, DI; Heneghan, C; Hay, AD; TARGET Programme, Team (Dec 11, 2013). "Duration of symptoms of respiratory tract infections in children: systematic review". BMJ (Clinical research ed.) 347: f7027. doi:10.1136/bmj.f7027. PMC 3898587. PMID 24335668.
- ^ Venekamp, Roderick P; Sharon Sanders2, Paul P Glasziou, Chris B Del Mar, Maroeska M Rovers (31 January 2013). "Antibiotics for acute otitis media in children (Systematic Review)". Cochrane Database of Systematic Reviews (1): CD000219 (3rd rev.). doi:10.1002/14651858.CD000219.pub3. PMID 14973951.
- ^ Kozyrskyj A, Klassen TP, Moffatt M, Harvey K (2010). "Short-course antibiotics for acute otitis media". Cochrane Database of Systematic Reviews (9): CD001095 (2nd rev.). doi:10.1002/14651858.CD001095.pub2. PMID 20824827.
- ^ a b Macfadyen, CA; Acuin, JM; Gamble, C (Jan 25, 2006). "Systemic antibiotics versus topical treatments for chronically discharging ears with underlying eardrum perforations.". The Cochrane database of systematic reviews (1): CD005608. doi:10.1002/14651858.CD005608. PMID 16437533.
- ^ McDonald S, Langton Hewer CD, Nunez DA; Langton Hewer; Nunez (2008). McDonald, Stephen, ed. "Grommets (ventilation tubes) for recurrent acute otitis media in children". Cochrane Database Syst Rev (4): CD004741. doi:10.1002/14651858.CD004741.pub2. PMID 18843668.
- ^ Browning GG, Rovers MM, Williamson I, Lous J, Burton MJ; Rovers; Williamson; Lous; Burton (2010). Browning, George G, ed. "Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children". Cochrane Database Syst Rev (10): CD001801. doi:10.1002/14651858.CD001801.pub3. PMID 20927726.
- ^ a b c d American Academy of Otolaryngology – Head and Neck Surgery, "Five Things Physicians and Patients Should Question", Choosing Wisely: an initiative of the ABIM Foundation (American Academy of Otolaryngology – Head and Neck Surgery), retrieved August 1, 2013, which cites
- Rosenfeld, R. M.; Schwartz, S. R.; Pynnonen, M. A.; Tunkel, D. E.; Hussey, H. M.; Fichera, J. S.; Grimes, A. M.; Hackell, J. M.; Harrison, M. F.; Haskell, H.; Haynes, D. S.; Kim, T. W.; Lafreniere, D. C.; LeBlanc, K.; Mackey, W. L.; Netterville, J. L.; Pipan, M. E.; Raol, N. P.; Schellhase, K. G. (2013). "Clinical Practice Guideline: Tympanostomy Tubes in Children". Otolaryngology -- Head and Neck Surgery 149 (1 Suppl): S1–S35. doi:10.1177/0194599813487302. ISSN 0194-5998. PMID 23818543.
- ^ Pratt-Harrington D (October 2000). "Galbreath technique: a manipulative treatment for otitis media revisited". J Am Osteopath Assoc 100 (10): 635–9. PMID 11105452.
- ^ Bronfort G, Haas M, Evans R, Leininger B, Triano J; Haas; Evans; Leininger; Triano (2010). "Effectiveness of manual therapies: the UK evidence report". Chiropr Osteopat 18: 3. doi:10.1186/1746-1340-18-3. PMC 2841070. PMID 20184717.
- ^ Jung, TT; Alper, CM; Hellstorm, SO; Hunter, LL; Casselbrant, ML; Groth, A; Kemaloglu, YK; Kim, SG; Lim, D; Nittrourer, S; Park, KH; Sabo, D; Sprately, J (April 2013). "Panel 8: Complications and sequelae". Otolaryngol Head Neck Surg E (4 Suppl): E122–43. doi:10.1177/0194599812467425. PMID 23536529.
- ^ a b Monasta, L; Ronfani, I; Marchetti, F; Montico, M; Vrecchi-Brunetti, L; Bavcar, A; Grasso, D; Barbiero, C; Tamburlini, G (April 30, 2012). "Burden of disease caused by otitis media: systematic review and global estimates". PLoS ONE 7 (4): e36226. doi:10.1371/journal.pone.0036226. PMC 3340347. PMID 22558393.
- ^ a b Vos, T; Flaxman, A. D.; Naghavi, M; Lozano, R; Michaud, C; Ezzati, M; Shibuya, K; Salomon, J. A.; Abdalla, S; Aboyans, V; Abraham, J; Ackerman, I; Aggarwal, R; Ahn, S. Y.; Ali, M. K.; Alvarado, M; Anderson, H. R.; Anderson, L. M.; Andrews, K. G.; Atkinson, C; Baddour, L. M.; Bahalim, A. N.; Barker-Collo, S; Barrero, L. H.; Bartels, D. H.; Basáñez, M. G.; Baxter, A; Bell, M. L.; Benjamin, E. J. et al. (Dec 15, 2012). "Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010". Lancet 380 (9859): 2163–96. doi:10.1016/S0140-6736(12)61729-2. PMID 23245607.
- ^ Da Costa SS; Rosito, Letícia Petersen Schmidt; Dornelles, Cristina (February 2009). "Sensorineural hearing loss in patients with chronic otitis media". Eur Arch Otorhinolaryngol 266 (2): 221–4. doi:10.1007/s00405-008-0739-0. PMID 18629531.
- ^ Roberts K (June 1997). "A preliminary account of the effect of otitis media on 15-month-olds' categorization and some implications for early language learning". J Speech Lang Hear Res 40 (3): 508–18. PMID 9210110.
- ^ Bidadi S, Nejadkazem M, Naderpour M; Nejadkazem; Naderpour (November 2008). "The relationship between chronic otitis media-induced hearing loss and the acquisition of social skills". Otolaryngol Head Neck Surg 139 (5): 665–70. doi:10.1016/j.otohns.2008.08.004. PMID 18984261.
- ^ Gouma P, Mallis A, Daniilidis V, Gouveris H, Armenakis N, Naxakis S; Mallis; Daniilidis; Gouveris; Armenakis; Naxakis (January 2011). "Behavioral trends in young children with conductive hearing loss: a case-control study". Eur Arch Otorhinolaryngol 268 (1): 63–6. doi:10.1007/s00405-010-1346-4. PMID 20665042.
- ^ Yilmaz S, Karasalihoglu AR, Tas A, Yagiz R, Tas M; Karasalihoglu; Tas; Yagiz; Tas (February 2006). "Otoacoustic emissions in young adults with a history of otitis media". J Laryngol Otol 120 (2): 103–7. doi:10.1017/S0022215105004871. PMID 16359151.
- ^ John D Donaldson. "Acute Otitis Media". Medscape. Retrieved 17 March 2013.
External links[edit]
Wikimedia Commons has media related to Otitis media. |
- Neff MJ (June 2004). "AAP, AAFP, AAO-HNS release guideline on diagnosis and management of otitis media with effusion". Am Fam Physician 69 (12): 2929–31. PMID 15222658.


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Class Notes
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UGRD Arts & Sciences '07
Cashman, Veronica (Zepeda)
Veronica (Zepeda) Cashman '07 was honored as a 2014 Santa Clara Sporting Coach of the Year. Cashman coaches two girls teams at Sporting: the Santa Clara Sporting 97 Girls White and the Sporting 01 Girls. After completing a very successful collegiate career at Santa Clara University and a stint with the US Under 20 Women's National team, she turned her energy into coaching and mentoring girls at Santa Clara Sporting. She took over the head coaching job of Sporting 97G White two years ago, building them into a premier powerhouse team, now ranked No. 1 in NorCal, No. 2 in Region IV and No. 3 in the GotSoccer.com rankings. Sporting 97 Girls White won the Cal-North State Cup, the Surf Cup and the Sporting Girls Invitational during the past two seasons.
submitted Jan. 9, 2015 2:42P

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Plane crashes with 40 aboard
Comment on this storyTehran - A small Iranian passenger plane crashed Sunday while taking off from an airport near the capital, Tehran, state media reported. The country's state-run news agency said 40 people were feared killed in the crash.
The aircraft, an Iran-141 jet typically used for short domestic flights, crashed near Mehrabad airport, west of Tehran, Iran's state-run IRNA news agency reported. The plane went down in a residential area, the agency reported.
"Initial reports indicate that the 40 people aboard the plane have been killed, including seven children," IRNA reported. It did not identify a source for its claim.
Iranian state television reported that it was a Taban Air flight.
Iran has suffered a series of airplane crashes, blamed on its aging aircraft and poor maintenance. Many of the Boeing aircraft in IranAir's fleet were bought before the country's 1979 Islamic Revolution, which disrupted ties with the U.S. and Europe.
The Iran-141 is a small passenger plane produced in Iran with Ukrainian technology.
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BENNINGTON Police in Bennington are looking for a suspect following an armed robbery at a CVS pharmacy.
Bennington Police Chief Paul Doucette said officers responded to a 911 call around 9 p.m. Tuesday. The caller said someone had entered the store, jumped over the pharmacy counter and demanded Percocet while showing a handgun. The male suspect left with some medication.
Police arrived within minutes and locked down the store. A police dog helped track the suspect for a while, but the trail was lost at a nearby gas station. Police told the Bennington Banner that they believe a getaway car was waiting at the gas station.
Surveillance video shows a man wearing a hooded sweatshirt with a black face mask and gloves. He was holding a black and silver handgun.MORE IN This Just InTwo people were killed in a multi-vehicle crash on Interstate 91, one of several accidents on... Full StoryTwo people were killed in a multi-vehicle crash on Interstate 91, one of several accidents on... Full StorySome rural property owners could see significant increases in their taxes if lawmakers take up... Full Story -
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- RICHARD'S POOR ALMANACK: On this day in 1861, JEFFERSON DAVIS resigns from the U.S. Senate to become president of the Confederate States of America, in 1908, NYC passes law forbidding women from smoking in public; in 1968, B-52 crashes, loses H-bomb.
- TOMORROW'S HEADLINES TODAY: Aldermen debate request for $75K from Zamias Fund for Wonderfeet museum, Bryanna Allen covers CSC Spring Convocation, proponents of sugary drinks tax meet press at State House, Neal Goswami reports revenue forecast for state.
- TOMORROW'S HEADLINES TODAY: Oil prices continue to drop, good news for Vermonters who heat their homes with the stuff; Pawlet man still missing after one year, icy road make driving and walking sketchy propositions, funding for B&G Clubs announced.


text: Christmas Sprout by SewSew £14$26.71€18.43$23.44 11 customer reviews(11) This item is currently unavailable £3.75$7.15€4.93$6.27 mainland UK delivery £3.75$7.15€4.93$6.27 mainland UK delivery International delivery available we're sorry we're sorry, This item is currently unavailable it will be available on 12-02-2015 quantity buy a gift voucher related categories baby & child > toys & games > soft toys & dolls christmas > christmas decorations > tree decorations > other tree decorations christmas > christmas decorations > christmas home accessories > items for your home by SewSew Location: Lancs, GB read seller's profile see seller's complete range more items from this seller Christmas Sprout Tea Towel £16$30.52€21.06$26.78 Christmas Sprout Doorstop £40$76.31€52.66$66.97 Christmas Sprout Keyring £7.50$14.30€9.87$12.55 Christmas Sprout Brooch £7.50$14.30€9.87$12.55 Christmas Sprout Tree Decoration £9.50$18.12€12.50$15.90 Pea Pod Key Ring £7.50$14.30€9.87$12.55 view all you may also like PRODUCT DETAILS CUSTOMER REVIEWS DELIVERY RETURNS Love them or hate them it isn't Christmas without a Brussel sprout! These Christmas Sprouts will win over even the most devoted haters with their cheeky ways! They are the perfect addition to your Christmas decor whether they are nestled on the tree, on display on the table at your Christmas dinner, or stuffed into stockings to the amusement of your friends and family! Made entirely in the SewSew studio, right down to they're lovely stalks. Each leaf is individually embroidered with cream thread into green felt and then hand stitched to the sprout's tubby body. The eyes are black plastic safety eyes which cannot be removed making them safe for young children. They're a great keepsake and really are not just for Christmas! made from: They measure 8cm wide and high and have been entirely hand crafted in the SewSew workshop! Each leaf is embroidered with cream thread into green felt and hand stitched to the sprout's round body. The eyes are black plastic safety eye which cannot be removed making them safe for young children. dimensions: H8 x W8cm product code: 281633 11 customer reviews Sat 25 Oct 2014 Just the maddest xmas gift.cutest sprout ever Sun 05 Jan 2014 No comment supplied. Mon 30 Dec 2013 Brilliant quality, excellent seller, excellent customer service highly recommended Mon 23 Dec 2013 Lovely little gift, a little smaller than expected but its very cute. I'm a very happy customer :) Fri 20 Dec 2013 I lived the sprout as soon as I saw it and simply had to have it my only slight disappointment is it is not bigger :) Thu 19 Dec 2013 No comment supplied. Tue 17 Dec 2013 Perfect...excellent quality. Sat 14 Dec 2013 Fantastic, I shall treasure it for years Sat 14 Dec 2013 No comment supplied. Thu 05 Dec 2013 I love it! My Brother in Law died a couple of months ago, and he was only ever allowed one sprout at Christmas because of the effects! So when I saw the Sprout it was just what I wanted for a gift for his Wife and Sons. Thank you! Sun 01 Dec 2013 Arrived quickly, beautifully packaged, great gift. see all customer reviews hide some customer reviews read about our product rating system ratings guide trusted independent customer feedbackforum excellent bad good poor This product is dispatched to you by SewSew. MAINLAND UK order now and receive this item on or before price Standard Delivery Saturday 7 February £3.75$7.15€4.93$6.27 NON-MAINLAND UK estimated delivery price Highlands & Islands of Scotland 2-5 daysfrom dispatch £3.75$7.15€4.93$6.27 Northern Ireland 2-5 daysfrom dispatch £3.75$7.15€4.93$6.27 Other UK Islands 2-5 daysfrom dispatch £4.95$9.44€6.51$8.28 INTERNATIONAL DELIVERY estimated delivery price Western Europe 2-5 daysfrom dispatch £15.50$29.57€20.40$25.95 Rest of Europe 5-10 daysfrom dispatch £15.50$29.57€20.40$25.95 USA & Canada 5-10 daysfrom dispatch £26.00$49.60€34.23$43.53 Far East & Australasia 5-10 daysfrom dispatch £30.00$57.23€39.50$50.22 Rest of the world 5-14 daysfrom dispatch £30.00$57.23€39.50$50.22 You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based. SewSew's return policy


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The Messerschmitt Bf 109 was the most prominent German fighter type of World War II – over 35,000 were built and it served in many different variants and roles throughout the course of the war. It was the true workhorse of the German Luftwaffe throughout the war and continued in front-line service with some European countries for many years afterwards. This title details the early and pre-war variants, including the Bf 109s that flew in the Spanish Civil War, Poland,… (more)
Publisher: Osprey Publishing (February 21, 2012)
Format: EPUB
Page count: 80 pages
File size: 11.9 MB
Protection: DRM
Language: English


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Vote yes for home rule
October 22, 2014 Yes is a vote to free our city from the mandates imposed by Harrisburg through the antiquated and inflexible third class city code. more »»
Corbett legacy suspect
October 22, 2014 Recently, the Mirror related reasons why it felt Gov. Corbett has done an acceptable job in his first ter. more »»
Voter ID important
October 22, 2014 We are nearing another Election Day, and we are now hearing it again that voter ID is wrong and unconstitutional. more »»
Say yes to home rule
October 21, 2014 The proposal for the adoption of home rule for the city of Altoona is one that deserves your attention. more »»
Construction upsetting
October 21, 2014 I am writing in response to an article in the paper on Oct. more »»
Mudslinging a turnoff
October 21, 2014 Why does there have to be so much mudslinging and badmouthing between politicians? Why can't they just discuss their issues and how they plan to change or improve them? There is too much downgrading... more »»
Common sense lacking
October 20, 2014 Here we go again with all those wild promises. The feds have pumped millions into education over many years, and we still complain that we are somewhat sub-standard here in Pennsylvania. more »»
Make a difference
October 20, 2014 As Nov. 4 fast approaches, many people are wondering if they will vote. more »»
Support Home Rule
October 18, 2014 Voters in the Nov. 4 election have an opportunity to change how we govern ourselves in the city of Altoona by voting yes for the Home Rule Charter. more »»
Elect Wolf, Hartzok
October 18, 2014 The Commonwealth of Pennsylvania has many problems. 1. It ranks 22nd in unemployment. 2. The financial rating given by Standard and Poor lists Pennsylvania as No. 46. 3. more »»
Ward fits the bill
October 18, 2014 I met Judy Ward a number of years ago when we served on a local nonprofit board together. more »»
Rice a fresh start
October 18, 2014 I am writing in support of Philip Rice for state Representative. I am a senior citizen, taxpayer and long-time resident of Cambria Count. more »»
Cats take toll on birds
October 17, 2014 I was surprised that the Mirror's cover story about Hollidaysburg's stray cat population never mentioned their impact on songbird populations. more »»
Ward wants to give back
October 17, 2014 We often hear about the positions of our political leaders. We rarely hear about the characteristics of those leaders. more »»
Nation drowning 'in sea of tolerance'
October 16, 2014 I read with great interest the letter from Elizabeth Shade (Oct. 6) regarding the charges against the Bedford youth for desecrating a statue of Jesus. Ms. more »»
Ward right choice to represent district
October 16, 2014 Judy Ward is the right choice to represent the 80th District for Pennsylvania State House of Representatives. I have known Ward since childhood, and she has never wavered in her beliefs. more »»
Finding fault with Shuster
October 15, 2014 I have concerns with Rep. Bill Shuster on certain issues. Such as: Medicare, Social Security, Railroad Retirement: He wants to cut them while leaving his benefits intact. Health care: Scrap Obamacare. more »»
In support of Ward
October 15, 2014 I am writing about a candidate for the Pennsylvania state House's 80th District — Judy Ward. more »»
As animal lover, control population
October 14, 2014 I love animals. I can watch the movies and TV about death and destruction, but let one animal die and I am lying in the middle of my floor in the fetal position bawlin. more »»
Courthouse in need of restoration
October 13, 2014 This is a letter of support for the much-needed restoration project at the Blair County Courthouse. more »» |
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Revised Standard Version (RSV) | New International Version (NIV) |
3 but better than both is he who has not yet been, and has not seen the evil deeds that are done under the sun. | 3 But better than both is he who has not yet been, who has not seen the evil that is done under the sun. |
Revised Standard Version of the Bible, copyright 1952 [2nd edition, 1971] by the Division of Christian Education of the National Council of the Churches of Christ in the United States of America. Used by permission. All rights reserved. (Revised Standard Version - Holy Bible) | Scripture quoted by permission. Quotations designated (NIV) are from THE HOLY BIBLE: NEW INTERNATIONAL VERSION®. NIV®. Copyright © 1973, 1978, 1984 by Biblica. All rights reserved worldwide. (New International Version Bible Online) |


text: My Profile bboop618_8827700 Wesley Chapel, Florida Member since Oct 2007 Flag This ProfileFlag as Inappropriate All Activity | Comments & Reviews | Uploads Flag This Profile? Please provide the reason why you think this profile is inappropriate. Flag Profileor Cancel Favorited Beef Brisket and the Splash Aug 9, 2014 in Recipes on Cooking Channel Favorited Buffalo Chicken Dip Aug 9, 2014 in Recipes on Cooking Channel Load More


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IBERIABANK Corporation Announces Receipt Of Federal Reserve Approval For Acquisition Of Additional Memphis Operations
LAFAYETTE, La., Oct. 22, 2013 /PRNewswire/ -- IBERIABANK Corporation (NASDAQ: IBKC), the holding company of IBERIABANK ( www.iberiabank.com), announced today the Board of Governors of the Federal Reserve System has approved the application of IBERIABANK to acquire certain assets and assume certain liabilities associated with the Memphis, Tennessee operations of Trust One Bank, a division of Synovus Bank. Completion of the transaction remains subject to the satisfaction of customary closing conditions under the terms of the acquisition agreement, receipt of all other remaining regulatory approvals, and expiration of the 15-day waiting period associated with the Federal Reserve Board's approval.
At August 31, 2013, Synovus Bank had $131 million in loans, $205 million in total deposits, and 33 employees serving the Memphis market through six bank branch offices.
At September 30, 2013, IBERIABANK Corporation (the "Company") had total assets of $13.1 billion, shareholders' equity of $1.5 billion, and a tangible common equity ratio of 8.64%. The Company's common stock trades on the NASDAQ Global Select Market under the symbol "IBKC."
The Company is a financial holding company with 267 combined offices, including 170 bank branch offices and four LPOs in Louisiana, Arkansas, Tennessee, Alabama, Texas, and Florida, 21 title insurance offices in Arkansas and Louisiana, mortgage representatives in 63 locations in 12 states, eight locations of IBERIA Wealth Advisors in four states, and one office of IBERIA Capital Partners, L.L.C. in New Orleans.
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SURAT: Previously many businessmen in the city during Diwali vacation used to go on a seven-day tour either to Singapore and Dubai or Europe. However, this time some went but most preferred excursions to nearby places with their families from Dhanteras onwards.
"Those who went abroad on a tour, their number is small when compared to last few years. People preferred to visit Goa, Daman, Silvassa, Saputara, Nasik, Abu, etc this vacation," said Geeta Desai, a tour operator.
It is estimated that at least 40,000 families from Surat are visiting Daman, Saputara, Nasik, Shirdi, Abu, Ambaji. Nearly 5,000 families from the city are in Goa and Mahabaleswar and one lakh are visiting their relatives in Saurashtra and north Gujarat.
Hotels have 100 per cent occupancy in Saputara, Daman and Silvassa. "We are booked till November 3. We have absolutely no room in Saputara. Majority of the bookings are of people from Surat and Mumbai," said Deepan Shah of Lourdes Park Inn.
"It was a pleasant surprise to get over 100 per cent family bookings during Diwali," said Dhiraj Shah of a hotel in Silvassa . "Generally, we get bookings for a party for one night. This time, families are spending Diwali vacation with us," he said.
"Business has been low key and recoveries hard to come by. Hence, it is unwise to spend Rs 50,000 to Rs one lakh on a vacation," said Manu Patel, a weaver with 48 machines. "A family trip of six days to Ambaji and Abu has not cost me more than Rs 25,000," he said. Financial constraints have forced many people to spend less on vacation this time.
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Unlock the entire Houzz
17,154 grill Home Design Photos
Thompson Custom Homes
Did you custom make the Grill table with the wheels? Love it!
Love the grill table but first question is
is How are you separating the actual grill from the wood? My grill specs say 21" from any combustible surface.
Grill - Like this idea of grill as a piece of furniture
And here a wooden grill table with metal wheels helps connect the cooking area to the rest of the outdoor furnishings.
Grill mounted on an old desk
Firewood storage in basement fireplace — annehbgrant
Dyna Contracting
Dyna - Mercer Island III
there glass behind the grill? Function or Aesthetics?
Radiant heaters in the overhang and grill placement
Floating Grill with cooking/drinks ledge
Here a regular gas grill got the star treatment with a cantilevered feature that brings it out from the covered patio.
Gas grill...in grill...Grill set up...Cantilevered grill...cool grill holder...Cool grill...Floating Grill...drop in grill -...so large of a grill...Here's a grill tom
That is so cool.
Floating counter that extends around one post. — corinieters
Vujovich Design Build, Inc.
Rural Homestead 3-Season Porch
The grill is a DCS unit by Fisher & Paykel. You would need to check their specs for clearances.
don't have the cost of the grill unit, but we have purchased other similar units for around $1300
option of closing grill/work area into end of porch
September and October: Patio furniture, gas grills, electronicsYou can also find deals on summer-related products a couple of months before summer, like
what brand is the grill? and how...How much does the indoor grill cost?
for the wall — gumby13
Loudoun County Design Build Firm
Best of Houzz 2014
Best of Houzz 2014
We are an award winning a remodeling company, focusing on complete kitchen, bathroom, basement & sun room remodeling, with home additions & renovations services. Contact us for your next project!
Clarke Appliance Showrooms
Outdoor kitchen with Wolf grill
stone veneer not all stone) building just that wall that has the grill on it, plus the grill would cost? Many thanks, it's a great design and I'd love to
What size grill did you use for this project?
the base for the grill, ect? Wood frame, or what? Then what type of stone did you use? Or was it a composite stone? What brand of grill is it?
holds the grill is 34' deep and 10 1Ž2 ft long
Counter on the right is 26" deep 14 ft. long
Counter on the left is 29" deep and 4 ft long
Grills are available
in our outdoor kitchen. That's why we decided to do this with a Wolf Gas Grill along with Bluestone. It really has the looks and the performance.
what type of gas grill is that?...Hi kristinb3,
That is a 42" Grill.
Stone — pookie58
Crisp Architects
Connecticut Estate
Is that a hood above the grill? Is one necessary when added to an enclosed patio?
is that a 36 inch ventahood above a 36 inch grill?
undercovered area close to grill to keep dry
like the look of grill next to fireplace
Concept for grill by fireplace, not the look of the brick
Similar to the previous example, this grill is in an even more enclosed room. It also has its own venting directly above. These types of arrangements are
Outdoor fireplace and grill surround by brick — Kate Bennett
Paradise Restored Landscaping & Exterior Design
Kelsey Property
Is it possible to get design schematics for this grill cover? It looks like something I could duplicate, but plans would be awesome
cover grill area for year round grilling
I wonder how much it would cost to have this grill shed made?
Give it shade. Just as lighting helps facilitate good grilling at night, shade can make a world of difference on hot days. Here a simple shade structure
turned a small porch into a space brimming with character. Imagine this grill sitting on the deck just by itself.
grill overhang — idafrancesmorris
Jeff Watson Homes, Inc.
Model Home 132 Vista Lane Georgetown Tx
Beautiful! Wut is the brand of grill? Happy w it? Thanks
Would like the smallest version of a built in Natural Gas Grill
with outdoor grill for patio area.....The grill and the ambienz...For my grill space...built in grill...Love stone surrounding grill...Bbq grill...Grill insert...Placement and simplicity of grill...COVERED GRILL...Grill off master??...Outdoor grill
Patio — sunideskin
Projects by Giffin & Crane
Custom Bar-B-Que
we plan on building a sun room attached to the kitchen with a grill. can you give us some advice of what
The stone on the grille looks interesting and I was wondering what is actually is and where is was
Grill area incorp into stone wall / terrace
Integration of built in grill with trees/landscape. Like
poultry. Cons: Gas grills generally do not get as hot as charcoal grills, which can make it difficult to get a good sear on steak. Gas grills also tend to cost
3. Add a built-in grill. Ditching that grill on wheels for a proper, more permanent outdoor grilling station is a dream for many of us. Here's what to
trays and utensils on. (Notice the built-in shelving under this grill.)
Grill and other things in the project...like the open shelving for grill bar
sitting area — mahintha


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Document - Death Penalty 2012: Facts and Figures
AI Index: ACT 50/004/2013
EMBARGO: Wednesday 10 April 2013, 00.01 GMT
At least 682 people were executed in 21 countries in 2012. In 2011, Amnesty International reported 680 executions in 21 countries worldwide.
Most executions took place in China, Iran, Iraq, Saudi Arabia, USA and Yemen – in that order.
China executed more people than the rest of the world put together – but the true extent of the use of the death penalty in China is unknown as data is considered a state secret, and the figure of 682 excludes thousands of executions carried out in China.
In Iraq, there was a stark rise in the use of the death penalty – at least 129 people were executed, almost double the 2011 figure of at least 68.
During 2012, only 21 countries, about one in 10, carried out executions – the same number as in 2011, but down by a quarter from a decade ago (28 countries executed in 2003).
140 countries worldwide, more than two-thirds, are abolitionist in law or practice.
On 20 December, 111 Member States of the United Nations voted in favour of the fourth UN General Assembly resolution on a moratorium on the use of the death penalty.
Commutations or pardons of death sentences were recorded in 27 countries in 2012 - down from 33 in 2011.
At least 1,722 death sentences were imposed in 58 countries – down from 1,923 in 63 countries in 2011.
At least 23,286 people were on death row at the end of 2012.
In 2012, some countries that had not used the death penalty for long periods carried out executions, for example Pakistan (first execution in more than four years), India (first execution in more than eight years), and Gambia (first execution in almost three decades).
The following methods of execution were used across the world: beheading, hanging, lethal injection and shooting.
At least two people were executed in Yemen for crimes that were committed when they were under 18 years of age, in violation of international law.
In the majority of countries where people were sentenced to death or executed, the proceedings did not meet international fair trial standards. In some countries this included the extraction of 'confessions' through torture or other ill-treatment, for example in Afghanistan, Belarus, China, Iran, Iraq, North Korea, Saudi Arabia and Taiwan.
In Belarus and Japan, prisoners were not informed of their forthcoming execution, nor were their lawyers and families. In Belarus and Botswana, the bodies of executed prisoners were not returned to their families for burial.
Public executions were known to have been carried out in Iran, North Korea, Saudi Arabia and Somalia.
People continued to face the death penalty for offences that do not meet the "most serious crimes" threshold of "involving intentional killing" as defined in international law, including for drug-related crimes in a number of countries, as well as "adultery" and "sodomy" (Iran), "blasphemy" (Pakistan), economic crimes (China) and rape (Saudi Arabia).
At least 40 executions were carried out in five countries in sub-Saharan Africa.
In August, nine people were put to death in Gambia on one day – the first executions there in almost three decades.
At least 19 executions were reported in Sudan in 2012. At least 199 death sentences were known to have been imposed.
Benin on 5 July acceded to a key UN treaty aiming at the abolition of the death penalty. Madagascar signed the same treaty on 24 September, but has not yet ratified it.
The government of Ghana accepted recommendations towards abolishing the death penalty in its new Constitution.
Unlike in 2011, no death sentences were imposed in Burkina Faso, Malawi or Sierra Leone. Following pardons in April, no person is on death row in Sierra Leone.
The USA was the only country in the region to carry out executions, 43 in 2012 (the same figure as in 2011). Only nine states executed in 2012, compared to 13 in 2011. In April, Connecticut became the 17th abolitionist US state.
With the exception of 12 death sentences imposed in three countries (Barbados, Guyana and Trinidad and Tobago), Central and Southern America and the Caribbean were death penalty-free in 2012.
Guatemala commuted 53 death sentences in 2012 after a review by the Supreme Court of all death row prisoners' cases.
At least 38 executions were carried out in eight countries in the region. This figure does not include the thousands of executions that are believed to have been carried out in China, which executed more people than the rest of the world put together. But the true extent of the use of the death penalty in China is unknown as data is a state secret.
India carried out its first execution in more than eight years in November, when the lone surviving gunman from the 2008 Mumbai attacks was hanged.
Pakistan carried out the first execution in more than four years, while Afghanistan and Japan resumed executions after seventeen and eighteen months, respectively.
Viet Nam did not implement any death sentences in 2012, while Singapore observed a moratorium on the death penalty while considering legal amendments to its death penalty laws.
Mongolia on 13 March acceded to a key UN treaty aiming at the abolition of the death penalty.
Belarus continued to be the only country in the region to carry out executions, and did so under strict secrecy. At least three men were executed in 2012.
Latvia fully abolished the death penalty on 1 January 2012, becoming the 97th country in the world to do so.
At least 557 executions were carried out in six countries in the region. Iran, Iraq, Saudi Arabia and Yemen alone account for 99 per cent of all confirmed executions in the region.
It could not be confirmed if executions took place in Egypt or Syria.
Iraq saw an alarming increase in the use of the death penalty – at least 129 people were executed, almost double the 2011 figure of at least 68.
In Tunisia, 125 people on death row had their sentences commuted. However, the country's proposed draft Constitution did not rule out the death penalty.
For more information on the death penalty in 2012 please contact the Amnesty International Press Office:
+44 207 413 55 66 firstname.lastname@example.com @amnestypress
International Secretariat, Amnesty International, 1 Easton St., London WC1X 0DW, UK


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First time I have ever seen a personal private spa, gym, massage and extraordinary whirlpool setting in a boutique hotel. Makes the stay in Milan a memorable and unique experience - Anonymous
Everything! The staff was amazing! Even before we arrived, we had contact with staff asking if we needed any services upon arrival. After our arrival, they were helpful with making our stay more enjoyable! When we walked into our room, it was beautiful, comfortable, and smelled great! I know that sounds weird, but you felt like walking into a spa! The hotel is green, which was so cool! The breakfast was the best we had had on our 10 day trip! We left wanting to return and to stay at Hote - Anonymous
Decor and design are very tasteful and chic. Fantastic to stay in city yet still be surrounded by beautiful manicured gardens. Very peaceful, and the breakfast was one of the best I have had on our many travels. - Anonymous
We stayed in the Toscanini suite. The apartment was massive and at an excellent location, within easy reach of all the sights in Milan. The apartment had a kitchenette with a cappuccino machine and we could prepare our breakfast before heading out every morning. Much better than staying at a hotel! - Anonymous


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California Sire Lil Tyler, Son of Halo, Dies
Lil Tyler, a son of Halo and a cornerstone of the breeding operation at Madera Thoroughbreds near Madera, Calif., for his entire stallion career, died Sept. 10 at the age of 31.
Lil Tyler, a son of Halo and a cornerstone of the breeding operation at Madera Thoroughbreds near Madera, Calif., for his entire stallion career, died Sept. 10 at the age of 31.
Blueskiesnrainbows, whose front-running tactics nearly paid off in last fall's Breeders' Cup Marathon (gr. II), will try another long-distance journey in the $100,000 Tokyo City Cup Stakes (gr. III) March 29 at Santa Anita.
Sustained has been scratched out of the Breeders' Cup Juvenile Fillies Turf, Worth Repeating will not run in the Marathon, and Super Ninety Nine is out of the Juvenile Sprint.
Casino Host, a recent addition to the Southern California male turf division, conquered the 1 3/8-mile distance in his first try with a late-running victory in the $200,000 Del Mar Handicap (gr. IIT) Aug. 25.
An automatic berth in the 2012 Breeders' Cup Turf (gr. IT) will be on the line when nine well-matched horses line up for the $200,000 Del Mar Handicap (gr. IIT) Aug. 25.
Odds-on choice Richard's Kid gave every indication he's ready to try for a third win in the Pacific Classic (gr. I) with an impressive turn of foot to capture the Cougar II Handicap (gr. III) in track record time at Del Mar.
With the 2012 Breeders' Cup Marathon (gr. II) set for Santa Anita this fall, the $100,000 Tokyo City Cup (gr. III) is as good a place as any to find out which local horses can get the distance.
Sanagas, a dominating 3 1/4-length winner of the Hollywood Turf Cup (gr. I) last November, returns to action for new connections in the $150,000 San Marcos Stakes (gr. IIT) Feb. 11 at Santa Anita.
Soul Candy, winner of the California Cup Classic last year when it was held on the Cushion Track at Hollywood Park, is back to defend his title against seven rivals in the $175,000 event on Santa Anita's turf course Oct. 29.
Defending champion Noosa Beach and leading challenger Awesome Gem drew the far outside posts in a field of 12 entered for Washington's $200,000 Longacres Mile (gr. III). The signature race at Emerald Downs is Aug. 21.
Tres Borrachos snapped a losing streak that spanned more than two years when he rallied from between horses and swept past favored Kevlar Kid to capture the $200,000 San Diego Handicap (gr. II) at Del Mar July 30
A starting berth in the $1 million Breeders' Cup Dirt Mile (gr. I) is on the line for eight older horses in Del Mar's San Diego Handicap (gr. II) July 30.
Who will win the 2011 Hollywood Gold Cup? Will Awesome Gem repeat? Or will it be a Dude? Or will a Candy horse prevail? How will the rest finish? Predict the Order
Twirling Candy, considered the best of a so-so group of older handicap horses nationally in 2011, will have an opportunity to dazzle his critics as the favorite in the $500,000 Hollywood Gold Cup (gr. I) July 9.
Twirling Candy, a stylish winner of the $150,000 Californian (gr. II) June 4, was assigned top weight of 122 pounds for the upcoming $500,000 Hollywood Gold Cup (gr. I).
Twirling Candy enhanced his reputation as perhaps the best handicap horse in the nation when he overcame traffic problems to run down the field in the $150,000 Californian Stakes (gr. II) at Hollywood Park June 4.
Twirling Candy and Setsuko, on the sidelines since a rough-and-tumble Santa Anita Handicap (gr. I) stretch run, are back for the $150,000 Californian (gr. II) June 4 at Hollywood Park.
Crown of Thorns returned to the winner's circle for the first time since February 2008 when he outlasted prohibitive favorite Sidney's Candy by 1 1/4 lengths in the $147,000 Mervyn LeRoy Handicap (gr. II) at Hollywood Park.
Sidney's Candy faces just four rivals in his first start of the year as the 123-pound high weight in the $150,000 Mervyn LeRoy Handicap (gr. II) at Hollywood Park May 7.
The Usual Q. T., winner of the 2009 Hollywood Derby (gr. IT), returns to Hollywood Park on Easter Sunday, April 24, for the $100,000 Inglewood Handicap (gr. IIIT) against five rivals.
Going farther than he ever had before, Worth Repeating turned back the bid of Honour the Deputy in deep stretch for his first stakes win in the $100,000 Tokyo City Cup (gr. III) at Santa Anita March 26.
A fast-closing fourth in the Santa Anita Handicap (gr. I), Soul Candy seeks his first graded stakes win in the $100,000 Tokyo City Cup (gr. III) at the marathon 1 1/2-mile distance March 26 at Santa Anita.
Making his first start since winning last year's Santa Anita Handicap (gr. I), Misremembered showed little sign of rust in capturing the $80,200 Santana Mile Stakes by three lengths at Santa Anita March 6.
Game On Dude survived a 12-minute stewards' inquiry to win the $750,000 Santa Anita Handicap (gr. I) by a nose over Setsuko March 5, making Chantal Sutherland the first female jockey to win the race in 74 renewals.
Twirling Candy, fresh off a smashing win in the Strub Stakes (gr. II) one month ago, is an overwhelming 4-5 morning-line favorite for the $750,000 Santa Anita Handicap (gr. I) March 5.
Horse | Trainer | Breeder / Owner |
Arcodoro | Eric J. Guillot |
Honour the Deputy | Jerry Hollendorfer |
Rendezvous | Jerry Hollendorfer |
Soul Candy | Philip D'Amato |
Spurrier | Robertino Diodoro |
Worth Repeating | Michael Machowsky |
Race | Track | Date |
OBS Sprint S. | OTC | |
OBS Sprint S. | OTC | |
OBS Championship S. | OTC | |
OBS Championship S. | OTC | |
Marshua S. | LRL |


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Dundalk High School Alumni
David Dundalk Class of 1970 |
Gene Golden Class of 1973 |
Maria Gray Burgess Class of 1979 |
Rhea Diakidis-Vlahacos Class of 1975 |
This site has been created for the former students of Dundalk High located in Baltimore, Maryland. While you are reminiscing about the times you spent in high school at Dundalk High School, you should also check out alumni photos, yearbook listings and share any reunion info if possible. For former Dundalk High students from MD, you can view the class reunion information that has been posted by other site visitors. In addition, we encourage you to post your profile in the alumni directory, share information about the school activities you were involved with and look for lost friends.


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Thu, May 6, 10 at 15:30
I am trying to decide between Cree/Halo and Juno led cans for my kitchen. Am also undecided whether to go with 5" or 6". Help! Any thoughts? Halo and Juno seem to have more trim options but I am most concerned with warmth of light and dimming capability. |
Follow-Up Postings:
Cree CR6 if you can wait ~ 1 - 2 months (SRP ~$50). Otherwise LR 6 cree. Current street price is ~$80 for the LR 6. |
Cree is the most cost effective solution. I didn't see the point of spending ~ $20 - $30 per piece of stamped metal trim. No problems with the warmth or dimming. |
What is CR6? |
It is a new light from Cree that will be available soon. |
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Results 11 to 18 of 18
Originally Posted by soulbrothax831
I haven't used Knoppix myself, but I've heard that you can install it onto your hard drive. Do you see any kind of option the will ...
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- 06-04-2005 #11
- Join Date
- May 2005
- Location
- Posts
- 333
Originally Posted by soulbrothax831
registered linux user #390920 << makes me feel important
- 06-04-2005 #12
- Join Date
- May 2005
- Location
- Posts
- 333
Originally Posted by psicregistered linux user #390920 << makes me feel important
- 06-04-2005 #13
- Join Date
- Apr 2005
- Location
- Belgium
- Posts
- 1,429
Kanotix is based on Knoppix, with a very recent kernel (2.6.11) and is intended for install on hd's (uses the knoppix-installer). Great distro when you ask me, fits on one cd (which is a great plus), and it has the latest KDE (3.4) if you like that .
Anyway, making a choice from all the available distro's is kinda hard, so good luck.** Registered Linux User # 393717 and proud of it ** Check out www.zenwalk.org
** Zenwalk 2.8 - Xfce 4.4 beta 2- 18.104.22.168 kernel = Slack on steroids! **
- 06-05-2005 #14
- Join Date
- May 2005
- Posts
- 108
Choosing a distro is a long process of trial and error. It all depends on your own personal needs and preferences as well as how you like things to be done.
My frustration comes from the fact that distros are constantly changing, and so is my hardware, so it's hard to settle down. For example, my first experience with linux was mandrake, and it was a horrible experience (this was years ago...the distro was definitely more unstable back then). I dumped it for Red Hat, which I liked very much. Later, newer versions of Red Hat made me angry, so I ditched it for SuSE, which made me happy. Then discovered FreeBSD, which I really bonded with until hardware issues forced me back to linux. Eventually, I came to settle down with Fedora Core.
So, in essence, I ended up back where I started. This is just an example of how choosing a distro is a crazy process (and arguably an ongoing one). No doubt I'm going to change out Fedora Core one of these days for something else.
I haven't used SuSE in years, but I thought that it was good. Based on what I'm seeing at these forums, it's still good.
- 06-06-2005 #15
- Join Date
- Apr 2005
- Posts
- 110
Originally Posted by eatinglemur
Does anyone know if Ubuntu has more graphical configuration tools you can get? I haven't got my box on the net ( ) so i can't check...
- 06-07-2005 #16
easy and live distros
Hi All - I have been trying a *lot* of distros including live and dead(?).
If you don't mind spending a little money - getting distros from some of the CD burning places can be *really* cheap.
The one i have used lately is http://www.budgetlinuxcds.com
but of course there are lots. I pay 2.15 per CD plus very reasonable shipping and get lots of free distros...example in march i bout 15 CDs and 1 DVD containing all of the distros that have been mentioned here for $49.15 USD including shipping. Then i got 15 CDs and 1 DVD free a month later. If you want to see whats out there quickly and cheaply try one of these outfits. another is cheapbytes.com.
Have fun- Clouds don't crash - Bertrand Meyer
registered Linux user 393557
finally - hw to brag about - but next year it will look pitifully quaint:
Athlon64 X2 3800 - 1G PC3200 - 250G SATA - ati radeon x300
circa 2006
- 06-07-2005 #17
- Join Date
- Apr 2005
- Posts
- 110
Brilliant thanx!
- 06-07-2005 #18
that's a lot of OS's for 50 dollars. i might have to check that out. that would be a lot easier than downloading everything.
Today I fell and felt better, Just knowing this matters, I just feel stronger and SHARPER!!!, Found a box of sharp objects, What a beautiful THING!!! Box of Sharp Objects - The Used


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follow Dictionary.com
Know how to use "fewer" and "less"? Find out.
early 15c., from Middle French satisfier, from Old French satisfaire "pay, repay, make reparation" (14c., Modern French satisfaire), from Latin satisfacere "discharge fully, comply with, make amends," literally "do enough," from satis "enough" (from PIE root *sa- "to satisfy;" see sad) + facere "perform" (see factitious). Related: Satisfied; satisfying.


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Available formats: epub mobi pdf rtf lrf pdb txt html
Aletheia Luna was born in Perth, Western Australia, the world's most isolated city. In her spare time she enjoys reading, investigating and writing about an eclectic variety of topics, having authored hundreds of articles on a host of subjects ranging from psychology and sociology, to self-improvement and spirituality. She is an introvert, empath and an Old Soul at heart. You can read more of her work at: www.lonerwolf.com
Review by:
on Nov. 18, 2014 :
Well written, gladly read. Thank you!
(reviewed within a week of purchase)
Review by:
on Jan. 15, 2014 :
A smoothly-written book by a passionate heart and a wise mind. The author explores the life of an Old Soul by delving into possibly her own experiences of hardship and vulnerability. Being different is not only great but something valuable is the message brought by the account. As an Old Soul myself I came to realize a reinforcement of personal inner power and acknowledgement of being never-alone lone fighter.
(reviewed within a week of purchase)
Review by:
Alicia M
on Jan. 12, 2014 :
Very nicely written, I truly enjoyed this exploration of the old soul. On a personal note I feel there is a need to rephrase this perhaps over used idea. Old is very misleading, an old soul has nothing to do with age but an understanding of the world. Wisdom like pain can not be measured, it's personal. Who is to say at 60 years or 93 years there has been any wisdom realized. It is merely a preconceived ideal. There maybe truth in that one of many years has acquired experiences that a child has not yet acquired however years and experience alone may not have transformed into wisdom. The acquisition of wisdom takes painstaking work, looking inward as well as outward. There is a desire to obtain wisdom without working at it and the old soul notion leads us to believe it is where wisdom is derived from. Cellular memory? For myself I believe wisdom is merely a form of courage, the ability and time to dig deeply into ourselves and the world around us. Wisdom at it's best shines light into the darkness of our fears. Many thanks to the author, for sharing this with me. Job well done!!
(reviewed the day of purchase)


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Border Officials Seize Prohibited Plants, Fruits
U.S. Customs and Border Protection officials say they confiscated a large amount of plants and fruits over the summer at Canadian border ports in North Dakota and Minnesota.
Real Meals: School Lunches Getting Healthier Next Fall
Black bean salad, Hawaiian chicken wrap with spinach, roasted beets and vegetables, sounds like a restaurant menu doesn't it? It's actually some of the things that will be on the lunch menu for Minnesota school kids next fall.
Best Unusual Farmers' Market Foods And Recipes
The farmers' market holds a cornucopia of good eats. Besides the mounds of fruits and veggies brought in from local vendors, there are meats, cheeses, herbs, spreads, baked breads, desserts and fresh-cut flowers.
Each week holds something new for food finders, and each stand holds something different from the next. You will never run out of garden-fresh goodies to buy!
But have you ever spotted something that you wouldn't normally purchase? Something unusual that has you wondering, how do you cook that? Or even, what is that?
Well, I know I have. And for many other Midwestern taste buds, meat and potatoes and the staple vegetables (corn, green beans, broccoli, cauliflower, etc.) are what we are accustomed to on our plates.
So, that's why I've hit the streets of the Minneapolis Farmers' Market on Nicollet Mall and put together 10 of the best finds at the farmers' market and some recipes to get you thinking about ways to use them in your everyday cooking. By the end, we hope you'll be able to tell your rhubarb apart from your rutabaga.


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A 2007 International tractor-trailer shut down Highway 55 when it strewed a load of scrap metal along a curve just north of Eminence Friday. Kentucky State Police Trooper Patrick Stucker responded to the accident at 11:22 a.m. and found the International truck from Crenshaw and Sons Inc., Louisville, still upright, but its trailer overturned in the ditch, according to Trooper Mitchell Hazelett, KSP Post 5 spokesman.
While there's a push for the Kentucky Legislature to take up a smoking ban, state Sen. Paul Hornback indicated he's wary of the unknown effects of so-far unregulated electronic cigarettes. About 17 constituents and local officials met with Hornback at the Henry County Courthouse Annex Monday as he shared his perspective and sought public input on the 30-day legislative session. He spoke about his concerns about e-cigarettes when an attendee asked if the state senator would introduce any legislation of his own.
KSP Arrests
Tyrience N. Boglin, 22, Louisville – arrested Jan. 13 by Trooper Whalen at I-71 35 MM SB, Campbellsburg, for Operating on a suspended OLN; No registration plate; No insurance
James E. Moore, 50, Pendleton – arrested Jan. 14 by Trooper Brewer at 495 Webbtown Road, Sulphur, for Execution of six bench warrants for another agency
A seemingly insignificant agenda item led to a history-making moment at the Henry County Public Schools' monthly Board of Education meeting Thursday. Board member Miranda Clubb was chosen to serve as the chair of the board; the first woman ever to assume this leadership position.
With the prohibition against alcohol usage at the 4-H building at the Henry County Fairgrounds not working, a fiscal court committee will look at ways to possibly strengthen the ban. The problem usually arises when community members lease the building on a Friday or Saturday night for parties, county officials discussed at the Jan. 20 fiscal court meeting. This despite the rental contract having a clause saying there's to be no alcohol on the premises, Judge-Executive John Logan Brent noted.
Saturday morning brought 4-H'ers and community members to the Henry County Extension Office for its annual Ham Day. What began as a 4-H project of curing a country ham has grown into a community event now that Henry County's Extension Office has a ham house to hang the hams for curing.
The Henry County Help Center will give away bread and produce on the fifth Thursday of the month, beginning Jan. 29 from noon to 1:30 p.m., according to Director Joe Durbin. The give away is open to all Henry County residents on a first-come, first-served basis. Participants will need to bring identification that shows they live in Henry County. Participants need to bring their own boxes and bags to fill, Durbin said. No volunteers will be available to help with carrying the items to vehicles.
The Pearson household in Pendleton has several good readers and one writer. For Amy Pearson, 30, a mother who home schools and serves as a substitute teacher in Trimble County, the impulse to help her oldest child learn to read caused her to put pen to paper. At that point, she had no thoughts of publishing her own work.
KSP arrests
Ashley N. Croom, 28, Louisville – arrested Jan. 21 at I-71 35 MM SB, Campbellsburg by Trooper Jodry for execution of bench warrant for another agency
Nathan B. Evans, 32, Campbellsburg – arrested Jan. 23 at 311 Castle Highway, New Castle by Trooper Brewer for DUI, first; failure to produce insurance card and no registration plates
After pleading guilty last month to charges of kidnapping and tampering with physical evidence, Glenda Holcomb was sentenced in Henry County Circuit Court last Thursday. Holcomb was sentenced to 10 years for the kidnapping charge and 5 years for the charge of tampering with physical evidence, with those sentences to run concurrently for a total of 10 years. However, she received an alternative sentence of 180 days for her part in a 2013 kidnapping and assault.


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Preserving knowledge and appreciation of native plants.
2014 Water-Wise Plant Sale
Many thanks to all who participated and helped out with the sale. There are still some remaining plants, especially natives, that are available for order via email or phone. Download/preview our remainders plant list:
Download/Preview: 2014 Plant Sale Remainders PDF
Becoming A Stormwater Steward
Join the Unique Team of Highly-Trained Thurston County Residents!


text:
Iraq Topics
Democracy Now! has closely followed the U.S.-led attacks and occupation of Iraq over the years.
- This is a special one-hour live report on the WTC and Pentagon attacks.September 11, 2001 | Story
[includes rush transcript]
- Despite the large presence of NGOs, the structure of the conference has meant that government delegates could easilyarrive, negotiate and leave without ever having considered actual, real-life experiences and effects of racism.September 10, 2001 | Story
- A delegation of the World Health Organization will visit Iraq today, to study the environmental and health effects of depleted uranium (DU) bombs. Iraqi health officials and international human rights groups have criticized the U.S. and its western allies, for dropping hundreds of tons of DU bombs in southern Iraq, during the Gulf War, leading to what they say, has been an environmental disaster. Iraqi doctors also blame the DU bombs for the...August 27, 2001 | Story
- Founder of Downtown Community Television (DCTV), Jon Alpert, tells us, among other stories, the story of what happened when he got some of the first footage, out of Iraq, during the Persian Gulf War. Why didn't NBC or CBS air it, though it was aired throughout Europe, and won the Italian Peace Prize. Jon Alpert was sent by NBC to report from Iraq, but then declined to air it.August 27, 2001 | Story
- Newly declassified documents have been found which reveal that US officials were aware as early as 1991 of the impactthat US bombing and sanctions would have on Iraq's water supply. The documents predicted that preventing Iraq fromimporting desperately needed chlorine and spare parts would result in epidemic disease. The new documents come morethan ten years after the imposition of US-backed sanctions against Iraq which have killed more...August 13, 2001 | Story
- Yesterday marked the eleventh anniversary of Iraq's invasion of Kuwait, and the eleventh anniversary of theimposition of U.S. backed economic sanctions that have killed more than a million people since 1990.August 07, 2001 | Story
- A delegation from Voices in the Wilderness, the campaign to end the economic sanctions against the people of Iraq,traveled this weekend to Mosul to visit the site in Northern Iraq where 23 people were killed and eleven injured lastweek in what Iraqi officials charge was a U.S. and British bombing. They met with survivors of the incident, talkedto doctors in local hospitals, and viewed debris at the site which included chunks of a missile...June 26, 2001 | Story
- Last week, Iraqi news reported that 23 people were killed and 11 wounded when British and American aircraft bombed asoccer field near the northern city of Mosul. US and British officials denied that the raid took place. US andBritish planes patrolling a no-fly zone they unilaterally established in Northern and Southern Iraq at the end of theGulf War have killed more than 300 people and injured more than 1,000June 25, 2001 | Story
- Journalists who don't play by the rules often don't get access to the most powerful people. At press conferences their raised hands are ignored. Their phone calls are not returned. Their queries are handled by low-level assistants. But sometimes top politicians and business leaders who talk only under the managed conditions and grant interviews only to the journalists they know are caught in the headlights of a free press. One such...February 09, 2001 | Story
- The current election results in Israel have roots in a legacy of occupation and failed peace efforts. Noam Chomsky, longtime activist and professor of linguistics at Massachusetts Institute of Technology, takes a look at Middle East politics. [includes rush transcript]February 07, 2001 | Story
Show for Jan 30, 2015
U.S. Rejects Giving Guantánamo Back to Cuba
35 Die in Bombing of Shiite Mosque in Pakistan
Three U.S. Contractors Killed in Afghanistan as U.S. Moves to Classify War Data
Apartheid Death Squad Leader "Prime Evil" Granted Parole in South Africa
Republican-Led Senate Approves Keystone XL Pipeline
Girlfriend of Akai Gurley to File $50 Million Lawsuit Against NYPD
Dismissed Professor Steven Salaita Sues University of Illinois
San Francisco Public Defender Arrested Inside Courthouse
Bipartisan Senators Introduce Bill to Open Travel to Cuba
Egyptian Wing of Islamic State Claims Credit for Killing 27 in North Sinai
CodePink Activists Attempt Citizen's Arrest on Henry Kissinger


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Gear Review
Waterproof, Windproof, Foolproof
This jacket is the highest quality performance outerwear on the market. Yes, it's thin but that is how it's designed. It's meant to breathe amazingly well while remaining totally waterproof AND windproof, which is exactly what it accomplishes. And it looks doooooope. All you need is a layer or two and this jacket will keep you toasty-toasty.
View More Details on Burton AK 2L Gore-tex Cyclic Jacket - Men's - 09/10


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Available Colors/Styles
Detail Pics
Share your thoughts
What do you think of the
Roxy Tomahawk Boot - Women's
? Share a...
Kym Simons
I'm in love!
- Familiarity: I've put it through the wringer
- Fit: Runs large
I adore these boots! They have been my go-to all winter. I wouldn't recommend them for heavy snow conditions but otherwise, they have kept my feet nice and toasty. They are flippin adorable and the faux fur inside is super soft.
I wish I'd bought 2 pairs! Seriously love them!
I also should maybe mention, my regular shoe size is 7, but there was no 7 available so I went with a 6.5 which has worked out very well.


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Aston Villa striker Andi Weimann feels this can be his "breakthrough season".
The Austrian was on the scoresheet in victory at Liverpool on the weekend.
"I hope it can be a breakthrough season for me," said Weimann. "I have played a lot of football lately and that's the first time I've really been doing that regularly with the first team. Hopefully I can keep doing that and get a few more games. Whenever I play I try to do my best and hopefully I'll get a chance to play if I keep scoring.
"It was a nice goal for me at Liverpool. There was a lot of passes in the build-up and it was great back-heel from Christian for the one-two. It's a pleasure to score any goal but that is the way we are trying to play. We know we can do it."


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The next term is just around the corner!
We have classes for all ages and levels of experience. Browse our course catalog, or register now!
Advanced Shortform TERM 2 2015
Students will be challenged to master the five-minute open scene with a strong focus on emotional vulnerability and narrative awareness. Great for those hoping to play with more emotion, build characters with a strong point-of-view, and create improv scenes that could be turned into sketches!
$295+HST / $265+HST early registered
Prerequisite: Improv Level E or equivalent


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Converting Notes docs to Adobe Acrobat by scripting?
Is it possible to convert Notes documents to Adobe Acrobat PDF read only files via scripting? I've not really considered this before. But, in thinking through the process, I can see that one could make this work. You could test it easily by installing Adobe Acrobat creator on the server (the Acrobat becomes a printer on the server). You could then write a script that would print to that printer. I believe that since Adobe Acrobat is...
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written for Windows, it should support OLE but I'm not certain of that.
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Document 24k
This is a grammar sheet that describes how to break up Spanish words into syllables and how to use accent marks.
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This is a grammar sheet that describes how to break up Spanish words into syllables and how to use accent marks.
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Use to help students track progress with their goals.
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Help your students set meaningful goals and stay accountable. I pair the Different Strokes episode "The Tutor"...
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This worksheet was designed for practice working with parts of speech and sentence structure, and can be used for students grades 4 or 5...
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This has the answers to accompany part 2, worked out like they would be with each method. Remember that every quadratic equation may be...
Document 80k
This is a worksheet to practice factoring
Document 210k
This is a guide that shows when it's appropriate to use each factoring technique for formulas of the type ax^2+bx+c Topics reviewed: Difference...
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Summary of the rules for multiplying and dividing exponents with examples. Also includes a set of practice problems with answers....
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10 practice problems with step-by-step instructions on how to solve them.
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Shows the graph of 2y - 4x > 4.
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A masterpiece on some of the many neat things you can do with square roots. It contains information and questions about: 1. Squaring...
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This document is an overview of the operation of squaring. It includes algebra and the relevance of squaring to geometry. The lesson also...
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This document is an introduction to algebra. The lesson is designed to ease a student familiar with basic arithmetic problems into full-fledged...
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The graph shows four points plotted on a number line.
Presentation 163k
This file contains a Power Point presentation with pictures and vocabulary used to describe some physical characteristics.
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Solution to the posted problem: 3/4-1/2n = 5/8 solve the equation... find n
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Shows how rectangular and polar coordinates can be used to specify the location of a point P. Also provides the conversion formulas...
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Using the Addition Property, the first step in learning Algebra Step by step instructions showing math procedures and providing...
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First 50 Prime Numbers


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KBR Golden Years movie premiere tour, Jyväskylä
Published on 11.9.2013 15:48New KBR movie "Golden Years" premiere tour is screening at Finnkino movie theaters around Finland in the end of September. Premiere cities are Jyväskylä, Oulu, Tampere and Helsinki. After parties hosted in collaboration with Bassoradio.
Date: Friday 20.9.2013
Screening: Finnkino Fantasia, theater 1. Starting at 19.50
After party: Bra (Age limit: 20) www.facebook.com/events/548881928498340/
Battery Energy Drink is the proud main sponsor of the newest snowboarding movie by KBR. Riding by B-Unit's Petrus Koskinen and many other talented snowboarders.
Check out the trailer here: www.kbrprod.com
Tickets for the screenings 6€. Purchase from Finnkino's sales desk or from the Finnkino's website: www.finnkino.fi/Event/299759/?TheatreArea=1015


text: We were greeted warmly by the hostess and seated at a table with a spectacular view. The porch has tables set with white linen tablecloths with soft candlelight overhead. Service was wonderful- calamari app was light and delicious. Warm crusty mini breads were a nice surprise . For dinner we chose the Tuesday specials -fried chicken and barbecue ribs. Both... More


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- Admissions
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- Strategic Plan for Delaware State University
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Chicago-based artist Terry Dixon stands next to his work "Man with Hammer," one of 15 of his works currently on exhibition in the DSU Arts Center/Gallery.
DSU Arts Center/Gallery Hosts Terry Dixon Mixed Media Exhibition
Posted: September 23, 2013
Delaware State University is currently featuring an exhibition by a Chicago-based artist, "Mixed Media of Terry Dixon," from Sept. 23 to Nov. 1 in its Arts Center/Gallery in the William C. Jason Library on campus.
The work "Staring Off" is included in the 15-piece exhibition. |
The exhibition is free and open to the public, including the Meet the Artist reception from 5-6:30 p.m. Thursday, Oct. 17.
Mr. Dixon has been featured on the front cover of the International Review of African American Art Magazine (2009) and was recommended to art collectors as an artist to pay attention to in BusinessWeek magazine in the May 2005 article "Photography's Golden Age."
Mr. Dixon, a native of Washington, D.C., is noted for juxtaposing photographic images with his abstract paintings. Throughout his body of work, he explores kinetic connections with his abstract line style. His painting style is sometimes aggressive and sporadic and then slows down to a smooth sense of control. His imagery reflects a heavy influence of African art and abstract expressionism, and this is all fueled by his love for jazz and electronic music.
Some of his work explores different parts of the human face and body, abstracted in various ways that pull the viewer deeper into his creations.
Mr. Dixon notes that over the years, he enhanced his techniques on canvas by combining his photographic images with acrylic paint, oil pastels, and ink. He said in experimenting with digital technology, he has found an interesting marriage between traditional studio techniques and digital media.
"My art is also influenced by political issues, society, various free-flowing ideas, and one other back bone element of my art is fueled from the "Free Jazz Style" prevalent in the 1950s to the 1970s," Mr. Dixon said. "As I listen to deep bass cords, drum beats, and harsh trumpet notes, I explore my intuitive approach and express my artistic style through rhythm of sound.
"As I create my art, some parts become mistakes that turn into masterpieces and it is all in conjunction and influenced by jazz music," he added.
Mr. Dixon began exhibiting in 1991 while living in Atlanta, and he has been exhibiting his work nationally and internationally since 2000. He landed on the art scene in Chicago at BAREWALLS 2000, a live art exhibition coordinated by the School of The Art Institute of Chicago. He has been in various solo and group exhibitions, and he has been busy working on projects for various solo exhibitions. His works are owned by private collectors in the United States, Europe and are part of the very prestigious Sandor Collection in Chicago.
In addition to being on campus for his reception, during Oct. 16-19 he will also share his artistic process and skills with students and faculty in various classes in the DSU Department of Art.
"Opportunities for engagement with a visiting artist are an extraordinary learning experiences for our students," notes Jennifer Gunther, DSU Arts Center/Gallery director. "Mr. Dixon focuses on pushing traditional mediums in new media directions. An opportunity to understand this artist's process will be a rewarding experience for our students."
En route to receiving his Bachelor of Fine Art from the Atlanta College of Art in 1992, Mr. Dixon composed new art perspectives by employing various visual art techniques through painting, photography, computer art, video and electronic music. In 1995 he earned a Master of Fine Art from the School of the Art Institute of Chicago.


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