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Can I view a list of my previous DIRECTV CINEMA™ or Pay Per View purchases on my TV?
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Yes. Press MENU on your remote control, then select Recordings. Use the right arrow button to select Manage Recordings, then select Purchases. The Purchases menu provides a list of approximately the last 25 DIRECTV CINEMA™ and Pay Per View events ordered using your remote control.
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How to Order DIRECTV Pay Per View Movies
You can purchase Pay Per View movies (also known as DIRECTV CINEMA movies) to watch on your TV in a few different ways. Order from your receiver with your remote control ...
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You have two convenient payment options for your DIRECTV CINEMA™ and Pay Per View purchases: Bill the charge directly to your DIRECTV account. Use your credit card or checking account to make a ...
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As an added benefit to ordering DIRECTV CINEMA™ or Pay Per View events online, the movie or event that you order is available on all of the TVs in your household. If you don't want a movie or eve...
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The Barber of Seville
[Il Barbiere di Siviglia]Pictures / Videos
Pictures / Videos
Gioacchino Rossini (1792 – 1868)
Melodramma buffo in two acts; Libretto by Cesare Sterbini, based on a drama by Pierre-Augustin Caron de Baumarchais; First performed on 20th February 1816 in Rome; Premiered at the Deutsche Oper Berlin on 29th November 2009
In Italian language with German surtitles
Conductor | Enrique Mazzola |
Moritz Gnann (11.04.2013) | |
Director | Katharina Thalbach |
Stage-design | Momme Röhrbein |
Costume-design | Guido Maria Kretschmer |
Chorus-Conductor | Thomas Richter |
Count Almaviva | Yosep Kang |
Bogdan Mihai (29.12.2012 | 31.12.2012 | 11.04.2013) | |
Bartolo | Tiziano Bracci |
Carlos Chausson (29.12.2012 | 31.12.2012 | 11.04.2013) | |
Rosina | Jana Kurucová |
Silvia Tro Santafé (29.12.2012 | 31.12.2012) | |
Figaro | Markus Brück |
Etienne Dupuis (31.12.2012) | |
Dalibor Jenis (29.12.2012 | 31.12.2012) | |
Christian Senn (11.04.2013) | |
Domenico Balzani (15.11.2012) | |
Basilio | Marko Mimica |
Fiorillo | ZhengZhong Zhou |
Berta | Hulkar Sabirova |
An officer | Andrew Harris |
Chorus | Chor der Deutschen Oper Berlin |
Orchestra | Orchester der Deutschen Oper Berlin |
This turbulent tale has an aged curmudgeon intent on marrying his own ward in order to get his hands on her inheritance. He does everything he can to prevent the attractive Rosina from having contact with the outside world - and possible young lovers. Little does he know that Count Almaviva has long since fallen in love with her. By enlisting the help of the engaging, energetic barber Figaro his plan is not only to get the better of the old man and win Rosina over but also to ensure that the young woman loves him for his own sake and not for his title and fortune. No easy task for Figaro, who is pitted against a number of opponents. But in the end love conquers all and the precautions taken in the elaborate venture turns out to have been for nothing.
Pierre Augustin Caron de Beaumarchais (1732 – 1799) invented the cunning, scheming barber and made him the central figure in a trilogy of comedies, the first two parts of which – LE BARBIER DE SEVILLE OU LA PRECAUTION INUTILE (1775) and LA FOLLE JOURNEE OU LE MARIAGE DE FIGARO (1778) - are now world famous. The third part of the trilogy, L'AUTRE TARTUFFE OU LA MERE COUPABLE, which appeared in 1792, did not enjoy the success of its predecessors, conceivably due to the chaos of the French Revolution. Although the revolutionary potential of the work is best communicated by Mozart's brilliant score in the second part of the trilogy (DIE HOCHZEIT DES FIGARO,1786), the barber of the first part is likewise possessed of a lack of respect, making him predestined to head the cast of a comic opera. Giovanni Paisiello's music in the 1782 production of BARBIERE brought him wide acclaim and set a high standard for Rossini to follow as the latter went about reworking the material into a new comic opera. 34 years after Paisiello's success Rossini pulled off what remains perhaps the wittiest and peppiest opera buffa in the history of opera.
"It was Rossini through and through, his music at its loveliest in BARBIER VON SEVILLA. Those who despise Italian music and hasten to openly revile it will one day receive their just punishment in hell, perhaps condemned to listen for eternity to Sebastian Bach's fugues." (Heinrich Heine)
Accompanying Programme
Accompanying Programme
Introduction (in German language): 45 minutes before beginning; Rang-Foyer


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Pre-loved (light use). The leather frame and calf hair are worn. There is a missing crystal from the top closure. The clasp is loose and does not stay firmly closed.
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Weekly Whirl – Our Favorite Holiday Blogs!
If anyone knows how hectic life can get – WE DO! That's why we have created the Autism Speaks Weekly Whirl to fill you in on all of the highlights of the week! The last thing we want is for you to be left out of the loop! Please share with friends and family to spread the word about all of the exciting things going on in the autism community. Keep in mind, these updates aren't limited to Autism Speaks — we will be featuring news from across the community.
This week we are bringing you our favorite holiday blogs from across the web! We would like to wish you a wonderful holiday and a happy and healthy new year!
Autism Christmas: Different but not less*
"Around the world families will be awoken by small children in the wee hours of the morning begging to see what Santa has left them in their stockings and under the tree. Later they will welcome guests or perhaps travel to see extended family for a special Christmas meal with all the fixings." –Adventures in Extreme Parenthood
Nate's Hanukkah list
"Nate isn't one for surprises. He likes what he likes and that's that. So when it comes time for his birthday, or Hanukkah, he types up a list of what he wants and we order it. The package gets delivered, he files his new stuff away with little to no fanfare and it's over almost before it begins." – Jeff Katz from Autism Support Network
About the Tree
"But the past couple years she has decided to ignore the Christmas tree completely. Like… Meh. I am not going to pay any attention to these crazy people putting a treein a house. Rearranging my living room and oohhing and ahhing and carrying on and putting stuff under it that nobody can play with and stuff on it that's not even fruit. If I can't climb it, jump on it, hide under it, spin it, or eat it, it's of no use to me. Tree, shmree. Whatever people." –Rhema's Hope
Christmas 2010
"I'm remembering a day that worked. A day in which every member of the family participated in the celebration of the holiday in his or her own way. A day upon which compromises were struck and expectations were sent out to sea. A day in which any unnecessary demands were dispatched. A day when small prizes were treasured and time was valued above all else. A day that never would have been possible just a few short years ago."
–Diary of a Mom
"Any holiday can disrupt a family's routine. One that is eight nights long can really change things up. My son, with all of his sensory issues, can't sit through an organized Temple Tots celebration or anything like that. So for a successful holiday, we'll be doing all our celebrating at home, just like I did when I was a kid. And this year, we'll be making our Hanukkah sensory friendly." – Alysia from The SPD Blogger Network
Christmas Magic
"Life as a special needs child is tough. When she role-plays, I'm at once elated that she is developing her pretend play skills, and dismayed that her doll is "going to therapy" day after day. Childhood should be about wonder and magic, not mundane, routine therapy. So at this time of year, I find it even more important to put the wonder back into her life." – Spectrummy Mummy from Hopeful Parents
A Season of Difference
"Schuyler understands how tribes are formed, I think, at least on some visceral level. And rather than feeling overwhelmed at how we are spiritually out-of-sync with most of those around us, she is encouraged by our little pod of difference. In her own way, Schuyler understands the concept of family better than most." –Robert Hummul-Hudson from Support for Special Needs
Early Hanukkah
"Jacob actually yelled "Happy Hanukkah!" to everyone this year instead of "Merry Christmas!" which he used to be wont to do, as there is so much more of that in the world around him to catch his echolalic attention." – The Squashed Bologna
Autism's Season of Hope
"It dawned on me that this could only mean one thing: perhaps the experts had it wrong. Perhaps it was actually his profound attachment to me that made him believe I was all-powerful, responsible for the lights and everything else around him. Perhaps it meant that Nat – though profoundly autistic – was deeply connected to me, after all."
– Susan Senator with a forward from Lisa Belkin
Wonderful Christmas Time
"Last year, a few of my friends from my support group were talking about getting their kids' pictures taken with Santa at the mall. Or rather, not getting them. The lines, the looks, the sensory overload…it was all too much for their kids." – Try Defying Gravity
The Spectrumville Christmas Letter
"It's that time of year again to share with you our adventures in this journey we call life. 2011 has been another year of magic and wonder…" – Erica from Laughing Through Tears
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- RT @knock2x: Ever seen crystallized DNA before? Now you have! Created by Linden Gledhill & @BBDONY for @autismspeaks #MSSNG http://t.co/wgD… 6 hours ago
- RT @cabseverywhere: Having an amazing time at the Autism Speaks MSSNG art event! @BBDONY #MSSNG http://t.co/rhbiEsyS0I 6 hours ago
- We partnered with @BBDO to bring awareness and raise funds for the #MSSNG project, an open-source research platform http://t.co/OeQHvgvNxK 7 hours ago
- Beautiful Weekend for Walks in Illinois and Denver >> shar.es/1pS8vA 9 hours ago
- Protecting Our Kids Starts at Home: One Mom Shares Her Story >> shar.es/1pSZCa @ProjectLifesavr http://t.co/Z4qNQrxHdl 11 hours ago
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Travel Program
Dear Alumni and Friends:
Miami Explorers, the Miami University Alumni Association travel program, offers an opportunity for camaraderie while providing you with an educational, rewarding, and unforgettable experience. Our goal is to offer enriching travel experiences to enhance your lifelong education, while strengthening your connection with Miami. Some trip departures are exclusive to Miami Explorers, and some are shared with similar organizations. Space is limited on most departures, so be sure to plan ahead to avoid disappointment. We do limited mailings for our programs, but want to be sure everyone interested in a specific trip receives the detailed information. So, please take a few minutes to indicate the trips you are interested in and the brochures will be mailed to you when they are available. I look forward to helping you plan your adventures.
Sincerely, Kathryn Myles '89, MGS '91 Director of Travel Programs
For more information about Miami Explorers, contact Kathryn Myles at 513-529-1443 or toll free 866-MUALUMS (682-5867) or by e-mail at firstname.lastname@example.com.
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no reason to salvage the season
Posted 20 November 2012 - 01:16 PM
the simple point is that there is no way we go to the playoffs, if we win out, the most we get is some media coverage. big deal.
wost case, 5 of our best players get hurt severely and are out for part of next season. what happens is TD blows that knee out again, after we are 2-10.. what was the point? when we can save him for next year.
think about it a different way, it looks like the top WR will be a 2/3 pick this season. We can win out, and pick 12-15th and maybe get the 2nd or 3rd wr, OR we can have a number 1 QB throwing to a #1 WR. on top of that, a couple of really good o line guys are predicted to go early in the second. and the rookies are cheap.
and if you think we should go d line (not only are you wrong) but the best will still be a top 5 pick...
While it may not be in any induviuals best intereste as far as stats or performance bonuses go, it IS in the best interest of the team, both short and long term to lose out. thats just a fact.
Posted 20 November 2012 - 01:18 PM
Posted 20 November 2012 - 01:20 PM
Posted 20 November 2012 - 01:21 PM
Posted 20 November 2012 - 01:30 PM
Posted 20 November 2012 - 01:30 PM
no good can come from losing out or giving up. horribly bad idea. most of these guys still have fight in them. continuing to lose only takes that away.
no draft pick in the '13 is worth losing out over unless we're wanting to replace newton (which isn't the case).
we may finish with 3-4 wins anyway, but the team should continue to fight.
the moment this team becomes content with losing or feels it is acceptable in any season is the time i go find another team to cheer for.
its just not worth it.
Posted 20 November 2012 - 01:31 PM
fail. this season has nothing to do with next season.
Yea right, we have a top 5 offense!
Oh wait
Posted 20 November 2012 - 01:32 PM
Posted 20 November 2012 - 01:32 PM
Posted 20 November 2012 - 01:36 PM
This team needs to continue to push as hard as they can to win. If they lose they lose but it had better damn well not be for lack of effort. That mentality is infectious and we already have a culture of losing around here. Tanking anything would just make it worse.
Posted 20 November 2012 - 01:39 PM
TD being sat for like the last 2 games. I kinda think that
I kind of agree.
What he has done this year has been nothing short of miraculous and he would never take himself out. Him taking the rest of this throw-away season off and resting that knee sounds like it would be beneficial, however none of us will really ever know. It may be possible that by him playing, the knee is continuing to get stronger.
If TD feels it is in his best interest for his future here to sit the remainder of the games, he's earned it. if he feels that he is playing no matter what; he's earned that as well.
Posted 20 November 2012 - 01:48 PM


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Miami-Dade Fire Rescue and Jackson South Community Hospital celebrated the opening of its new helipad with an inaugural helicopter landing Friday, Jan. 23. The new helipad allows Jackson South to receive air ambulance transfers from other hospitals and quickly transfer patients by air to the Jackson Memorial Medical Center campus in downtown Miami for specialized services.
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HomeoPet® Anxiety TFLN promotes a sense of calm in animals exhibiting fear, fretting, anxiety or any unwanted behavior. Read More
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Burnett focused on opposing Giants, not trade talk
Bumgarner aiming to continue post-break resurgence vs. Phillies
As is the case for a handful of his Philadelphia teammates, A.J. Burnett's days with the Phillies may be numbered.
Burnett, who has a limited no-trade clause, has been mentioned in numerous trade rumors as speculation heats up in advance of the July 31 non-waiver Trade Deadline. The 37-year-old righty has value for contenders, with a 6-9 record and 4.08 ERA in 21 starts this season. He posted a 2.94 ERA in seven starts before struggling in his last outing. He faces the Giants on Wednesday.
"I signed here to play here," Burnett told a reporter recently. "I'm not a guy who looks for an out or wants to get out because things aren't going the right way. If that happens, then it happens, but I'm not looking to move on. This is my team. I understand how things work, but I'm trying not to worry about it. I just try to go about my business and enjoy my teammates."
There wasn't much for them to enjoy about his last start, as he was chased from the game after allowing six earned runs on 10 hits in five innings. Wednesday will be his first start against San Francisco in 2014; he's 6-3 with a 2.30 ERA in nine career starts against the Giants.
He'll be opposed by All-Star lefty Madison Bumgarner, who resembled his usual All-Star form in his last start, when he gave up one run on four hits in six innings against the Marlins last Friday. He gave up 19 earned runs in 24 1/3 innings in his four previous starts.
The lone blemish in Bumgarner's previous outing was a home run to Marlins slugger Giancarlo Stanton, who crushed an 0-1 curveball. ESPN's Home Run Tracker measured the drive at an estimated 466 feet.
"He was on top of his game," manager Bruce Bochy said of Bumgarner. "With the position we had him, it allowed me to give him a break, because he was really the one guy going without any added rest."
Wednesday's start will be Bumgarner's first against the Phillies this season. He's 1-2 with a 4.05 ERA in three career starts against Philadelphia.
Phillies: Ruf returns to Majors
After a short stint in the Majors earlier this year, Darin Ruf was granted another crack at big league action after the Phillies recalled him from Triple-A Lehigh Valley before Tuesday's game vs. the Giants.
John Mayberry Jr. was placed on the 15-day disabled list with left wrist inflammation to make room for Ruf.
Ruf was first called up in late May, and the Phillies toyed with the idea of implementing a platoon situation at first base between Ruf and Ryan Howard, who struggles against left-handed pitching.
But after Ruf went just 1-for-10, the Phillies ended any chance of that scenario playing out by sending him back down to Lehigh Valley. Shortly thereafter, Ruf suffered a left wrist fracture sliding into a wall while trying to chase down a foul ball. The injury forced him onto the DL on June 4, and he only returned to game action July 2.
In his last three games with Lehigh Valley prior to his callup Tuesday, Ruf went 6-for-12 with four RBIs.
"It's gotten better," Ruf said of his timing at the plate. "Felt a lot more comfortable in the box the last few days."
Giants: Homegrown players abundant
San Francisco's 7-4 victory against Philadelphia on Monday ended with the Giants using an infield consisting entirely of homegrown players: first baseman Adam Duvall, second baseman Ehire Adrianza, shortstop Brandon Crawford and third baseman Pablo Sandoval. Tuesday, manager Bruce Bochy started an infield produced entirely by the Giants system, with Buster Posey playing first base and Joe Panik at second.
San Francisco also employed a homegrown starting infield a handful of times earlier this year: Brandon Belt or Posey at first base, Adrianza or Panik at second base, Crawford at shortstop and Sandoval at third. For most of the season, however, at least one player nurtured in a different organization -- such as Michael Morse, Brandon Hicks or Joaquin Arias -- has joined the infield alignment.
"It's a proud moment for your player development and scouting staffs," Giants assistant general manager Bobby Evans said of the homegrown infield. "They pour hours that nobody sees into preparing the organization for the future. It is very gratifying to fill out your lineup with players from your system. It's a significant accomplishment, especially when it gets to the point where that's the group you go with every day. Any general manager will tell you that's something he's proud of."
Worth noting
• Grady Sizemore needs one hit to reach the 1,000-hit plateau for his career.
• The Giants are 41-15 when they hit at least one home run.
Ryan Hood is an associate reporter for MLB.com. Follow him on Twitter @ryanhood19. This story was not subject to the approval of Major League Baseball or its clubs.


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- walk heel-to-toe on a line like in a sobriety test
- hop 10 times on one foot
- throw a ball high in the air twice and catch it
- name three words that rhyme with "bat"
- count in consecutive and sequential numbers
- write her name
- color a person with all her major body parts (including a belly button)
- look at four illustrations and order them into a story, and narrate it in detail
- name all the members of her family (including Purple Rainbow Fireworks Sally)
- watch a teacher build a stepped pyramid with blocks and replicate it
- put a toy car into a box and turn the box over with her right hand
- listen to a book as it is read and explain how the hippopotamus got under the bed
- do what all the other kids did and walk away from her mommy for her kindergarten screening.
We talked about how I would wait for her, and how she'd return to me.
I think if E's color had been called first we might have made it through the moment of separation successfully. As luck had it, her color was the very last one called. She watched four rounds of children leave, some with no qualms, many with hesitation and backwards glances towards their parents and a few small squeaks and tears. The buildup was too much. As E's color was called she exploded with tears and panic and moaned for me and boa-constrictored around my leg.
The teachers and administrators didn't hesitate, and invited me to stay with E. I'm grateful for that. And so I became the only parent to witness the whole kindergarten screening. This is how I know that as far as the screening proper is concerned, my almost-kindergartener kicked some serious butt.
But she was too scared to go alone, and no other child in that room found the separation to be insurmountable, like she did. This is the part that's so hard.
These artificial time lines -- like being potty trained by age three, like being able to walk away at age five -- in a developmental sense, they're really just constructs, right? The girl in E's group who walked away from her mom with a skip and a wave couldn't count to ten (and I was there to see that). E can count past 100. Does it matter?
When I quiet myself and listen to my instincts and tell myself to trust them, I believe there is nothing wrong with E. She'll get through this at her own pace. But it is hard and getting harder to give her the freedom without pressure to work through it. I wish she could be carefree. I wish the scrutiny and careful eyes of other parents didn't bother me, or compound her nervousness (but they do, and they do).
I wish this wasn't so hard for her, and if we're soul-searching, I wish this wasn't so hard for me (but it is, and it is).
Is it wrong to take consolation in the probability that that other girl's mom probably feels frantic that her kid still can't count to 10?


text: 104 min | R Based on the groundbreaking horror video game franchise, SILENT HILL: REVELATION blends psycho-horror, mystery, and thrills while incorporating beloved elements from the hit video games. In the new film, Heather Mason (newcomer Adelaide Clemens) and her father (Sean Bean, Game of Throns) have been on the run, always one step ahead of dangerous forces that she doesn't fully understand. On the eve of her 18th birthday, plagued by horrific nightmares and the disappearance of her father, Heather discovers she's not who she thinks she is. The revelation leads her deeper into a demonic world that threatens to trap her forever.


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- 4
- people in the U.S. have this name View Mark Eveler on WhitePages
Meaning & Origins
From the Latin name Marcus, borne by the Evangelist, author of the second gospel in the New Testament, and by several other early and medieval saints. In Arthurian legend, King Mark is the aged ruler of Cornwall to whom Isolde is brought as a bride by Tristan; his name was presumably of Celtic origin, perhaps derived from the element march 'horse'. This was not a particularly common name in the Middle Ages but was in more frequent use by the end of the 16th century.
17th in the U.S. |
Americanized spelling of German Uebler (see Uebel).
59,690th in the U.S. |
Nicknames & variations
Marc, Marcus, Markus, Marcis, Mar
Evelyn, Eveland, Eveleth, Eveleigh, Evely, Ebelherr, Ebelhar, Evelsizer, Evel, Eveline


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- Welcome to the 2014/15 season
- Season Calendar
- New Productions 2014/2015
- Revivals 2014/2015
- Recitals 2014/2015
- Concerts 2014/2015
- NOW! Opera for you / Events for children and young people 2014/2015
- Special Events 2014/2015
- Cast Changes
- Ensemble, guest artists and teams
- The orchestra
- Opera Studio
- Videos
Carlo Montanaro
Carlo Montanaro has been Music Director of the Wielki Theatre in Warsaw since 2011/12, where he recently conducted Turandot. Other recent engagements have included a new production of Menotti's The Consul at Seattle Opera. In 2007/08 he appeared at Oper Frankfurt for the first time, conducting La Bohème. He returned in 2009/10 for Boito's Mefistofele and a new production of Adriana Lecouvreur and concert performances of L'amico Fritz in 2011/12. This Italian artist's career began in Florence, where he was a violinist in the Orchestra del Maggio Musicale before being discovered by Zubin Mehta and taking up conducting, making his debut in Vienna. He was quickly engaged by many of Italy's leading houses, including the Teatro alla Scala in Milan, the Arena von Verona, Teatro La Fenice in Venice, the Teatro dell'Opera in Rome, Teatro San Carlo in Naples and the Teatro Carlo Felice in Genoa. He has also enjoyed great success in Germany at the Munich, Hamburg and Dresden state operas, in Austria, Greece, Spain, Israel, Russia, Japan, Canada and the USA.


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Everyone loves a comedian, especially on Halloween! So, get comical with funny costumes from Spirit Halloween. From clowns to crayons and everything in between, the humor starts here! Dress your kids in top quality hilarious outfits that will have the entire party rolling on the floor laughing. For great ideas for a funny costume, check out what Spirit has in stock!
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Weighing less than 14 ounces per pair, Komperdell C3 Carbon Powerlock poles are among the lightest trekking poles on the market. These carbon-fiber, three-section poles also feature easy-to-use external locking mechanisms.
Employing an ultra-lightweight and extremely collapsible design, Komperdell Carbon Expedition Vario 4 poles are built for backcountry and high-peak demands. A hybrid carbon and aluminum design provides reliability at a lower-than-average weight.
Komperdell has been a leading manufacturer of telescopic poles since 1922. Through innovative technologies, Komperdell has built a reputation as a maker of high-quality poles.
Click here to visit the official Komperdell website. (Note: you will be leaving Backcountry Edge.)
While most trekking poles accept add-on baskets for showshoeing, these snowshoe poles have been specifically tuned for use in the snow.
View more videos in our Video Library.


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Description:3TB Hot-Plug Serial ATA (SATA) Hard Drive 7.2K 3.5-inch form factor 1.0 inch highIn HP Hot-Plug Hard Drive tray (as pictured)For G1-G7 Proliant SATA ServersGenuine HP serial number and firmwarePart Number(s) Option Part# 628059-B21 Spare Part# 628180-001 Assembly Part# 614826-001 Assembly Part# 638516-002 Model# MB3000EBKAB Model# MB3000EBUCH
Overview:Information technology professionals rely on our variety of new tested Genuine HP SMART capable SATA Hard Drives offering data integrity and availability in hot-pluggable models. Before final certification all HP Serial-ATA hard drives are optimized for compatibility and functionality including support of SMART and HP System Insight Manager. Specifications: CategoryProliant HardDrive Sub-Category7.2K GenerationSATA Part NumberMB3000EBKAB Products ID460341 Form Factor3.5 inches x 1/3H Capacity3TB Interface TypeSerial ATA-300 Average Seek Time8.5ms Spindle Speed7200RPM [ Replacement Video ]


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A Topical Approach to Life-Span Development
Author:John Santrock
8 Customer Product Reviews
Edition: 6
Pub Date: 2011
Publisher: McGraw-Hill Humanities/Social Sciences/Languages
John Santrock is the author of A Topical Approach to Life-Span Development, published 2011 under ISBN 9780078035135 and 0078035139. Two hundred seventy two A Topical Approach to Life-Span Development textbooks are available for sale on ValoreBooks.com, ninety four used from the cheapest price of $11.99, or buy new starting at $106.27. [read more]
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Standard Textbook. Very detailed. Good Graphics. Get a bit complicated, but the subject is a complicated one.
read more
Same thing I would change about all textbooks, price. -
It needs to be on more on a college level and the information is repeating in each chapter which makes it boring.
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The primary subject of this book was social psychology and the subject was effective but it was very iterating. -
Nothing, This book was thorough and effective. I used it for my lifespan development class and it was perfect! Everything I needed to know.
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It was all very helpful! I couldn't tell you something I didn't like about it. -
There isnt really anything I can say for this question because I found the entire book helpful in some way.
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About lifelong development of humans from womb to tomb is what my teacher calls it -
This book used separate sections in each chapter that made it easier to view the information in regards to developmental stage. This made it much easier to compare what changes happened when. (i.e. infancy, childhood, adolescence, emerging adulthood, middle adult hood, and older adulthood)
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I am not sure how I would make the book better. They included pictures, graphs, charts, and statistics. I am not sure how much more I could have asked for. -
The class I took was developmental psychology where we were taught the different developmental stages throughout life and what we learn during that time, what develops and other things such as how thinking and behaviors change (etc)
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I honestly can't think of anything I got alot out of this book and it was very helpful
Edition: 6th
Pub Date: 2011
Publisher: McGraw-Hill Humanities/Social Sciences/Languages
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6770 is an evergreen, so yes it will be very stable. Can't comment on the other parts.
My current config is:
Abit KN9 Ultra+Athlon 64x2 4200+ (2.2 GHz) 1MB Cache
2x1GB DDR2-666 which I plan to replace by 2x2Gb DDR2-800
Nvidia 7600 GT, 256Mb (which I use mainly with the proprietary driver, I find the performance of nouveau not too bad, however it is not stable enough).
I plan to change my graphics card and to use the free driver. I am looking at an HD6770, 1Gb. The performance on R600 as seen on phoronix benchmarks seems very good to me. However these benchmarks are run with much more recent CPUs so I am not sure what to expect for the performance on my system. I don't plan to run commercial games but I would still like to be able to play something of the level of 0AD or Lugaru HD. Do you think I will get a decent performance or that my CPU will not allow my HD6770/R600 to get much more performance than on 7600GT/Nouveau?
Also I am interested on how good is the multi-screen support? I have seen HD6770 cards with 3 ports (HDMI+DVI+VGA). Can I use any combination of 2 ports out of the 3 for a dual screen configuration with R600?
Overall should I expect a good stability with the free driver?
Thank you.
6770 is an evergreen, so yes it will be very stable. Can't comment on the other parts.
Stability is great, and if you don't mind scaling back a bit when it comes to effects and resolution, pretty much everything is playable. (I played through Crysis with an Evergreen and r600g about a month ago).
I've switched from a 7600GT to my HD 5770 with OSS drivers a few years ago.
2D performance went up, it's very stable, and by now there are lot of 3d games that run well enough (native or wine).
On the other hand, you're switching drivers, so there's bound to be a regression somewhere. Don't expect miracles.
Going from my Athlon 64 X2 5000+ to the FX 6100 didn't have much impact on gfx performance. I don't think the OSS drivers use more CPU power than nvidia's drivers do. I think you're safe.
Haven't tried 0AD or Lugaru HD, so I can't comment on those specifically.
Multiscreen-support works flawlessly with 2 displays, much less hassle than I remember having with nvidia. Proper xrandr-support ftw! I think any connector combination works (at least the GPU supports that), but there may be cards out there where the connectors are wired in a weird way. Check the manual before purchasing.
If you wish to use three monitors, there are restrictions which ports you can utilize - usually, one of the monitors has to use DisplayPort, since the GPU can only output two non-DP-signals at a time. There are some cards with a builtin signal converter that bypass that restriction though.
One screen HAS to be DisplayPort (for 3 screen Eyefinity), and a cheap way around this is a DP > VGA adapter, they HAVE to be active as its impossible for it to be otherwise (Active DVI/HDMI cost around $100!) and most Flat pannels have VGA in
My plan is to do the following
(Thats my two "Legacy Screens")
DP > VGA > Third Screen
I've seen videos in Youtube proving this is possible


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Front - white Back - white Grille off - white Left - white Size comparison - white Photos (5) Video View larger Definitive Technology ProMonitor 800 Single compact satellite speaker (White) Item #: 735PMON8W In Stock 29 Reviews Your price: $145.00 each Earn up to 145 Rewards points Black White Add to Cart Free Shipping Lifetime Tech Support + Add to wishlist + Email me alerts for this product Open Box: $130.50 View all associated offers Need help? 1.888.955.6000 Email Chat Ask an expert advisor No pressure, no commission — just lots of good advice from our highly trained staff. x By buying this product you'll earn up to 145 Rewards points. When you sign up for a Crutchfield account, you'll be enrolled in Crutchfield Rewards. You'll earn one point for every dollar you spend on gear from us. You can turn your points into Rewards Cards that you can use toward future purchases. You can sign up for an account now, or after you complete your purchase (you'll get credit for the points either way). Sign up for a Crutchfield account
by Kristen Schaub Compact, versatile speaker for tight spaces Build your own compact high-performance home theater system around Definitive's ProMonitor 800. This versatile, easy-to-place speaker delivers spacious imaging and smooth sonic response — perfect for thrilling home theater sound. The sound will surprise you, but it shouldn't — the ProMonitor 800 uses many of the same technologies as Definitive's larger, more expensive speakers. You can place the ProMonitor 800 on a shelf using the included tri-lobed base, or mount it on your wall using the rear-panel keyhole slot for out-of-the-way placement. High-tech driver design for warm, rich sound The 4-1/2" woofer gets a big performance boost from the mid/bass radiator mounted in the top of the cabinet (see more photos). This clever design doubles the lower-midrange radiating area without increasing the size of the enclosure, and helps provide rich, lifelike sound. A 1" pure aluminum dome tweeter produces extended highs that reveal nuance and subtle detail without a trace of edginess. Options for stereo or home theater sound Use a pair of these speakers with any Definitive Technology powered subwoofer for full-range stereo sound. This speaker is voice-matched with Definitive's complete ProCinema series, and can be paired with any ProCinema center channel speaker. To create a high-performance ProCinema 800 system, combine four ProMonitor 800 satellites with Definitive's ProCenter 1000 and ProSub 800. Got wire? Most speakers don't include any. Learn about choosing and installing speaker wire at the Crutchfield Learning Center. Shop our selection of speaker wire. Did you know? Your new speakers will probably sound better after several weeks of use than they do right out of the box. That's because the material surrounding the woofers will loosen up, allowing the drivers to move more fully. Definitive Technology estimates a break-in period of 24 to 48 hours of playback before the speakers will deliver optimum sound quality. For more information and helpful tips, check out this article from Definitive's website about conditioning your speakers. Product Highlights:frequency response 57-30,000 Hzsensitivity 89 dB8-ohm impedancehandles up to 150 wattsBalanced Dual Surround System (BDSS) technology places rubber surrounds on both the outer and inner edges of each speaker cone for more precise motion resulting in exceptional clarity1" pure aluminum dome tweeter4-1/2" BDSS bass/midrange driver pressure-coupled to a 4-1/2" bass radiatornon-resonant PolyStone cabinet5-way binding postsgloss black finishkeyhole slots and tripod base included4-13/16"W x 8-3/8"H x 5-1/16"Dwarranty: 5 yearsOur 60-day money-back guarantee Why choose bookshelf speakers? Bookshelf speakers may be small in size, but they can deliver surprisingly big sound. Some ultra-compact models even fit on a desktop. Most are right at home in tight spaces like shelves, so they're usually good choices for your home theater's rear channels. For the best performance, try placing bookshelf speakers on solid speaker stands to help the sound really "open up." If you want full bass impact, add a powered subwoofer and enjoy punchy sound that's as deeply satisfying as that of floor-standing speakers.
Definitive Technology ProMonitor 800 Speakers Written By Tom B, Rochester, New York on Saturday, April 25, 2015 Crutchfield Customer Review (What's this?) Great sounding speakers. I replaced 6 of the Klipsch Quintent bookshelf speakers with these and I think these are more powerful. I am still using the Klipsch subwoofer and they sound good together.
Rich, full sound from a small package Written By AVdad, Apple Valley, MN on Saturday, April 18, 2015 Crutchfield Customer Review (What's this?) Really nice sound in a small and attractive package. Using them with a sub for music listening in living room and they provide a great overall experience. Wife likes the small profile. DefTech did a nice job on these. Pros: Small size, full sound Cons: Little bit pricey
Quality Speakers Written By PKA, Tennessee on Monday, March 09, 2015 Crutchfield Customer Review (What's this?) Quality speakers for their size and with the color white available it was a perfect match for our requirement. Pros: Quality, size and price was outstanding. Cons: None.
Surprise, surprise Written By Sean, California on Wednesday, January 14, 2015 Crutchfield Customer Review (What's this?) I bought these to use them as rear speakers in a 7.1 rig, but temporarily hooked them up as right and left fronts with just a sub woofer while I waited for some other speakers to come in. They sounded so good that I started second guessing weather I really needed all those other speakers. Obviously the sub woofer is picking up all the lows, but these little gems did a more than adequate job with the rest of spectrum. I'm going to make these my go to speakers for satellite applications. Pros: Sound bigger than their size, size makes them placeable or mountable just about anywhere Cons: Can't brag to your friends how big your speakers are or how much they cost
Nice Speakers Written By MelvinD, Houston,TX on Wednesday, January 07, 2015 Crutchfield Customer Review (What's this?) Great sounding speakers! Pros: Great sounding and look nice as well Cons: None!
Amazing Sound Written By Richard L., Michigan on Sunday, December 14, 2014 Crutchfield Customer Review (What's this?) The advisor was great in helping me select this . The problem I had was two fold. I had a bad speaker to replace. He helped to match the speaker. He explained the technology in his selection and the reasons it should solve the problem. He was correct in his Anasylis. The other issue was to pick a speaker that was white to match the other. Ii am just amazed at the sound this little speaker puts out and the way the sound matches a much older speaker that is larger . . Pros: Quality and the range of the sound Cons: None thus far
Definitive Technology ProMonitor 800 Written By Mike H, Pooler, GA on Tuesday, October 28, 2014 Crutchfield Customer Review (What's this?) This was exactly what I was looking for. Good quality sound. Compact shelf speakers in white. They blend in perfectly with my white cabinets. You don't even know they are there. Cons: None
ProMonitor 800 Written By AlanI, Houston Tx on Saturday, July 12, 2014 Crutchfield Customer Review (What's this?) Great! A compact speaker that performs well - I love them.
Definitive Technology ProMonitor 800 Written By Scott, Wseton, FL on Wednesday, June 18, 2014 Crutchfield Customer Review (What's this?) Great sound from a small speaker, very crisp highs and mids. Still need a sub for the lows to provide the deep bass, but do a good job.
Extremely satisfied Written By Giuseppe, Michigan on Friday, May 23, 2014 Crutchfield Customer Review (What's this?) I've purchased these speakers to add on to my 5.1 Pro600. My a/v receiver allows for a 7.1 set up. I've placed them on 2 stands on the left and right of the tv and they are the best purchase that I made to kick my home theater up a notch. The ProMonitor800 + Pro1000 central speaker + Pro600 4 satellites and 1 sub turned my living room in to a movie theater! Pros: Quality of sound, design, color choice (white or black) Cons: none so far
Great Value! Don't let their little size fool you! Written By Alock, Gloucester, MA. on Wednesday, May 21, 2014 I bought these speakers for a 2.1 computer set-up. It's paired with a NAD D3020 hybrid digital amp & a Boston Acoustics PV-350 subwoofer (only 50 watts) I'm using the internal DAC (via USB) from the NAD & they sound amazing for the money! I bought these because of their high praise from so many people online. They won't disappoint! Pros: Very small footprint. Sound great after 30+ hours of usage. The aesthetics are wonderful! You really can't do better for their price tag. I used Audio Engine's DS1 for the elevated stands. The DS1 makes a difference @ a computer desktop. The DT Pro Monitors comes with a stand, but you need an upward angle to make them even better. Cons: None! Buy them!
Surround me, please! Written By Peavey B., Houston, TX on Saturday, March 22, 2014 Crutchfield Customer Review (What's this?) I was needing a small set of speakers to complete my media room. I had a 5.1 system and wanted to expand to a 7.1 setup. After talking with the Crutchfield team and letting them know all that I currently owned (model and manufacturer) they recommended Definitive Technology. I was amazed at the clarity these speakers brought to my system. The room is now sounding exactly as it should. After installing the speakers on their new stands (which are fantastic as well) I ran the Denon room setup program. The speakers have added so much to my media experience. I highly recommend this speaker. Paired with Boston Acoustic VR960s on the front, B&W FPM2s on the rear, M&K Sub, Definitive Mythos 7 center and a Denon AVR-2312CI Receiver. Pros: Great frequency response and tremendous sound quality from a small packatge Cons: No cons to report.
great little speakers Written By rob d, grand rapids , mi on Wednesday, February 05, 2014 Crutchfield Customer Review (What's this?) full sound for a smaller speaker . paired with a polk sub for a great sound for tv or music
Excellent sound Written By GR, San Juan, PR on Saturday, December 07, 2013 Crutchfield Customer Review (What's this?) Excellent sound, I bought these as satellite surround speakers, they are a major upgrade from what I had before. Clear sound and very accurate. Easy to install with wall mounts. Pros: Great sound Easy to install Cons: None
Great compact speakers! Written By Michael, Fairborn, OH on Saturday, November 02, 2013 Crutchfield Customer Review (What's this?) Great compact bookshelf speakers that sound very good. The detail and sound quality is great and what you would expect from Definitive Technology speakers. These sound great next to my TV and with music. They have very good mid-bass, but lack bass in the bottom end. For their size, they do have a good amount of bass extension, but I would recommend adding the matching Definitive Technology ProSub 800. Pros: Compact, sound quality. Cons: Lacking lower bass.
Terrific sound Written By J D'Ambrosia, Fort LeeNew Jersey on Sunday, September 22, 2013 Crutchfield Customer Review (What's this?) I heard these speakers over a friends home and asked him what brand they were,Definitive he said,I was blown away by their clarity. So I bought a pair including a center speaker. . . WOW! Now I 'm going to purchase a subwoofer of the same brand. Cannot wait to hear that ! Incredible! Pros: Buy them! Cons: None
Definitive Speakers Written By ProMonitor 800, Green Brook, NJ on Thursday, August 22, 2013 Crutchfield Customer Review (What's this?) Buy these :) The sound is great, they look great and the setup was so easy. I purchased the AudioQuest Type 4 speaker cable and the were so easy to install. Pros: They look and sound amazing. Cons: None
Nice Speakers Written By Featherhead, Houston, TX on Tuesday, August 20, 2013 Crutchfield Customer Review (What's this?) I bought two DT Pro Monitor 800's to complete my Definitive ProCinema 600 BK Home Theater System. They produce great sound for a compact system. Pros: Compact size, easy to mount using the Pro-Mount 90 articulating wall mount brackets. Great music & movie sound! Cons: None.
Definitive Technology ProMonitor 800 Written By Phillip H., Pleasant Hill on Sunday, August 11, 2013 Crutchfield Customer Review (What's this?) Great little speakers. They sound good with more base than some other speakers Pros: Small design. Have wall mounts. Have more base without a sub-woofer Cons: lacks high end sound
These speakers sound excellenr Written By Pete W, Snohomish, WA on Thursday, August 01, 2013 Crutchfield Customer Review (What's this?) I am using these as rear surround speakers that are mounted on the wall. Using with the Sony STR DN1040 receiver. They look and sound great Pros: Sleek Look Sound Cons: None
Good speakers, but not outstanding Written By Charlie, Texas on Friday, June 14, 2013 Crutchfield Customer Review (What's this?) These speakers have a good overall sound to them. The bass portion will not knock your socks off, but a good solid speaker nonetheless. I have these in my home theater system as the back surround speakers and they are perfect for that use. I must say I am impressed with the sound that comes our of a smaller footprint. Pros: small size, good overall tones Cons: Less bass than you might expect with a Definitive speaker.
great surround speakers Written By johnM, columbus,ohio on Wednesday, May 22, 2013 Crutchfield Customer Review (What's this?) fantastic sound for such small speakers. using speakers with my jbl speakers 7.1 surround. Pros: built very well. perfect size to hang on wall. Cons: none
Perfect for my needs.... Written By DeanM, Ontario, CA on Sunday, May 05, 2013 Crutchfield Customer Review (What's this?) I use these speakers for my rear surrounds with Polk Audio towers and sub for the fronts. I needed to do this because I have built-in cabinet enclosures for the rear speakers, Polk bookshelf speakers did not fit the enclosures, and I had no other acceptable options. The speakers fit the enclosures very well and work perfectly for my needs. While the bass is not exceptionally strong, the mid-range is excellent, and the speakers fill the sound field very well when watching movies or listening to SACD or 5.1 audio applications. Plus, they look beautiful in my cabinet. Pros: Very good mid-range, very attractive appearance. Cons: Bass is not exceptionally strong, but this is not a drawback for my needs and uses.
Great satellite speakers Written By MichaelB, Pleasant View, UT on Thursday, May 02, 2013 Crutchfield Customer Review (What's this?) Using these as satellites in a 7.2 setup with Pro 1000 fronts. Did ceiling mounts using the Pinpoint AM20 brackets. Sound great, look sharp. Pros: Keyhole mount, perfect satellite size, looks, packaging, construction Cons: none so far
def tech pro 800 sats Written By mr. ed, puerto rico on Wednesday, April 10, 2013 Crutchfield Customer Review (What's this?) purchased pro 800 system with sub from crutchfield and picked up 2 of these to go 7.1 with my denon 1913. works puuurfectly. if I had to do it again, I would have purchased 2 pro 1000's with matching stands and used them for front l/r, and put the 4 pro 800 sats for rear surround/back surround. but I have no complaints. Pros: everything. great quality construction and sound. Cons: nothing.
For a small speaker they pack a punch Written By Anonymous, Zanesville, Ohio on Wednesday, February 06, 2013 Crutchfield Customer Review (What's this?) As a home theater speaker they are a small powerful replacement for my old three way Sony floor standing speakers. Very satisfied overall. Pros: Small, built in bass radiator. Cons: Mounting could be better if it was built in. The universal kits make them hang way to far out for a smooth look next to my tv.
Used as small mains in 2-channel background music setup Written By Chris, Georgia on Thursday, December 22, 2011 I recommended this to a friend to fit her requirements - "small as possible, good sound, white color." I hooked them up for her today, and we were both very pleased with the sound. They won't rattle the walls or anything like that by themselves, but they are great for room-filling background music and they have enough bass to sound fine. Really sounded great and filled the room with no problem, and according to her, they sound better than any speakers she's ever had in her house. I think that had a lot to do with me flatlining the EQ from its previous "smiley face" setting and the fact that she hated the old, huge, brown, Sansui SP-2000 speakers they replaced. Pros: Small size, white, good extension into hi and low for a small speaker. Cons: Nothing yet.
Definitive Technology ProMonitor 800 Written By SPandey, Delaware on Sunday, May 22, 2011 Crutchfield Customer Review (What's this?) it is rocking my 28x16 media room ( theater) in basement.
Definitive Technology ProMonitor 800 Written By Mark S, Margate, FL on Thursday, January 20, 2011 Crutchfield Customer Review (What's this?) I purchased the Onkyo TX-NR808 along with Definitive speakers and it sounds great. I have a wall unit with my 50" Samsung flat screen. My couch backs right up to a wall and it prevented me from installing speakers behind it and my wife did not think it would look good to have satellite speakers on the wall behind left and right of the couch. In fact, she refused to let me install the satellites no matter how small and she said the only way I could do it is to install them in the ceiling so no body could see them. "Light Bulb" went off, great Idea. I purchased Definitive ProMonitor 800s for each side of the TV, ProCenter 1000, ProSub1000, and 3 DI 4.5 ceiling speakers to create 6.1 sound. The speakers are mounted approx 12' above the couch and I could not ask for better sound. The perfect setup!


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At the UPMC Swallowing Disorders Center a team of physicians and speech-language pathologists focuses its expertise on diagnosing and treating the specific causes of swallowing disorders.
Our clinical goals are to identify the cause of the swallowing problem and to restore swallowing function to a level as normal as possible in order to improve quality of life and nutrition. Our mission also includes clinical research and education for patients, families, and health care professionals.
The UPMC Swallowing Disorders Center includes a multidisciplinary team composed of ear, nose, and throat specialists (otolaryngologists) and speech-language pathologists who specialize in evaluating and treating swallowing disorders.
We work closely with other specialists such as dietitians, gastroenterologists, neurologists, radiologists, rehabilitation physicians, thoracic surgeons, and pulmonologists to provide conclusive services and tests as needed to help identify the cause of any swallowing disorder.
The UPMC Swallowing Disorders Center offers a variety of special services, including:
Click on the experts' names to read more about their specialties and backgrounds.
An estimated 18 million Americans have discomfort or difficulty while swallowing. Dysphagia is the medical term that refers to difficult swallowing.
Some swallowing disorders are mild and can be readily treated. Others are more severe and/or progressive and require long-term rehabilitation or surgery. Even minor swallowing disorders may affect quality of life, thus requiring immediate attention. If dysphagia is overlooked, it may lead to severe consequences such as malnutrition, dehydration, or aspiration pneumonia (an infection that may result from food or liquid entering the lungs), chronic bronchitis, and pulmonary fibrosis.
Dysphagia and related nutrition problems are often seen in patients with:
Swallowing is life sustaining as well as important to social activity. We swallow 2,000 to 3,000 times every day. Swallowing is a very complex act requiring many muscles coordinated by the brain and brainstem. Swallowing takes place in four stages:
The functional assessment of swallowing disorders includes one or several procedures that allow the examiners to view the mouth and throat during the process of swallowing. The tests include:
This x-ray of swallowing identifies problems that occur in the mouth, at the base of the tongue (back portion of the tongue located in the throat), in the pharynx (throat), larynx (voice box), trachea (wind pipe), lungs, or the esophagus. In addition, this study also provides information about tongue motion and coordination and timing of the swallow. This study is useful not only to identify your problem, but it also offers information that will guide treatment.
The fiberoptic endoscopic evaluation of swallowing is a standard test using a small flexible fiberoptic endoscope, a small tube with a miniature camera and light on the end of it, to view your pharynx (throat) and larynx (voice box).
The inside of your nose is coated with an anesthetic gel to reduce the sensation of the endoscope being passed. The endoscope is passed through your nose to a position slightly above the voice box.
Once you are comfortable, you will be given foods or liquids that are tinted with food dye so the examiner can follow their passage. The examiner then watches the material as it passes from the base of the tongue into the esophagus (swallowing passageway). Careful observation is made of foods and liquids that are retained in various areas.
In addition, careful observation is made of any of the food substances that drip into the airway causing the patient to cough or choke. Important aspects such as the speed of the swallow, the amount of food or liquid that is not swallowed on the first swallow, and amounts of foods or liquids that drop near or into the airway can be observed under clear vision. At the same time, a recording of the entire examination is made so that the treatment team can view the results with you as often as necessary and offer a plan of treatment.
A FEES test is needed when you complain of a weak voice, you choke after eating or drinking, the food still feels like it is in your throat, or there is a significant change in your voice after swallowing. The entire test takes about five to six minutes once you are properly prepared.
This study is performed by an otolaryngologist and speech-language pathologist. A puff of air is used to test the protective reflexes of the larynx (voice box) as part of the FEES study.
Manometry measures pressures from muscle force (strength) or bolus flow (food moving through the mouth and throat). Manometric pressures are used to measure the strength of swallowing muscles or to determine when swallowing muscles are too tight.
This is a combination of an MBS and manometry.
The TNE is a procedure in which the inside of the esophagus is examined by a long thin fiberoptic endoscope with a camera on it. The doctor can see the inside of the esophagus by watching a video monitor and determining whether any problems are present.
Swallowing rehabilitation involves the use of exercises, changes in diet, and changes in the neck and body posture to improve swallowing safety and efficiency. An individual treatment plan is developed for each patient because swallowing disorders vary in the degree of severity.
The goal of swallowing rehabilitation is to re-establish oral feeding to a level that is as normal as possible. The swallowing rehabilitation program begins after a detailed swallow evaluation has been completed. Treatment is then provided by a speech-language pathologist who specializes in the evaluation and treatment of swallowing disorders. The treatment plan may include:
Surgery is usually a last resort reserved for patients with swallowing disorders that do not respond to swallowing therapy. Surgical procedures are customized to the patient's needs and, in general, are aimed at improving the patient's existing swallowing function as much as possible. These procedures can be categorized as follows:
Although the physicians of the Swallowing Disorders Center do not perform gastrostomies, if one is needed, they can refer you to an appropriate physician.
The most common surgeries recommended for patients with specific swallowing disorders include:
Medialization refers to the process of moving a paralyzed vocal cord closer to the middle, so that the other vocal cord can close the gap between them and protect the trachea (windpipe). Surgeons can use either of the following techniques to achieve this purpose.
Vocal fold (cord) injection This is the least invasive technique, but it is less accurate than other procedures that involve traditional surgery (incision). The vocal cord can be injected with permanent and/or temporary materials to add bulk to the tissues of the vocal fold and/or move it closer to the middle. The injection can be done through the mouth or through the skin of the neck. Laryngeal framework surgery This type of surgery includes procedures in which an implant is used to add bulk and/or move the vocal cord closer to the middle. Some patients require placement of a stitch be placed at the joint of the vocal cord to correct the position of the joint. Although it involves an external incision, to create a window in the larynx (voicebox), the effect of this surgery is very reliable and the improvement is immediate.
This is the least invasive technique, but it is less accurate than other procedures that involve traditional surgery (incision). The vocal cord can be injected with permanent and/or temporary materials to add bulk to the tissues of the vocal fold and/or move it closer to the middle. The injection can be done through the mouth or through the skin of the neck.
This type of surgery includes procedures in which an implant is used to add bulk and/or move the vocal cord closer to the middle. Some patients require placement of a stitch be placed at the joint of the vocal cord to correct the position of the joint. Although it involves an external incision, to create a window in the larynx (voicebox), the effect of this surgery is very reliable and the improvement is immediate.
Stenosis of the pharynx and upper esophagus (narrowing of the throat) most commonly results from radiation therapy to the head and neck (with or without chemotherapy). Stenosis may also occur following surgery for tumors of the upper aerodigestive tract (voice box or food passage of the throat).
This narrowing may cause patients to experience difficulty swallowing solids and/or liquids. Pharyngoesophageal dilatation involves passing an inflatable balloon or bougie (long, flexible rubber cylinder) through the mouth into the throat to strech the narrowed area.
The cricopharyngeus muscle is located at the level of the lower neck. This muscle works like a valve to prevent the swallowing of air when we breathe and to prevent food from coming back up into the throat after it has been swallowed into the esophagus.
The muscle is usually tight but relaxes to let food go down. In a variety of conditions, such as a spasm or achalasia, the muscle fails to relax, stopping the passage of food from the throat into the esophagus. In this case, the muscle may be cut to allow the free passage of food.
A Zenker's viverticulum is an outpouching in the pharynx (throat) that develops due to failure of relaxation in the upper esophageal sphincter during swallowing. Food may collect in this outpouching causing regurgitation of food following meals or even aspiration (food spilling over from the pouch into the windpipe).
A Zenker's diverticulum may be treated by making an incision in the neck and either removing the pouch or securing the pouch so that it drains into the esophagus more effectively. During this "open approach," a cricopharyngeal myotomy (see above) is also usually performed.
Alternatively, many Zenker's diverticula are amendable with endoscopic surgical treatment (through the mouth, without incisions in the neck). The endoscopic procedure involves looking through the mouth with a telescope and dividing the common wall separating the pouch from the esophagus.
A palatopexy is recommended for those patients whose soft palate is paralyzed, causing food to backflow into the nose. This procedure affixes the soft palate (the tissue that hangs at the back of the throat) to the back wall of the throat, using permanent stitches.
In the extreme event in which a patient continues to aspirate (that is, food continues to go into the windpipe), leading to repeated pneumonias, the foodway (esophagus) can be completely separated from the airway (trachea or windpipe). This is a last resort, reserved for patients who have suffered catastrophic strokes and those presenting with advanced stages of neurologic diseases, such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or Parkinson's disease.
It is important for patients to play an active role in their health care. Diagnosis starts with the patient recognizing possible swallowing disorder symptoms and contacting UPMC's Swallowing Disorders Center if he or she experiences any symptoms.
It is also important for patients to understand the sequence of events for their first visit to the Swallowing Disorders Center. Knowledge is the first step toward recovery.
There are several common symptoms of swallowing disorders that call for a person to schedule an appointment with UPMC's Swallowing Disorders Center. If you experience any or several of these symptoms you should contact a doctor. These common symptoms of swallowing disorders include:
Most medical insurance plans, including Medicare, cover the cost of the initial examination and diagnostic testing. Depending on your insurance carrier, you may need a referral from your primary care physician (PCP). If necessary, you should obtain a referral form from your PCP and fax or send it to us.
Your first visit will last between 45 minutes to 1½ hours.
For your appointment, bring copies of previous test results, examination records, or x-ray films that are relevant to your problem, or arrange with your primary care doctor's office to have this information sent to the Swallowing Disorders Center.
When you arrive, you will be asked to complete a patient history form and will speak with one of our staff members to review your medical history and swallowing problem.
A team consisting of an ear, nose, and throat physician (otolaryngologist) and a speech and language pathologist will determine if you need testing. If they determine that testing is needed, you will be moved to the examination room where a fiberoptic endoscopic evaluation of swallowing (FEES) test will be performed.
After testing, the ear, nose, and throat doctor and/or speech language pathologist will review the results of the tests with you and provide you with a diagnosis and plan of treatment to return you to optimum eating and swallowing. This treatment program may include swallowing therapy, a nutrition evaluation, or other therapies.
After your initial visit, you will be scheduled for either a follow-up examination or for therapy. You also will receive any necessary referrals to other specialists or special tests such as the modified barium swallow. These tests can often be completed on the same day as the assessment. As a result, the cause of your swallowing problem is usually identified during your first visit to the center.
While receiving radiation therapy for cancer of the head and neck, the following foods should be avoided:
The following recipes may help to increase your caloric intake while you are receiving radiation therapy.
Double Strength Milk
Super Soup
Fruit Juice Shake
Yogurt Shake
Super Shake
Orange Smoothie
Apple Salad
Apricot Cream
Banana Shake
Chocolate-Peanut Delight
Chocolate Banana Split
Fruit Bowl Mix
1 can Mandarin oranges
1 15-ounce can crushed pineapple
Hawaiian Sunset
Orange Julius
Soothing Fruit Drink (A refreshing beverage for a sore mouth)
Cranberry Fizz
Frozen Yogurt on a Stick
Apple Pie a La Mode
Peach Smoothie
Great Grape Slush
Turkey and Dressing
Meat Patties
Tuna Fish Casserole
Extra Rich Pudding
There are immediate and long-term effects of radiation therapy for the treatment of head and neck cancer. The immediate effects may include dry mouth, burning sensations, sore throat, sore tongue or lips, ulcerations, difficulty with denture retention, and abnormal taste and smell.
Whether you develop cavities in your teeth will depend on your oral hygiene. A build-up of plaque on your teeth can occur due to the altered flow of saliva. Fluoride treatments are recommended to prevent tooth decay.
The long-term effects may include limited ability to open the mouth (trismus), fibrosis (excess tissue formation), dead tissue (soft-tissue necrosis), and swelling.
These side effects can alter swallowing function depending on how much therapy you receive and which area receives the radiation. Patients usually have the most difficulty during the course of treatment and need to make changes in their diet to prevent swallowing discomfort.
After radiation therapy, patients appear to be more interested in trying to eat different kinds of foods again, but they may need to be re-evaluated to determine what foods are the safest to swallow.
It is very helpful to have swallowing tests before and after radiation therapy to note any changes that have occurred. These tests will provide your doctor with information that will direct the most appropriate treatment plan to help you achieve your swallowing and nutrition goals.
A fiberoptic endoscopic evaluation of swallowing (FEES) is a swallow test that involves the use of a small camera to view the structures of the throat during swallowing. Undergoing this examination before radiation begins will allow your doctor to compare the changes that occur after treatment, and it will help to determine what kinds of foods and liquids are the safest and most manageable for you during treatment.
Swallowing exercises will be recommended after the initial evaluation. It is important to exercise the muscles used in swallowing both during and after treatment to prevent scar tissue from developing.
You may start to notice one to two weeks into your treatment that your mouth is dry. By the third week of your treatment, you may start to notice that certain foods are more difficult to swallow.
Most people need to change the types of foods they eat because of ulcerations in the mouth. These ulcerations can cause burning sensations, especially when they come in contact with spicy or acidic foods and drinks.
Your taste buds also are radiated at the time of your treatment, since they are in the treatment area. They become inactive during this period, so your taste may change, and you won't recognize some flavors. However, in about three months, you should start regaining some taste. You might want to marinate meats in fruits, sauces, or soy sauce to add flavor.
As a result of the radiation therapy, saliva production may decrease and the consistency of the saliva in your mouth may change. Saliva protects your teeth from bacteria, so these changes may make your teeth more susceptible to bacterial attack.
You also may be eating more foods that have a higher sugar content to maintain your weight. Because the excess sugar will attract bacteria that can cause tooth decay, it is very important for you to clean your mouth well, especially before and after you eat. You may also want to use an alcohol-free mouthwash such as Biotene.
If your mouth is the area being treated with radiation, you should see your dentist regularly, even if you wear dentures. Do not wear your dentures while undergoing therapy.
A sore throat is the main side effect of radiation therapy for head and neck cancers, but each patient will react differently depending upon the dose of radiation received.
Gargle with a mixture of one teaspoon of salt and one teaspoon of sodium bicarbonate (baking soda) in a quart of water six to eight times a day or more, and before and after each meal.
Frequently drink small amounts of water or juice or a high-calorie supplement such as Boost or Ensure. There is no limit to the amount of liquid you can consume while you are having radiation therapy.
Keep a glass of water or juice at your bedside to drink during the night if you need it. Include more moist foods in your meals such as gravies, sauces, sour cream, and macaroni and cheese. Add extra butter to help lubricate your mouth and increase your calories.
Chew ice chips or sugarless gum, drink ginger ale, or use an artificial saliva formula to increase moisture in your mouth, especially immediately before eating.
If your saliva is thick, try sipping pure papaya juice. Papaya contains natural substances that will help thin the thick saliva. There are artificial saliva substitutes that may relieve the dryness. Check with your doctor. Some artificial saliva substitutes have side effects such as excessive sweating and diarrhea.
This is normal because you may have more swelling some days than others. Increased swelling will make swallowing more difficult. If you consistently notice that it is more difficult to swallow, call your doctor.
Continue to use the muscles involved in swallowing as much as possible. If you are able to swallow water safely, then it is important to continue. Water may help relieve some of the dryness in your mouth and throat. If you do nothing at all, those muscles may tighten more, causing swallowing to be even more difficult when you complete radiation therapy.
You may be experiencing some of the late effects of radiation treatment, which may include a tightening sensation due to swelling and a narrowing of the passageway where food travels (esophagus). You should consult your doctor for further recommendations. Sometimes this area can be stretched by a procedure called dilatation.
Nutrition during radiation therapy should help the patient feel better, retain their strength and energy, maintain their normal weight and the body's nutrition stores, decrease the risk of infection, and help the patient to tolerate treatment-related side effects, and to recover as quickly as possible.
It will depend on the area of the head and/or neck that is receiving treatment and the amount and frequency of radiation you are receiving. Usually, the side effects of radiation prevent patients from eating a regular diet.
A bland diet is often recommended. If you are undergoing chemotherapy along with radiation therapy, you may experience a loss of appetite. Most people seem to drink more liquids and eat less solid food during radiation therapy. If this occurs, an evaluation by a registered dietitian is recommended.
Emotions, pain medication, and the lack of bulk in your diet — any or all of these may cause constipation. Your lower intestine needs bulk in order to function properly. If you have not been eating or drinking enough, it is possible that stool will not form in your lower intestine for two or three days.
This is normal. The following suggestions may help:
Your taste buds also are radiated at the time of your treatment since they are in the treatment area. They become inactive during this period, so your taste may change, and you won't recognize some flavors. However, in about three months you should start regaining some taste. You might want to marinate meats in fruits, sauces, or soy sauce to add flavor.
It is very normal for appetite to decrease during treatment. Your regular routine of daily living has changed, and there are a lot of new things to get used to, including your taste for food and ability to eat. You may also feel tired, which can decrease your desire to eat and to enjoy food.
Make an effort to keep mealtime pleasant. Remember that eating well is one of your most important medicines. Try to "eat with your eyes." At mealtime, stimulate your appetite with a nice table setting, pleasant colors, favorite aromas, and a peaceful atmosphere.
The following tips also may help to stimulate your appetite:
Most likely, yes. A sore throat is the main side effect of radiation therapy for head and neck cancers. If your sore throat is severe, you may be unable to take in enough food and liquids by mouth to maintain your weight or avoid dehydration.
Your doctor will place a feeding tube temporarily into your stomach (a gastrostomy tube), which will allow you to maintain adequate nutrition without having to swallow all of the food that you need.
It is important to continue swallowing even with a gastrostomy tube in place. Otherwise, your swallowing muscles may atrophy, causing permanent swallowing problems and making it difficult to stop using the gastrostomy tube even after the course of radiation treatment is completed.
Try keeping a food record of everything you eat and drink. The time period varies greatly from one patient to the next. In addition to safety and nutrition factors, a patient's medical status plays a huge role. The ultimate goal of swallowing therapy is to have every patient fed orally. Feedings by mouth should be safe and adequate to maintain nutrition and hydration.
UPMC Swallowing Disorders Center Eye & Ear Institute 203 Lothrop St. Pittsburgh, PA 15213
Phone: 412-647-6461 or 412-647-2100 Fax: 412-647-6460 E-mail: email@example.com
For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.
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White Sox venture to Bronx for weekend set
Lefty Danks, rookie Greene square off in opener at Yankee Stadium
With a 3-0 victory against the Astros on Thursday, the Yankees were able to salvage the finale and avoid being swept at home.
The Tigers' 1-0 loss to the Rays meant the Yankees gained a game in the American League Wild Card race, which they currently trail by four games. For now, the Yanks say they are not paying attention to who is ahead of them in the standings in a packed race.
"My bigger concern is us, not the other teams," manager Joe Girardi said. "Because if we don't win, it doesn't matter what the other teams do in front of us. My focus is still our club, and if we play really good baseball down the stretch, we have a shot."
The Yankees hope to fare better in a three-game series with the fourth-place White Sox, beginning Friday at Yankee Stadium, than they did against the Astros. Chicago has lost five straight at the new Stadium and is 5-12 in its short history. This is a chance for New York to make up ground even if the White Sox won't just roll over -- Robin Ventura still wants wins.
"It's pretty important," Chicago's manager said. "I'm not talking about effort. These guys are coming out and scratching and clawing to get it right. It has nothing to do with effort. I've been pleased with that."
This road trip is a brief one for the White Sox -- after three games, they'll return to U.S. Cellular Field -- and it will start with John Danks on the mound. Danks (9-8) has allowed 84 earned runs and 23 homers this season -- both of which lead the AL.
The Yankees counter with Shane Greene, who continued his impressive rookie season with six innings of two-run ball and 10 strikeouts in New York's win against the Rays on Saturday. Greene (3-1) brought his season ERA down to 2.91 with the effort.
Yankees: Tanaka's next step is to throw live BP
Masahiro Tanaka will throw live batting practice to hitters on Saturday as he continues to rehab the partially torn ulnar collateral ligament in his right elbow.
After throwing breaking balls during a 35-pitch bullpen session on Wednesday, Tanaka reported no discomfort, so he has been cleared to move on to the next step. The Yankees are still trying to work out all the details of who he will face, but Tanaka is likely to throw at Yankee Stadium.
"Each step he increases intensity," said Girardi. "I'm sure BP will be a little bit more intense than bullpens."
White Sox: Eaton begins rehab
Adam Eaton's rehabilitation kicked off on Thursday with Triple-A Charlotte. The outfielder, who has been on the disabled list with a right oblique strain since Aug. 9, took batting practice before Chicago's 4-3 loss to the Orioles on Wednesday night.
Eaton will be eligible to return for Sunday's series finale with the Yankees, though general manager Rick Hahn doesn't expect it. Eaton should, however, be able to return for the start of next week's homestand.
Eaton's injury surfaced two days after running into a post in the U.S. Cellular Field wall while chasing a home run. Chicago doesn't want to totally change Eaton's aggressive style, just tone it down.
"Guys are going to get hurt, but I think there's ways for guys to manage it," Ventura said. "This is not a guy that's played 10 years, so he's got stuff that he'll learn as he goes along: How important he is to the team to when to run face-first into the wall and when not to when the ball's 10 feet over the fence. So, hopefully, he can learn that."
Worth noting
• Friday will mark the 52nd game started by a Yankees rookie pitcher, the most in the Major Leagues. The Yankees are 32-19 this season in games started by rookie pitchers.
• The White Sox are coming off their first sweep to the Orioles at home since 1995.
David Wilson and Jamal Collier are associate reporters for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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cdaligou wrote:Ditto. I desperately need some new sheets but in general am not a fan of "sateen" either.
"Sateen" does not equal "satin", nor does it mean "shiny" (at least not as a rule). I have several sets of quality sateen sheets, and they aren't shiny. They're actually velvety, for lack of a better word. The one thing that I don't like about them is that if I have any rough skin on my feet, I know it because it feels like it almost snags the sheets. I absolutely don't need any more sheet sets, but with single-ply thread, Egyptian cotton, at 500 thread count, I'm having a hard time resisting these, both for myself and as gifts for family members who sleep on unacceptably yucky sheets, IMO.
Very wrinkled, not good fitting fitted sheet.
Very rarely have regrets about a purchase on Woot but sadly this is one of them. Beware, these are not worth the money. And they are not sateen as advertised.
alp122 wrote:Very rarely have regrets about a purchase on Woot but sadly this is one of them. Beware, these are not worth the money. And they are not sateen as advertised.
Yes, I agree-- it's my feeling as well that they are not sateen. Good sateen sheets should have a sheen when seen from an angle; these do not. They don't feel soft like a good sateen should. The retail packaging doesn't mention sateen-- it's a selling point, you'd think they would. The packaging doesn't mention ply count either. If you got it, why not put it on the packaging?? So far I'm not thrilled. It's easy enough to buy non-sateen sheets for a better price than this. I was hoping for a good price on something better than a basic sheet. I can agree with your regrets-- right now I'm wishing I had gone for the 700TC Amazon deal that pcspecialist mentioned. I haven't had a chance to wash them & try them-- too many non-fun things going on for the past month-- maybe I'll like them better then.
I just wanted to add a comment in case anyone looks back at this before buying them in a future woot. My fitted sheet got entirely covered in pills and is completely unusable. It was like trying to sleep on sandpaper. Bad purchase...
Bought these a couple of months ago, very poor quality. Going in the attic for dust covers.
Jennlee wrote:I don't know. Every time I try to buy high thread count sheets the bottom sheet gets nubby right away and drives me nuts. I know there are good high thread-count sheets out there, but so far I haven't found them in several tries. Has anyone had these actual sheets and can review them?
I bought these and after 2 or three washes they pilled up (nobby) I was very disappointed. I will do more research next time.
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